HomeMy WebLinkAboutBuilding Permit 00-0851
DATE RECEIVED
~.14.o0
CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
N-E.
1. White
2. Pink
3. Yellow
See. OC>- 0
Permit No. 00
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
3. LEGAL DESCRIPTION
I
ADDITION ~Out1-1'A,.;)
BLOCK
II,/Is
LOT
1. DATE
q-J'-I-D0
C
:2
PID
Z5- 3113- ()(J3-0
(Address)
A..s
(Address)
Me
(Address)
\9\5 "P\'\'Z.I\ 'Cr,,,,.e ~\~ ZCO
(Name)
6. BUILDER
(Name)
W~~
(Tel. No.)
s
(Tel. No.)
(Tel. No.)
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS~
SEATS
lI51"'\.(Of.-c..If(.d)
Fireplace CJ
Alterations CJ
Septic CJ
Addition CJ
Deck CJ
Finish Attic 0
Re-roofing CJ Porch 0
Re-siding CJ Finish Basement 0
7. TYPE OF WORK
New constructiOrK
Chimney 0 Misc.
8. PROPERTY AREA OR ACRES R SolAE
Sq. Ft. 1-\
I hereby certify that I have fumished 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 aU' construction will conform to aU existing state and local laws and will proceed in accordance with submitted plans. I am aware that the
building off a an revoke this pe . for jus use hermore, I hereby agree that the city official or a designee may enter upon the property to perform needed inspections.
ZOJffl~S~ 9- It/-db
License No. Date
x
SETBACKS: Required
Actual
Front
BUILDING DEPARTMENT VALUATION
USE OF BUILDING
. I
II e, Ifl P-..
I I
TYPE OF CONSTRUCTION: I II III IV V
OccupancyGrQup A B E F HIM R S U
Division 1 2 3 4
Permit Fee...................... ......... .... $
Plan Check Fee ............................. $
State Surcharge ............................. $
Penalty ....................................... $
Plumbing Permit Fee .... . .. .. .. .. . .. .. .. ... $
Mechanical Permit Fee ..................... $
FOR ADMINISTRATIVE USE
Back
Side
MATERIAL FILED WITH APPLICATION
SOIL TESTS 0 ENERGY DATA LJ
PILING LOGS 0 PERCOLATION TESTS 0
Side
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
PERMIT VALUATION
PLANS & SPECS 0
SETS
3g~ tJCf) -
.
SURVEY 0
PLOT PLAN CJ
COPIES
City:
Amount Brought Forward .................. $
Park Support Fee ........................... $
SAC ......................................... $
Collective Street Fee ....................... $
Sewer Tap ................................... $
$
1~ . -Z 5
303.3'\
\ '1 .()O
~
Pressure Reducer .......................... $
Meter Horn........... ......... .... .... ....... $
Water Meter................................. $
Sewer & Water Connection Fee ........... $
Water Tower Fee ........................... $
Water Tap ................................... $
Builder's Deposit ............................ $
Other ......................................... $
Total Due.............................. $
Certificate of Occupancy
Issued
Paid
Date
24 hour notice for aU inspections (952) 447-9850
QLtrtifttau of (JDcmpanry
CITY OF PRIOR LAKE
J)epartment of Jiluilbing Jnsp~
o Final Permitted liJ1:onditional C. O. Expires ~ I' /
This Certificate issued pursuant to the requirements of Section 307 of the Uniform Building Code
certifying that at the time of issuance this structure was in compliance with the various ordilUlllces of the
City of Prior Lake regulating building construction or use. For the following:
Use Classification Bldg. Permit No. 00-0851
Occupancy Type R3
Type Construction VN
Fife Zone N I A
Zoning District r. 4
~gU~ri~oo L1, B2, FOUNTAIN HILLS (SUITES 101 AND 201)
Owner of Building
WENSCO, INC., 1895 PLAZA DR., SUITE 200, EAGAN, MN 55122
Contractor's Name & Address
ROBERT D. TCHINS ;?[}f/ City Planner
Buildin c'
t.- '4
Site Address
4385 FOUNTAIN HILLS DRIVE NE
DON RYE
Date:
Date:
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11.
CIT. ; PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
TIME
ADDRESS
:SB> 5 - v M1'-./-J
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING 0 PLUMBING RI 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
<LFINAL 0 PLUMBING FINAL 0 GAS LINE AIR TST
o SITE INSPECTION 0 MECH FINAL 0
COMMENTS: -0Jc=>. <: FL~ ~r tk
~l~ <s>F-~
?~
(:-(AAItt-
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C..O.
t~s~
,
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0/ / V\ \0, ,
~ORK SATISFACTORY, PROCEED
o CORRECT ACTI D PROCEED
o CORRECT W 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!
_/
INSNOTJ
PRIOR LAKE
INSPECTION REC
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS t-J f\.J 'u.,S i2- Su ''IE fol ~ ZO'
NATURE OF WORK TENAI'Ir f IMSI-I
USE OF BUILDING (Ie, A/rz, J
PERMIT NO. 00- BSI DATE ISSUED Cf/Z'fO,.
CONTRACTOR~. uJ.ii tJSt1AN~ I~c.. PHONE ~S".. 40(0 -11 O~
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
__ I
~rior to Backfill) I I
. PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
, -I. ~/"<i''1
- (.:"- '\,) LJ
ELECTRICAL
PLUMBING
HEATING (if required)
:5 f(JIV ) ).. 2 0 .. tv
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
-~.'
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT
/7j/-
-& -0/
J
I ~ -? -L2
I;;; - /J-O
OCCUpy UNTIL ABOVE HAS BEEN SIGNED
NOTICE
This card must be posted near an electrict'! ~erv!~e 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 (952) 447-9850
P.01/02
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The Center of the Lake Country
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
W8NSI1ANN
q./tj.oo
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
4365 FOfJ/\I77f/N f11tA.-S 012-.. Su/7ES 10/ ~ 1.02-
I
Accepted With Corrections
'-e
Accepted
Denied
Reviewed By:
Comments: ~..
\
?~s
Date: 1!UJI ~
Fdl- t\tx:.,? I lAve;
Il)[k
SE~ NEJ,u
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."
White - Building
Canary - Engineering
Pink - Planning
The Center of the Lake Country
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
I L f;, /\ :: l'j f) t\,/\/
i'7./L/.()(>
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
4" :; r:::: .,;:; '<, r> /l,--rl-j / /./ III L c: /) /<i . I := (./ I rsS / (,' i .-; / (; 7
I . ...~ ~
Accepted V
Accepted With Corrections
Denied
Reviewed By: ~ I~
Comments:
~l~~ ~!!;::tl ~U5
tA~~9(O l)~ f
v
Date:
q/"~ 2-/Lq?
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
Date:
Request:
Date:
Request:
Date:
Request:
Date:
Request:
~.
Permit #
Date:
Reply:
Date:
Reply:
Date:
Reply:
Date:
Reply:
B u i1ding/Plan n i ng/Eng i neeri ng
PERMREQU.DOC
Permit Complete 0
REPLY DATE
Accept 0
Decline 0
Accept 0
Decline 0
Accept 0
Decline 0
Accept 0
Decline 0
Permit Issued 0
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DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
I"l/" 00
SCHEDULED / /.- ~ - 0 ,
FD~/<.Jfqij..) II;//.<;
ADDRESS Lf 3 R b -
OWNER~U i+<=- ID)
CONTR.
PHONE NO.
PERMIT NO.
()~~)
,
o FOOTING 0 PLUMBING RI 0 EX/GRAD/FILLING
o FOUNDATIO~-: 0 MECH RI 0 COMPLAINT
~RAMING 0 WATER HOOKUP 0 FIREPLACE RI
o INSULA TIO 0 SEWER HOOKUP 0 FIREPLACE FINAL
o FINAL 0 PLUMBING FINAL 0 GASLlNE AIR TST
:~:::S:~:'ON13~C~ ~~
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Flhr- ~L-CZJIL-
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f
ECTION BEFORE COVERING
Inspector:
Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTJ
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
!f~8~
OWNER
PHONE NO.
o FOOTING
~~~NDAT~ON ..
~MING
o INSULA TI
o FINAL
o SITE INSPECTION
DATE TIME
SCHEDULED I(~o -() 3 ~.~
+bIAIvYa{1J 'IJ/ I}
CONTR.
PERMIT NO.
o - s>s-J
~PLUMBING RI V l S. .
/D~CHRI .~
o WATERHOOKU~
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
COMMENTS:
~(~~
._., -, -. _ _ -A ~_~-1('Z- p~
r:-- VIS {9 - K.
o WORK SATISFACTORY, PROC
~TACTI P E
o CORRECT W L
Inspector:
Owner/Contr:
THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYl
INSNOTI
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