HomeMy WebLinkAboutBuilding Permit #00-0286
~
DATE RECEIVED CITY OF PRIOR LAKE
BUILDING PERMIT,
APR 2 5 2(xx) TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
1. White
2. Pink
3. Yellow
File
City
Applicant
Permit No.
OO-o-z,fl~
. 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 .J ) . J..~
15'3 -4-7 . J312.~e.:z. y' ~ r" / J./ r I" aflD
3. LEGAL DESCRIPTION
LOT ~ BLOCK
ADDITION .:or~~ ~t.
4. OWNER (Name) (Address)
C#Hl!i-~'.> $. "'" HFrl2j/ C!. . GnAL...:~~,I../
5. ARCHITECT (Name) (Address)
1. DATE
('I -1 ~ VIS:- (J C'
'2\SD
BUILDING INFORMATION
11. SIZE OF STRUCTURE
(Height) (Width) (Depth)
12. NO. OF STORIES
PID 2S-D2C. ....OOS-O t!I
13. TYPE OF CONSTRUCTION (.t.uueJ 1:>..1
bl-~Ik~ ~ ~,Qn(fG
/lqlfhl!J~'f7~ {Tel. NO.~ ~q$ 2.,,14. FLOOR AREA APPORTIONMENT USE
j.(Tl('.I'":t .s'~~~ ~ ?:it' ~3rf.'6
(Tel. No.)
6. ~R (Name) /
R&'II"~~~/c~''- "Xlf?r-
(Address)
(Tel. No.)
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS
Chimney 0 Misc.
8. PROPERTY AREA OR ACRES
Sq.Ft.
9. PROPERTY DIMENSIONS
Width Depth
10. CULVERT SIZE
SEATS
16.~.R J.ECTCO$~LUE . ~
...... I"/~
17. COMPLETION DATE
7. TYPE OF WORK
New Construction 0
Fireplace 0
Alterations )(
W~~""
Septic 0
Addition 0
Deck 0
Finish Attic 0
Ria-roofing 0 Porch 0
Re-siding K Finish Basement 0
Yes No
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~ff~cial can rev~. this permit for ju~t caus~rthermore, I hereby agree that the city official or a designee may enter upon the property to perform needed inspections.
X '-:nl~~(~~/4l~~ O~"~..s--Cd
/1 ~ Signature ~ License No. Date
FOR ADMINISTRATIVE USE
SETBACKS: Required
Actual
MATERIAL FILED WITH APPLICATION
Front
Back
Side
Side
SOIL TESTS
o ENERGY DATA
o
USE OF BUILDING
~
Ak
,
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
PERMIT VALUATION I~. 000.0 0
PILING LOGS 0 PERCOLATION TESTS 0
PLANS & SPECS 0 SETS
BUILDING DEPARTMENT VALUATION
SURVEY
PLOT PLAN
o COPIES
o
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 ................................... $ "J, .~S
Plan Check Fee ............................. $---L5q · 2\
8.00
Ci1y:
Amount Brought Forward .................. $
Park Support Fee ........................... $
SAC ......................................... $
Collective Street Fee ....................... $
Sewer Tap ................................... $
$
State Surcharge ............................. $
Penalty ....................................... $
Plumbing Permit Fee ....................... $
LI r.uw
Pressure Reducer .......................... $
Meter Horn................................... $
Water Meter................................. $
Sewer & Water Connection Fee ........... $
Water Tower Fee ........................... $
Water Tap ................................... $
Mechanical Permit Fee ..................... $
Sewer & Water Permit ...................... $
::~!::~. ~~..~~~.:~~;~i~~.~e~.qhS rroved
By A.....r. Date - - ~
Certificate of Occu ancy
Builder's Deposit ............................ $
Other ......................................... $ ~
Total Due ......6..................... $~3
Paid Lt-::ff. L.j Receipt No. ~ J 3 ,..,
Date 0/1 lfm BY~' .trY
in the above application and accompanying documents is in accordance with the City Zoning ~rdina~ce and may proce as ~ uested. This document when
nstitutes a temporary Certifi;ajeJf zon~i ;5Pliancp_n~ allows I~struction to commence. B~e occ~ Certific te of ccupancy must be issued.
J ~~ '1ld? ?t" (~J Y'J-tu..;/ -
~ity PI ner Date SpeCial Conditions if any
Issued
\/
24 hour notice for all inspections 447-9850
1Jocd Fl~
60 '-G~~
White - Building
Canary - Engineering
Pink - Planning
The Ctnttr of tht Lab Country
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT (' ~ r\~. ~~y\(l ry c.tlLr\~Ot\
APPLICATION RECEIVED A Q" \ <ct5 ) ;:10l\O
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/53.LJ7 ~1e:ez.\.J ?~\n+ ~a,Qc.
J .
~
Accepted With Corrections
Accepted
Comments:
Denied
Reviewed By: f1.tf). Jf/VC).A/ Date:
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~ AAy ~ fcnh! I<</L uidl"l Wil( r(!tvf~ 4. r/Cv6~.
