HomeMy WebLinkAboutBuilding Permit 96-0564 �- --�- -v�--�� --�.�-,--�
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- CITY OF PRIOR LAKE � �
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� � � �e�arttttettt of �ufibi�g �n��ection � "
�': � Final Permitted ❑ Conditional C.O. Expires .
� T his Ce r ti f ica te tssue d pursuan t to t he requiremen ts o f Sec ti o n 3 0 7 o f t h e U n i f o r m B u i l d i n g C o d e �
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cenifying that at the time of issuance this structure was in compliance with the various ordinances of the _�.
��� City of Prior Lake regulating bui/ding construction or use. For the following: �-
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' UseClassificatio S1nQle Familv sidg.rermicrro. 96 `�
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,�• Occupancy Type R Type Construction V Fire Zone N � A Zoning District ,
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LegalDescription L13-16 & Outlot A, Lakeside Park ,�
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�� Owner of Building Sitc Address 16280 Park Ave . �
t � ' Concraccor�sxarne&nddress Elmer Clarke. 16280 Park Ave. �
� ! Gary Staber ,. ' „ Don Rye �"
�;~— B din cial : � „ � City Planner '
� ° : e i,.^. �g�; Date: �.
'Y'' Date: i : i_ �
l v ` r POST IN A CONSPICUOUS PIACE �
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DAT TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE SCHEDULED � Z,� �
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ADDRESS ���:%�� " ��
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OWNER CONTR.
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PHONE NO. PERMIT NO. � ' ' � �-=% �
❑ FOOTING O PLUMBING RI ❑ EX/GRAD/FILLING
❑ FOUNDATION ❑ MECH RI ❑ COMPLAINT
❑ FRAMING ❑ WAZER HOOKUP ❑ FIREPLACE R!
❑ INSULATION ❑ SEWER HOOKUP ❑ FIREPLACE FINAL
��INAL ❑ PLUMBING FINAL ❑ GASLINE AIR TST
❑ StTE INSPECTION ❑ MECH FINAL ❑
COMMENTS: `...---�c:,.;;.� c��.. �. Ch: C�-'
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❑ WORK SATISFACTORY, PROCEED
�CORRECT ACTION AND PROCEED
❑ CORRECT )IY� CALL FOR REINSPECTION BEFORE COVERING
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Inspector: Owner/Contr:
CALL -9850 FOR THE NEXT PECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTSARE FOR YOUR PERSONAL HEALTH & SAFETYl
lNSNOTf
� ~"v`' � v � DATE TIME
' CITY OF PRIOR LAKE CALLE�-1�1 `
INSPECTION NOTICE SCHEDULEO �'�..�$ "g7 �
PERMIT NO . �f LL ��� Y COMPLETED
ADDRESS f� �� �Q d' � ��''� ,
OWNER CONTR.
� TELEPHONE NO.
l� ❑ FOOTING ❑PLUMBING RI ❑SITE INSPECTION
� ❑ FRAMING ❑ MECHANICAL ❑ EXCAV./GRADING/FILLING
� L7 INSULATION ❑ WATER HOOKUP O LAKESHORE/WETLANDS
p❑ WAl . O METER SET/TURN ON ❑ COMPLAINT
Z L O SEWER ii00KUP ❑ FOLLOW-UP
Q❑ FOUNDATION ❑ SEPTIC INSTALL. ❑ SEPTIC FINAL
2❑ DEMOL. ❑ SEPTIC MAINT. ❑ FIREPLACE
J❑ FIRE PREV. ❑ PLUMBING FINAL p
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W❑ WORK SATISFACTORY:PROCEED ❑ PHOTO TAKEN
0❑ CORRECT WORK AND PROCEED
0 0-CCRfleCTWORK. CALL FOR REINSPECTION BEFORE COVERING
V ❑ CORRECT UNSAFE CONDITION WITHIN HOURS. INSPECTOR WILL RETURN.
❑ STOP ORDER POSTED. CALL INSPECTOR.
❑ INSPECTION REQUIRED. CALL TO ARRANGE ACCESS.
call for the next inspection 24 hours in advance.
Owner/Co r o site
tnspector 447-4230
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DATE TIME
CITY OF PRIOR LAKE CALLED-IN
INSPECTION NOTICE r � - ( SCHEDULED 7 ��
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rERMIT NO. � COM�IETED
ADDRESS �� � ��'"�
OWNER CONTR.
� TELEPHONE NO.
