HomeMy WebLinkAboutBuilding Permit 00-0401
DATE RECEIVED CITY OF PRIOR LAKE
o ~I 00 BUILDING PERMIT,
I .. TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONN~."..gC.",.J)!,'.",,2), '.",'':i~,. PERMIT
DIRECTIONS __
SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN
ISSUED (Please Print or Type and sign at bottom) <\. /~ \
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3. LEGAL DESCRIPTION
LOT
~
BLOCK
ADDITION ~._~~~,-<"
~~ (N:: ,"-~
5. ARCHITECT
(Name)
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(Name)
~~.r).:""..',~.
~"1
1. White
2. Pink
3. Yellow
File
City
Applicant
Permit No. 00. ()1-0/
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BUILDING INFORMATION
11. SIZE OF STRUCTURE
(Height) (W~) ""t-- +tPth)
12. NO. OF STORIES
\
PID ~S- """13\' ,. 00 ~ - a
13. TYPE OF CONSTRUCTION
(Address)
~~~'-
(Address)
(Tel. No.)
\..p&' \ - ~ ()\.o - '"' '"'- () 0
(Tel. No.)
14. FLOOR AREA APPORTIONMENT USE
(Address)
(Tel. No.)
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS
~Y'~1;..
~i'.~:: Fireplace 0 Septic 0 Deck 0 Re-roofing 0 Porch 0 SEATS
New Construction 0 Alterations 0 Addition 0 Finish Attic 0 Re-siding 0 Finish Basement 0 16. PROJECT COSTNALUE
ChimneyO Misc. Q.-"''--'~~''-- ~""' ~'-,'-- .....-.. \.o"'~'---'--_~ "'''t->CQ7-o "~c;.:s, t:)
8. PROPERTY AREA OR ACRES 9. PROPERTY DIMENSIONS 10. CULVERT SIZE 17. COMPLETION DATE
Sq. Ft. Width Depth Yes No ~ ~\~c.11- ,~\ ~~
I hereby certify that I have fumished infonnation 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 can revoke this pennit for just cause. Furthennore, I hereby agree that the city official or a designee may enter upon the property to perfonn needed inspections.
X ~cx"-~. "rit'7 \, '-\..$:'l::. ""on.. No ~J
FOR ADMINISTRATIVE USE
SETBACKS: Required
Actual
Front
BUILDING DEPARTMENT VALUATION
- I
~S o/R
USE OF BUILDING
TYPE OF CONSTRUCTION: I II III IV V
Occupancy Group A B E F HIM R S U
Division 1 2 3 4
Pennit Fee ................................... $
Plan Check Fee............................. $
State Surcharge ............................. $
Penalty ....................................... $
Plumbing Pennit Fee ....................... $
Mechanical Pennit Fee ..................... $
Back
MATERIAL FILED WITH APPLICATION
SOIL TESTS 0 ENERGY DATA 0
PILING LOGS 0 PERCOLATION TESTS 0
PLANS & SPECS 0 SETS
SURVEY 0 COPIES
PLOT PLAN 0
Side
Side
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
PERMIT VALUATION -ll~ . (!)(!J
City:
Amount Brought Forward .................. $
Park Support Fee ........................... $
SAC . . . .. . .. . . .. . .. . . . . . . . . . . . . . . . . . . . . . . .... $
Collective Street Fee ....................... $
Sewer Tap ................................... $
$
3c.( .1S"
.SD
40 .00
~
J ;0
A~.ij
q I 'v--'
Pressure Reducer .......................... $
Meter Horn................ .... .... .... ....... $
Water Meter ................................. $
Sewer & Water Connection Fee ........... $
Water Tower Fee ........................... $
Water Tap ................................... $
Builder's Deposit ............................ $
Other......................................... $
Total Due .............................. $ '75. ZS-
Paid 7:).. ~.s-" Receipt NQ,.~~)J'7 b
Issued . /I J-!
Date t D'" ~ -OOBy L:\ Ub( ~ ~>
This is to certify that the request in the above application and accompanying documents is in accordance with the City Zoning Ordinance and may proceed as ~sted. This document when
signed by the City Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be issued.
City Planner
Date
Special Conditions if any
24 hour notice for all inspections (952) 447-9850
The Center of the Lab Country
~ - Building
C~nary ~I _ :. _9
P.b:1 rill -=oqg
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
u)~ .(/l. ~
9/2. ( - 2~ 0
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for cp~svuction acti~which is proposed at:
L//C.-f Z~ V~ rJC'~ (' I j
/
Accepter..-/:. Accepted With Corrections
::::::ed By: (2f~,
C~entsjJ ~ !
