HomeMy WebLinkAboutPermits #00-0176 & 00-0366
DATE RECEIVED
_28.
CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
1. White
2. Pink
3. Yellow
File
City
Applicant
Permit No. 07)-0/7 fa
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
3-tt -Q()
C/IC SW
BUILDING INFOAMA TION
11. SIZE OF STRUCTURE
(Height) (Width) (Depth)
3. LEGAL DESCRIPTION
--
~ BLOCK
I~ rJDDN 7V
/&CJ2/ .5//'1PK/N5
ft:; PID 25-308-035-0
Wt5STt3(J,eV POND..5
LOT
ADDITION
4. OWNeR
(Name)
Ze60$t::: I
(Name)
5. ARCHITECT
.J.IUtLOER
(Name)
Alterations 0
Septic 0
Addition 0
Chimney 0 Misc.
8. PROPERTY AREA OR ACRES
Sq.Ft.
12. NO. OF STORIES
13. TYPE OF CONSTRUCTION
~t:) ~S
S ~iC
(Address)
14. FLOOR AREA APPORTIONMENT USE
(Address)
(Tel. No.)
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS
(~r1171~
SEATS
16. PROJECT COSTNALUE
Deck 0
Finish Attic 0
Re-roofing 0 Porch 0
Re-siding 0 Finish Basemen;)(
10. CULVERT SIZE
17. COMPLETION DATE
Width
9. PROPERTY DIMENSIONS
No
Depth
Yes
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
building official croke this permit f just cause Furthermore, I hereby agree that the city official or a designee may enter upon the property to perform na ad in pections.
X ro
License No.
SETBACKS: Required
Actual
Front
BUILDING DEPARTMENT VALUATION
USE OF BUILDING ~ es /l /ie..
fltzt; 0/ R
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 ................................... $
FOR ADMINISTRATIVE USE
Back
MATERIAL FILED WITH APPLICATION
SOIL TESTS 0 ENERGY DATA 0
PILING LOGS 0 PERCOLATION TESTS 0
Side
Side
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
PERMIT VALUATION ? ~~ ~
PLANS & SPECS 0
SURVEY 0
PLOT PLAN 0
SETS
COPIES
City:
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 ........................... $
Ct:>"2 . L. c.;-
Plan Check Fee ............................. $
State Surcharge............................. $~ ' C> Ii
Penalty....................................... $
Plumbing Permit Fee ....................... $
Mechanical Permit Fee ..................... $
~~
our Building permi~e>>roved.
Date - -~
Issued
Date
This is to certify that the request in the above application and accompanying documents is in accordance with the City Zoning Or inance and may procee s requested. This document when
s' b the C' lanner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy. a Certificate of Occupancy must be issued.
~.- 3o\.c:O
ity Planner Dale Special Conditions if any
24 hour notice for all inspections 447-9850
(5D-O/1ro
The Cenler of Ihe take Counlry
White - Building
Canary - Engineering
Pink - Planning
NAME OF APPLICANT
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
Z 6t3j05J:::-1, CTDtllJ
; /!
~3/ 261 C. ()
I f
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
I
/J(~, C;Z! :~=./r--;f-'l:~ //\'5 \~ 1/< :~s V\!
,
Accepted -V-
Accepted With Corrections
Date:
.3 ~;t0-t::7c::>
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
0{)-0/10
Thr Crnlrr of Ihr Lakr Counlry
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
ZE-qOS/C-./, JOHN
3/28/0'0
I
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/bq7/ S/tJPK-INS ~/ 1<- 5 vJ
Accepted
Accepted With Corrections
Denied
(2f~r
Date: 3-~ ,?OOO
Reviewed By:
Comments:
1. ~ ttJl~. .t::~ ~ \""- ~
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
CITY OF PRIOR LAKE
PLUMBING PERMIT
<3D HN z,. Bq as K../
s np I.
1. Blue
2. Gold
3. Yellow
File
City
Applicant
PPNo.
O(J--(;~ft; ft;
Applicant:
Address:
Signat~
Legal pe;cripti : Lot Block ~ Sub Isr ADDN. 7t) WEiST3UJeY
Site Address: /i'D 92* .5//"1,:;;::://1/5 (!/IIZ.. SIN
Building Permit # le~ri-:tkJ(J - Ol1fn PID # 25-309.... ()35- D
NOTE: This permit will not be processed without complete information.
Phone:
e,/~. 5w'
FIXTURE UNITS
Quantity Type of Fixture Quantity Type of Fixture
Bath Tub with or without shower Rough-ins
Dishwasher Water Heater
Floor Drain Water Softner
Lavatory (bathroom sink) Stand Pipe (washing machine)
Laundry Tray (1 or 2 compartment sink) Sewage Ejector
Shower Stall Backflow Assembly (RPZ, Double Check, PVB)
Sinks Backflow Assembly Test
Bar Sink Lawn Sprinkler
Water Closet (toilet) Other
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
$ .3 9. 50
$
$
$ .50
GRAND TOTAL
$ 41). IJ ()
This permit is granted upon the express condition that said
contractor, shall comply in I re s with the ordinances
of th~ Plumhiog Co men ment thereof.
3fl ;3 RE ~ DATE
ATTEST
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
PRIOR LAKE
INSPECTION RECORD
DEPARTMENT OF
BUilDING AND INSPECTION
SITE ADDRESS ---U.a:1"'L\ S~~~\~~ G-t-.
NATURE OF WORK IS~~ ~'~~ ~
USE OF BUILDING S-f="..D
PERMIT NO. 00 -- 0/ -; ~7 DATE ISSUED 5-.0 - ?oe:>~
CONTRACTOR :kk- -z. ~b .
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
~
_____ I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
INSPECTOR
DATE
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
-L:JO
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
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.
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (612) 447-9850
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
DATE TIME
~ 9:k
ADDRESS \loCl2.1 s~L),<;
OWNER CONTR.
~
w'}"''''''
PHONE NO.
PERMIT NO.
0-/7'
o FOOTING
o FOUNDATION
o FRAMING
~~~TION @
~E INSPECTION
COMMENTS: e1l:Sl.-1a-"\ €~
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
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 ~LL FOR REINSPECTION BEFORE COVERING
Inspector: ( Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTl