HomeMy WebLinkAboutBuilding Permit #00-0100
~
DATE RECEIVED
..3 /2../00
CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
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 c-::
F) 15B UDA(l..\AJo.;Y) ~'T,
3. LEGAL DESCRIPTION
LOT '6 BLOCK \
ADDITION 5AN'-O POI rJTE
4~f}.r.. WN~ (Name) D
;; CPlI1: .5 p:t P'--"
5. ARCHITECT (Name)
~7~ /00
PuP
PID
'25- "Z-'S1. 008"0
.~T~ A-PD
~) (Tel. No.)
57 J~ ('...,r}Jtt: _......1 r~- If'l.~:13 ~
(Address) (Tel. No.)
6. BUILDER
(Name)
(Address)
(Tel. No.)
7. TYPE OF WORK
New Construction 0
Chimney 0 Misc.
8. PROPERTY AREA OR ACRES
Sq.Ft.
Septic 0
Addition 0
Re-roofing 0 Porch 0
Re-siding 0 Finish Basem~
10. CULVERT SIZE
Yes No
Deck 0
Finish Attic 0
Fireplace 0
Alterations 0
9. PROPERTY DIMENSIONS
Width Depth
1. White
2. Pink
3. Yellow
File
City
Applicant
Permit No.L;6. 00/00
BUILDING INFORMATION
11. SIZE OF STRUCTURE
(Height) (Width) (Depth)
12. NO. OF STORIES
13. TYPE OF CONSTRUCTION
14. FLOOR AREA APPORTIONMENT USE
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS
SEATS
16. PROJECT COSTNALUE
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 pro and that trueD ill conform to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the
buil . ' this r jUS~..' ore, I hereby agre~at the city offic~or a designee ma. y enter upon the property to perform neede.d inspections.
X ____--0 f"-IOO-l/5 ~crzl.-../~~--:S 3~...o.d
LsiQnature ,/ - License No. Date
Amount Brought Forward .................. $
Park Support Fee ........................... $
SAC . .. .. . .. . .. .. .. .. . .. .. .. .. .. .. .. .. .. .. ... $
Collective Street Fee ....................... $
Sewer Tap ................................... $
$
FOR ADMINISTRATIVE USE
SETBACKS: Required
Actual
Front
Side
Side
Back
BUILDING DEPARTMENT VALUATION
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
PERMIT VALUATION
~...a:20 ·
USE OF BYJtDING -
,tA<; A Ill-
/
TYPE OF CONSTRUCTION: I II III IV V
Occupancy Group A B E F HIM R S U
Division 1 2 3 4
Permit Fee.................. .... ............. $ 7 L./ . 1 S-
City:
Plan Check Fee............................. $
State Su rcharge ............................. $
(.SD
Penalty....................................... $
Plumbing Permit Fee ....................... $
MATERIAL FILED WITH APPLICATION
SOIL TESTS 0 ENERGY DATA 0
PILING LOGS 0 PERCOLATION TESTS 0
PLANS & SPECS 0 SETS
SURVEY
PLOT PLAN
o COPIES
o
~
~\ U\
Pressure Reducer .......................... $
Meter Horn................................... $
Water Meter ................................. $
Sewer & Water Connection Fee ........... $
Water Tower Fee ........................... $
40. 00
Mechanical Permit Fee ..................... $
Sewer & Water Permit ...................... $
~i2~~~~w~n~~~
Certificate of Occupanc/
Water Tap ................................... $
Builder's Deposit ............................ $
Other......................................... $
Total Due .............................. $~. 2S
Paid / /" . 2. S-- ReC!p;;e.pt .3 (Q 9~ ~
Issued I J
Date 3/' 10 0 By
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 proceed s requested. This document when
Si~City I ner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be issued.
..u...t,,~ ~ '" ~ ~ &V
C' lanner Date Special Conditions ij any
24 hour notice for all inspections 447-9850
CITY OF PRIOR LAKE
PLUMBING PERMIT
APPlicant:~A ~ i ~ 4p'-L-
Address: . $"-7 ~dql'"' W~A~ S;f
Signature. ~ ':"' ~ ~__
Legal Description: Lot 8 ~ Block' Sub 5ANCL..f6I~ ST*
Site Address: A-D 1.)
