HomeMy WebLinkAboutBuilding Permit 93-0057
CITY OF PRIOR LAKE SCHEDULED;r ~
INSPECTION NOTICE V. .;;D
ADDRESS 58:3) ~CJolJ
OWNER
CONTR.
PERMIT NO.
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
'j;( FINAL
/0 SITE INSPECTION
COMMENTS:
Tn
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
C. c-ose Fr L-C--
pJAGTrV'7
TIME
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
11e-
~ORK SATISFACTOR , ROCEED
o CORRECT AC 0 A 0 ROCEED
FOR REINSPECTION BEFORE COVERING
Inspector:
Owner/Contr:
R THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTI
April 22, 1994
Mr. Jerome Carlson
5835 Cedarwood Street
Prior Lake, MN 55372
RE: Building Permit Number 93-57
The Building Department is in the process of updating old files and it has come to our
attention that the above mentioned permit has not yet received a final inspection.
Please be so kind as to call the Building Department within ten (10) days at 447-4230,
between 8:00 a.m. - 4:30 p.m., Monday through Friday to schedule a final inspection. If
your project is not finished, please contact us so we may extend your permit.
Thank you for your anticipated cooperation.
GTS :jlp
FM221S.wRT
, .;
4629 Dakota St. S.E., Prior Lake, Minnesota 55372-1714 / Ph. (612) 447-4230 / Fax (612) 447-4245
AN EQUAL OPPORTUNITY EMPLOYER
November 17, 1994
Mr. Jerome Carlson
5835 Cedarwood Street
Prior Lake, MN 55372
RE: Building Permit Number 93-57
The Building Department is in the process of updating old files and it has come to our
attention that the above mentioned permit has not yet received a final inspection.
Please be so kind as to call the Building Department within ten (10) days at 447-4230,
between 8:00 a.m. - 4:30 p.m., Monday through Friday to schedule a final inspection. If
your project is not finished, please contact us so we may extend your permit.
Thank you for your anticipated cooperation.
er
'cial
CITY OF PRIOR LAKE
GTS:jlp
FM2229WRT
4629 Dakota St. S.E., Prior Lake, Minnesota 55372-1714 / Ph. (612) 447-4230 / Fax (612) 447-4245
AN EQUAL OPPORTUNITY EMPLOYER
NAME OF
CHECKLIST
APPLICATION RECEIVE
ENGINEERING
Accepted
Reviewed by:
Comments:
Denied
Accepted with Cor
ions
PLANNING
Accepted
Reviewed
+
by: ~- 6 "
, --.-:>
Denied
Accepted with corr~ions
Date: - (c ~'7-~
Zoning:
Comments:
BUILDING
.
Accepted~ D~ied
Reviewed by: ~
Square Footage:
Comments:
Accepted With corre~ions
Date: ~-l Z ~..~
PERMIT ISSUED
"BPAPCK"
/
1. Blue File
2 Gold City
3. Yellow Applicant
# 93-30
Phone: Lj. c:; ~- - J g ) )
P r I' (:' Ii /..q k e.
CITY OF PRIOR LAKE
PLUMBING PERMIT
Applicant: ~ -e. 'C" 0 IV' ~ P, Co. '(" 1 S' 0 'l\
Address: Sir 35 Ce..JQ-,~ Nq0ct 51,
Signature: ~,<,i'{'INt... P C@./.Jl>>I7~
Legal Description: Lot Block Sub:
Site Address: ~--g'?? ceA"..clVC'o; 51 ~f,'(')r LcAK~
Building Permit # . PID # ~5" - c513 9 -t1:1..3-8
NOTE: This permit will not be rocessed without complete information.
FIXTURE UNITS
Unit
Quantity Type of Fixture Amount Total
Bath Tub with or without shower $ 6.00
Dishwasher $ 6.00
Floor Drain $ 6.00
I Lavatory (bathroom sink) $ 6.00
Laundry Tray (1 or 2 compartment sink) $ 6.00
J Shower Stall $ 6.00
~ Sinks: $ 6.00
Bar Sink $ 6.00
J Water Closet (toilet) $ 6.00
Rough-ins $ 6.00
Water Heater $ 6.00
Water Softner $ 6.00
Stand Pipe (washing machine) $ 6.00
Sewage Ejector $ 6.00
Backflow Assembly (RPZ, Double Check, PVB) $25.00
Backflow Assembly Test $10.00
Lawn Sprinkler $25.00
Other $ 6.00
Minimum Fee ~ ;) .-
..,-0 ..::--." _ Co"...,.