W ❑ FOOTING ❑PLUMBING RI ^. / ❑SITE INSPECTION
� ❑ FRAMING �� HANICAL i�l�+ ❑ EXCAV./GRADING/FILLING
� ❑ INSULATION ❑'WATER HOOKUP ❑ LAKESHORENVETLANDS
� O WALL BD. ❑ METER SETlTURN ON ❑ COMPLAINT
2 p FINAL ❑ SEWER HOOKUP ❑ FOLLOW-UP
Q � FOUNDATION O SEPTIC INSTALL. ❑ SEPTIC FINAL
_❑ DEMOL. � AEPTIC MAINT. O FIREPLACE
J � FIRE PREV. i�CpLUMBING FINAL p
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W C WOR tSFACTORY:PROCEED ❑ PHOTO TAKEN
� C9-00 RECT WORK AND PROCEED
�❑ CORRECT WORK. CALL FOR REINSPECTION BEFORE COVERING
V ❑ CORRECT UNSAFE CONDITION WITHIN HOURS. INSPECTOR WILL RETURN.
❑ STOP ORDER POSTED. CAIL INSPECTOR.
❑ INSPECTION RE�UIRED. CALL TO ARRANGE ACCESS.
call for the n 'nspection 24 hours in advance.
Owner/Co t . n site
Inspector 447-4230
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�OF PR �D/� ` DATERECEIVED CITY OF PRIOR LAKE 1. White File
z. Pink City
� ,�� BUILDING PERMIT 3. Yellow Applicant
�;�:� � 3 ' �.;o TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT Permit No. BP %-�
DIRECTIONS 1. DATE
SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN / //���
BEFORE PERMIT IS ISSUED (Please Print or Type and sign at bottom) / BUILDING INFORMATION
2. SITEADDRESS � � � ZONING � � 1 H8 � O�TRU�C �URE ( ��� f �
�'-� 1
3. LEGAL DESCfiIPTION � i 1, - , L �� A c�S� C7 ��+° "' �D � 12. NO.OF STORIES
/ (/Fv�- l,.r.
LOT / � ��� BLOCK PID �/���/ a0 �f'�+��C
��� ,/� 13. TYPE O� CONSTRUCTION
ADDITION G�C �`�Z.YIG (�Of)U
4. OWNER (Name) (Address) (Tef. No.) 7^,��, 14. FLOOR AR; A APPORTIONMENT USE
� Lvl f' '� '" �l' Jr ..3'7d �
5 ARCHITECT (Name) •�v7r � �i'lr-� (Addres� /�i� (Tel. No.)
/lI1�12�'Il'� 1�2(! � ch� �'`�`( Wt`'� /' Z..`J` ZZ�I
6. BUILDER (Name) / 1� �re s) (Tel. No.) 15. NUMBER OF OCCUP NTS OR SEATS
�=•� ' � ` � OCCUPANTS G -
7. TYPE OF WORK Fireplace O Septic O De O Re-roofing O Porch O SEATS
New Construction� Alterations O Addition O Finish O Re-siding O Finish Basement O 16. PROJECT COSTNALUE
Chimney O Misc. � l: y � '" y y Z , 8 L " 9 �� ��
8. PROPERTY AREA OR ACRES 9. PROPER IM��N 10. CULVERT E 17. COMPLETION DATE
Sq. Ft. ?'? �� Width �� Depth ��� Yes No
I hereby ce ity that 1 have fumished infortnation on this application which is to the best of my knowledge true and correct. I also certity that I am the owner or authorized agent for
the above mentioned propeRy and that all construction will conform to all xisting state and local laws and will proceed in accordance with submitted plans. I am aware that the
building official ca �revoke this permit fo jus cause. Furthermore, I hereb�agree that the city official or a designee may enter upon the property to perform needed inspections.
x �- ���z�... /�-=--� �` -� �/� � ~ c�� S - d'�fe�- �'� ( l%�y��
Signature License No. Dete
FOR ADMINISTRATIVE USE
SETBACKS: Required MATERIAL FILED WIfH APPLICATfON
Actual SOIL TESTS D ENERGY DATA
Front Back Sde Sde
BUIL ING DEP R T VALUATION OFF STREET PARKING PILING LOGS O PERCOLATION TESTS O
� � � ✓�� � PLANS & SPECS�"' SETS
� SPACES REQ.
USE OF BUILDING SURVEY -� COPIES
�`� D I`���� = SPACES ON PLAN _
d V�Q� � PLOT PLAN O
—� —� PERMIT VALUATION
TYPE OF CONSTRUCTfON: I II III IV � Amount Brought F�orw .�................. $
Occupancy Group A B E F H I M�S U Park Suppo Fef_..t.:'.`-��:�.......... $
Drvision� 2 4 � •
� SAC .................. � �.................. $
� / .
Permit Fee ................................... $ �G� 1� �e , � �l"� � Collector Street Fee ....................... $ d � o O
.�
Plan Checkin Fee $�. �� C�� � Sewer Tap ................................... $
g .........................
� ( O� ' � License Check Fee ......................... $
State 5urcharge ............................. $ �"`` —
� � Pressure Reducer .......................... $ S � cl�
�
Penafly....................................... $ �h d l(� Meter Hom ................................... $
Septic System ............................... $ Water Meter .....� �...�.... • ... $ � > , c�
CbrtFi � . �� ..........
