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HomeMy WebLinkAboutBuilding Permit #00-0066 ~ 2-i~ ;J;F~ 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 ~-" ~ Je../ 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, -~ -, , I f.::- /' l if / / / / 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..-, /1 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~ (/' - IJ --J---r \..A)~(I II ~ V /\ /~-;- ~ \ / /~ ~~- //1 /~\ / I / "-/ ~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 --- ~) / --