HomeMy WebLinkAboutBuilding Permit #00-0061
DATE RECEIVED CITY OF PRIOR LAKE
BUILDING PERMIT,
tt.t1 I 0 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 J .
170~t PH~~rM.el\rV;eJ t.hI~
1. DATE
~/1/~o
(f'~lr # ~~.~j17) 2.1
3. LEGAL DESCRIPTION
LOT
ADDITION
~ BLOCK ~
I7lt~A~t1"r ftlEltlO))
,
PID zs-328-OD-O
4. OWNER (Name) .,
?1rfJ~IrV c,~rtt1JVTtO~ Co.
5. ARCHITECT (Name)
(Address)
i tJC Ii W Bovp,IJ ~ r
(Address)
t I
(Address)
(Tel. No.)
b'Z- #7- YCkJI
(Tel. No.)
"
(Tel. No.)
II
6. BUILDER
(Name)
II
It
It
7. TYPE OF WORK
New Construction 0
Fireplace 0
Alterations 0
Septic 0
Addition 0
Deck 0
Finish Attic 0
RI~-roofing 0 Porch 0 .
Re-sidling 0 Finish Basement)<
Chimney 0 Misc.
8. PROPERTY AREA OR ACRES
Sq.Ft.
9. PROPERTY DIMENSIONS
Width Depth
10. CULVERT SIZE
YElS No
1. White
2. Pink
3. Yellow
File
City
Applicant
Permit NO.-'JO- 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 COSTWLUE
.f 13tCQ? .
17. COMPLETION DATE
!cpt-Iv ~(JOO
is application which is to the best of my knowledge true and correct. I also certify that I am the owner or authorized agent for
ion will conform to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the
se. Furthermore, I hereby agree that the city official or a designee may enter upon the property to perform needfj}'n actions.
72..'51 ~ a?
License No. Oat
Amount Brought Forward .................. $
Park Support Fee ........................... $
SAC .. . .. . .. . .. . . .. . . . . . . . . . . . . . . . .. . . . . . .... $
Collective Street Fee ....................... $
Sewer Tap ................................... $
$
x
FOR ADMINISTRATIVE USE
SETBACKS: Required
Actual
Front
Back
Side
Side
BUILDING DEPARTMENT VALUATION
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
PERMIT VALUATION '"J! ~. 0.0
USE OF BUILDING
RE5AjR-
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 ................................... $
City:
74. 1~
Plan Check Fee ............................. $
State Surcharge ............................. $
Penalty ....................................... $
Plumbing Permit Fee ....................... $
I.~O
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
L{J).b 0
~
11-~' ·
Pressure Reducer .......................... $
Meter Hom ................................... $
Water Meter................................. $
Sewer & Water Connection Fee ........... $
Water Tower Fee ........................... $
Water Tap ................................... $
Builder's Deposit ............................ $
Other......................................... $
Total Due .............................. $ / '-" _ Z~
Paid // (,.2-5: Receipt Jit.;5~ p/9
Date z.../t ~ /00 .
f .
This is to certify that the request in the above application and accompanying documents is in accordance with the City Zoning Ordinance and may proce s requested. This document when
sig~y }h: ~~".p nner constitutes a temporary Certificate?f jZoning comPlianc;ftnd allows construction to commence. ~re occupancy, a Certificate of Occupancy must be i.S5Uedo
~ _~- -l,,~tYt"60- ~ ,v'\~, riM lAY~ ~~/'~~~ _
City Planner Date ~ SpeciaIConditionsif~'I..~ --- ~
Mechanical Permit Fee ..................... $
Sewer & Water Permit ...................... $
Gas Fireplace Permit ....................... $
ThB irll"tug;' Becomes Yo Buildin Permit When Aplrovedo
(I Date ') - ,<: - <.a::c>
y.. I _
Certificate of OccupaRcy
Issued
24 hour notice for all inspections 447-9850
00 · oo~ .'
The Center of the Lake Country
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
SANDAU CONS', t::-.
2/ /0/00
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/7047 'PHeASANt 1'16ADOvV LAi.
Accepted
Accepted With Corrections ~
Denied
Reviewed By:
Date:
X'
Comments:
,. ~ Za.~~~ r:iAt'~ I~~
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
I 7 D '1.:2.
0.' HOUS ~ H EA T INGJEST RECORD
rA t' <'(S4 Ii f- J1cpk PL.OOR
__ OWNeR
CITy.
suaVRa
A;.IVlo(t~.!i
OCCUPAN7 _
H!A T l..OSS .
