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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.