The URL can be used to link to this page

Home My WebLink AboutBuilding Permit 01-0016 CITY OF PRIOR LAKE BUILDING PERMIT, TEMPORARY CERTIFICATE OF ZONING COMPLIANCE AND U~LI~ CONNEC~ON PERMIT DIRECTIONS 1. DATE SPACE8 NUMBERED 1 THRU 17 MUST BE FILLED IN BEFORE PERMIT IS ISSUED (Ptease Print or Type and sign at bottom) Jv,~ '-~g~) ~O BUILDING INFORMATION ~. Bm ADDRESS ,,. S,ZE oF B~"UO~RE ~. LE~ DE*CRIb, ON ,~. NO. OE ETORIE~ LOT ? BLOCK '~ P,D --- Z-- 13. TYPE OF CONSTRUCTION 4. OWNER// 1 (Name) (Address) (Tel. No.) 14. FLO~R AREA APPORTIONMENT USE ,.ARC " CT ~. BUILDER ~ (Name) (Address) (Tal. No.} 15. NUMBER OF OCCUPANTS OR BEATS SEATS 7. TYPE OF WORK, / Flreplac~_ Septic O Deck ~3 Re-roofing O Porch O New ConsthJction~ta~' Nterations O Addition ~ Finish Attic ;3 Re-siding O Finish Basement ~3 16. PROJECT COST/VALUE 8. PROPERTY AREA OR ACREB 19. PROPERTY DIMENSIONS [ 10. CULVERT SIZE 17. COMPL~-rION DATE I hare~y co~'l~ that I have furnished Inf{umation on this application which is to the best of my knowisd~e Irue and correct. I aiso certify that I am the owner or authorized agent for the above mentioned property and that all construction will contorm to all exJstir'~ stat8 and iccal isws and will proceed in accordance with submitted plans. I am aware that tha b~llding offlc~l c~x~ ke this pe~j,~ r just c~ljse/,~u ~halmore, I hereby agree that the c}ly official or a dealgrte~.~.may,en~r.~bon the properly to perform needed inspec~ns. FOR ADMINISTRATIVE USE SE'FBACK~: Reduimd MATERIAL FILED WITH &PPUCA'nON Actual SOIL TESTS C} ENERGY DATA SPACES REQ PLANS & SPECS ~1 BETS USE OF BUILDING S'F~ SPACESO, P~N,~.-- ....'.~. ~-. BURVET O COP,EB PERMIT VALUATION ~ PLOT PLAN TYPE OF CONSTRUCTION: I II III IV V Occupan~yGroup A B E F H ~ M R S U City: Amount Brought Forward .................. $ Pa.~. P. ................................... ,~/$ g. 35' EAC ......................................... $ PlumblngPemtttF~ ....................... $ ~ ~.,~ ^ ~ ~J MeterHom ................................... $ M~::hanlcal P~rmlt F~ ..................... $ [~,0~~ ~.~ W~t~r Meter ................................. $ 1 B~&Wa~Permti ...................... * :~.~0 . Wate~To~e~F~ ........................... Othor ......................................... By ~e~,~ Date ~ Total Due .............................. 24hournotlcefo~allinspecrions 447-4230 SEWER AND WATER PERMIT NOTE: Sewer and Water contractors must be registered with the City. SITE ADDRESS FILL IN THE BLANKS 1. Estimated length of water service feet. 2. Size of water service inch(es). 3. Location of any couplings from structure feet. 4. Type of sewer pipe. ABS PVC Cast Iron 5. Estimated length of sewer line feet. 6. Clean out (if required), located at structure. feet from This applicatio~~ your permit when approved. DATE: FEES: $ 35.00 Sewer and water $ .50 Surcharge $ 35.50 TOTAL line connection permit. * Fee for either sewer o__r water individually is $~.~ plus $ .50 surcharge. Sewer and water permits issued for new construction must be recorded on the building permit card at the time of issuance to insure that no duplicate sewer and water permits are issued. DATE PAID RECEIPT # AMOUNT PAID . _..~ ~I%T~ _ REC' D BY ~%~%N%~ 16200 Eagle Creek Av. S.E., Prior Lake, Minnesota 55372 / Ph. (612) 447-4230 / FAX (612) 44%4245 An Equal Opportunity Employer White - Building Canary - Engineering Pink - Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST APPLICATION RECEIVED ' ' t J' ~6' O0 ¢ BdlOin~_E~gi~eeri~l~,al~t P~r~§ ~epar~me~tt~'have reviewed the building permit ~ for construction activity which is proposed at: Reviewed By: ~--~-~, Date: /,~/ Comments: .¢,~,E ,q£H~)q-~' _.4/¢~' k'~)£ ~C~P/C'/D~',~/£ Comm~-~/U~'~<. "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 9f any other ordinance of the jurisdiction. Permits presuming to give authority to violatb or cancel the provisions of this code or other ordinances of the jurisdiction shall not 'be valid." White - Building Canary - Engineering Pink - Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED ,, ii. d, oo The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: Accepted Accepted With Corrections Reviewed B Comments: "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." White - Building Canary - Engineering Pink - Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: Accepted Accepted With Corrections Denied Reviewed By: ~ Date: __~~/~ ~ Comments: "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." · ~ 'HEATING APP UCATION I PERMIT Lot Block Addi~lon ,.o Tdephon~ I - ~ ;~ TYPE OF STRUCTURE F~e ~hKlu~ kmlblIl, Comme. M & MW.Fandy FilddInIbL Iklillng & AG ItlIIdlmbJ. I-IeeUng Only IhIidl~td, eel FllIpIK. IbeklentIBI, Addttlolw & Altmtfofle Iig4.60 I3g.60 rag,6o 01.6o RemembIr Is Bald the 81I# Btgt~Ifgl ecl Die bolloln Id M Ipp~etlon. Thi plI~i si yew h#tlng pirelli bldUl~l om ioqh. ln I~d mi lind In~ Addiimd InIpKtlmi Mqh Idhd i! r~6.oo elch. HmlII Hmml~g T/et I~ ~ be II--lid Idlh I~lMIna I hereby IIpplir Is! I meohIflle,II Ilrlllltl! permll Ind I idmowlellll IMM Iflloemmgon obovl Ill eomptlti Ind leeufiil; IhII the wMk wig bi hi IdOlmIlI~, with Iile efdlnenfli imf eodeI of th. oily ind wflh the etell IxdldklkImiI~d cod.; IhiI lib form doee nol heome ,. pimdt unlll Itgned by kIJILOINO OFFI(~IAL; Ihet the w~k will h In iQeoldenel wlih the eppmvdliIn k gm . enee ol ell wink whtoh ~iqullel rlvliw Ind ippmvd I~PE OF WORK EBL Oomp. Dm .,,,..,,..,, 01-oo1¢ C~y Hid hIinIlI houri Im iq Lin, * 4:30 AU. WORK IdUiqT BI g4PECTED (ROUGH-IN N4D FINAL) - CALL CIITIIALL 447,,413~ ANmiIkme Ed, Ood I HEATINO PEFU~T FEE $ IqTA'/E 9URCllAflGE $ TOTAL PERMITFEES ! CITY OF PRIOR LAKE 3. Ydbw AFipli~ PLUMBING PERMIT #, OJ-ool~ Signature: ~,,~'-- -- , , Legal Description: Lot '7 .Block Building Permit # O1'- 07'~ I [~ PlO# 'Z,~'-~7.,Z-030 -' 0 NOTE: This permit will not be processed without complete information. FIXTURE UNITS Quantity Type of Fixture Quantity Type of Fixture ~ Bath Tu~ with or without shower ,,~ Rough-ins / Dishwasher / Water Heater / Floor Drain . _ _ Water 8oftner .~ Lavatory (bathroom sink) / Stand Pipe (washing machine) / Laundry Tray (1 or 2 compartment slnk) Sewage Ejector / Shower Stall Eactdlow Assembly (RPZ. Double Check, PVS) / Sinks Backflow Assembly Test Bar Sink Lawn Sprinkler ._~ Water Closet (toilet) Other FEE SCHEDULE Industrial. Commercial & Multi-Family (1% of job cost, S39.50 minimum) Residential, New One & Two Family Residential. Additions & Alterations State Sumharge $ $99.50 $ $39.50 S $ .50 GRAND TOTAL This I~mit is Fac[el upon ~hc r. xpre~ co~:lition ~at said contm~or, s~ll compl~ in all ~ With ~c o~i~nces or ~c S~tc Plum~n8 ~ ~c am~dm~U ~R C~I for all ins~ctions 24 hou~ ~ advance. :i/' DEC - 6 2000 16~200 Eagle O'eek Av. S.E., Prior Lake, Minnesota 55372/Ph. (612) 447-4230/FAX (612) 4-47-4245 An EquaJ Opportunity Employer PRIOR LAKE BUILDING AND INSPECTION INSPECTION RECORD SITE ADDRESS ~ NATURE OF WORK IJe~ USE OF BUILDING PERMIT NO. 0/~ ~ CONTRACTOR N~a~t~3~''~'OTAPER~ITFOR PHONE NOTE: THIS IS ANY OF THE INSPECTIONS B-I~LOw THE PERMIT IS BY SEPARATE DOCUMENT ROUGH - INS SEWER / WATER / SEPTIC FRAMING ELECTRICAL PLUMBING HEATING (if required) GAS UNE Am TEST COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED ,, FINALS GRADING (Prior to Sodding) BU,LD,.G rao, ELECTRICAL PLUMBING ~/~ ~, HEATING DO NOT OCCUPY UNTIL ABOVE HAS BEEN SIGNED NOTICE This card must be posted near an electrical service cabinet prior to rough-in inspections and maintained until all inspections have been approved. On buildings and additions where no service cabinet is available, card shall belalaced near main entrance. Call between 8:00 and 9:00 A.M. for all inspections FOR ALL INSPECTIONS (952) 447-9850 CITY OF PRIOR LAKE [] Conditional C.O. Expires l' This Certificate issued pursuant to the requirements of Section 307 of the Uniform Building Code certifying that at the time of issuance this structure was in compliance with the various ordinance~ of the City of Prior Lake regulating building construction or use. For the following: Us~Classification SINGLE FAMILY Bids. PcrmitNo. 01-0016 Occupancy Type R3 .Tyl~Conslmction VN F~Zone N/A Zoni~Diauict PUSD L~a~D~:~ion LT. B4. C. ARDTNAL RTDGE FOL'RTH ADDN OWner°fBuildins· Si~Address 5974 CROSSANDRA STREET -/ , HOMES BY CHASE, 1668 EAST CLIFF ROAD, BURNSVILLE 55337 Contractor s Name & Addre~ ROBERT D..~CR~NS _. DON RYE ~' POST [N CITY OF PRIOR LAKE INSPECTION NOTICE OWNER CONTR. PHONE NO. [] FOOTING [] PLUMBING RI [] FOUNDATION [] MECH RI [] FRAMING [3 WATER HOOKUP [] INSULATION [] SEWER HOOKUP ~1~ FINAL [] PLUMBING FINAL SITE INSPECTION [] MECH FINAL COMMENTS: ,~'~ [] EXIGRAD/FILUNG [] COMPLAINT [] FIREPLACE RI [] FIREPLACE FINAL [] GASLINE AIR TST [] ..[~RK SATISFACTORY, PROCEED [] CORRF~ACTION AND PROCEED [] COR~ffi.~RK, CALL FOR REIHSPECTION BEFORE COYERING In sPe C~°~4~.9850 FOR TH E NEXT iNOw:pe:cC.~n~r; ~VAN C E. CODE ~QUI~ME~ ~ FO~ YOUR PE~ON~ H~ & ~FE~I CITY OF PRIOR LAKE INSPECTION NOTICE ADDRESS OWNER PHONE NO. SCHEDULED CONTR. PERMIT NO. [] FOOTING [] FOUNDATION E] FRAMING r'l INSULATION ~FII~L F'I SITE INSPECTION [] PLUMBING RI [] MECH RI [3 WATER HOOKUP [3 SEWER HOOKUP [] PLUMBING FINAL [] MECH FINAL COMMENTS: DATE TIME /~EX/GRADIFILLING [] -COMPLAINT [~ FIREPLACE RI FI FIREPLACE FINAL [] GASLINE AIR TST [] ,,,~WORK EATISFACTORY, PROCEED [] CORRECT ACTION AND PROCEED [] CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING Inspector: ~'~~Contr: CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI CITY OF PRIOR tAKE INSPECTION NOTICE SCHEDULED DATE TIME OWNER CONTR. PHONE NO, PERMIT NO. [] FOOTING [] PLUMBING RI [] EX/GRAD/FILLING [] FOUNDATION r-I MECH RI [] COMPLAINT [] FRAMING ~ [] WATER HOOKUP ,~"'~ FIREPLACE RI ~:],~ INSULATION ~'~.) [] SEWER HOOKUP ~r~ ~ ][:] FIREPLACE FINAL .,~FINAL ~/'~ [] PLUMBING FINAL ~'~GASLINEAIRTST, [] SITE INSPECTION [] MECH FINAL [] ~ COMMENTS: [] WORK SATISFACTORY, PROCEED ~1~ CORRECT ACTION AND PROCEED [] CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING Inspector: '~ ~' OvmerlContr: CALL 447-98~0 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. CODE REQUIREMENT~ ARE FOR YOUR PEI~ONAL HEALTH & SAFETY/ CITY OF PRIOR LAKE INSPECTION NOTICE SCHEDULED DATE TIME ~ .27.o1 z', ~ A;DRES* -.5974- ~e_~W~ OWNER CONTR. PHONE NO. PERMIT NO, r-I FOOTING r-I PLUMBING RI [] FOUNDATION [3 MECH RI [] FRAMING [] WATER HOOKUP 6~-oo10 [] EXJGRADIFILMNG [] COMPLAINT [3 FIREPLACE RI [ NSULATION [] SE~NER HOOKUP [] FIREPLACE FINAL INAL ~ [] PLUMBING FINAL [] GASMNE AIR TST ITE INSPECTIO, ~,)~ MECH FINAL [] -- co , NtS [] WORK SATISFACTORY. PROCEED [:] CORRECT ACTION AND PROCEED .~ CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING Inspector: ~'~ Owner/Contr: CALL 447-9850 FOR THE NEXT iNSPECTION 24 HOURS IN ADVANCE. CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI CITY OF PRIOR LAKE INSPECTION NO'riCE SCHEDULED DATE TIME lO:oo OWNER CONTR. PHONE NO. PERMIT NO. [] FOOTING [] PLUMBING RI [] FOUNDATION [] MECH RI [] EX/GR~D/FILLING [] COMPLAINT [] FRAMING [] WATER HOOKUP [] FIREPLACE RI [] INSULATION /~'~ [] SEWER HOOKUP [] FIREPLACE FINAL [] FINAL ~ ~1~] ~ PLUMBING FINAL r-I GASLINE AIR TST [] SITE INSPECTION \'":.-~ ' [] MECH FINAL [] [] WORK SATISFACTORY, PROCEED /~ CORRECT ACTION AND PROCEED CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING Inspector: *~.~__ Owner/Contr: CALL 447-9860 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. CODE REQUIREMENTS ~ FOR YOUR PEI~ONAI. HEAL TH & SAFETY/ DATE TiME CITY OF PRIOR LAKE INSPECTION NOT]CE SCHEDULED { - 2~'O ( ~ '~ OO OWNER CONTR. PHONE NO. PERMIT NO. {~) ( - ~.~ J ~1 I-I FOOTING IFI PLUMBING RI n EX/GRAD/FILLING [-1 FOUNDATION ~ [3 MECH RI [3 COMPLAINT [3 F~U:.G '(---~J ,~' WATER ,OOKUP [3 F~REPLACE ~ [3 INSULATION ~ .~: SE'WER HOOKUP [3 FIREPLACE FINAL r~ FIlL ! ~.~ [3 PLUMS,,G F,,AL [3 GASUREAIRTST D SITE INSPECTION \v [3 MECH FINAL [3 [] WORK SATISFACTORY, PROCEED /~ CORRECT ACTION AND PROCEED CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING Inspector: ~~ Owner/Contr: CALL 447.9860 FOR THE NEXT NSPECTI,ON 24 HOURS IN ADVANCE. CODE REQUIREMENTS.4RE FOR YOUR PERSONAL HF-.,~TH & SAFETY/ Heating Contractor Controlled Air Name of Taster Date Percent 02 Percem ~ Percen~ s~ Tam~. /