Loading...
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 ( ~ {iJC91"~. ) . 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..:.... . I / /': / r'. /; .' , 'I ' \,# The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: ~ '-'-1 /) ;' (/. /' ,.-;-- J (. ..,Ii /.; _./' ./ I ./.' / j C l-f --.....'....."! , J /1<hfL- 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 'rJ ~ l, rl I ) (// I V ~j.~' go I i! ,.k V lrUJ I t I 1't~ I t l ---- COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED I I FINALS - - ---= - --~- ) I 11 Y(,{ /i/li v 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. ( / ~~ ~ Db ~I ;A':~ ~ 5~ r!xfJ.;{t-, ~ 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~ /" ~ ( JiN,., ) . "'" l /VIII If/v/;;/ ED ~ .-/ SCHEDULED TIME ~ ~ // / / / ~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