HomeMy WebLinkAboutBuilding Permit 98-0003
7. TYPE OF WORK
New Construction []
Chimney [] Misc.
B. PROPERTY AREA OR ACRES 19. PROPERTY DIMENSIONS 110. CULVERT SIZE
Sq. Ft Width Depth Yes No
1 hereby certify that I have furnished in.. "..,. on this application which Is to the best of my " . ',:~, true and correct. I also certify that I am the owner or authorized agent for
the above mentioned props and that all constJUCtion wi" confoon to all existing state and local laws and wIU proceed in accordance with submitted plans. I am aware 1ha1 the
building ~ It for use. Furthermoll hereby agree that the city official or a designee may enter upon the property to perform needed I~.
X/'":'.&.-_--: _____ /1/'1/"7
(./ , License No. 7 ~ 6ate
Amount Brought Forward .................. $
Park Support Fee ........................... $
SAC ......................................... $
CoIlectorStreetFee ....................... $
Sewer Tap ................................... $
Ucense Check Fee ......................... $
Pressure Reducer .......................... $
MeterHom................................... $
Water Meter ................................. $
Sewer & Water Connection Fee ........... $
Water Tower Fee ........................... $
Water Tap ................................... $
Builder's Deposit ............................ $
Other ......................................... $
~ ..~ T~~~jf.............:~;:1~~ r-
In the above application and accompeny"lQ documents IS In accordance With the"\ ol1g ... _..........._ and may proceed as~. This document when
. c..i...." WanrJiJ and allows oonslJ1JCtlon to commence. _,. OCCl.\lOflcy, a CeI1IftcaIe of cl&:upancy must be Isauad.
Special Conditions W any
6fJ 1(. J-f5 f~(, '~fu
CITY OF PRIOR LAKE
BUILDING PERMIT,
,,;
'I; TEMPORARY CERTIFICATE OF
Ie.-. . ZONING COMPLIANCE
-AND UTILITY CONNECTION PERMIT
.__...:--::-,~
1 . ~'-_:.)
. DATE RECE1\1I;l)
DEe 3 I ' ~J1
DIRECTIONS
SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN
BEFORE PERMIT IS ISSUED (Please Print or Type and sign at bottom)
2. SITE ADDRESS
IS-o~z BLACk oAK ROAD
1. DATE
/)...:3"'11
ZONING
f?J
:;\~. ~ul1' ol~' 0
3. LEGAL DESCRIPTION
~
LOT
.~
~~p~~ A/od,.
PID
~j). ""~PI774rJ
BLOCK
ADDITION
4. OWNER (Name)
,~e$ :l)
(Address)
I~ 9bkK ~~O
(Address)
(Tel. No.)
#7 -S'7z5'
(Tel. No.)
G,4"ep,.,ie;R
5. AR""I II I c."".
(Nome)
'\.
'\ (Address)
.rot;. J.vo~~
Septic jj Deck jj
Addition jj Finish Attic jj
(Tel. No.)
B. BUILDER
~,...
(Name)
./ ..
~ ~.....-.
Areplace jj
Alterations CJ
Re-rooflng jj Porch CJ
Re-siding jj Finish Basement)(
-----
FOR ADMINISTRATIVE USE
SETBACKS: Required
Actual
F"",'
Side
5~.
Baok
BUILDING DEPARTMENT VALUATION
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
PERMIT VALUATION --2,.trlC> .00
~F BUILDING -,
~J. .L:~.'.u<....
TYPE OF CONSTRUCTION: I II III IV (ii)
OccupencyGroup ~.~ ~ ;}. I M ~
City:
S U
~Q.'2.)
'40 . i<f
[.00
1../0, (P
L/(). dO
r""''i1
p{f./ \? I 0) <6
\ W'"
ll"~
Pennlt Fee ................................... $
Plan Checklng Fee ......................... t
Stele Sutt:harge ....................I{.
Penalty ...........I.t,...':l.'U;.. . . $
~~uf~lem alf:.Jf:4.~ . . ~
Other ......................................... $
I............................... $
mes Lr Building Pennlt When Approved.
