HomeMy WebLinkAboutPermit 00-0417, 01-0225,01-0226
CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
. 2 3 3D) ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
';/f3/00
Puo
;i~;:loDo
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 / ~O e I
~N
S{3:
KILOcCl'<.
3. LEGAL DESCRIPTION
/
CAI20INAt-
2-
/e I 0 ~6
PID 25'.302.- 010 - Q
2#0 AQON.
LOT
BLOCK
ADDITION
$Ii~ 1ti'tmNER (Name)
RD ~C~ +
5. ARCHITECT (Name)
(Address)
+"lAl J'5d~ J{,t>e>
(Address)
(Tel. No.)
t<.f I dc( ~ cO) b/d.- 3]u-*ic;oJ
(Tel. No.)
6. BUILDER
(Name)
(Address)
(Tel. No.)
7. TYPE OF WORK
New Construction 0
Chimney 0 Misc.
8. PROPERTY AREA OR ACRES
Sq.Ft.
Septic 0 Deck 0
Addition 0 Finish Attic 0
2. JfeMS /YO
9. PROPERTY DIMENSIONS
Width Depth
Re-roofing 0 Porch 0
Re-siding 0 Finish BasemeK
pt, J PO F: Pc
- 10. CULVERT SIZE
Yes No
Fireplace 0
Alterations 0
1. White
2. Pink
3. Yellow
File
City
Applicant
Permit No.
00 · OtJ-/ 1
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 OCCUPAN-TS OR SEATS
OCCUPANTS
SEATS
16. PROJECT COSTNALUE
17. COMPLETION DATE
I hereby ce' 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 abov entioned 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
X 0 iei an ~e. Furthennore, I hereby egree thet the eity official or a designee may enter upon the property to perls:fi~~ons.
----- ,~ License No.';,,' Date
FOR ADMINISTRATIVE USE
Amount Brought Forward .................. $
Park Support Fee .............. m.......... $
SAC . .. .. .. .. .. .. .. .. .. . .. .. .. . .. . . .. . . .. .... $
Collective Street Fee ....................... $
Sewer Tap ................................... $
$
SETBACKS: Required
Actual
Front
Back
Side
Side
BUILDING DEPARTMENT VALUATION
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
PERMIT VALUATION Z~.~
USE OF BUILDING
JecS Ale-
TYPE OF CONSTRUCTION: I II III IV V
Occupancy Group A B E F HIM R S U
City:
Division 1 2 3 4
Permit Fee ................................... $
Co 2. . ::;l S'
Plan Check Fee............................. $
State Surcharge............................. $
Penalty ....................................... $
Plumbing Permit Fee ....................... $
J . 00
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
~
Pressure Reducer .......................... $
Meter Hom . .. ............. .... .... .... ....... $
Water Meter ................................. $
Sewer & Water Connection Fee ........... $
Water Tower Fee ........................... $
Water Tap ................................... $
Builder's Deposit ............................ $
Other......................................... $
Total Due .............................. $~. Z,;;-
Paid /:,'~~ . Z S... Receipt N~,';:;/SO -U
Date ~ /3L/ / (\ 7) By .4Ift
This is to c~at the req.uest' the above application and accompanying documents is in accordance with the City Zoning 6rdinarke and may proceed J:e~~;sted. This document when
signed by [.e ;r ~~n . utes a temporary Ce'5(~rl'fJliance and allows constNclion to commence. Before occ"",ncy, a Certilicate ol Occupancy must be issued.
- tJ' ~~nne Dat Special Conditions if any
24 hour notice for all inspections (952) 447-9850
Mechanical Permit Fee ..................... $
Sewer & Water Permit ...................... $
~ Pe co~:'~'1~': ".....;e~tt ~ 2Proved
By ~ Date ~Z ~OO
.. 0 V-
Certificate of ccupancy
Issued
)0 -ot- 1
Thr Cl'ntrr of thr Lakr Country
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
APPLICATION RECEIVED
NAME OF APPLICANT ~ 0 ~ r-\ A m \J.0d ~ 0(\
tJ\cu~ QSrO.\ dDDl'l
o
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
Accepted
Accepted With Corrections
~E
~
'"
I 61l,~ I
I-<\\d~ --D_n~
Denied I~~ /J
Reviewed By: (J;;::;.j/~~
P'
Date:
~
~ "2G. ..2ocx::>
Comments:
1'\
~ ~ ~ ~s--.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."
'/1
Ol-()L~. .
The ('eRler of Ihe Lake COURlry
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT 'K 0 b E> r-t
APPLICATION RECEIVED ~G l ~
o
Amv(\~o(\
or5 t"C\, d () D l\,
. -
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
(~ne.. ;SE
/ b()g J I~\ . (~\ ~
/
Denied j
.~ Reviewed By: r:) .J!J~ ~
Accepted With Corrections
Date:
(
S'( ckio~
I
Comments:
-,
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."
(0)
~~..:V
Date Rec'd
CITY OF PRIOR LAKE PLUMBING PERMIT
(Please type or print and sign at bottom)
ADDRESS / . 1/ . -
f (9CJ B { 1'\ t J C~tC:-
t~
LEGAL DESCRIPTION (office use only)
LOT 2-BLOCK \ ADDITION
OWNER
(N ame)
to b~u---f
\ loO ~ \
A, ~~ Gf-\J dso.,J
K~' d~c~ ~~
(Address)
APPLICANT
(N ame)
SA.~ -L-
(Address)
(Address)
(Contact Person)
-----
APPLICANT SIGNATU
3-~q-o J
I. Blue File
2. Gold City
3. Yellow Applicant
~ ;?-..~
PERMIT NO. Ol-~
ZONING (office use)
PID 2S'- '302 -010 - 0
(Phone)~ lA I a - 330-91.../03
(Phone)
(City)
(Zip Code)
(Phone)
DATE
3-~Of-a{
Quantity Type of Fixture
Bath Tub with or without shower
Dishwasher
Floor Drain
V- Lavatory (Bathroom Sink)
Laundry Tray (lor 2 campa. huent sink
~ Shower Stall 'i '
Sinks .
