HomeMy WebLinkAboutBuilding Permit #00-0155
(Address) ;:-Je/Pt..eV (Tel. No.)
?'?.:J - ~ ~ L/32.- ~D
A?;Sf.;r.cW/'JY, ...s-0-2 -~?/
7. TYPE OF WORK Fireplace 0 Septic 0 Deck 0 Re-roofing 0 porch'"
New Construction 0 Alterations 0 Addition 0 Finish Attic 0 Re-siding 0 Finish Basement 0 16. PR~CT COSTNALUE
Chimney 0 Misc. , ;7 ~) 00 cJ
8. PROPERTY AREA OR ACRES 9. PROPERTY D~ENSIONS 10. CULVERT SIZE ~~ 17.~LETION DATE
Sq. Ft. ~~ J:-v-tv Width /7f'Depth /So I _ Yes No' /1$ Td /'.L, a~r....,:wd
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 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 official c~~s~, e"9rmi~or j~, ca cauussee.. F F~u ore, I hereby agree that the city 9.Wc~1 or a designee may enter upon the property to perform needed inspections.
X ~~~ 6.sJ.,~ _?.-/fi--.2LJCJO
Signature / License No. 0...
DATE RECEIVED
3/Z0/00
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
,/ ~ ~-2-/-
1. DATE
..:s-- / P- ,,2000
2.
~~ ~4< / .$v~' S:.E...
I<
3. LEGAL DESCRIPTION
LOT .2Y2 7q ~O BLOCK
ADDITION' ~.o..s77:.,LLO !.S
4. OWNER (Name)
../f'of" ~.t6LAf., N
5. ARCHITECT (Name)
PID 25' -CXJ4- - {j.3 / - 0
/1Vo/J _
(Address)
/ k;.2/- ~.,e~ Nt.U1
(Address)
(Tel. No.)
4:.,p~.2//0
(Tel. No.)
8. BUILDER (Name)
~/- , ~ ~-/V J:,A/ ~ t.t' ,'RoH;:t~
FOR ADMINISTRATIVE USE
SETBACKS: Required
Actual
Front
Back
Side
Side
BUILDING DEPARTMENT VALUATION
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
PERMIT VALUATION Ilo:C(;Y) " (!)CJ
USE OF BUILDING
P6( e/~
. /
TYPE OF CONSTRUCTION: I II III IV V
Occupancy Group A B E F HIM R S U
1. White
2. Pink
3. Yellow
File
City
Applicant
Permit No.
() (J ~ (J (1)5
BUILDING INFORMATION
11. SIZE OF STRUCTURE
(Height) I!t (WidthY6 / (Depth) /6 J
12. NO. OF STOR,
13. TYPE OF CO~S~UCTION '/
~/,er.p~/c:l
14. FLOOR AREA APPORTIONMENT USE
d2-cfO ..F F"
15. NUMBER OF OCCUPANTS OR SEATS
c:>
OCCUPANTS
SEATS
MATERIAL FILED WITH APPLICATION
SOIL TESTS 0 ENERGY DATA 0
PILING LOGS 0 PERCOLATION TESTS 0
PLANS & SPECS 0
SURVEY 0
SETS
COPIES
PLOT PLAN
o
Division 1 2 3 4
23~. 2S-
I S<.{. C l
a.Oo
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 ........................... $
City:
Permit Fee................................... $
Plan Check Fee............................. $
State Surcharge ............................. $
Penalty ....................................... $
Plumbing Permit Fee ....................... $
Mechanical Permit Fee ..................... $
'II~
J.I" 1 0
1"
3_ -
Sewer & Water Permit ...................... $ ()1)
Gas . ep ce Permit .(Jl) :::t)/~ 4-0 .
IS A . "&.1 ....La..mng Pennk When }.[>proved.
B ~ ---- Date '3- L2.- 2,Ol?O
Certificate of Occupa y
Water Tap ................................. ...-$ -
Builder's Deposit ............................ $
Other.......................... ............... $
Total Due .........?':................. $ 4...3C? ~fep
Paid 43 9. ' / \P Receipt No. 8"7'10 r
Issued - r.r - - .