~ Dele' - <;-"iFi
Issued
24 hour notice for all inspections 447-4230
1. White
2. Pink
3. Yellow
Permit No. BP
File
City
AppIiCIDt
o/g.o0.3
Jr'
. .'I'_~.
i - .~,
BUILDING INFORMATION
11. SIZE OF STRUClURE
(Height) (Widlh)
(Depth)
12. NO. OF STORIES
.3 ~t1"r-
13. TYPE OF CONSTRUCTION
,;'I!'esl"~~
14. FLOOR AREA APPORTIONMENT USE
1S. NUMBER OF OCCUPANTS OR SEATS
OCCUPANT~
SEATS
16. PROJECT COSTNALUE
17. COMPLETION DATE
/9f6
MATERIAL FILED WITH APPUCAnoN
SOIL TESTS Ll ENERGY DATA Ll
PILING LOGS Ll PERCOLATION TESTS Ll
PLANS & SPECS........-sETS
SURVEY
PLOT PLAN
Ll COPIES
Ll
9['003 4T
/9l_'O
,
CITY OF PRIOR LAKE
PLUMBING PERMIT
APPlicant:-J1?::l ?./tI/J{8;'~t.
Address: -'''J/J tlJC'j()r~dErH 14 V"t'. .56.
Signature:~ ~
Legal Description: Lot S- Block.3 Sub~.rrv 12 , A~ c.. 1- ~
Site Address: L5'PSJ. BhU'kdlllk ep. '
Building Permit # :fi-~.:s PID# Z~-30'l-()llJ-(;)
NOTE: This permit will not be processed without complete information.
I. Blue File
2. Gold City
3. Yellow Applicant
#~1 vv.~
Phone: '14t-//t7h Y$ P'2"~
I3~M: MAr S.5"'"4.....<2-
Th, Crnltr of lh. ukr Counlry
FIXTURE UNITS
J
Type of Fixture
Bath Tub w~h or without shower
Dishwasher
Floor Drain
Lavatory (bathroom sink)
Laundry Tray (lor 2 compartment sink)
Shower Stall
Sinks
Bar Sink
Water Closet (toilet)
Quantity
Type of Fixture
Quantity
I
Rough-ins
Water Heater
Water Softner
Stand Pipe (washing machine)
Sewage Ejector
Backflow Assembly (RPZ, Double Check, PVB)
Backflow Assembly Test
Lawn Sprinkler
Other
,
FEE SCHEDULE
Industrial, Commercial & Multi-Family
(1 % of job cost, $39.50 minimum)
Residential, New One & Two Family
Residential, Add~ions & Alterations
State Surcharge
$99.50
$39.50
$
$
$~
/"
$ .50
GRAND TOTAL
$~
/-.
PAID WITH
BUILDING PERMIT
This pennit is granted upon the express condition that said
contractor, shall comply in all respects with the ordinances
of the State Plumbing Code and the amendments thereof.
-"''16(>':>' RECEIPT NO. 1-:;te-94..DATE
f:../ ?1---- ATIEST
Call for all inspections 24 hours in advance.
16200 Eagle Creek Av. S.E., Prior Lake, Minnesota 55372/ Ph. (612) 447-4230 / FAX (612) 447-4245
An Equal Opportunity Employer
White . Building
Canary . Engineering
Pink - Planning
ne C..lt, 0' 11M Lake COlI.."
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
;J~ btJVld~
/J../ J I / "J 1
, .
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/$o5~ Bf~ OJ.L M.J
Accepted
Accepted With Corrections
><
Denied n j
Reviewed By:VJ ~ ~
Comments:
,. () f ~-L. ~1AA"1cL Cl..(",~w...'" ~+ I"ll-+ ~ 1.",,-.., q
~I)d~ ~k l?",.,~ If-J.J-
Date: J -t:;- c; &
"The issuance or granting of a permit or approval of plans, specifications and
computations shall not be construed to be a permit for, or an approval of, any violation of
any of the provisions of this code or of any other ordinance of the jurisdiction. Permits
presuming to give authority to violate or cancel the provisions of this code or other
ordinances of the jurisdiction shall not be valid."
