HomeMy WebLinkAboutBldg Permit 99-0645,Plg 99-782
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
1t..f7/n
~.
} (~-t
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION t.A
~INAL V
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS: 6r:tSGMGtJT
Ail L-S ~>>tt-,~ aj.
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/U~~
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DATE TIME
7--Zl~
2:"30
~Cj _ (,45
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
.
~
I '. I
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.~
..
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I<.J"tl-d d.h7J2._, _ .- _______
(1'71-<<- ~ ~)
---
-
LRK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT~~RK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: W': Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
INSNOTl
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
~1
QATf RFr.FI\{I=n..
o/Z? )lq
DIRECTIONS
SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN
BEFORE PERMIT IS ISSUED (Please Print or Type and sign at bottom)
2'7~ES~aviJmrt
3. LEGAL DESCRIPTION
~
/klt-f
e;-~
/~
/- ~dd'eSS) _ / fTel. No.)
/'1'-/11) t4J#1#IHJ1 /r/?/Z.r
(Tel. No.)
1. White
2. Pink
3. Yellow
File
City
Applicant
Permit No.
99-6 ~)
1. DATE
5/~::;"-71
/2./
BUILDING INFORMATION
11. SIZE OF STRUCTURE
(Heignt) (Width) (Depth)
12. NO. OF STORIES
'-""
PID Z5-z8<1-0~-O
13.. TYPE OF CONSTRUCTION
LOT
RIOCf
t~/i,~ /;I/I~-
(Nam~)
ADDITION
'4. OWNER
5. ARCHITECT
(Nama)
(Address)
6. BUILDER (Nama)
(efl %lIt #I'U:;
7. TYPE OF WORK
(Address)
696- ifr,(,3
SEA TP,
14. FLOOR AREA APPORTIONMENT USE
(Tal. No.)
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS
Septic 0
Addition 0
Deck 0
Finish Attic 0
Re-roofing 0 Porch 0
Rs-siding 0 Finish sasame*,
16. PROJECT COSTNALUE
19. PROPERTY DIMENSIONS 110. CULVERT SIZE
Width Depth Yes No
formation 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
at construction will conform to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the
r just urthermor6, I hereby agree that the city ~may enter upon the property to perform n~ 1i"~':S~
License No. Date
New Construction 0
Fireplace 0
Alterations 0
Chimney 0 Misc.
8. PROPERTY AREA OR ACRES
Sq. Ft.
x
17. COMPLETION DATE
FOR ADMINISTRATIVE USE
MATERIAL FILED WITH APPLICATION
Tolal Due .............................. $ /h...(.~
Paid 7t.z ~ RaceiptNo~ 1'..'5".#O'Z..
Date lo/<//t;t:j. By ~
in the above application and accompanying documents is in accordance with the City Zoning Ordinance dnd may proceed as ~uested. This document when
as a te rary Ce~Pliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be issued.
Dale Special Conditions n any
SETBACKS: Requi..d
Actual
Front
Baok
Side
BUILDING DEPARTMENT VALUATION
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
USEOFBUILDING ~~} IrJ t-.
r
PERMIT VALUATION
~.............. _ r-Yl
;
TYPE OF CONSTRUCTION: I II III IV (v~
Occupancy Group A B E F ;tI I M~ S U
DiviSIOn 1 2 @)4
PennitFee ................................... $ 7L{,7r::
Plan Check Fee ............................. $
City:
State Surcharge ............................. $
Penalty .......................... ......... .... $
Plumbing Permit Fee ....................... $
J .SO
Mechanical Permit Fee ..................... $
~(7Iq~
~~
Sewer & Water Permit ...................... $
~:i:~ip Pla.,~ 'rff9..~~.~J..:..i~~.;e:iIWhen ~RP:O~~
By ~~ Date 111 L'1.1
. 7 -- ,
Certificate of Occupancy
Issued
This~rtifythat
signTbyt:TC' I
---/7 C'
Planner
24 hour notice for all inspections 447-9850
Side
SOIL TESTS
o
o ENERGY DATA
PILING LOGS 0 PERCOLATION TESTS 0
PLANS & SPECS 0
SURVEY 0
SETS
COPIES
PLOT PLAN
o
Amount Brought Forward .................. $
Park Support Fee ........................... $
SAC ......................................... $
Collective Street Fee ....................... $
Sewer Tap ................................... $
$
Pressure Reducer .......................... $
Meter Horn ................................... $
Water Meter ................................. $
Sewer & Water Connection Fee ........... $_
Water Tower Fee ........................... $
Water Tap ................................... $
Builder's Deposit ............................ $
Other ......................................... $
99-iPr/S-
Thr ('i!'nll'rof lht 1.lki!' Counlry
White - BuildIng
Canary . Engineering
Pink . Pianning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
7VP V/JL-U~ /-10/"16-.5'
5/2-{ /qq
,
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/L/7/0 eOJqQH/'1I7N c.-T.
Accepted
Accepted With Corrections A2
Denied /
Reviewed By: &/./ ~l-
Comments:
Date: /,- 'Z-~5f
i.-r,rP +f~ I?c<~ r.~ ~
"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."
~.._~--_.~,---,.~_.,._-,._....._--"_..._,~_..._.,~-_.---"'-'~-" -......- ,.-. ------.------..---.,.,..,.--.,---------...--..------
,-- - - ,---,",--'-,,,,,,"-
.
,
-
c-/
Thr ('rnlrr of lh~ Lab Counlry
White - Building
Canary - Engineering
Pink - Pianning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLlSl:
NAME OF APPLICANT
APPLICATION RECEIVED
t
/
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
;
Denied
/
O,~j~
Accepted With Corrections
Accepted
Reviewed By:
Date:
&/((cf1
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."
.
,
.
/
CITY OF PRIOR LAKE
PLUMBING PERMIT
1. Blue File
2. Gold CIty
). Yellow Applicmc
99-1Yz-
JUN 14~
PPNo
Applicant: ~J II"';) Jl,~i)",). ~ fl . . Phone: ...J.tJ..-r - a'X.'In
Address: ff02,30 flu,.)u""'~I. .,.k:ur--.c..4",ru,,'f-:'-fI..<) ~",,5?
Signature: 1.1.."..., YV C'1f' i J nUJOA/'
Legal De~criplion:v Lot -3 Blo&k 5 Sub Cl'llel<//l(!fi{;. HiLlS / s.,-
Site Address: 14'11/) (J AA'>/'J --7'//H) (l..0Hi-.
Building PermiU qq - 04-5 PID # 2.5 - 2-8 t./-- ()~ -0
NOTE: This permit will not be processed without complete information.
".. c....tlll' at I'" Lake COMnl1'T
FIXTURE UNITS
Quantity
Type of Fixture
Quantity
Type of Fixture
I
Bath Tub with or without shower
Dishwasher
Floor Drain
Lavatory (bathroom sink)
Laundry Tray (1 or 2 compartment sink)
Shower Stail
Sinks
Rough-ins
Water Heater
Water Softner
Stand Pipe (washing machine)
Sewage Ejector
Backtlow Assembly (RPZ, Double Check, P'IB)
Backflow Assembly Test
Lawn Sprinkler
Other
I
I
Bar Sink
Water Closet (toilet)
FEE SCHEDULE
Industrial, Commercial & Multi-Family
(1% of job cost, $39.50 minimum)
Residential, New One & Two Family
Residential, Additions & Alterations
State Surcharge
$99.50
$39.50
$
$
$ >J9.5ZJ "t ~
$ .50
GRAND TOTAL
$ ;4, ."a.Jt IwJ
PAID WITH
l 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 amel)dm;nts thereof.
~(;r~/i!-31r 1 A~~
~ inspections 24 hours in advance.
16200 Eagle Creek Av. S.E., Prior Lake, Minnesola 55372/ Ph. (612) 447-4230 / FAX (612) 447-4245
An Equal OpportUnity Employer
PRIOR LAKE
INSPECTION RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
. .
SITE ADDRESS I "-II( I () C6acl\ I-A~ Ct .
NATURE OF WORK f"..~ ~'-".,~
USE OF BUILDING ~FJl
PERMIT NO. "'ll- c"''-i)" DATE ISSUED (rl. -9"7
CONTRACTOR "--/"p ~ j~~ (~<;' -
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
-j=,!!'. · lh-IttG
~ fPI."IiI.......g'r~_. 1_ 9-~ldm) I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
$1,11'1.. I....g. '_". ;'j -.;>>I:,;,.-,-IC
FRAMiNG
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
I IllEf"'I:;.AC~'
GAS I ..... A la TEST
J<; t./z If 9
j~ J;t((7k,
I
Jtj I c.,/;1Ir9
. ) C; I (p)/7!t1?
I ' , ,
I
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
, UII r-- ;y.-\to\v I I
FINALS
- -
GR~.:i\P,I~-~ ~ing)
BUILDING ((~) rl----
ELECTRICAL f'~. dt;,-f~...,Jl. t)- 13 -'''l
PLUMBING
HEATING
DO NOT OCCUPY UNTIL ABOVE HAS BEEN SIGNED
NOTICE
This card must be posted near an eiectrical 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.
~
7 - iff -<;9
I ,
lr
7/ufff
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (612) 447-9850