HomeMy WebLinkAboutBuilding Permit 00-0537
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CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
1. White
2. Pink
3. Yellow
FOe
City
Applicant
Permit No. ~537
,
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 l6300 OA-I.. R\ 0& E;
3. LEGAL DESCRIPTION
LOT' _ BLOCK" 3
ADDITION' OAt/..... (.Q06& C1"- (5t ADO N
J \ (Address) \5). 00 ~R:. 4gll. No.)
'~.re1<' V~ ~ '1'f7t.J'FIi,
. (Address) (Tel. No.)
1.~7f(,1 (J()
1<.150
BUILDIN<YJIFORMATION
11. SIZE OF ST~E
(Height) (Wiih,-- - (Depth)
12. NO. OF STORIES
PID
15"DS3"'~-o
13. TYPE OF CONSTRUCTION
(Name)
t ),t~
5. ARCHITECT (Name)
14. FLOOR AREA APPORTIONMENT USE
6. BUILDER
(Name)
(Address)
(Tel. No.)
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS
Fireplace Cl
Alterations Cl
Septic Cl
AdditionllC
Deck~
Finish Attic Cl
Re-roofing Cl Porch Cl
Re-sldlng Cl Finish Basement Cl
SEATS
16. PROJECT COSTNALUE
OF WORK
onstruction Cl
Chimney Cl Misc.
-. .8. PROPERTY AREA OR ACRES
Sq. Ft.
9. PROPERTY DIMENSIONS
Width Depth
1 O. CULVERT SIZE
Yes No
17. COMr-LcTlON DATE
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 me.n...tiooed P rty andi Wruction wi confonn to all existing stata and local laws and will procaed in accootlance with submitted Plans.. I.a...m......a. ware that the
.!Juilding icial n.c,ev k this pe r ju ca se. ermore, I hereby agree that the city official or a designee may enter upon the property to perf needed inspections.
,J " -I.. be
. Signature.......' License No.
FOR ADMINISTRATIVE USE
I
SETBACKS: Required
Actual
Front
Back
Side
Side
MATERIAL FILED WITH APPLICATION
SOIL tESTS Cl ENERGY DATA Cl
PILING LOGS Cl PERCOLATION TESTS Cl
BUILDING DEPARTMENT VALUATION
USE OF BUILDING
I
eES A/~
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
PERMIT VALUATION ~~. 00>
PLANS & SPECS Cl
SURVEY Cl
SETS
COPIES
PLOT PLAN
Cl
TYPE OF CONSTRUCTION: I II III IV V
OccupancyGroup A B E F HIM @ S U
Permit Fee ..........~~~~~~...1...~..~..~... $ 7 't. 75""
Plan Check Fee ............................. $ 48 . s!
State Surcharge ............................. $ I . ~
Penalty....................................... $
Plumbing Permit Fee ....................... $
Mechanical Permit Fee ..................... $
City:
Amount Brought Forward ... .. .. ... .. .. .... $
Park Support Fee ........................... $
SAC ......................................... $
Collective Street Fee . .. .. ... .. ... .. .. . .. ... $
Sewer Tap ................................... $
$
Certificate of Occupancy
:rri~~:::i~::::::::=~;~o:JI7'Mt
Issued 'd; J
Date ' ~. (If) By (
This is to certify that the request in the above application and accompanying documents is In accordance with the City Zoning ina~ and may proceed a ~
s~'9 by the C' lanner constituIes a tempormy Certificate of Zoning corrfJIanoo ;s:;;;. 700 to comma. nee. Before occupan~, a Certificate
~-~4:) ~ ~~~V"t1/'
ity Planner Date Special Condibs if any
u Building Permit )Yhen..li>j>ro~.:-.---.
Date~
Pressure Reducer .......................... $
Meter Horn ................................... $
Water Meter ................................. $
Sewer & Water Connection Fee ........... $
Water Tower Fee ........ ......... .......... $
Water Tap ................................... $
Builder's Deposit ............................ $
Sewer & Water Pennit ...................... $
24 hour notice for all inspections (952) 447-9850
oo'o~37
Th~ C~nt~r of th~ L.k~ Country
White - Building
Canary - Engineering
Pink - Planning
, BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
(<5D OI1t:-~ VI{!,/oR
(, j/lLf-oo
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
./5300 OJ1/C ~/OG,6
I
Accepted Accepted With Corrections X
,
Denied
~~~
Comments: tfl:::.lt-tJ #IdVD....t::J IAIS ANo
o~ TI,J-€ A:PP~';eb PL/ttJs
Reviewed By:
Date:
tc/;1?)()()
ALL 11J~f2.MJtntJ,)
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."
- . / .t-
.
