HomeMy WebLinkAboutBuilding Permit #00-0101
CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
DATE RECEIVED
~/~q/Ol)
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
/ft??30 WAt-Nvl A-Vr:;. Sw
3. LEGAL DESCRIPTION
3
tv iL-L,() W.5
2.-
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1. White
2. Pink
3. Yellow
File
City
Applicant
Permit No. 00 -0/0 /
1. DATE
2/21/00
1<-/
BUILDING INFORMATION
11. SIZE OF STRUCTURE
(Height) (Width) (Depth)
12. NO. OF STORIES
PID
ROON.
2.6 ,./10 -- 1J61-0
I
13. TYPE OF CONSTRUCTION
LOT
BLOCK
ADDITION
4. OWNER
(Address)
L . WU01Nf/C.,
(Name)
1)fJ'lllJ
(Name)
(Address)
(Tel. No.)
~/2 -'IlIO 's/3S
(Tel. No.)
5. ARCHITECT
6. BUILDER
(Address)
(Name)
IEItl(L
IelMJ6SfUEIT
7. TYPE OF WORK
New Construction 0
Septic 0
Addition)(
Deck 0
Finish Attic 0
Re-roofing 0 Porch 0
Re-siding 0 Finish Basement 0
SEATS
16. PROJECT COSTNALUE
Fireplace 0
Alterations 0
Chimney 0 Misc.
8. PROPERTY AREA OR ACRES
Sq. Ft.
9. PROPERTY DIMENSIONS
Width Depth
10. CULVERT SIZE
Yes No
14. FLOOR AREA APPORTIONMENT USE
(Tel. No.)
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS
103 -1lt1~
17. COMPLETION DATE
I hereby certify that I have fumished 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 men' ed property 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 ottic' ca revok~th' pe it 'ust use. Fu rmor~y agree that the city official or a designee may enter upon the property to perf~rm eededjnspections.
X , ____Jl'lJ
License No. te
FOR ADMINISTRATIVE USE
Water Tap ............................ ....... $
Builder's Deposit ............................ $
Other ......................................... $
Total Due ..........,.................... $~' t.J.b
Paid l./~ 9. t./fp Receip . 3~ 954-
Date 31(, IOD By
This is to certify that the request in the above application and accompanying documents is in accordance with the City Zoning Ordirfance and may procee requested. This document when
Sign~City PI~r constitutes a temporary certi.ticate of Zon.i,n] ~mpliance and allows construction to commence. Before occupancy. a Certificate of Occupancy must be issued.
~~ 3 -. l.,;, .CU
~ Ity ~ner Date Special Conditions if any
SETBACKS: Required
Actual
Front
Back
Side
BUILDING DEPARTMENT VALUATION
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
USE OF BUILDING
e.~
1lJP..
I t,.O,-,,'.i
,
PERMIT VALUATION
TYPE OF CONSTRUCTION: I II III IV V
Occupancy Group A B E F HIM R S U
City:
Division 1 2 3 4
Permit Fee ................................... $
r
~
..
'2 '3') .~ S-
lS'l. 21
tJ.e>b
Plan Check Fee ............................. $
State Surcharge ............................. $
Penalty....................................... $
Plumbing Permit Fee ....................... $
4o.~
Mechanical Permit Fee ..................... $
1.;
'j)})\DO
~.lP
Sewer & Water Permit ...................... $
lace ermit~. .................... $
Ii Baco s i1ding Permit When Approved.
B Date -.-3 - L - ""2CJC:JO
Certificate of oclancy
Issued
Side
MATERIAL FILED WITH APPLICATION
SOIL TESTS 0 ENERGY DATA 0
PILING LOGS 0 PERCOLATION TESTS 0
PLANS & SPECS 0 SETS
SURVEY
o
COPIES
PLOT PLAN
o
Amount Brought Forward .................. $
Park Support Fee ........................... $
SAC ......................................... $
Collective Street Fee ....................... $
Sewer Tap ................................... $
$
Pressure Reducer .......................... $
Meter Horn....... ... . ..... .... .... .... ....... $
Water Meter ................................. $
Sewer & Water Connection Fee ........... $
Water Tower Fee ........................... $
24 hour notice for all inspections 447-9850
00-/0/
The Cenler of the take Counlry
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
()~V 10 WU{5L,vNf5,f2.-
z.-/2--q/OO
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
j(P730
WALNV-/
A;v6
svl
K
Accepted
Accepted With Corrections
Denied 0/ 9-
Reviewed BY/ 4~~;r-- ~
/ /'
Date:
f~ ~ ?~
Comments:
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."
(J6vO 61
The Center of the Lake Country
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
;.} /1' '/' "0' I lV/i /-.-'. i . i\ i t'-. ' [:..:)
./ V I ......."' \,,0<0' {, ~ I V _/I~
2. Ii 'i Ci / (;-:'()"
:;....-- I l,./ (
,
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/ (...... .r.. L/~.~/..':':S 0'" V' ." I A. I C .<".. .\J
_oF _ /' f V /. f L I l . \ V \.....r" '.=.:) V-
I
Accepted
v
Accepted With Corrections
Denied
Reviewed By: ~ ~
Comments:
4wevd ~
( .-(c~ A7~
Date:
3.~-Bt()
'-"
~~~ l-
221 X. CZ3 /, +-
I
{JevLh ,LdJFrfk91.1.