Tile unlfl or tile uke C..II')'
White - Building
C_ry - Engineering
Pink - PIIInnInO
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLlSr.
NAME OF APPLICANT
APPLICATION RECEIVED
r1/Ji-,,-,J-:> brA If( '\} K.-.
I:J./JI/ '71
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
J 50 5.;.. gp(.iA~1 (~tcL M ..)
Accepted
./
Accepted With Corrections
Denied
Reviewed By: WlJ//1J21/l .
Comments: /V1A) IJ!./)'r J.. .
..)f- ~,t)(\CutJC(..lr()y'}~ AtJ4'w:.t->>tJ!. ~
_ " 1/
!;;lj /?rJr.JLJ ~ tlffb/u;h(Jn.
Date:
1//t:!/9f
(A...
~.""'
"The issuance or granting of a permit or approval of plans, specifications and
computations shall not be construed to be a permit for, or an approval of, any violation of
any of the provisions of this code or of any other ordinance of the jurisdiction. Permits
presuming to give authority to violate or cancel the provisions of this code or other
ordinances of the jurisdiction shall not be valid."
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.':: USE OF BUILDING ~. ~1.....L... ~.ry ...
.'. 'e!i';~'PERMmNO:i;~;: era - 003 ' OJtrE ISSUED '.L::5 - q ~.. .
"<:~!.<CONTRACTdR J_.. ~.- . .
,.,t'O't'E:,THISis NOT.A PERMIT FOR ANY OF THE INSPECTlq~~~1,EJ,.1:~9~;,
..\~1,;t~r . Jtlf.:",ej:,tlMIJj,JS B.V.SEPARATE DOCUMENT. '. .'6~~~~;~t,:*,-.I'h;~,"\"r.
..<:,~'<~j(~3~_- i1, _,' ,:)i; ~"'t~~;v'/~f~f-:,:! :;::"~:;.i{',_~I.:,;- . ,- , INSPECTOR " ' DATe .,",\r~",>i" ,1"'$, .", _ '.h, '-',
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'FH':'ACE~'NO'CONCRETE UNTIL ABOVE HAS BEENSIGNE
1,:~'~!~;~S:.i~:i~t:>~:Ai:2~:,;:'\,,, ,~-,."" ' , ..' ,'; ".."."',, ;.:~~tY*k-
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DEPARTMENT9F .
BUILDING AND INSPECTION'q
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'GAS'['NEAIF~TEST .. !ff _1-~1(-1" ' . : ~;",r'>','.:
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COVER'NOWORKUNTIL ABOVE HAS BEEN SIGNEb~i~1~f~,
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!Js:card ' b,e postec:inear:,en ,electrical .ervlce cabinet prior to rough-In Inspections:,~i;~"::i; ,:~..
nd'rnalntalned;untllllllnlpectlo".1 have bean Ipprove~. On buildings and Id!litlons'~.~.:J' ,g;
.. ere no'..rvld!'cailblnet 1..viilliabl.,'Carci thall be pllcecl near main. "'" ce::;,""}f\~;;,;t;!'i:;'!/'";'~" "".i.
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.:/';:fr: : Call between 8:00 and 9:00 A.M. for alllnspactlons .,. .',. ..
:~;"" ,,;:"? ,'.. FOR'" ALL INSPECTIONS 447-4230
:;.,
OATE TIME
CITY OF PRIOR LAKE . L'7k/
INSPECTION NOTICE SCHEDULED J; P/.1<7
ADDRESS /SOS-.2. Lf' kcA- ~~ Rei
PHONE NO.
OWNER CONTR.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
...,IlHINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
~UMBING FINAL
~CH FINAL
COM.MENT~ I I"" / _ ~
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o EXlGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
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--
~- / ---./ /~
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/WORK~I~r AMe....', 1- n.Vl.ott::c.LJ ------
/';;" ~ORRECT ACTION AND PROCEED
o CORRECT WORK" c;.~ ';tR REINSPECTION BEFORE COVERING
Inspector. /"U/Z ~rIContr:
CALL "7.9860 FOR THE NF'(T Itl!\PECTlON 24 HOURS IN ADVAtlc;E
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH 4 SltFETYI
IMNOTI