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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
()b~~
The Cenlef of Ihe Lake Counlry
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT (\"'0 d.Lh, ~ .'1\(\ r:J fJ1l F\ ~
APPLICATION RECEIVED A PI' I ,85 I 'd CJOO
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
IS3LJ7 1),~ez.'-I ~~Itlt . KDo.o\
/ -.
Accepted
Accepted With Corrections
:Jl
Denied nfl n Q____
Reviewed By: ~ I~/,\.
Comments:
Date: q-:l
,. Up riab., ~W\Q\aa. ~s pqj'" ~
~
~, UpcLe.k~ e.)(~..Q.t ,"or ~'-.Jr'S p.u- c.ocle
($e.~ A.H-Q.~ ~ '\
./
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
Tht' Ct'ntt'r of tht' Lab Country
CITY OF PIRIOR LAKE
PLUMBING PERMIT
Applicant:-Leo~ -/kvAt;: //1... ~<J. /PlC-.
(/
Address: ~ /I- ~?-CK."~. fiJ'tJt"1!
Signature: ;~ ~_ _~~
Legal Description: Lot C-l Block _ Sub 8el3G2-V POINt
SiteAddress:~Y7 I Br~-e.7c1 A{-i~ Ra~ I
Building Permit # ~ 00 - ozerd PID # 25 -OZ(P--uQ5 - ()
NOTE: This permit will not be processed without complete information.
1. Blue
2. Gold
3. Yellow
File
City
Applicant
PPNo. 00-0280
Phone:-U3~" 3~
~ ~!fVfJ
FIXTURE UNITS
Quantity
Type of Fixture
Quantity
Type of Fixture
I
/
I
I
Dishwasher
Rough-ins
Water Heater
Bath Tub with or without shower
Lavatory (bathroom sink)
I
Water Softner
Stand Pipe (washing machine)
Sewage Ejector
Backflow Assembly (RPZ, Double Check, PVB)
Backflow Assembly Test
Lawn Sprinkler
Other
Floor Drain
Laundry Tray (1 or 2 compartment sink)
I . Shower Stall
/ Sinks
Bar Sink
J- 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
$
$
$
$
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 C , ~an the amendments thereof.
RE f: .1/(,,/00 DATE
All hST
Call for all ins 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
SITEADDRESS I~~ ~j ~\"'\ ~
NATURE OF WORK .1u+~ J4.l-\.~,~ t- W,~l ~;J,~
USE OF BUILDING C:;~~ a
PERMIT NO. 00 -0 Z:Bh [)ATE ISSUED Lf-"Ztf'....?tX!)CJ
CONTRACTOR Qu-\qd\A
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
s i\.ectl-\u~c>1\~ '},71lJ) ~(~
vJ(~ ~
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (!trequired)
~
~
VB, I;!/rd~l -
~!df~' ~ - ~jl'f)
@)-5(
I/?1/"t
. .
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
FINALS
A .
~ 'i/pd/tJI
I I
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT OCCUpy
11
~
,
9/~/()1
ctldl/o)
) ,
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 beenYapproved. 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
TIME
9"_~o-J ~: 06
I t}3 '17 CON~~ ___ Pf.l<cL
DATE
SCHEDULED
ADDRESS
OWNER
PHONE NO.
PERMIT NO.
() - d-S~
o FOOTING
o FOUNDATION
o FRAMING (@)
o jNSULA TIO~L
ZFINAL tJ
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOC P
o PLUMBING.- AL
o MECH FIN
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
r-
~V~
~ WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL 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 & SAFETYl
INSNOTI
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
{' 2- - c.:, I 3 (/ <-.)
ADDRESS
/5~"?4-7 (!/l:~6E2.L/ I~I .
I
OWNER
CONTRt.
PHONE NO.
PERMIT NO.
{-;O - (,'Z-{(--;
o FOOTING 0 PLUMBING I~I 0 EX/GRAD/FILLING
o FOUNDATION 0 MECH RI 0 COMPLAINT
o FRAMING 0 WATER HOOKUP 0 FIREPLACE RI
o INSULATION 0 SEWER HOOKUP 0 FIREPLACE FINAL
o FINAL )st'PLUMBING FINAL 0 GASLlNE AIR TST
o SITE INSPECTION ~MECH FINAL 0
COMMENTS: 1#0 /I4.A.Jo.A16ar&2- /'VJ~/Lt7 I
L . lHer6t2-- /AJ~r/Ju~ v'C72-V-IC~t-<4 ~~b~JI-
~I I .
fJo j>@-r/11 Ir CA4-1?S~ I
'S - 564t--
Mt5\G~,
Ifl~5TMr~.
Pt.Ut11~
~N [).;/J~n-r_2,~--S0~~'
11 \
7. 0 WCRK SATISFACTORY, PROCEED
o C RRECT ACTIO AND PROCEED
\ nspector:' Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
INSNOTI