HomeMy WebLinkAboutBuilding Permit 00-0852
CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
DATE RECEIVED
q. /4 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
5 Fo
1. DATE
PID
9-14- 00
S~/L l!.-
~, \\Z.
25 - .3,3 - DOg-O
3. LEGAL DESCRIPTION
LOT ___ .~BLOCK
ADDI~ lt~\~
2
(Address)
(Tel. No.)
(Tel. No.)
(Address)
\ -n (Address) ..\. ~ (Tel. No.)
~5 1"'1~ t1I,~e.. ~u..''TC. 2.00
E~4l~ t'V\i\. SSrL"l. lD51-<.lOb-Q4
Fireplace 0
Alterations 0
Septic 0
Addition 0
Deck 0
Finish Attic 0
7. TY' E OF WORK
New construction)(
Chimney 0 Misc.
8. PROPERTY AREA OR ACRES
Sq. Ft. ~
Re-roofing 0 Porch 0
Re-siding 0 Finish Basement 0
I, White
2. Pink
3. Yellow
File
City . :t.
Applic~;l~ .c
~,::' -
~
12. NO. OF iTORIES
13. TYPE OF CONSTRUCTION
s-b.\ 5 -+ SkaL~c.~
14. FLOOR AREA APPORTIONMENT USE
I
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS~
SEATS l'f H ·
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 constructi will conform to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the
building i al can revoke this p 't for j caus. rthermore. I hereby agree that the city official or a designee may enter upon the property to perfo~ne~~d ,sp.!:.~ns.
X 7f)l:S'1~SS- '1-b::.ou
License No. Date
SETBACKS: Required
Actual
Front
Back
BUILDING DEPARTMENT VALUATION
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
PERMIT VALUATION
USE OF BUILDING
I .
I / 1'---" A 112-
I t
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 ................................... $
Plan Check Fee ............................. $
State Surcharge ............................. $
Penalty ....................................... $
Plumbing Permit Fee ....................... $
412..15
2..~e. 2. 4
l Co. 00
Mechanical Permit Fee ..................... $
This Applicat"
By
Certificate of Occupancy
Issued
FOR ADMINISTRATIVE USE
Side
Side
MATERIAL FILED WITH APPLICATION
SOIL TESTS
o ENERGY DATA
o
PILING LOGS 0 PERCOLATION TESTS 0
PLANS & SPECS 0
SURVEY 0
SETS
COPIES
PLOT PLAN
o
Amount Brought Forward .................. $
Park Support Fee ........................... $
SAC ......................................... $
Collective Street Fee ....................... $
Sewer Tap ................................... $
$
City:
~r
lJ.
l\oV
Pressure Reducer .......................... $
Meter Horn ............................ ....... $
Water Meter ................................. $
Sewer & Water Connection Fee ........... $
Water Tower Fee ........................... $
Water Tap ................................... $
Builder's Deposit............................ $
Other......................................... $
Date
This is to certify that the request in the above application and accompanying documents is in accordance with the City Zoning Ordinance and may procee requested. This document when
sign the City nner constitutes a temporary Cej;\ificcye of Zonin}J complianc and allows construction to commence. Before upancy, a Certificate of Occupancy mu
'1/~/~ '.., '
C' lanner Date Special Conditions if any
24 hour notice for all inspections (952) 447.9850 \ 3
\
DO · oe5Z-
The Cenler of Ihe Like Counlry
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
W6N5i1/1NN
r '/'/.00
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
4--.3135 r()tJ/V77t/N 1f/u.6 OK..., SUIre; /12-
,
Accepted
Accepted With Corrections
/
Reviewed By:
I/)Ir
Date:
Denied
Comments:
$c::e::- 00 -~S;, fOIL ~
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."
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.1 SEP j ~ am J I j 'i
Date Rae ~ .. · ~~te Reviewed
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pEtRMIT RFQl JlRFMENTJ
Date:
Request:
Date:
Request:
Date:
Request:
Date:
Request:
B uilding/P Ian n i ng/Eng inee ri ng
PERMREQU.DOC
Permit # _.
Date:
Reply:
Date:
. Reply:
Date:
Reply:
Date:
Reply:
Permit Complete 0
REPLY DATE
Accept 0
Decline 0
Accept 0
Decline 0
Accept 0
Decline 0
Accept 0
Decline 0
Permit Issued 0
The Cenler of Ihe Lake Counlry
White - Building
Canary - Engineering
Pink - Planning
NAME OF APPLICANT
BUILDING PERMIT APPLICATIOND'EPARTMENT CHECKLIST
!
,- j\ i iI' A...... j'\ j
--' I II {\. \.
/ \. ( (/-:-"
l ". . ...-...
APPLICATION RECEIVED
7 -/t.!. (e,
I
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
c..Z /,"-
~. _" r--.
/r;., ( i, ,I Ii 1/1/ /' I / I L'- L/ /~ . /
I
:~,'//T-C /12-
Accepted
~
Accepted With Corrections
Denied
Reviewed By: ~ }~
Date: tt /2- L/~
Comments:
A ~ d'-C- /3 Pcwk~ ~&~ ,4Yp
~~LJ~eA~~ AppL~_~.A-
-WCW"e ~~ () ~ 11
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
elT. ; PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
TIME
ADDRESS
SB5
v ~./V
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 GASLlNE AIR TST
o SITE INSPECTION 0 MECH FINAL 0
COMMENTS: tNC::>. <: R~ wr (k
s L ~ $ !=-tz:...
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/1150
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/'17 f,r.
Sc?P&
~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!
/
INSNOTI
'<:
Itrtifirat.e at (lDcrnpanry
CITY OF PRIOR LAKE
J)epartment of lBuilbing )n~p=
o Final Permitted B Conditional C. O. Expires (f, I ()
This Certificate issued pursUlJllt to the requirements of Section 307 of the Uniform Building Code
certifying that at the time of iSSUQnCe this structure was in compliance with the various ordinances. of the
City of Prior LaJce regu//lting building construction or use. For the following:
Use ClassificatiOJ'l Bldg. Permit No. 00-0852
R3 VN NIA C4
Occupancy Type Type Construction Fire Zone Zoning District
LegalDesc:ription L1, B2, FOUNTAIN HILLS (SUITE 112)
Owner of Building SiteAddress 4385 FOUNTAIN HILLS DRIVE NE
WENSCO, INC. 1895 PLAZA DR., SUITE 200, EAGAN, MN 55122
Contractor's Name &: Address
ROBERT D. HUTCHINS DON RYE
City PlaDner
Date:
Date:
POST IN A CONSPICUOUS PLACE
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PRIOR LAKE
INSPECTION RECORD
SITE ADDRESS 4~BS ~~~ H,\..'-& t>~ Su ,,e "Z
NATURE OF WORK ~N~~FINfsH
USE OF BUILDING _ ~
PERMIT NO. 00 .. g~, DATE ISSUED
CONTRACTOR wE~s c.,o ,t-1'-. PHONE "Sf" 4o(Q ,,44 00
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF
BUILDING AND INSPECTION
"I.,., 1"0
INSPECTOR
DATE
...
I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
ELECTRICAL
PLUMBING
HEATING (if required)
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT
/<'1/
OCCUPY UNTIL ABOVE HAS BEEN
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 (952) 447-9850