Bar Sink
V- Water Closet (Toilet)
Quantity
APPLICANT PLEASE COMPLETE BELOW
Type of Fixture
FEE SCHEDULE
Industrial, Commercial & Multi-family 1% of job cost with a $39.50 minimum
Rough-ins
Water Heater
Water Softner
Stand Pipe (Washing Machine)
Sewage Ejector
Backflow Assembly
Backflow Assembly Test
Lawn Sprinkler
Other
Residential, New One & Two-Family $99.50
Residential, Additions & Alterations $39.50
Estimated Cost $
Building Permit #
PLUMBING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEE $
(Office Use Only)
This Application Becomes Your Building Permit When Approved
Building Official
Date
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
:3q, DO
.50
~ j()()
Paid 4-0 J 60
Date
~ . z,&f -0 J
Receipt ~o~ 3 ( 1
By f----
CIl i OF PRIOR LAKE
HEA TING/ AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
~: ~~n ~:~ PERMIT NO. 01- 2 Z I ~
3. Yellow Applicant IF'
(Please type or print and sign at bottom)
ADDRESS
I (gO 5 ( "<: I cl~tr
~,J
LEGAL DESCRL.t'110N (office use only)
LOT 1 BLOCK ?...ADDITION ~ l~. 2~
.~V
~':"e~R Ko b-cc-f A - Arz-.. t.....nJc(JCi....J
(Address) (hO~\ \<:,d~-c\ ~rJ S~
ZONING (office use)
PID~S- 30~ -Ol 0.. 0
(Phone) b loJJ.. - JJd - 9 Vo]
/?AddreSs)
(Contact Person) ;: I J/ \ (Phone)
APPLICANTSIGNATU~ .:4-- ~ - DATE
APPLICANT PLEASE COMPLETE BELOW
DNEW CONSTRUCTION 0 REPLACEMENT 0 AL TERA TIONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
APPLICANT
(N ame)
.5 A~ C-.
(Phone)
(Address)
(City)
TYPE OF SYSTEM
DWarm Air Plants
o Gravity
o Mechanical
DAir Conditioning
~ ~ DVent. System
(P-REPLAC~1JiE AND MODEL
HEATING OR POWER PLANT
o Steam
o Hot Water
o Radiation
o Special Devices
o Other Devices
Industrial, Commercial & Multi-Family
FEE SCHEDULE
I % of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50 Residential, Additions & Alterations
$64.50 Residential, AC Only
Residential, Heating & AIC (New Construction)
Residential, Heating Only (New Construction)
Estimated Cost $
Building Permit #
HEATING PERMIT FEE
STATE SURCHARGE
TOT AL PERMIT FEE
$ 3c;~ 5"D
$ .50
$ ~O, (/U
(Office Use Only)
This Application Becomes Your Building Permit When Approved
Paid ~,tJ1)
Date &; 01
~~z,,/
Building Official
Date
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
(Zip Code)
S ,0/7 -~ l
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
G"~
$39.50
$39.50
Rece3t~311
BY/ffi ' ..
PRIOR LAKE
INSPECTION RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS Mel K; ~r- ~.
NATURE OF WORK ~Fb
USE OF BUILDING ~ ~"',~
PERMIT NO. nl) -()4-ft DATE ISSUED ~-2fo-~oa
A f .
CONTRACTOR ~Vw\pV\cJ.s~ P\\O~ .~)~-'LIO~
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
FRAMING
INSULATION
ELECTRICAL
f~. -It- 0 I - e z S-: w/<!. f4-.
HEATING (if required)
F: f. -k 01- Zz. c,., /5:r;
T ~(7. G:,.Ns. At /Sr. 1/ 'f /a I
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
p ;J~. 6;'l~/&o
/ZfI ~ 4/Oa
1/J.((lJ I ! ~ .
/</J. I (,//~/tJo
1/t:tlr>>
I. J
FINALS
)
A
8;
/
L//~,M/
'I I
BUILDING
ELECTRICAL
-
HEATING
DO NOT
'1/~/o/
. I t
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
DATE TIME
SCHEDULED IJ-cX6-0 / I ,,-.~
;<;/~
FP
'PI,.
PERMIT NO. L L
elTY OF PRIOR LAKIi
INSPECTION NOTICE
ADDRESS /6tJ t 1-
OWNER
CONTR.
PHONE NO.
o FOOTING 0 PLUMBING RI
o FOUNDATION(@ 0 MECH RI
o FRAMING 0 WATER HOOKUP
P )NSULA T~ONI x (@iSEWERHOOKUP
J'i(FINAL L J,..- PLUMBING FINAL
o SITE INSPECTION 0 MECH FINAL
COMMENTS:
o/-~d-b
o I-a-- (J.':/
C2...{) 4:../ "L-
. ,
o EX/GRAD/FILLING
o COMPLAINT
~ 0 FIREPLACE RI
~ ~FIREPLACE FINAL
o GASLINE AIR TST
o
C~- -;~
~~O(
!!:~-!,"-,~;_."
i ,"C_
t
~ WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WO~~C;ALL FOR REINSPECTION BEFORE COVERING
Inspector: I Owner/Contr:
CALL 447-9850 FO HE NEXT INSPECTION 24 HOURS IN ADVANCE.
INSNOTl
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!