SURCHARGE
.50
GRAND TOTAL $ -~~, -~~)
This permit is granted upon the express condition that said
contractor, shall comply in all respects with the ordinances
of the State PI mbing Code and the ame ments thereof.
ECEWf N .
Call for all inspecti s 4 hours in advance.
4629 Dakota S1. S.E., Prior Lake, Minnesota 55372 / Ph. (612) 447-4230 / FAX (612) 447-4245
AN EQUAL OPPORTUNITY EMPLOYER
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
5~
3. LEGAL DESCRIPTION
LOT ?
ADDITION 50 "'~
4. OWNEJl...... (Name)
~ -e. ,0 'f<'.~
5. ARCHITECT (Name)
/
ffi\l
I
\ CITY OF PRIOR LAKE
BUILDING PERMIT,
RTIFICATE OF ZONING COMPLIANCE
ILlTY CONNECTION PERMIT
C e.J. t\X vJ C' Q! ~
BLOCK ~
~O ~ "'- ~ ~
6. BUILDER
7. TYPE OF WORK
New Construction 0
Chimney 0 Misc.
8. PROPERTY AREA OR ACRES
Sq.Ft.
Sf.
1. White
2. Pink
3. Yellow
File
City
Applicant
Permit No.
1'~-~~
1. DATE
3 -). 3
BUILDING INFORMATION
11. SIZE OF STRUCTURE
(Helltlt) (Width) (Depth)
12. NO. OF STORIES
.
PID ;;. t; ~ ,'2.310;;" 5 - 0
13. TYPE OF CONSTRUCTION
14. FLOOR AREA APPORTIONMENT USE
(Tel. No.)
(Tel. No.)
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS
SEATS
#6: EnTIMA~ED VALUE
rt , ~ ,c-$'-.
17. COM LETION DATE
(Address)
- '':/Ir-
Heating 0 Plumbing 0
Finish Attic 0 Residing 0
9. PROPERTY DIMENSIONS
Width Depth
I 10. CULVERT SIZE
Yes No
Reroofing 0 Porch 0
Finish Baseme~
I hereby certify that I have fumished information on this application which is to the best 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 all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the
buil '[lQ official can revo this ermit r lust cause. Furthermore, I hereby agree that the city official or a designee may enter upon the property to p.!!I:fDrm needed inspections.
X' ~. /~~ ):.."
Signature LiOeIlS8 No. Date
SETBACKS: Required
Actual
Front
PROPOSED GRADE FOUNDATION
IN RELATION TO CURB OR CROWN
OF STREET
USE OF BUILDING 'I<-A~~
~ ,,::::,.\.--...
TYPE OF CONSTRUCTION: I II \II IV ~
Occupancy Group A BEl H~
Division 1 Q)
Permit Fee ................................... $
Plan Checking Fee ......................... $
State Surcharge ............................. $
Penalty ....................................... $
Septic System ............................... $
Other ......................................... $
FOR ADMINISTRATIVE USE
Back
Side
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
PERMIT VALUATION
MATERIAL FILED WITH APPUCATlON
SOIL TESTS 0 ENERGY DATA 0
Side
PILING LOGS 0
PI>>JS & SPECS f-
SURVEY fr
PERCOLATION TESTS 0
SETS
COPIES
-z-
.1- . DC::>~ ~
City:
;);;:,. - ~
l<.-. ;;)~
.~
~(. 0~
Check if
Deferred
Becomes Your Building Permit Wh'- Approved.
Date L{-\2~~
PLOT PLAN
o
- ~ .:;;:
Amount Brought Forward ........ .......... $
Park Support Fee ........................... $
SAC ......................................... $
Collective Street Fee .................. ..... $
SewerTap ................................... $
Ucense Check Fee ........... .............. $
Pressure Reducer .......................... $
Meter Horn ................................... $
Water Meter ................................. $
o Sewer & Water Connection Fee ........... $
o Water Tower Fee ........................... $
Water Tap ................................... $
Other ......................................... $
Other ......................................... $
Total
Paid
Date B
plication and accompanying documents Is in accordance with the City Zoning Ordinance and may proceed as requested. This doc when
Certificate. otl,oning compliance and a1I01Vs construction to commence. Before occupancy. a Certificate of Occupancy must be issued.
- (Z->-t~
Dale Special Conditions ~ any
24 Hour notice for all inspections 447-4230 9:00 a.m. . 10:00 a.m.