~ OL 0 e Y
el.etri~..l ""or" ey
TYPE 011 HeAT GI>. FA .HW
u.AK:E ~ h f.CiAS IO~SION
),lec ,I . l..' V [) d lr OC ~ ","0
S.,:csl. ")FO l..T':! ~
INPUT ~ 'tJ.. ()cO (). .
___D,,'tE ,",TO, IHSi._
ST@'-'M
1~5T.I..l.El) ;v _
<;0 I Lin. By
~~ACe HT~. UNIT ki'Q.
otHER
MAoK E C, 6URlo4EJ:r
~ 1040 d.l
_ 604u. BTU Ra1in;_
J.U..I(E 0' FU~HACE _
MO($ei
cm.(iROl.~
TMERMOSTA"l'
. V'"1 Sill. ~
.. K (ND OF L.'....1i R
Oraft tlI.,aJ
F' h.r, Sfa:. ,
Cl'Ilrlln.r LDcallOh
Ch;.'''l'f Col'lltrllC'liOf'l _
--'" H..a' p I..,~ .
~ol.,. .
lI~lr _
l.,.,.,lt s.t1 fn;
Ftln Self:", _
Pilet Type
Pilot ~".
P'1t' Mo~.l .
P iI., Tlftli"Q
L. W. CuI orr
Sl'IIolc.. 6..",11 ..
Dr ~ft
. Door Pra....".
~erc;<n' CO~ _t..J't
. tl.,'te"" 0,.. ? r
Per Ct;t'\1 '::0 (!)
Dc,. r..,.cl .
Cemp(llOl, rul;",
HQ"" 01 TII'.'
,,-
p,U AU" __<. ~
'''ID'''' CfH_ ~.r
Stcsc~ 1'....,. ~
F .,'" '3~
. .. -..--------
100 'd
rtSr-t~6 ,19:131
':OJ-lVE~SI~N
!o12:E NON f
RIIlGVIOlOf _
...._tool" I"b.'
Ir.airl. .
_ Ol.lt.Id.
,Wldn; _
T." TOII_
r:P -/ ;7 ~i;IO ,".,
~ ~lA W- <. ,,4..,' ,..
fA '--
'S ':I \,\,'p~ ':0 .U18
01'8J (nH1)66.61~'nnV
.....
~.:..r. "'.J -
~
GO 'OO~
i
Tht' ('t'nlt'r of tht' Lab Country
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
1-1,
.c: - : .\. \ I
'''-_'~);- J 1\/ L./ L'
(-
-- "-/---'" .
'~/ K.
2/'/
I
I
I
I
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The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/' ~. ,/ / /.; '7 I ),. / ,... . -- . . -.. 'I . f" I \ / 1 /\ I
/ / I~ q L..- i '~"~'7 l':; .,""I.:'__Ii.- i / / It.. /:..,/ _._ j \..,' \} t-.- '"'.
l
Accepted
~
Accepted With Corrections
Denied
Reviewed By:
~~
Date:
~ - 1 ~..e-o
\.;
Comments:
,Af{Wt~ ~ ~.~~ l1a~ . 10 ~~
~~~l~e6W\~~.
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
SITE ADDRESS /704""Z.- ?~ ~.u ...-<-
NATURE OF WORK ~ h"'-~
USE OF BUILDING ~FA
PERMIT NO. 00 - on~ I
CONTRACTOR .s~ ~
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF
BUILDING AND INSPECTION
DATE ISSUED
z. -llJ - 2000
INSPECTOR
DATE
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
~- 5/1.-
- ;~ Y/'-
: /~ 3h-
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
FINALS
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT
(\
~">) ,,'?kR I tJT
OCCUpy UNTIL AB~VE ~~EN
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.
SIGNED
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (612) 447-9850
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
/7 () 4 2- PH6J:1fFf1J7 n t:::}1Vd vJ
OWNER
CONTR.
PHONE NO.
PERMIT NO.
00.00(,/
COMMENTS:
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
L..AW~ v8l/~
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
o FOOTING
o FOUNDATION
o FRAMING
j:NSULA TION
FINAL
SITE INSPECTION
~ -
( /GO~~
~i~
o WORK SATISFACTORY. PROCEED
o CORRECT ACTION AN;DCE:ED
D CORRECT ~~LL REINSPECTION BEFORE COVERING
Inspector: VII; Owne rICo ntr:
CALL 447-9S/otOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUlleMENTS ARE FOR YOUR PERSONAL HEALTH &: SAFETY!
INS/fOTl