Building Permit # F,,Jl<iI-1eO ~~ PID#2.!5- ?~q-Ooe-D
NOTE: This permit will not be processed without complete information.
~
The Cenler of Ihe Lake Counlry
1. Blue
2. Gold
3. Yellow
File
City
Applicant
PPNo.
06 - D / 0 ()
Phone:
At.. ,
'7 t( S- -0:1....'3 <.
FIXTURE UNITS
Quantity
Type of Fixture
Bath Tub with or without shower
Dishwasher
Floor Drain
Lavatory (bathroom sink)
Laundry Tray (1 or 2 compartment sink)
Shower Stall
Sinks
Bar Sink
Water Closet (toilet)
FEE SCHEDULE
Industrial, Commercial & Multi-Family
(1 % of job cost, $39.50 minimum)
Residential, New One & Two Family
Residential, Additions & Alterations
State Surcharge
Quantity
Type of Fixture
)k
Rough-ins
Water Heater
Water Softner
Stand Pipe (washing machine)
Sewage Ejector
Backflow Assembly (RPZ, Double Check, PVB)
Backflow Assembly Test
Lawn Sprinkler
Other
I
I
$99.50
$39.50
$
$
$
$
.50 fJpL vJ I 0
V' 0 I 0
Db" ,J ,strl
fl
,."
f,,'
GRAND TOTAL
$
This permit is granted upon the express condition that said
contractor, shall comply i all res cts with the ordinances
of the State Plumbing m7ndmfnts thereof.
R . . It; 10 () DATE
, /
All bST
Call for all i
16200 Eagle Creek Av. S.E. Prior Lake, MN 55372/ Ph (612) 447-9850/ FAX (612) 447-4245
An Equal Opportunity Employer
~
DO-o;OD
Tht' Ct'nlt'r of Iht' Lake Counlry
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
CH-fZ-\S "?A Frs
. 3ft.-/OO
(
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
Accepted X_
Accepted With Corrections
Denied ~... ~
Reviewed ~ tf?//
Date: ? - :? - 2Clc:C7
Comments:
_~ ~~~~~ ~w~ ~c>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 code or other
ordinances of the jurisdiction shall not be valid.1I
.-
00 ~(60
The Center of the Lake Country
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
H ,<:>
I ..' /'\ ,'''' I":'
,I ,'--
APPLICATION RECEIVED
/7-, O(J
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
5158 &oA~ooO ~~. ~~c=
Accepted
~
Accepted With Corrections
Denied
Reviewed By: ~ ~
Date:
'S - t.o - CKJ
Comments:
.Awv~ ~ ~~~ ~ <fO :LY\clvk
~\f\.l~, <l ~~~,
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 code or other
ordinances of the jurisdiction shall not be valid. II
PRIOR LAKE
INSPECTION RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS 5 '7 s"J3 (1 ~ AcJ-u..1a",J/'
NATURE OF WORK ~ 'bI\tA-1'~ -
USE OF BUILDING ~F D
PERMIT NO. 00- 0/00 DATE ISSUED -g -'$-Goe e'
CONTRACTOR ()~~~ '\PCo..~_
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
^
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0213 \)~
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FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
~ \
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3'-2.t....~
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2>:n ~
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COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
FINALS
L'J} ,pp
(/1 '
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.
'" .. -
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (612) 447-9850
DATE
bjakm 5:00
I
5'75<6 ~tAJ(TQ-(Jj ~
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
;!INSULATION
FINAL
o SIT SPECTION
C MENTS:
fA
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SCHEDULED
CONTR.
PERMIT NO.
o PLUMBING RI
o MECH RI
o WATER HOOKUP
n EWER HOOKUP
o PLU FINAL
o MECH FINAL
TIME
00-0\00
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
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Inspector:
Owner/Contr:
NEXT INSPECTION 24 HOURS IN ADVANCE.
INSNOTI