Sewer & Water ec ion Fee ........... $
Other......................................... $
Water Tower Fee �.�.�.'.`.� ......... $
Subtotal ............................... $
WaterTap ................................... $
This A i tion e es Your B' ing Permit When Approved. Builder's Deposit ............................ $_ ��� ��a
G� J
By Date ( � �J�� Other ......................................... $
Cert'rficate of Occupancy Totai Due .............................. $3 ,� T(3 �� j
Paid�-� �-{-` ��� Receipt No. a� �
�ssued �ate ��' � Q b sy �•�Q.t.k'�
This is to 'ty th e r uest in above application and accompanying documents is in accordance with the Ciry Zoning Ordinance and may proceed as requested. This document when
s' ' Pla e n' a temporary Certificate of Zoni �,ompliance and allows construction to commence. Before occupancy, a CerGficate of Occupancy must be issued.
�
ner Date Special Conditions H any
24 hour notice for all inspections 447-4230
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White - Building
Canary - Engineering
Pink - Planning
The Center ot �he Lrlce Country
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
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NAME OF APPLICANT c�Iu.�a r Cc�-l�-
APPLICATION RECEIVED � �.����
The Building, Engineering, and Planning Departments have reviewed the building permit
application for e st uction activity which is proposed at:
G 2 8C�
Accepted Accepted With Corrections
Denied
Reviewed By: Date: 1--3rD— �(
Comments:
1• I�o �n o�t o cc v��a w;�-�•• o v�- c.e � 4;�, �n,� �e„ �f c�cccu r� �,. � v
2. �a��,.1�.:,.. Ya-C,s�-e�.� �{�o�[(
3. �� o�� l��e. s.v� l at
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S • �eo�� a« a'�'ac�e.� �.. � o�e
� �w 3��c�o�c.Q. �rcv2�.,o".�._ � .
"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."
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White - Building
Canary - Engineering
Pink - Planning
The Cenhr of the Lrke Couniry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT �;, t r.1 �� (�' � �,� r.1
APPLICATION RECEIVED �/��3l,�d
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
�t% .� �`� 7"� ��. G����F,.� .
Accepted Accepted With Corrections
Denied
Reviewed By: Date: �� � �3' � �
Comments: 2ar�� IZ-'I . SI �� ariance - �"1� �.���c,c.1S
��p,� �, l �: � Sh�r� , �e �i �� v �I 1 ' rc��- �'hc� �7 � �
Sll�e�- v �`i � ; �r�c�1S Sv�� -l�k - �v�a�.e-
� `�I(Y2(' i S I'IOf' �� � � �,bo ve, C�,rb e.�,�:v��n - �i�-,�c �-
,o ��cn �cd.S , � � �v�d � ed b � e.n gi'n.e e�ih �,
"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."
�EPARTMENT OF
" � � � � L„� � � BUILDING AND iNSPECYfON
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SITE ADQRESS � '`�".7 .tics
NATURE OF WORK �
USE OF BUILDING
PERMIT NO. qd-.5��5� DATE ISSUED �/s� �'� _
CONTRACTOR �'.f ,�� 1`D,� �� �
NlJl"E: TFiIS IS NOT A PERMiT FOR ANY OF THE INSPECTtONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
ItJSPECTOR DATE
FOOTING � / t
FOUtVDATtON (Prior to Backfill) >>li7/��
PLACE NO CONCRETE UNT L ABOVE HAS BEEN SIGNED
ROUGH - INS
SEWER / WATER I SEPTIC
FRAMING
INSULATION '
ELECTRICAL
PLUMBfNG �
HEATING (if required} �
FIREPLAGE
GAS L1NE AiR TEST
COVER NO WORK UNTiL ABOVE HAS BEEN SIGNED
VI/ALLBOARD � l��17
. �! ALS
GaADIN� (Prior to Sodding)
BUILaiNG ' a �� � � � Z� it
E�ECT'R1CAL
PLUMBING
HEAT1fVG ,.� �
DO NOT OCCUPY UNTIL ABOVE HAS BEEN SBGNED
� NOTICE
. This card must be posted near an electrical service cabinet prior to rough-in inspections
- and maintained untii ail inspections have been approved. On buiidings and additions
• where no service cabinet is avaiiable, card shall be placed near main entrance.
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS 4A�7-4230
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MEMORANDUM
DATE: Friday, February 4, 2411
TO: Janet Ringberg
FROM: Lynda Allen
RE: Building Pernut #96-0564
This memo authorizes the retention of the $1,500.00 Builder's Deposit on the above-
referenced permit. T'he certificate of occupancy has expired and the reqwred work has not
been completed..
Thank u.
(�C. .
L a. Allen, e Kansier,
ui ding Services Assistant Building & Transportation Services Dir.
� Account #260-34109 '