~~~ ttf Ex./Z/)..
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."
The Center of the Lake Country
00-010 (
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
[)/lVID WUt-LL,N(5f2.-
2-/ZCJ/OO
,
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
Av6 5'1'1
Jf.cCJ30
I
~'V/lLN V-I
Accepted
-./'
Accepted With Corrections
Denied
Reviewed By: JJIIl-rEA.... tU~~I'tI4JVN
Comments: /HE
et..Jtal AJ~ '.Df:pr .
Tt.l E P/{D P~SLo ISo I t....I:i I ~ c. 14 /)01 r (aN S" _
Date: 3/3/(J()
. I
~As AJoI $"s~
W/nf
'\
\.
liThe issuance or granting of a permit or approval of plans, specifications and
computations shaH 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
CITY OF PRIOR LAKE
PLUMBING PERMIT
Applicant: l>\ u.. ~\O . f~ Co. ~\ 4.. ~
~ I~f
Address: ~(. \A 1A..""'~.v
Signature: ~ ~
Legal Description: Lot 3 Block 2. Sub If IL-L-{)W..s ~
Site Address: I ~ G ~ t\ LU '" \. ~-t: L- ~ W
Building Permit # ([]) .- 0/0 I PID # 25' -//0 - () 07- 0
NOTE: This permit will not be processed without complete information. I
FIXTURE UNITS'
1. Blue
2. Gold
3. Yellow
File
City
Applicant
The Center of the Lab Country
PPNo. 00-0/0 /
I ~ Phone~~O ~1- I 1 3"b
~ J H""- t(.~~S~() p1.L~
Quantity
Type of Fixture
Quantity
Type of Fixture
Bath Tub with or without shower
Dishwasher
Rough-ins
Water Heater
Floor Drain
Water Softner
Stand Pipe (washing machine)
Sewage Ejector
Backflow Assembly (RPZ, Double Check, PVB)
Backflow Assembly Test
Lawn Sprinkler
Other
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
$99.50
$39.50
$
$
$ o~-.:;V
$ .50
GRAND TOTAL
This permit is granted upon the express condition that said
contractor, shall comply in all respects with the ordinances
of the State Plumbing e amTtm7'O thereof.
R 4 z. 0 DATE
Al'l~ST
Call for all in ections 24 hours in advance.
16200 Eagle Creek Av. S.E. Prior Lake, MN 55372/ Ph (612) 447-9850/ FAX (612) 447-4245
An Equal Opportunity Employer
PRJOR LAKE
INSPECTION RECORD
SITE ADDRESS 'fl. 1#L,NJ/T A 'Ie . 61A1
NATURE OF WORK .
USE OF BUILDI~G.. - Alii! ~ L ~
PERMIT NO. 1llJ - DATE ISSUED Wiif VllI'
CONTRACTOR
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF
BUILDING AND INSPECTION
INSPEf\oR , \ DATE
FOOTING \ ~ .;,9 tV
FOUNDATION (Prior to Backfill) ((}) 3/,NtJlJ .
PLACE NO CONCRETE UNTI~BOVE HAS BEEN SIGNED
ROUGH - INS
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
~t
C{J
U
pH. <fl t-t/q-)
4 -/ 4 (. l11>
4 I/() /11 J
PfI '<f/I1-/C)()
GAS LINE AIR TEST
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
FINALS
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT OCCUpy
/11IJI/
I ()-l-~(-OL
I
,/ ILl /Al
1,/ / / {/ /
UNTIL ABOVE HAS BeE'N" SIGNED
NOTICE
/J
J7,
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:~O A-.M. for all inspections
FOR ALL INSPECTIONS (612) 447-9850
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
It qS() i-Vu/ni./t-
DATE TIME
10...!-((
I/,'? 6
PHONE NO.
CONTR.
PERMIT NO. 60... 0 I 0 I
OWNER
o FOOTING 0 PLUMBING RI
o FOUNDATION 0 MECH RI
o FRAMING 0 WATER HOOKUP
o INSULATION.d l,.j 0 SEWER HOOKUP
W'FINAL / , C\..' 0 PLUMBING FINAL
o SITE INSPECTIO@.'. 0 MECH FINAL
COMMENTS: . \
~
_ i
LfOS,e 1= (.Le
o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
'WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: 111~ ( ().- '), L( - 0 ~ Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
lNSNOTl
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
DATE TIME
CITY OF PRIOR LAKE ~/i/~'
INSPECTION NOTICE SCHEDULED $,' SO
ADDRESS /~ 930 JA-LJa:r- AvG',
OWNER CONTR.
PHONE NO. PERMIT NO. C-Iot
o FOOTING 0 PLUMBING RI
o FOUNDATION 0 MECH RI
o FRAMING ~ 0 WATER HOOKUP
o INSULATION 0 SEWER HOOKUP~
FINAL PLUMBING FINAL.
~ SITE INSPE . TIO 4 MECH FINAL
COMMENTS: ~D~rlo.J
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
(1)) ~ ~
~dw<4~
o WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
}I CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: ~ · Owner/Contr:
v f
CALL 447 .9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYl
INSNOTI