HomeMy WebLinkAboutBuilding Permit 00-0616
DATE RECEIVED
CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
I. White
2. Pink
3. Yellow
File
City
Applicant
b /2lf/oo
Permit No.
00 .O{g{~
DIRECTIONS
SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN
BEFORE PERMIT IS ISSUED (Please Print or Type and sign at bottom)
2. SITE ADORE
1. DATE
fer L6- 00
L~ SS31 d--
PID 6?S- ()~<l- 0 Il- 0
~~b
(Tel. tiLl '7 s
BUILDING INFORMATION
11. SIZE OF STRUCTURE
(Height) (Width) (Depth)
12. NO. OF STORIES
LOT
ADDITION
13. TYPE OF CONSTRUCTION
14. FLOOR AREA APPORTIONMENT USE
6. BUILDER (Name)
(l~~e-< r?bJ/+ 5p,..
7. TYPE OF WORK Fireplace 0
New Construction 0 Alterations 0
(Tel. No.)
'I - 5O(J5
(Address) (Tel. No.)
~1() ~~J4.fQ D,~~
13/-3#6
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS
Septic 0
Addition 0
Deck 0
Finish Attic 0
FIe-roofing 0 Porch 0
Re-siding 0 Finish Basement 0
SEATS
16. PROJECT COSTNALUE
Chimney 0 Misc.
8. PROPERTY AREA OR ACRES
Sq. Ft.
9. PROPERTY DIMENSIONS
Width Depth
1 O. CULVERT SIZE
Yes No
17. COMPLETION DATE
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 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
buildin ICI ca evoke this p rmit for jus cause. Furthermore, I hereby agree ~. heicity offici a a designee may enter upon the property to perform need,~ inspert!~
X -- ~ (~ '- If::L:. U-J
Signature License No. Date
FOR ADMINISTRATIVE USE
Front
Back
Side
Side
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
SETBACKS: Required
Actual
BUILDING DEPARTMENT VALUATION
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
PERMIT VALUATION ~ 0 (()(!)C) . (!) Q
USE OF BUILDIN~ ~ ~~
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 ................................... $ I &? ~. 2S-
CUy:
Amount Brought Forward .................. $
Park Support Fee ........................... $
SAC ......................................... $
Collective Street Fee ....................... $
Sewer Tap ................................... $
$
Plan Check Fee............................. $
State Surcharge ............................. $
Penalty ....................................... $
Plumbing Permit Fee ....................... $
t;, C) cJ
r Build' ~;r:it 7~t:~
Pressure Reducer .......................... $
Meter Horn................................... $
Water Meter ................................. $
Sewer & Water Connection Fee ........... $
Water Tower Fee ........................... $
Water Tap ................................... $
Builder's Deposit ............................ $
Mechanical Permit Fee ..................... $
Sewer & Water Permit ...................... $
Issued
24 hour notice for all insp.ections (952) 447-9850
Thr Crntrr of thr Lakr Country
D()~()~l (q
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT ~er.rormOJ"'\c...e. ~on\ t. ~po......
APPLICATION RECEIVED 3 ur\~ "2fJ+h) :JODD
The Building, Engineering, and Planning DE~partments have reviewed the building permit
application for construction activity which is proposed at:
lfJ'S1 EOvU ~\oJre., Tr-o.:d
Accepted
Accepted With Corrections X
Denied
Reviewed BY().JJ it y4-
Comments:
Date: ., -&''' 2oc::)o
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~ ''^~ p-a.ct-ecA ~ C\f'~
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5. '[({2cfh'c.J. Vd,J1.fi\Ji- J. rl~~~ ~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 eancel the provisions of this code or other
ordinances of the jurisdiction shall not be valid."
Ob · ()~10
White - Building
Canary - Engineering
Pink - Planning
The Center of the Like Country
BUILDING PERMIT APPLICATIQNDEPARTMENT CHECKLIST
NAME OF APPLICANT _"Pe.r~'orrnn.J'l~16D \ t;. ~pCL
APPLICATION RECEIVED 3l)(\ ~ ::i:J\ h \ t:JO DO
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
l{J -Sl ECuJ C\OJie.. Tr-Q\ \
Accepted
Accepted With Corrections V
Denied
~~~
Date:
7 rl L-Bi)
Reviewed By:
Comments:
~\~l~T
~~~
_~~Q~~~~~d5t
jp~ :A6-- Er R-~ N..Q~~. $?J~d p
~ ~~~UJ.<T; ~
~r~ cfiJJ)ltd 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."
