HomeMy WebLinkAboutBuilding Permit 00-0187
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OATE RECEIVED
CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
1. White
2. Pink
3. Yellow
File
City
Applicant
.13.
Permit No.
OO-O/.fJ7
DIRECTIONS
SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN
BEFORE PERMIT IS ISSUED (Please Print or Type and sign at bottom)
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3. L~!qi~PnON~
LOT 5/ i t5 ~~o€5'"Z BLOCK
ADDITION U'7 k:..t:S I..J:2E I2f1 J2.1<.
4. ~ ~ ~~~ \. 1...,..1. (Address) , J J f (J~ /l. ~e,I}~o.'IJII~ .srt' y..t4. FLOOR AREA APPORTIONMENT USE
~,,;- \ -d,D \.~vt(r U;()~a ~ lLI..L1I,H't(.';;. "l. -
5. ARCHITECT (Name) (Address) ~ay'- (e(1..(rel. No.)tl45 -CS07
'l".~y
a.BulLDER (Name) , (Address) arqe \^J\L..t.o~'~boD
1 0 ~ {11- Of/! p.sotJ 'P.l... 44-0 - 3797
Re-roofing 0 Porch 0
Re-siding 0 Finish Basement 0
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~'H. S. t.
BUILDING INFORMATION
iE/S!:)
PID 25-0~- fJ3Lj-Q
11. SIZE OF STRUCTURE
(Height) (Width)
(Depth)
12, NO. OF STORIES
13. TYPE OF CONSTRUCTION
15, NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS
New Construction 0
Ch!mney 0 Mise,
8. PROPERTY AREA OR ACRES
Sq, Ft.
Fireplace 0
Alterations 0
Septic 0
Addition)(
Deck 0
Finish Attic 0
SEATS
1. TYPE OF WORK
16. PROJECT COSTNALUE
9. PROPERTY DIMENSIONS
Width Depth
1 O. CULVERT SIZE
17, COMPLETION DATE
Yes
No
I hereb. y eortI!Y that I have fu~nIo<<nat!cn on this ap .eotian which is to Iha best of my knowiedga true an. d correct. I also certify that I am the owner or authO". 'zed agent for
the above ntloned property an at all co truction wi nfonn to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the
:uildingt ,0 thi .it for ju nnore, I hereby agree that the city official or a designee may enter upon the property to per--1~-.!.~~'
Slgnabn License No, eaa.
FOR ADMINISTRATIVE USE
SETBACKS: Required
Actual
Front
Back
Side
Side
MATERIAL FILED WITH APPLICATION
SOIL TESTS 0 ENERGY DATA 0
PILING LOGS 0 PERCOLATION TESTS 0
BUILDING DEPARTMENT VALUATION
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
PERMIT VALUATION 31.. .t:JCY"). QJ:!)
.
PLANS & SPECS rJ
SURVEY 0
SETS
COPIES
USEOFBUILDING ~~ ,.;9/.!e....
PLOT PLAN
o
TYPE OF CONSTRUCTION: I II III IV V
Occupancy Group A B E F HIM R S U
Division 1 2 3 4
Pennit Fee................................... $
Plan Check Fee ............................. $
State Surcharge............................. $
4~8. rrS
;;l '\ I .lJJ
I ~ .00
City:
&~ 75/
</- z5;)
Amount Brought Forward . .. .. ... ... . .. .... $
Park Support Fee ........................... $
SAC ............. ............. ............... $
Collective Street Fee ... . ... .. .. .. .. .. ... ... $
Sewer Tap .... ..... ..................... ..... $
I
$
Penalty....................................... $
Pressure Reducer .......................... $
Meter Horn ................................... $
Water Meter ................................. $
Sewer & Water Conhection Fee ........... $
Water Tower Fee ...... .. . .. .. .. .. .. . .... ... $
Water Tap ................................... $
Builder's Deposit ............................ $ .
Other ~8A(~..~1.Z::...... $~. tJO ">
Total Due .............................. $ '7~ _ 44--
Paid ?(, Z. 44" Receipt No, 37/3 Z-
Issued .., I *- .
Date eZ/rs By
This is to cerlIfy 1haIlhe request in Iha above application and accompanying documenis is in acconlance with Iha City Zonllg Onlina e and may pn>ooOO 1!f!;;::: This __ when
s~lanner constitutes a temporary Ce~ca! of ~on~ compliance and all~~~struction to commence. Before occupancy, a CertifICate of Occupancy must be issued.
_ _ ~rz'1/cfL) ~g 'Y.r.~~<t': ('_~ ~ F{~"fb~r.r
ity Planner Date Special Conditions if any
qo.~
40.00
~
~~
Plumbing Pennit Fee ....................... $
Mechanical Pennit Fee ..................... $
Sewer & Water Pennit ...................... $
ce Pennlt .. ..................... $
This i ~ur Building Pennit When Approved.