Date ~/'J y- / rz> By /LIJ---
This is to certify that the request in the above application and accompanying documents is in accordance with the City zo~nance and may proceed a~e~ed. This document when
'91he C" lanne' conslitu1es a Ien'jlOrary ~Ie 01 Zoni"9.. compliance~ a~~ con""fitio~ommence. Belor~ OCC)'l. ~A[lcy. a CertjfiC~};CUpan_cy must be issued.
-& 2-"f"fSl!:) --I5lf-tPL~\Lh~ p~V~ ~~~"
ity Planner Date - - Special Corclitions if any
24 hour notice for all inspections 447-9850
{JD ,.0 rSC;-
The Center of the Lake Country
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT I1ItJetlIu'M Sf/A! 8(//'-'0 EJe.-S
APPLICATION RECEIVED · . ~/20jo 0
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/~()Z/
.s I . PI1 () L, A V (5. S. 6 ·
Accepted
Accepted With Corrections ~
Denied ~/7/J 4 ~
Reviewed Bye ~<.!:k..Y-------- .
/
Date: 5-22 -?ooD
Comments:
I. Q.e~ tooL'~ Cott.e.d.'e>y....
2. U~~.eJ~ Sw--ob ckkLkTS
~~~~
~ u~c.
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."
't
~
(!7) -()(~S -'
Thr Crnlrr of Ihr Lakr Counlry
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT /t/;;l~/ll/ti:.: /l./ ..:; (//\/ /;/l//L. /~ CK .~
., ~. 1 I
APPLICATION RECEIVED ...?:- /2 t,/O ()
/ /
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/' 1('. liZ' /
(/ <./ --- .
57. Plj () L- Ii L,/f:, .
("'~ -
.._J . t:.,., .
Accepted
r/
Accepted With Corrections
Denied
Reviewed By: ~~
Date:
~ -2-L{t9Q
com^en~s~ _ 1\ \'_
r1i1V~ ~ ft9V~ AJ&N fev\ 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."
t~i)
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.,..... _ . .,/ HEATING APPUCATION 'PEfMT
Dole - - foh~ I~_ PIU 25-004- -03/-()
SleAdlhu I~D~I Sf.__.&u.1 . _~ . K.Z-
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a.I 30 .... MIiIaa .. . .V &JS7CL./.,Q -.:~ /-loON.
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f~~ .....s.ze -.. S L 5.50 __.u
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CITY OF PRIOR LAKE
....~.... c..M #III. S.E.~tia." -d_~
PriDr ........ .. 55372 .
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Conn_ l DWf' _ _ _
F.... ~~_ _F.... Sol.
SuppIw Op.NngS ---- ---
. t
A81um Openings 1t1Tr-S
Vlau
1np41b ,lf5>> 0uIJU
Edr.
Ctfn._____ __
lWE OF SYSlEII
Wann Air Planes
(:;,.-..y - - ---- .-
....~ -- - --- .._. ---- .
All CondillOfting
v_ Syst.... . _ ._ ._. _ _
MEA.... OR flOWER PUNr
S.... _____
ttoI War .._ ____.__________
AadiatiIIft __ ____. _ _ .___
SpeaaI Devic_ __ _ _ _ ___.. _. .__
o.t.. 0."'1>>5
nPE OF WORK t ~~ II 1\ '
Abt'alioAs RepIKtIm_ ...... Cansttur:tinn J.. __ . _
.- .. __... ________ -. .... ... -0 _ . .. _ __.__.___. ... _ _ . ~ _ J.- ... -_.__....___ _ ___'_0. _nn... n .........
RepaIr --._-_ _ _ _-0 _ Est Camp 0.... 11, _(51)________
Esa. Cast I J 6J)\) -' _ .. .illI~"P.~' 00 - 0 155
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T01A&. "'HUH f-1::f:S :;.
Hoc&ipI .
