HomeMy WebLinkAboutBuilding Permit #00-0028
CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
DATE RECEIVED
11/9/00
DIRECTIONS
SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN
BEFORE PERMIT IS ISSUED (Please Print or Type and sign at bottom)
~TE ADDRESS
\ Y l '3 7 Sl,-ii @~d-.. Trl.
3. LEGAL DESCRIPTION
I. White
2. Pink
3. Yellow
File
City
Applicant
Permit No.
tJ()- {)02~
1. DATE
I - I (.i- OD
BUILDING INFORMATION
11. SIZE OF STRUCTURE
(Height) (Width) (Depth)
R/5D
12. NO. OF STORIES
LOT
PID 2t5-Q30 - ()I.A5.,o
13. TYPE OF CONSTRUCTION
BLOCK
Me;.,/~ RN'O
(Name)
H e"\,(,..\ "" \
(Name)
1301/ 1I!i2.5
(Tel. No.)
..s h:",t~ f5'l~" T r I
(Tel. No.)
ADDITION
.4JOWNER
.?~ R:cJ,
5. ARCHITECT
(Address)
\ \..oj \4)1
(Address)
14. FLOOR AREA APPORTIONMENT USE
'lei" "Uf't,;-
Lv(~ \-
~~s-
(Tel. No.)
Cllll '1"10 -1' t;<p.
b;~..-t\.WUtt9 c..:- 440. S-''O?'
" Deck 0 Re-roofing 0 Porch 0
Finish Attic 0 Re-siding 0 Finish Basement 0
6. BUILDER
~t-'
t.c0"'\~"-
7. TYPE OF WORK
New Construction 0
(Name)
(Address)
Fireplace 0 Septic 0
AlterationSd'" Addition 0
Chimney 0 Misc.
8. PROPERTY AREA OR ACRES
Sq. Ft.
9. PROPERTY DIMENSIONS
Width Depth
10. CULVERT SIZE
Yes No
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS
SEATS
16. PROJECT COSTL\lALUE
.t> CC3/ctJo .~
17. COMPLETION DATE
I hereby certify that I have furnished information on this application which is to the best of my knowledge true and correct. 1 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
building 0 ial c revo his ermit for just cause. Furthermore, I hereby agree that the city official or a designee may enter upon the property to perform n ed inspections.
X 4COS-t ( ~
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FOR ADMINISTRATIVE USE
Water Tap ................................... $
Builder's Deposit ............................ $
Other ......................................... $
Total Due .............................. $~S_ q'L
Paid I es:. q (, ReceirJ tJ9. ~ "'1 K 2-
Date vI, 1m) By /AL-
This is to certify that the request in the above application and accompanying documents is in accordance with the City Zoning OrdiJance and may proceed!s requested. This document when
si th Planner constitutes a temporary Certificate of Zon!!!$l~ompliance and allows construction to commence. Before occupancy, a Certificat' of Occupancy must be issued.
t ,.. ;l...'-t - 6V
Ctty Planner - Date Special Conditions ij any
SETBACKS: Required
Actual
Front
Back
Side
BUILDING DEPARTMENT VALUATION
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
PERMITVALUATION~ -00
USE OF BUILDING
ees A/;e
TYPE OF CONSTRUCTION: I II III IV V
Occupancy Group A B E F HIM R
Division 1 2 3 4
Permit Fee ................................... $
S U
City:
~'7.as
.5{o.1!F
~.oo
Plan Check Fee ................. ............ $
State Surcharge ............................. $
Penalty ....................................... $
Plumbing Permit Fee fJ.O:-:.O.oz8 $
L.lo - 00
lAo,..h'=ll"'i'G'iill Pe-it J:lCl.e ..................... $
~\ 600
,~
~ "._ -,,, it ...................... $
:~~L;:::;;;~.Whro_ .
By '}...) Date --! - 'A4. - ~
Certificate of occuplcy
Issued
Side
MATERIAL FILED WITH APPLICATION
SOIL TESTS 0 ENERGY DATA 0
PILING LOGS 0 PERCOLATION TESTS 0
PLANS & SPECS 0
SURVEY 0
PLOT PLAN 0
SETS
COPIES
Amount Brought Forward .................. $
Park Support Fee ........................... $
SAC ......................................... $
Collective Street Fee ....................... $
Sewer Tap ................................... $
$
Pressure Reducer .......................... $
Meter Hom ........... ........................ $
Water Meter ................................. $
Sewer & Water Connection Fee ........... $
Water Tower Fee ........................... $
24 hour notice for all inspections 447-9850
()O-OOZ-B
Tho Conlor of Iho Lako Counlry
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
6A5rq /VOV/7 eON5712-.
