HomeMy WebLinkAboutBuilding Permit 00-0750
5~~
QA TF= RFr.F1Ul=n
CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
I. White
2. Pink
3. Yellow
File
City
Applicant
7./Y-' 00
Permit No, & 0 -150
DIRECTIONS
SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN
BEFORE PERMIT IS ISSUED (Please Print or Type and sign at bottom)
2,8ITE_SS
l'5ibCf
3. LEGAL DESCRIPTION
2..
1. DATE
"1-N -CD
r,j.u.) . RISD
BUILDING INFORMATION
11. SIZE OF STRUCTURE
(Height) (Width) (Depth)
VI E:I.O en.
I
VI5VV
:r: SUAND
12. NO. OF STORIES
2.5 -0.85- OO2.-().
LOT
BLOCK
J SLANO
PID
13. TYPE OF CONSTRUCTION
ADDITION
4. OWNER (Name) (Address)
(ARz:x... (AJ~~l~~ Sf\f+
5. ARCHITECT (Name) (Address)
(Tel. No.)
14. FLOOR AREA APPORTIONMENT USE
(Tel. No.)
6, BUILDER
(Name) (Address) (Tel No)
Y4'-"''13b
Gwsr. -::r~c... l"Iq~ .p.:-/.lI7.9~.Cti2.<~.f Pl.
,7. 1YPE OF WORK Fireplace 0 __~c 0 Deck 0 Re-roofing 0 Porch 0
.'New Construction 0 <-- _ Alter8tlons'~dditjon ~ Finish Attic 0 Rs-siding 0 Finish Basement 0
ChimneyO Misc. ~g.A&:...~ *DDJ77oAl
8. PROPERTY AREA OR ACRES 19. PROPERTY DIMENSIONS 110. CULVERT SIZE
Sq. Ft. Width Depth Yes No
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 construction will conform to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the
buildi lilticial an ra k~iS p_t ~or~:.. ca'fe. Furth~ermore, I hereby agree that the city official or a design.ee may enter upon the property to perform needed inspections.
X - .f': u.~ '3"4, i-J'1-ec:>
SNgnature / LICense No. 0..
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS
-rA,C
SEATS
16. PROJECT COSTNALUE
17. COMPLETION DATE
FOR ADMINISTRATIVE USE
SETBACKS: Required
Actual
MATERIAL FILED WITH APPLICATION
SOIL TESTS 0 ENERGY DATA 0
PILING LOGS 0 PERCOLATION TESTS 0
Front
Back
Side
Side
BUILDING DEPARTMENT VALUATION
OFF STREET PARKING
SPACES REa.
SPACES ON PLAN
PERMIT VALUATION 5Jnt'Y""I tC'\1"'\
PLANS & SPECS 0
SURVEY 0
SETS
COPIES
eF:S^/R
I
USE OF BUILDING
PLOT PLAN
Cl
TYPE OF CONSTRUCTION: I II III IV V
Occupancy Group A B E F HIM R
Division 1 2 3 4
Permit Fee. .................................. ~
Amount Brought Forward .................. $
Park Support Fee ........................... CI::
SAC ......................................... $
Collective Street Fee .... ................... $
Sewer Tap ................................... <t:
City:
S U
'19'.75'
" 'Uii--
2.57')
Plan Check Fee ......................... .... $'
State Surcharge ............................. :t
Penalty .......................... ..... ........ $
$
Pressure Reducer .......................... $
Meter Horn.. .................. .... .... ....... $
Water Meter ................................. $
Sewer & Water Connection Fee ........... $
WaterTowerFee ........................... $
Water Tap ................................... $
Builder's Deposit ............................ <t:
Other ......................................... $
c..vvgp
(o~cf{
Plumbing Permit Fee ....................... $
Mechanical Permit Fee ..................... $
Sewer & Water Permit ...................... ,<t:
.
BuUdin Permit When ApPf?"yed.
Date /~~_-I-';:b~
Total Due ....,......................... $ t (n 1, 0l'I
Paid 1. . ()q Receipt No. 3~ Z- ~
Oat. g 7-~/Ob ' By iLIJ/J-
certify that the request in the above application and accompanying documents is in accordance with the City zoningbrdina~ and may proceed as requested. This document when
tanner constitutes a temporary Certificate jf Zon!?Q compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be issued.