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TYP..E.JW ST..BU.CTUAE
I "-' . ,...
... locww I. ....
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S.. ta,., _ ~
. _ 'wo.r....., _
IndusInaI _ _ _ ._. .
u..~1riw
P\IIJIIc _ _ . _' 0IHf _
CGlMlltIUal_ ___
t=. SdIeIlJIe
1nduIIriaI.~ II ~
Res......... ...... Ir At:.
HIM::.-o ......... 0nIr
Resadt..... Gas FwepIiIce
1faA....... Addban. & M.erilllons
..~. ACOnIy
1". at job ...
189.50 &$39.50 .........)
~~;
~ to ..., the S18Ie Sun:haIge on .. bollana ulthls 311p11c:d1D1l
The prICe of your heaing pRrmII1ncUdes one '__-m and one ..... .~.
AddItIOnal .........1Oft& WII' be ~ ill S3!J 00 each_
House' -':_lg T 851 RKofd fftUst he sulRtWlted ..., .... ._ ... bebe bull
Iftg cel'1lkafe Df occupancy w. be IISU8d
HEAl ~..LWLAllOM~ ~n IAJ:I'lMl" ....., .. s~ ... "'A ...;..... .....
lOOm..h (;f-'M's pel ..._.. New sIIucIUr8s or adeII.Ml ~ IIDorPIR.... ~
and letum Ioct1tions stIown_ tEAT ~ ,,~S CALCUlAlIONS. PAVUENl AI<<)
APPI tCATKlNS MAV BE MAIU:D TO THE CITY or PRIOR LAkE. 1" EAGlE
CREEK AVE. S.E. PRIOR LAkE. ... SIj317_
City Hal bustness houI5 ant 8 a 1ft. - 4:30 p.m.
ALL WORK IIUST BE INSPECTED (1IOUGtt-M AND f1NAl.) - CAlL QfY HALL
t47-423D
I h.ereby apply tor a mechanical s,stems permi' and . adlno1Jli.. thaI Ihe
d.,.matlOft above IS COInplete .'nd accurate; '''al .he WID'''.' bll\ eon.......anc
.Mlh..'ha ft'.dt~ ...,; i:OdeS-of-.. a1y .MII willi lite s.... tw.~fltCeh.ntt.-
codes ~ lila' thiS 101 m ctoe s not becume _ penaif untlt SI~ .., the BUll DIN
OFFICIAL, thaI the work WIll be '" acco'dance WIth the approved "'11 1ft thl)
casa 01 .~I work w ~r reqUI'e~""',8W and approval o. """a.
'J.... 1 dwe -t\...BliA . ~/t)J~
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PRIOR LAKE
INSPECTION RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS -.liaD21 S~, ~\ lbte,
NATURE OF WORK New ~rc:.~ Ad&.'^-,
USE OF BUILDING SF'D
PERMIT NO. 00- 0/55 DATE ISSUED s.. 22.-"2D <.J....J
CONTRACTOR ~~"'- So", Uu;lcl...r-,
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
FOOTING
INSPECTOR I
elf-
/ I DATE
_?/5v/tJV
! II
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
~
~~'?Od ~)0 ~/t'>
I (
(9 6/;;ljJm
~ Ili?//M
FRAMING
INSULATION
ELECTRICAL
?\'-l 'NlO'J%. \J ~.)voj
HEATING (if required) tJ
FIREPLACE
GAS LINE AIR TEST
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
BUILDING
ELECTRICAL
FINALS
/J
HEATING PJ-;r--~ //;)f)hl
/ I
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 'bf:;en 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 ---10(') L. \
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING (P
o INSULATION
~FINAL
o SITE INSPECTIO
COMMENTS:
SCHEDULED
St. ~O\
CONTR.
PERMIT NO.
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
DATE TIME
( - :25-{)/ '2: ~O
Aue.
C()~O/~5
~
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
~ WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WO~LL FOR REINSPECTION BEFORE COVERING
Inspector: - :~- ( Owner/Contr:
I
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYl
INSNOTI