Illq/oo
/ /
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/4-/ 07 of/AD'! B6ACH /kl1l L-
I
Accepted
><:
Accepted With Corrections ~
Denied /
Reviewed By: /)/~A
f;Q/ ~ )"
Comments:
_ ~MC> \-Q. d.cec..~
Date: 1- 2 0.(- 2.,000
ea."'t u ~ NIcol. ,p Q}r'
u
19Cf~ U 6'C.
"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
(
i;~~-
Thf' Cf'nlf'r or Ihf' Lakf' Counlry
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
, / / r / /\ (~. /,1
C (I _=~ -;,k..:.... .
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The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
~ '-'-1
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,.-;-- J (.
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I
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--.....'....."! , J
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Accepted
/
Accepted With Corrections
Denied
Reviewed By: ~~ ~jJ~
./ " \ '-"
Date:
I,. t-~-ecJ
Comments:
~~ ~ Yb-WBGAII ~ {k-~.
"The issuance or granting of a permit or approval of plans, sRecifications 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."
:' ?AUv ( /J ~l e.G.. )
ftl'ii~ ~ I CITY pi: PRIOR LAKE ~. ~::~ ~:;',:
G~~___~LUMBING PERMIT # J ;~_;;;;~
V Applicant: . A'f}JE\)uiI rL-\JwAf7)\V~ Phone: t-/3~ 37 J i
..-, ,,,,;, ",;, .,.. ,,,""", :~gd:::re ~~(4}E>j~",-~~5},t-I&;:;Tll>Jfi[r_
Legal Description: Lot Block __ . Sub
Site Address: ) lfJ%7 _ ,0H-AdYt.__~ ~_.
Building Permit # PID #
NOTE: This permit will not be processed without complete information.
FIXTURE UNITS
"
Type of Fixture
Quantity
Type of Fixture
Quantity
Bath Tub with or without shower
Dishwasher
Rough-ins
Water Heater
~
Lavatory (bathroom sink)
Laundry Tray (1 or 2 compartment sink)
Shower Stall
Sinks
Bar Sink
Water Closet (toilet)
Water SoHner
Stand Pipe (washing machine)
Sewage Ejector
Backflow Assembly (RPZ, Double Check, PVB)
Backflow Assembly Test
Lawn Sprinkler
Other
Floor Drain
\
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
$ -
$ _.
$
$ ----~~.
GRAND TOTAL $
This permit is granted upon the express condition that said
conlraclnr, shall comply ill all respects with the ordinances
of thc Slalc Plumhiug Codc <lnd thc i11l1cndmcnls thcrcof.
RECEIPT NO.
DATE
ArrEST
Call for all inspections 24 hours in advance.
16200 Eagle Creek Av. S.E., Prior Lake, Minnesota 55372/ Ph. (612) 447-4230 / FAX (612) 447-4245
An Equal Opportunity Employer
PRIOR LAKE
INSPECTION RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS ~ ~~ .K.....t.L..... - \ f-. .
NATURE OF WORK 6...~..... _~,L'
USE OF BUILDING S.~D
PERMIT NO. 00 .c>a~ DATE ISSUED 1-';11- ~~
CONTRACTOR ~a"<;c ~(t~ ~c-J--
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
I
kfill) I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
.",,,
FRAMING
INSULATION
ELECTRICAL
PLUMBING
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COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
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BUILDING
ELECTRICAL
PLUMBING
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 (612) 447-9850
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
141 'P>,
OWNER
PHONE NO.
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CONTR. ~ " ~
PERMIT~ ~t)" 7:..'6.-/
o PLUMBING RI 0 EX/GRAD/FILLING
o MECH RI 0 COMPLAINT
o WATER HOOKUP 0 FIREPLACE RI
o SEWER HOOKUP 0 FIREPLACE FINAL
o PLUMBING FINAL 0 GASLINE AIR TST
umc~
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( JiN,., ) . "'"
l /VIII If/v/;;/ ED ~
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SCHEDULED
TIME
~
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//
/
/
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~KS
o CORREC
Inspector:
TORY,PROCEED
AND OCEED
REINSPECTION BEFORE COVERING
Owner/Contr:
CALLl447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE ~NTS ARE FOR YOUR PERSONAL HEALTH'" SAFETY!
INSNOTl