By Date <-2,q-~
Certificate of Occu7:.ncy - -
24 hour notice for all inspections 447-9850
White . Building
Canary- Engineering
Pink - Planning
Th~ C~nt~r of th~ L.b Country
BUILDING PERMIT APP~IOA:ri8N~,DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
,
RON .e:. mN/$ OFJU 1(:;.1<-.
3/ /3/00
/ I
The Building, Engineering, ,and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/6044- criGt-,8 Cte65K AV6.
Accepted
Accepted With Corrections
Denied
Reviewed By:
Date:
Comments:
,
liThe issuance or granting of a permit or approval of plans, specifications and
computations shall not be construed to bea permit for, oran approval of, any violation of
any of the provisions of this co~e. 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 notbevalid.1t
(1)-0 5~
Th~ ('~nl~r of th~ Lab Country
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
I
R.. 01\1 ': 771 IV IS CJFJ R- I t;,f.2-.
3//3/00
, ,
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/604~ e/lG~ ce6E5K- AV6-
Accepted
Accepted With Corrections )<..
Denied
zPlly4
Date: 3--;;Jt.{-'2fy:JO
Reviewed By:
Comments:
I. t\a.:\A.k.J'^' ~. ~\
(, CSo,l <il { ~ Soil ~ 9...
'3. ~ 9M.~ ~\-.r-.le~
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
BUILDING PERMIT. APPLICATION DEPARTMENT CHECKLJST
~-:~~~t~},~~t:f.(:~:i:1;1'~.:i~~:;~'~~~~
NAME OF APPLICANT
APPLICATION RECEIVED
RON .e:~77}/v I .~ C!I--J I~
::://3/00
I I
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/t:: U. r/4- c,r) Gt"e (:!2.6 EK"t/ Vi E, ·
Accepted
/
Accepted With Corrections
Denied I r
Reviewed By: /"' ~ Ik~ Date: '3 r 2-t1 -t9{) ~
comments:~. ~ ?~ ~OVJ ~...~. .
f~. ~ h :MfJ'^ SLGtw -r~1
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hr~ G[at..{ I c9~ ~ 1 0 ~~Cl.;vet>
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Be.- R~ ~t cv- ~v.~ ,'>(. M ~ i1J~ 8
liThe i$suance or granting of a permit or app'roval 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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PRIOR LAKE D~PAATMENTOF
. BOILDING AND INSPECTION
INSPECTION RECORD
SITE ADDRESS ~ aret..k. Atg",
NATURE OF WORK S~ ~.
USE OF BUILDING SF~ ,
PERMIT NO. (JO -{lLf37 DATE ISSUED 3-;N-2Q,o
CONTRACTOR (\OI"~
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
Ve..r'~ \~' ~\~HE PERMIT IS BY SEPARATE DOCUMENT
(:j INSPECTOR
.. ~f~ ~. ~~/.,.
f> FOUNDATION 41)(8' ~~. /pl/'?I,.,
PLACE" NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS.
DATE
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING if required)
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If/J. '. ' ~/.?-./pb 'f/<<J
th. ~-!"(~~;.~i6fl~~'fjt?~ .
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
FINALS
BUILDING -ft. '-It
ELECTRICAL
PLUMBING
HEATING
DO NOT
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6//6/d~
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{!;-:t-, 1//51t~
OCCUpy UNTIL ABOVE HAS' BEEN SIGNED
NOTICE
This card must be posted near an efttcftricai 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
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CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
OWNER
/6(J~~ &,k
v
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
~SULATION
~. ~~NAL
o . SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
DATE TIME
4#~y
c;~e' ~.<:.-
6t?-/<f'7
o EXlGRADlFILUNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
$// C:;/e-C~~ S <?~
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L/"(
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hRK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK. CALL FOR REINSPECTION BEFORE COVERING
Inspector. ~ OwnerlContr.
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
/NSI'IOTl
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
DATE TIME
tf.l9-tJD A.,.
ADDRESS
/6044-- OI~L~ CI::-.
o FOOTING 0 PLUMBING RI
o FOUNDATION 0 MECH RI
o FRAMING f) 0 WATERI:fOOKUP
~NSULATIO 4 J pr 0 SEWER HOOKUP
FINAL IJ 0 PLUMBING FINAL
o SITE INSPECTI 0 MECH FINAL
COMMENTS: ~~-,c,-,eS
~~ ~ ~ ~~
~~tJA ~ ~~tWl~#
f~~t~ ~ ~ r'lt.Jv
~~~~
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~p~,-~~ ~ f1~
No L~ I,.,~
tl~ ~0
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~
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o WORK SA TISFAC
" CORRECT AC
o CORRECT
I ;;;;:...:.r-
iB /
Q(J. (Jc4~
o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
-~s;o,
,PROCEED
NO PROCEED
, CALL FOR REINSPECTION BEFORE COVERING
Inspector:
Owner/Contr:
I
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
IJIISNOTl
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!