HomeMy WebLinkAboutBuilding Permit #00-0066
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CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
I, White
2. Pink
3, Yellow
File
City
Applicant
Permit No.
oo-tJt;~lt?
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
1. DATE
~2.. - I () .- CO \) (;
t../ c./. ~ - 0
3. LEGAL DESCRfPTION
I BLOCK I PID Z5' - ...3/4 - ()CJ 1-0
/!;HJeJeIA-4E _HILLE, 4/# rt.DLJN.
4. OWNER (Name) (Address)
,};\f,. _ ~ {JQJ. /]ehl'Pftv//f YVJ(.)
5. ARCHITECT (Name) C/ (Address)
(? () &L. d PI1 ~-"
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BUILDING INFORMATION
11. SIZE OF STRUCTURE
(Height) (Width)
(Depth)
12. NO. OF STORIES
LOT
13. TYPE OF CONSTRUCTION
ADDITION
(Tel. No.)St (;) ~ - tt yy ;Z 14. FLOOR AREA APPORTIONMENT USE
C'ofl /(~ 'u
(Tel. No.)
(Name)
(Tel. No.)
ell. - 'rJ/-Y>-.7<9
O"JJ'd' /~yZl J?: A~~ tZ~r
Septic 0 Deck 0 ' 'he-roofing OtT Porch 0
Addition 0 Finish Attic 0 Re-siding 0 Finish Basemen~
SEATS
16. PROJECT COSTNALUE
6. BUILDER
(Address)
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS
(!~t?/w'/h/' ~4A./'r
7. TYPE OF WORK Fireplace 0
New Construction 0 Alterations 0
Chimney 0 Misc.
8. PROPERlY AREA OR ACRES
Sq.Ft.
9. PROPERTY DIMENSIONS
Width Depth
1 o. CULVERT SIZE
Yes No
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. 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
buildi~iC~r can ].~ v. Ok. e this permit for just cause. Furthermore, I hereby agree that the city official or a designee may enter upon the property to perform needed inspections.
x--bY' .J{h?4~__ ?<.W4tY7_~r ?~/t?- 00
Signature License No, Date
FOR ADMINISTRATIVE USE
SETBACKS: Required
Actual
Front
Back
Side
Side
MATERIAL FILED WITH APPLICATION
SOIL TESTS 0 ENERGY DATA 0
PILING LOGS 0 PERCOLATION TESTS 0
BUILDING DEPARTMENT VALUATION
USE OF BUILDING
Aee5; rJ /12-
,
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
PERMIT VALUATION ~J 000 . (') C.:J
PLANS & SPECS 0
SETS
SURVEY 0
COPIES
PLOT PLAN
o
TYPE OF CONSTRUCTION: I II III IV V
Occupancy Group A B E F HIM R S U
City:
Amount Brought Forward . .. . .. .. .. .. ... ... $
Park Support Fee ........................... $
SAC .. .. .. .. . .. .. .. .. .. . .. .. .. .. .. .. .. .. .. ... $
COllective Street Fee ....................... $
Sewer Tap ................................... $
$
Division 1 2 3 4
Permit Fee................................... $
Plan Check Fee ............................. $
State Surcharge ............................. $
Penalty ....................................... $
7t.( . '1 S-
( . SO
Gas Fireplace Permit ....................... $
Water Tap ... ................................ $
Builder's Deposit ............................ $
Other......................................... $
Total Due .............................. $ /SfrJ. ~
Paid /5"(, .z..~ ReceillKt ~t}3.-/
Issued J
Date 2-/2-3/00 B~
This is to certify that the request in the above application and accompanying documents is in accordance with the City Zoning Ordin~nce and may proc requested. This document when
Si9~.. . anner constitutes a temporary certificatl of Zoni~ c.g.mPliance. and allow~ to commence. Before OCCl{Jancy. a Certifica of Occupancy musf be issued.
, _~ 2- <O-a.xJ ~- ~ LtAJO~~~~~"
City Planner Date Special ondltlons if any
~ 0 .0 0
~
Pressure Reducer .......................... $
Meter Horn................................... $
Water Meter...... ........................... $
Sewer & Water Connection Fee ........... $
Water Tower Fee ........................... $
Plumbing Permit Fee ....................... $
l.(O.O{)
Mechanical Permit Fee ..................... $
Sewer & Water Permit ...................... $
Thi~ApPr~tf<(n Becomell Your Building Permit When Approved.
BY~I-~ Date :;2-11-2ooc
Certificate of Occupancy
24 hour notice for all inspections 447-9850
~
00,00&0
Tht' ('t'nlt'f of Iht' Lake Counlry
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
CHAD 11/ ~LEIE?- (!."ONS7R... ~
z/ /0/ 00
, I
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
4-46 0 C/OI7 (!,f-I H A- N L-Al.
Accepted
Accepted With Corrections ^'
Denied
Reviewed By: QiJ ~ k
/'
Date: '2 - 11- ZOc..JeJ
Comments:
I. ~a.tl .J-tvt ~~Jf- .f;:lA.,~J- ~~
- -
liThe 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 c~deor other
ordinances of the jurisdiction shall not be valid." .
I1:ti I 0 2000
o 0 .. oo(P (,
Th" ('"nl". of Ih" Lak" Counlry
White . Building
Canary,". ~ngjneering
Pink '. Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
1....---/ /"/ / L C [- K,
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The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
"
I
/ji // / //;--J /\/ L- /\../ .