_ ~./;;l-V6D
City Planner Date Special Conditions if any
This is
5
24 hour notice for all inspections (952) 447.9850
--
Thr ernlrr or Ihe L.kt Country
~~~~y -:~~~:::::riiiiY
t'InK - Plaimlng
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
-T/-J.C- CON~ r/Z
}-/4-- ()O
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/57foQ 1.5'LI-/lvD V!uJ p~
. ,
Accepted
/
Accepted With Corrections
Denied
Reviewed By:
Comments: .5P_"
hr afl+
-thp
Car/snn
L.eJ/..!r 5 e
Date:
S~r
J1t~J
in forMa fiML
~Pe a Ifti,hmfllf<;: I. Fit/Ill G'y",# .:1n}Jlyj,ol1 1lI;;;I?>tt:thitJL? a-d/~tUt..
/3. &/J<;":(]j/} al1lrt/ ;'fk">ir,re5 1" UPJIf>>, rz 17-4/ 'PIdAL
"The issuance or granting of a permit or approval of plans, specifications and
computations shall not be construed tobe 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."
./;;-
------~=----
$~~
White - Building
Canary - Engineering
Pink - Planning
Th.. C..nl... of the L.k.. Counlry
BUILDING PERM.\LAPPLlCATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
TA.C-. UJNSTR-,
'/,/4-, (JO
t
APPLICATION RECEIVED
~.
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/57foQ /SLI1ND VI6/AJ ;eo
, .
Denied
x:...(~pt'd . C07"'
Va;J;k r
Date:
A ~ 2z-2add
Accepted
Reviewed By:
Comments:
"The issuance or granting of a permit or approval of plans, specifications and
computations shall not be construed to be a permit for, or an approval of, any violation of
any of the provisions of this code or of any other ordinance of the jurisdiction, Permits
presuming to give authority to violate or cancel the provisions of this code or other
ordinances of the jurisdiction shall not be valid,"
j~1
White - Building
Canary - Engineering
Pink - Planning ,
Th.. Om.... of lh.. L.b Counlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLlSr
NAME OF APPLICANT
APPLICATION RECEIVED
.,-, -, -,
'/,/ ( I' / ' I'
~/ ......,' 0'V It, ..-" ( /t:
--? /4, (JQ
,
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/57&9 1__////vL..-J VIClv ~O
Accepted
Accepted With Corrections ~
Denied
Reviewed By: ~ (~
Date:
~/:1-1 /$>
(owv~4~1,r~ Cib ~
UtJtC- ~ - hk ~~O
~~
.....
"The 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,"
,.
PRIOR LAKE
INSPECTION RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS IS'7I~9 ~\cw...l V.'-e(..J.\ QcO
NATURE OF WORK ---A'.'" ~~o ~
o
USE OF BUILDING S~..D
PERMIT NO. 00-150 DATE ISSUED 7 -'L.I-'2oe?Z>
CONTRACTOR YA. C (\~ 'PHO/llf~ 44'1- (#7~Ct
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
'FOOTING VJk.1 ~ I '1/~/~
'FOUNDATION (Prior to Backfill) Irkr. 11/C)8'/m
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
FRAMING
~Jt. ...l;. /P 1!!lP&
ELECTRICAL
)
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
b,UAMf r~/61-~;()O
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 shall be placed near main entrance.
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (612) 447-9850
/J,W U.
LA.C CDi1t.-t.
to -7<::0
)iCE~ILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASUNE AIR TST
o
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
IS7~ fj Jl.kJ
OWNER
CONTR.
PHONE NO,
PERMIT NO,
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
)Ii( FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
Gr~8Y
DATE TIME
jD-'f-oc
)( WORK SATISFACTORY, PROCEED
o CORRECT 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.
INSNOTl
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
12.(48/00 )JI~
/J'L,4-NlJ /1e.-v..J eel.
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
IS/tc 9
OWNER
CONTR.
PHONE NO,
PERMIT NO,
o FOOTING
o FOUNDATION
o FRAMING
o INSULAe!
FINAL
~ SITE IN CTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS: G~"<U
,
DATE TIME
c)~'/;;c
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
.4
~RK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, ~ALL FOR REINSPECTION BEFORE COVERING
Inspector: ~ \. r1ANL Owner/Contr:
CALL 447-9850 FOR THE LEXT INSPECTION 24 HOURS IN ADVANCE,
CODE REQUIREMENTS ~ FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTl