HomeMy WebLinkAboutBuilding Permit 91-0022
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
312-0 T CA./( ^-.oJ
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
~INAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
To
C L.C1S~ Fr L€-
IN /Tc-TI V (ry
_ DJE / TIME
~(:)O
15~ C(I'<.
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
Uc:
kRK SATISFACTOR ,PROCEED
o CORRECT ACTI A D PROCEED
LL FOR REINSPECTION BEFORE COVERING
...
Inspector:
Owner/Contr:
CALL 447-98 0 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
INSNOTI
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYl
o I 3f 9 1:
'-~1 '::, (:, ' ,-:; '. -, r-~'"
iF~;~%]fllk~~'::~~:M~.KE
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
1. White - City
2. Yellow - ASsessor
3, Pink - Applicant
Permit No. q (.- ;) d-
1. DATE
I-~{-Cj(
BUILDING INFORMATION
11. SIZE OF STRUCTURE
(Height) (Width) (Depth)
12. NO. OF STORIES
-1--
13. TYPE OF CO~RUCTION
W6('-~ \-(2'~2-
14. FLOOR AREA APPORTIONMENT
USE
a
3. LEGAL DESCRIPTION
LOT.d J d- 3,. .... ~ BLOCK
~- ~(
ADDITION / tJ 1'''-1 ~~
PID
.-/~ - / C:l<::::' - 0 I;;: - 0
- <::> I~-D
--:;(Name) (Addre~S)
L>~... ~~.,. e ~ -D\..';:,,<'~7
5. (Name) (Address)
6. BUILDER
~
7. TYPE OF WORK FlreplaceD SepticD
New Construction~ Alterations 0 Addition 0
ChimneyD Misc.
8. PROPERTY AREA OR ACRES
S . Ft.
(Name)
(Address)
(Tel. No.)
9. PROPERTY DIMENSIONS
Width Depth
10. CULVERT SIZE
Yes In I~
No
15. NUMBER OF OCCUPANTS OR
SEATS ~
OCCUPANTS N ~
SEATS
16~STIMATED VALUE
2c.,. ,,('<:'-
17. P9MPLETION DATE
?f-!-q,
Heating 0 Plumbing 0 Reroofing 0 Porch 0
Finish Attic 0 Residing 0 Finish Basement 0
I hereby certify that I have furnished Information on this application which Is to the bast of my knowledge true and correct. I also certify that I am the owner or authorized agent
for the above mentioned property and that all construction will conform to alle.lstlng state and local laws and will proceed In accordance with submitted pi Ins. I am aware that
the building flclal can revoke thl permit for Just cause. Furthermore. I hereby agree that the city official or a des I nee m y enter upon the property to perform needed inspec.
tlons.
X
FOR ADMINISTRATIVE USE
SETBACKS: Required
Actual
Front
Back
Side
Side
MATERIAL FILED WITH APPLICATION
SOIL TESTS 0 ENERGY DATA 0
PILING LOGS [J PERCOLA nON
f TEST -fd
PLANS & SPECS SETS
SURVEY * COPIES if-
PROPOSED GRADE FOUNDATION
IN RELATION TO CURB OR CROWN
OF STREET
U~EOF BUILDING 2th~2- \--i::~\\.(
-Y.~ '~,-,,-Po..\ r:-...l-':~IN
TYPE OF CONSTRUCTION; I II III IV
Occupancy Group A BEl H@\M
Division 1 ~ Lj,.-
Permit Fee.. . . . . .. . . . .. . .. .. .. .. . .... $ s:- ~o c.;~
:J.P - "'? --
Plan Checking Fee. . . . . . . . . . . . . . . . . . .. $ ( -So. ~ s:..
State Surcharge. . . . . . . . . . . . . . . . . . . . .. $ 2- 9 - W
Penalty . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. $
Septic System. . . . . . . . . . . . . . . . . . . . . . .. S
Other. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. $
Subtotal. .. .. . . .. .. .. . .. .. .. ... $ f) ~ C' ~ <:- S:.
PLOT PLAN
Amount Brought Forward. . . . . . . . . . . .. $
Park Ded . . . . . . . . . . . . . . . . . . . . .. ...... $..3,;;:::, b. <"e:"
Sac .$~~.,:-: .~. .00c .t. <:-. . . . . . . . . . . .. $
Plumbing . . . . . . . . . . . . . . . . . . . . . . . . . . .. $
Sewer Tap.. . .. . ... . .... . .. . . . . . . .... $
Sewer Hook-up. . . . . . . . . . . . . . . . . . . . . .. $
Water Hook-up. . . . . . . . . . . . . . . . . . . . . .. $
Meter Horn. . . . . . . . . . . . . . . . . . . . . . . . . .. $
Water Meter. . . . . . . . . . . . . . . . . . . . . . . . . . $
Check if 0 Sewer & Water ~.nDec.tig,~ F~ C I '\ .. $
Deferred DWaterTower F~.~.............. $
Water Tap. . . . . . . . . . . . . . . . . . . . . . . . . . .. $
City FeeC'............/)............. $
Other.~~n.~4'Y":~+..... $ dU-'~
Total Due. . . . . . . . . . . . . . . . . . . . .. $ / / .s: I", /.3-
Paid //57 ~ Receipt no. / bf; I' '1
Date ,.2..-=-2- -7/ By ;:;;;&1
raqua tl the above application and accompanying documflntlllln accordance with the City Zoning Ordinance and may proceed as requelted. This docu.
ner conltltuas a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy. a Cerltlflcate of Occupancy
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
PERMIT VALUATlON--';'~ ~~_(;L
City:
By
Certificate of Occupancy
Issued
Date ;) ~ .L( (
Speclll Conditions if any
24 Hour notice for slllnspections 447-4230 9:00 s.m. . 10:00 a.m.
/
CITY OF PRIOR LAKE
PLUMBING PERMIT
No.
9/ -1 g
Applicant: 0 7...-p,.67 )G?~.....?7~/,Uf Phone: c!!P$~ -~/~/
Address: ./O~ ~C#A...dJ r 'f'";Ot51~ ...4,A.
Signature:
Legal description of premises to be plumbed: Lot d.J.,.;J. ~ "I
Sub: ~J/? C74.ro~
Address: ~77<;:; /~/::fi..r.#. (?"4"'~o
Building Permit# 9"L~
3~ .4 . ~.
~z1~ fU..<.:J
( I -
d 5""- laO - O/S-, ()
~//\J /~~ ~/f)
NOTE: This permit will not be processed without complete information.
FIXTURE UNITS
Quantity Type of Fixture Umt
. , ,. '\'.". ;0. .,.l~: c.>"'. Amount .Total
Bath Tub with or without Shower $4.00
Dishwasher $4.00
/ Floor Drain $4.00 4.00
} Lavatory (bathroom sink) $4.00 /-j. 66
Laundry Tray (1 or 2 compartment sink) $4.00
/ Shower Stall $4.00 ~/ ' 0 d
SINKS:
Combination Sink and Tray
with or without disposal $4.00
/ Bar Sink $4.00 L/ . 00
Water Closet (toilet) $4.00
~ Rough-ins $4.00 7, 00
/ Water Heater $4.00 /j. oc..
J Water Softner $4.00 /./. 00
Stand Pipe (washing mach) $4.00
Sewage Ejector $4,00
J Other &AfI.,4Y JL~fi 1'7~. -.,><":> $4.00 Lj OG
Lawn Sprinkler $20.00
TOTAL d-t,oo
SURCHARGE .50
GRAND TOT AL13 h ,S V
This permit is granted upon the express conditions that said contractor, shall comply in all
respects with the ordinances of the state Plumbing Code and the amendments there of.
Date
Attest
(612) 447-4230 . 4629 Dakota Street S.E. . Prior Lake, Minnesota 55372
:"
.
.".
"BPAPCK"
II
Approved with Corrections
Date: /~~~~I
PLANNING
Approved .-(- Denied
Rev iewed by: /~ ( ~
Zoning:
Comments:
Approved with Corrections
-"'') .~
Date: _~ .- S - il
BUILDING
APproved-f- _i(nied
Reviewed bY:~
Square Footage:
Comments:
Approved with Corrections
- ~7 ::fZ7
"""j.- L"")- I
Date:
PERMIT ISSUED
4629 Dakota St. SE.. Prior lake, Minnesota 55372 I Ph. (612) 4474230 I Fax (612) 447-4245
PRIOR LAKE
INSPECTION RECORD
DEPARTMENT OF
BUILDING .AND INSPECTION
SITE ADDRESS 3Y 2 () Tu..~ f) I A"J CJ re.>>-
NATURE OF WORK ~ ti.? ~ ~ ~
USE OF BUILDING sF D
PERMIT NO. DATE ISSUED ~. s. <ry J
CONTRACTOR 1) a.tIr J () I S' en-. h~crvv^"'-"
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
I FOOTING l't I <0-1.{ ~1.-
I FOUNDATION (Prior to Backtill) I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
SEWER I WATER I SEPTIC
FRAMING Y r; OJ.S.OII 1.-<6' 4 I
7'
INSULATION x 1,..t>-1"l~ -
ELECTRICAL
PLUMBING ~ A- 01' S. 1\ tl).~. 6) I
HEATING (if required) ). l,p.C{ ."}v
FIREPLACE v )( \o.\s.Dj"L-
GAS LINE AIR TEST
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I WALLBOARD I I
FINALS
GRADING (Prior to Sodding) 1" "1.'~'"
BUILDING '- q.i ,,1
ELECTRICAL II
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 be placed near main entrance.
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS 447-4230