Tht Ctnttr of tilt Lakt Country
--_.,--,
01J ~o~g 1
White . - Building
Canary - Englnee.ring
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
I'..:.) t f)'C f1 t::. i ~// C / l) I<C-
& lit, Iro
I I
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/:; 3C,(~ (flK /1(''!LJt:;f:,-
, I
Accepted
v
Accepted With Corrections
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
--
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(0 -0$31....
Th~ ("~~l~r of .lht "'k~Cbllnl,.,..
Whit~ - Buildin..s .
~~:ary-: EnaiD~ering>
. . Ink ,- Planning, '
. . . . .
BUILDING PERMIT APPLICAtiON DEPARTMENT CHECKLIST
'~..
. /~ED '011.1:::-, [/ / C I OJ? ,
.. ~ jlfe leo
I, '.' . / .
,NAMEOFAPPLICANT
APPLICAT'rQN RECEIVED
The'Buildirig, Engineering~ and planning Departments have reviewed the 'building permit .
, appUcatiort f~r constructi~n' activity whi.ch is proposed at: " : ' , ' .
1.5'300' · ;.:OI-lK,: ./(IOq&-;
. I
:'/'
,Accepted .
, '.. Accepted With Corrections
Denied
. , .
.. ReviewedBy: ~/ieJ.
Comments:: ~ ..th.: ill (",.,..1-;." . c ^
Date: ~/a'I
-Hae. . r~Vef 5"1:. s-,.~.
. ...5ee rdI~~Is: 1.F"intJ. CrlJ!"'~yu~I,i,n ~~..~..6"1f ~ .~~.I'I.vt_
. 3.'&~~;'~V\' (1~ M~~'~urc.s.l!:' ~~,.OI'1 '(!~;'Iri;1I.' P/~ '
. "The:issu'arice .or .granting .of a,. permit. or approval of. plans, specifications and.'
computatiohsshallnot beconstruedt~ bea permit for, or an 'approval of, any violation of
. any :.of. the pr()visions' of this code or of any other ordinance of the, jurisdiction. PennUs
presuming: to ' give ,authority to violate or cancel the pr()visions of this code or other."
ordinances of .the jurisdiction shall not be valid." .. ~#
,-
PRIOR LAKE
...,
INSPECTION RECORD
SITE ADDRESS /5300 OAK RIlX:re
NATURE OF WORK MtD,'MIJ
USE OF BUILDING REs, A/,e.
PERMIT NO. 00-05"37' DATE ISSUED . to/~6lociJ
CONTRACTOR Vtc.:rn!2.' ~REooA!<- PHc~~".t(I/?~ ~~'2-
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF - ...
BUILDING AND INSPECTION
INSPECTOR II DATE
FOOTING 'I ~ 10' ~!:Nr ~_ 7~/OO
". I I I
FOUNDATION (Prior to Backfill) ( /7 }', 'Z,,~
PLACE NO CONCRETE UNTIL A~E HAS BEEN SIGNED
ROUGH - INS
/\
~ /P J;-dl>
11/&'/0/
I '
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
FINALS
UILDING
ELECTRICAL
~~4
J ,SJ~
t
II=" ~Q"UR.Q))
,
DO NOT 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 sh{1I1 be placed near main entrance.
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (612) 447..9850
CITY OF PRIOR LAKE
INSPECTION NOTICE
DATE TIME
SCHEDULED
/-Ir-Oz, z. ~ 3b
ADDRESS
15300 OR/fC/CUo66
OWNER
CONTR.
PHONE NO.
PERMIT NO.
60 -537
o FOOTING
o FOUNDATION
o FRAMING
f\iINSULATION
FINAL
SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
CDS€:.- \~ \ €-
~RK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
.
o CORR~OR~CALL FOR REINSPECTION BEFOR', CO~EF ING_
Inspector: ~ - ~, Owner/Contr: I I ~ I 0 ~
. J
CALL 447-9850 FOR THE\aEXT INSPECTION 24 -lOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH &: SAFETY!
/NSNOTl
DATE TIllE
CITY OF PRIOR LAKE
INSPECTION NonCE
SCHEDULED
11-/7-03
ADDRESS I ~300 C2.=J< ~/k
v
OWNER CONTR.
PHONE NO. PERMIT NO. --1::>0 - S 37
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
g, FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
i~~ILUNG
~ O""ctiI'llUJNT
o FIREPLACE RI
o FIREPLACE FINAL
o GASUNE AIR TST
o
COMMENTS:
G"uctr.s-aK-
~RK SATISFACTORY. PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK. CALL FOR REINSPECTION BEFORE COVERING
Inspedor:~ ~ OwnerlContr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
L.~ wj.l ~