Accepted
v'
Accepted With Corrections
Denied
Reviewed By: ~/..AA :~
Date: 2- - ! k:. - e:c;)
Comments:
~~ ~ t?Mt~~~~ tvduJa
~ ~ t"~ ~. _'f"&v qviw~
W b.. ~ C A.T' P AJ ~t:)~ t9-1LV. ) ~
liThe 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 provisioijiS, <j'f:hlhrs code or other
ordinances of the jurisdiction shall not be valid." i\ lJV'
(, 0
\ I fEB j 200U
....,. _.....-?....'''''".~....P. ,.""",.~t<.""".',-, ,\}:r- :"'. <'-~'''J''''''~ '. ,-~...___~ .........---J
02-15-2000 02:39PM
MATTHEW DANIELS, INC.
423 3017 P.01
CITY OF PRIOR LAKE ~ 5... is-
PLUMBING PERMIT PP No. -.-f)O -oo~ 0
Applicant: ~i~;;) ~~.~~};;) I~~. PhClne:~) Jj...:J.d-~~".3tJ
Addre$S: ~ t'~k~; :~ Ci1~~fll~" "I; '-tUJ ~
Sign.ture:_~ '--IX __~_~ : ;
legal Description. lot I . BlocV (:" Sub CARJ<.IA-€r6' MIL..l.S 40Ttf
Site Address: '-I4SlJ ~ ~ J n/ /J.6 ..~ ~ ~ ) R. I :
BuildingPennit# OO-~ ) PIO. zS-314--00l-0
NOTE: This permit will not be prcc~ without complete infClrmation.
FIXTURE UNITS
n. C'.i,IIw fill ... LaIl. c..tr7
Quantity
TYPQ Of FIXtUre
S~h Tub with or without shower
Dishwasher
Ffoor Drain
Lavatory (bathro()m sink)
i '
Laundry Tray (1 or 2 c:cmpa.l...ent sink)
, Shower Siwl
Sinks
Bar Sink
Water Closet (toilet)
Quantity
Type of Fixture
Rough-ins
W~ter Heater
, W~ter Soft~er
St~d Pipe (washing ~achine~
Se~&ge Ejector .
e~cw Assembly (RPz. Double ,~heck. PVB)
Ba~kflow Assembly Test
La~n Sprinkfer
Ott:ler
I
FEE SCHEDUU!
Industrial. Commercial & Multi-Family
, (1% of job cos~ 539.50 minimum)
Residential, New One & Two Family
Residential, Additions & Alterations
State Surcharge
S99.50
$39.50
S
$,
S ~9.5l:J
S .50
1 '
GRAND TOTAL
s4r.lu..-/#(). i
, ~- r\ '14\,\-\ -r
: /' f~~'" G pEi\~\~ \ ~
, \~\l\\'p\N /-- I
I'
'~-;~:~' :---'.~ 7-'~--r;.-~=--::;-
,li5 '
:... t_ j' .':',-J
This permit is panEcd u~n the expRl5l condition thee said .
coat'r'Ktor, sball COlXlpl)' in all n:spc:ts wirh the orclinanc~
of the: Smr.e Plumbing ImaIdmFcs th .... _ ~ r. '
. 2./17/00 DAtta
Al l.c.Srr
I-ttj , 5 am
;'
-~,
CalI for all · etions 24 hours in advanee.
16200 Eagle Crc:ekAv. S.E.. Prior Lake, Minnesola 553121 Ph. (612) 447-42301 FAX (612) 4474245
AD. Equal OpportUnity Employer I
TOTAL P.01
PRIORLAKE
INSPECTION RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS ~~ 56 r ~_cX:t"'~\MQhA^-
NATURE OF WORK ~,~~ l-tr'^~'-~~
USE OF BUILDING s: FT)
PERMIT NO. 00 - OC2ft21p DATE ISSUED ~ - ((- ;;;J..oOeJ
CONTRACTOR M,'l\...v_l- CI,~ J,..x
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
FRAMING
INSULATION
ELECTRICAL
PLUMBING (ijJ 2lLY
HEATING (if required) ~.
FIREPLACE 11/ I'f/z-J
GAS LINE AIR TEST 1/, ~ _ ?kt'/1!17
COVER NO WORK UNTIL ABOb~ HAS BEEN'SIGNED
-
(tJ/ ;z/z- 5
FINALS
BUILDING
ELECTRICAL
PLUMBING
HEATING
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.
L-. L..-,
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r
4 III / tJ1)
I i
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (612) 447-9850
DATE TIME
CITY OF PRIOR LAKE LillI h
INSPECTION NOTICE SCHEDULED ~YJlJ;;) .' 30.
ADDRESS LfLf:)() Ga.ch~ L~
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~RK TI CTORY, PROCEED
o COR CT ACT ~AND PR:70
o CORR CORK, C LL FOR RE SPECTION BEFORE COVERING
Inspecto . Owner/Contr:
./
C l.J. 447-9850 FJ)f( 'HE NEXT INSPECTION 24 HOURS IN ADVANCE.
~MEJS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
/ INSNOTI
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
~INSULATION ~
A FINAL L.L, I'
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
f'\
(' \U 0
L/
00- aO~
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
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