(~ ~ '.f~ l-r~c.~ ..~
1 .....
Date:
cr -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 p.:-\tali~.1I
..
-
r
OCT. 3.2000 8:59AM
GENZ RYAN 6513226147
NO. 654
P.2/2
"
QUi ntity
t
1
\
I. Blue File
2. 0aW Cry
:I. YcUDw Appliaat
4# 6()- tlaJ.
Applicant ~ ~ ~ rz..w...Ar"l phoned,(;i - L./z.:r f / 1./ ~ _
Address: IU'1I'-l~.c:r.- ~..r 'Te-L- ~, s-so~,
signature:..JIl ~ " .'~ .17 _ _ \
Legal Descriptl;: Lot (~Block ( SUb~{)@Z)t/lU
Site Add~ ~L..t "2.Lp ~~~ \ t? I ~ -r W2-L- _
Building Permit #: PID # ,:).$ - -5'3 ~ - 003 --0
NOTE: This pennit ~i11 not be processed Without complete infonnation.
FIXTURE UNITS
CITY OF PRIOR LAKE
. PLUMBING PERMIT
Type of Fixture
Bath Tub with or without shower
Dishwasher
Floor Drain
Lavatory (bathroom sink)
laundry Tray (1 or 2 compartment sink)
Shower Stall
Sinks
Bar Sink
Water Closet (toilet)
Qua. .L;Lj
Type of FIXtUre
FEE SCHEDULE
Rough-ins
Water Heater
Water Softner
Stand Pipe (washing machine)
Sewage Ejector
Backflow Assembly (RPZ. Double Check, PVB)
Backflow Assembly rest
Lawn Sprinkler
\~~\\
\\Wf ~;-3 ~ - ~~/\
\\\ . \\- .
\ U uL------ - _~----~l
'i $
~
Industrial, Commercial & M~lti-Family
(1 % of job cost, $39.50 minimum)
Residential, New One & Two Family
Residential. Additions & Alterations
State Surcharge
$99.50
$39.50
$
$
$ .50
GRAND TOTAL
$
This permit is grunted upon the express condition mu said
contraclOf, shall comply in all rapects with the ordinances
of the Stolte PlumbinJ Code and the amendmenrs lhereof.
.... ~PTNO. (t> .~3~ DATE
/..A,~. AL LeST
Call for nspections 24 hours in advance.
PAID WITH
IUILDING PERMIT
....
16200 Eagle Creek Av. S.E.. Prior Lake, Minnesota 55372/ Ph. (612) 447-4230 I F.AX (612) 447-42~5
An Equ:11 Opportunity Employer
PRIOR LAKE
INSPECTI N RECORD
SITEADDRESS L/[!2(, tJ(~)G--'
NATUREOFWORK I ~A.4J 'R!fJ. 1t~~
USE OF BUILDING '5FD
PERMIT NO. (}O. (J40 I DATE ISSUED
CONTRACTOR ~~~tA- t-( - ~_~ (C
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF
BUILDING AND INSPECTION
9 .. ZS--20~
INSPECTOR
DATE
UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
fh"
~4
~
1t11/~ /,.
IUji/ll/v
jj/~
ST
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
FINALS
BUILDING ~L.L.~,
ELECTRICAL
PLUMBING
HEATING
DO NOT OCCUPY UNTIL ABOVE HAS
NOTICE
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pjt13bt>
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11 V; t::r 1// v'C
BEEN SIGNED
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 shari be placed near main entrance.
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (612) 447-9850
~'nt TIMI:
CITY Of PRIOR LAKE
INSPECTION NOTICE
ADDRESS
!/'i~ (0
SCHEDULED (0-;)3-00 ~ ~30
eo AJdu jO' e u..J
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o.~ Llo I
o FOOTING 0 PLUMBING RI
o FOUNDATION 0 MECH RI
o FRAMING -.1)\ ~WATERHOOKUP
o INSULATION~ 0 SEWER HOOKUP
lfI FINAL - . PLUMBING FINAL
lci SITE INSPECTION ' MECH FINAL
COMMENTS: c-L . t3 cc-t-0
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
~ WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT ~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
INSNOTl