*"".-.'lod......,.......o::~..:.....-. hct.....~.~._,.. _.....~>~_.....-.._...,~:.....~.."'...""~~.~ -...--......., .
The ('enter of tM Lake Country
00 C (g((P .
~h~e - BlJiJtiiD~ ..
~~nary - EnQin~ri~. ..
Pin - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT _~r~OrmflJl~Yan\ ~ ~po.....
. APPLICATION RECEIVED :rl)(\~ :1J~h, ..QO C'll)
I
The Buitding, Engineering, ~nd Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
1/'61 [OJ.) C\00re.Trfu\
Accepted ../
. Accepted With Corrections
Denied ..
Reviewed.. By:
be-ant. CarlsorL
See +he in to f'M4. t- iolt
.. Dilte:. l;~ 1m
.~ I
on.iAe re" Y"se. 51(;/~ "
Comments:
See a..J+a.~~M~I1+S:( h;,al (}"'adt .z:;,s;orcf1oJ1 ..r".f-:,"''''.-h'~'' 41 crAS'O"
CtJllh4/ #(4$111'('5*.1. Er()S/IJ" ,f!e,,,lr~/.. 1%"
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 Gancel the provisions of this code or other
ordinances of the jurisdiction shall not be valid."
-
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REQUIREMENTS FOR SWIMMING POOLS
PRIOR LAKE CITY CODE
SUB SECTION:
403.500 MINIMUM REQUIREMENTS:
(1) Pools shall not be located within ten feet (10') (measured horizontally) from underground or overhead
utility lines of all types.
(2) Pools shall not be located within any private or public utility, drainage, walkway or other easement.
(3) Construction of pools shall be undertaken so as to avoid hazard, damage or considerable inconvenience
to adjacent property.
(4) The lot owner shall be liable for damages to any business or private property caused during pool construction.
(5) To the extent feasible, back-flush water or water from pool drainage shall be directed onto the owners' propertY
or onto approved public drainage ways, and shall not drain onto adjacent private land. Drainage onto public streets
or other public drainage ways shall require permiission of the appropriate local City officials.
(6) Any pool lighting shall be directed toward the pOlol and not toward adjacent property.
(7) The pool area shall be enclosed with a non-climbable type safety fence at least five (5') in height to prevent
uncontrolled access to the pool area, and the fence shall have a gate self-closing, and self-latching with the latch
inaccessible to small children and at least four felet (4') from the ground level. The fence shall be completely
installed before filling the pool.
(8) All wiring, installation of heating units, grading, installation of pipe or other construction shall be subject to
inspection.
(9) Nuisances, such as undue noise, lighting of.adjacent property, health and safety hazards, damage to vegetation
on adjoining property, and the like, shall not be permitted.
(10) Filling of pools from fire hydrants or other public: facilities shall require the permission of the appropriate
local City officials.
I UNDERSTAND THE FOREGOING AND AGREE TIIAT THE SWIMMING POOL WILL NOT BE FILLED
WITH WATER UNTIL ALL OF THE ABOVE REQUIREMENTS ARE SATISFIED.
SIGNATURE OF OWNER
The City reserves the right to order (in writing) the removal of the water in the event any
are not satisfied.
DATE
POOL CONTRACTOR
DATE
ADDRESS
e above conditions
POOLC~ Eagle Creek Ave. S.E.. Prior Lake. Minnesota 55372-1714 / Ph. (612) 447-4230 / Fax (612) 447-4245
A\ EQUAL OPPORTLj\;ITY D1PlDYER
REQUIREMENTS FO:R SWIMMING POOLS
PRIOR LAKJ~ CITY CODE
SUB SECTION:
403.500 MINIMUM REQUIREMENTS:
(1) Pools shall not be locate4withiJ;1ten feet (10') (measured horlzohtally) fr6m'underg;o'und or overhead
utility lines of all types.
(2) Pools shall not be located within any private or public utility, drainage, walkway or other easement.
(3) Construction of pools shall be undertaken so as to avoid hazard, damage or considerable inconvenience
to adjacent property.
(4) The lot owner shall be liable for damages to any business or private property caused during pool construction.
(5) To the extent feasible, back-flush water or water from pool drainage shall be directed onto the owners' propertY
or onto approved public drainage ways, and shall not drain onto adjacent private land. Drainage onto public streets
or other public drainage ways shall require pennission of the appropriate local City officials.
(6) Any pool lighting shall be directed toward the pool and not toward adjacent property.
(7) The pool area shall be enclosed with a non-climbable type safety fence at least five (5') in height to prevent
uncontrolled access to the pool area, and the fent;e shall have a gate self-closing, and self-latching with the latch
inaccessible to small children and at least four feet (4') from the ground level. The fence shall be completely
installed before filling the pool.
(8) All wiring, installation of heating units, grading, installation of pipe or other construction shall be subject to
inspection.
(9) Nuisances, such as undue noise, lighting of-adjacent property, health and safety hazards, damage to vegetation
on adjoining property, and the like, shall not be pennitted.
(10) Filling of pools from fire hydrants or other publk facilities shall require the pennission of the appropriate
local City officials.
I UNDERSTAND THE FOREGOING AND AGREE THAT THE SWIMMING POOL WILL NOT BE FILLED
WITH WATER UNTIL ALL OF THE ABOVE REQUIREMENTS ARE SATISFIED.
SIGNATUREOFOWNER JMG~O.t-n~OO;2J DATe (J-.P~d-(2,{jV
POOL CONTRACTOR DATE
ADDRESS
The City reserves the right to order (in writing) the removal of the water in the event any of the above conditions
are not satisfied.
POOLC~ Eagle Creek Ave. S.E.. Prior Lake. Minnesota 55372-1714 / Ph. (612) 447-4230 / Fax (612) 447-4245
A'-: EQL\L OPPOHTl0iITY E\IPLOYEE
/'
// .
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PRIOR LAKE
INSPECTION
RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS 41 g l c p.I J C(o..'r- rCAc{
TYPE OF WORK l\.t QtoJ~ ?ae ~
USE OF BUILDING ~
PERMIT NO. O()~O~/f;; DATEISSUED /-G"~
BUILDER P~~~CoJ -L ~ QeC"
-
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR DATE
I FOOTING I ~. F/ / jj)t) I ?/io-o ~.
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
I~ 2.o.f~f=i~~~ ~ ~!j!~ 1M- ~I/)/~
Tke. ~l w.
I ANAL I q( LJ/{pl~
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS 447-9850
t L~.c~~ \ \ ~\S~:;QcJ\'c,^"
-
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS LI/31 [;C,U [,/ c,,"r(. Tr4. · (
OWNER CONTR.
PHONE NO. PERMIT NO. C')O-~/('
o FOOTING o PLUMBING RI )(~ILLING
o FOUNDATION o MECH RI o CO INT
o FRAMING o WATER HOOKUP o FIREPLACE RI
o INSULATION o SEWER HOOKUP o FIREPLACE FINAL
~AL o PLUMBING FINAL. o GASLlNE AIR TST
o S E INSPECTION o MECH FINAL 0
COMMENTS:
O~,- ~16
rtI WORK SATISFACTORY, PROCEED
Vo 'eoRRECT ACTION AND PROCEED
o CORRECT WORK, 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 & SAFETY!
INSNOTl
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
CONTR.
PERMIT NO. () -!o r (p
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
~ FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS: ~ ~ ~~, ~ fe)J ~
~ WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector. ~.c ' Owner/Contr:
,
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PEJlSONAL HEALTH & SAFETYI
INSNOTI
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
Lj('fJ
OWNER
SCHEDULED
~C!J.~
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUIP
o SEWER HOOKUIP
o PLUMBING FINA.L
o MECH FINAL
COMMENTS: (j) ~.~
@ Jdf a.~ '
DA TE TIME
ID II {/ 6 d / I t (ji)
,
~
(J - (Of 0
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
e~.
7-r-:--f - 2 - 2./-0 (J
\...10
~,
t:0tu*-.~. -t lSL./451 5 <'~-2'S!-Oc))
o WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
,.Jl1 CORRECT WO K, 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