HomeMy WebLinkAboutBuilding Permit 00-0812
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DATE RECEIVED
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CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
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1. DATE
9-.8~0()
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PID 25 -ZSA- ()/'1-~
(A~dr~ssb
II ,'o({llR 1/
(Address)
JJ ( (Tel. No.) /
/bn/7 "'trru,' "f1/7-tJo
(Tel. No.)
(Address)
(Tel. No.)
I. White
2. Pink
3. Yellow
File
City
Applicant
DIRECTIONS
SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN
BEFORE PERMIT IS ISSUED (Please Print or Type and sign at bonom)
12 SITE ADD4~S.?Q fI ; d J g /I ~ nd T'''a,' I
3. LEGAL DESCRIPTION
LOT / b BLOCK
ADDITION P,o.$J1/'e""r /?,'t1.f!/J
14. OWNER (Name)
J-";y} lIelQertol1 '11?-0
15. ARCHITECT - (Name)
!,q; rn e
6. BUILDER (Name)
Permit No.
OO-OR/2-
BUILDING INFORMATION
11. SIZE OF STRUCTURE
(H~~ IC t;~h), J< ~e:h),
12. NO. OF STORIES
I
13. TYPE OF CONSTRUCl)ON
/{1'15./ denY!r1
14. FLOOR AREA APPORTIONMENT USE
15. NUMBER OF OCCUPANTS OR SEATS
M4gnCf'1l [0/)71-, c.O. i(,O'Nc"eel:'w,q} M '/,)'5'/8-;;'"7'16
7. TYPE OF WORK Fireplace 0 Septic 0 Deck 0 Ae-roofing 0 Porch 0
New Construction 0 Alterations 0 Addition 0 Finish Attic 0 Re-siding 0 Finish BasemenClr('" 16. PROJECT COSTNALUE
Chimney 0 Misc. I,! ').00
18. PROPERTY AREA OR ACRES 19. PROPERTY DIMENSIONS 110. CULVERT SIZE 17. COMPLETION DATE
Sq. Ft. Width Depth Ves No ( 1_ / (; - (:()
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 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
:uilding#~~ ~/;r just cause. Furthermore, I hereby agree t~ ~~tyt;;.~ atrignee may enter upon the property to Pq_'A":{l)nsPeclionS.
,/v - - S. e License No. Date
SETBACKS: Required
Actual
Front
BUILDING DEPARTMENT VALUATION
USE OF BUILDING
L6s 4/.e.
TYPE OF CONSTRUCTION: I II III IV V
OccupancyGroup A B E F HIM R S U
Division 1 2 3 4
Permit Fee .................. ................. $
Plan Check Fee ............................. $
State Surcharge ............................. $
Penalty ..... ............. ..................... $
Plumbing Permit Fee ....................... $
Mechanical Permit Fee ..................... $
Sewer & Water Permit ...................... $
FOR ADMINISTRATIVE USE
Back
Side
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
PERMIT VALUATION b-
City:
(. '7. ? <""
/.00
~~
....................... $
m~:.:'tt7!rr~~t;
OCCUPANTS
SEATS
MATERIAL FILED WITH APPLICATION
Side SOIL TESTS 0 ENERGY DATA 0
PILING LOGS 0 PERCOLATION TESTS 0
PLANS & SPECS 0 SETS
SURVEV 0 COPIES
PLOT PLAN 0
Amount Brought Forward .................. $
Park Support Fee ........................... $
SAC ......................................... $
Collective Street Fee ...... ................. $
Sewer Tap ................................... $
$
Pressure Reducer .......................... $
Meter Hom ........... .... .................... $
WalerMeler ................................. $
Sewer & Water Connection Fee ........... $
Water Tower Fee ........................... $
Water Tap ................................... $
Builder's Deposit ............................ $
Other ......................................... $
Total Due .............................. $ b3 25
Paid t.3. ~> Rece'ptnp. .:58 4-19
Issued -/JlI -..
Date '1./.,3.00 By ~
This is to certify that the request in the above application and accompanying documents is in accordance with the City Zoning Ordinance and may proceed /:. requested. This document when
signed by the City Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be issued.
y
CltyPlanner
Date
24 hour notice for all inspections (952) 447.9850
Spec~1 Conditions if any
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00 -ot (V-
Thf C.nlff of lh. L.h Counlry
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
/"JA6A!UM
,
Cf.6 .
1
r!--()N~ I K-.
()d
APPLICATION RECEIVED
The Building, Engineering. and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
4-/2.0 Ht006N POND I~
Accepted )(
Accepted With Corrections
Denied I~~ P
Reviewed By~b;~
Date:
1-( (-&'T:Y'l
Comments:
~ ~ 6...~~~~~ -/h.d2 ~
"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."
...-::"'PiiI----
~\.&~fJ~y: CITY OF PRIOR LAKE Me
!-:j( f;. 16200 Eagle Creek Av. S.E. P.rmft No. () - g'1 d-
\~ Prior Lake. ,. 55372 -- ---. 1.~ D .
'--__~' tlEATftG AA>UCATION I PERMIT d !J- d 58'-0 ( Song'" Family
Oato Y'-/..;1-00 PIO#;;1..I.h.-:~"';' oo-o'KO-. Commercial
5118 Add"..,. ..Y...ao k~p,u '?ondZ-7/-a,. / Fee ScheWIe
Lot .k Block ~ Ad<!lion_f.), ~~~ (~-r-
Olmors Name n1AO/1t.'i'V' lJo..st 9S-;J-s/9-.77<;i6
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Hoaling C......... An ,c,eI1.- Al.JZ/E:.
Addr.ss ~'i'S--L'/,L-c,Ik/ A/~
T.I""I\'II1.' 95:~-7.y6-. ""-.;20'0
so?M /' A.~___
Fu",."" Make & Mo<lel
TYPEOF.:t,:'::',o..&
Warm Air Plants
Gra.a,
Mechanical
.... Condlionillll
Vent. :;y.tem
HEAnNG OR POWER PLAHT
S\fJam
Hot Water
Radiation _______ _ _ ..
Special OovX;es
Modol SiZe
C<>nn.lDad
Fuel
Flue Size
Supply Op8l1ing. 3'
At:tIurn Openings. _ Y
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Outpul
OU.., Doyices
Cfm.
TYPE OF WORK
.x
RopIacement __._ !few Constructioo
_ E,L ConIp. Date
Iluidlng Pemll.
.,
.,
AlIeralion.
..
...
Repair
E,1. eo", $
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HEATING PERIIIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEES S
.50
FWDwmt
BUILDING.. .:holT
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TYPE OF STRUCTURE
1.Pl;fIk
, [boe
J YdO\lt
File
a.,.
Con.hallf
x
Two. Family __
_ MuKi-FamilV _
Public Othe,
Indusldal
Industrial, Comrnorci:ll &. Mull. Family
Residential, Heatilg & AC
Residential, Hooting Only
Residential, Gas Fi""*",,,
Rooidential. ...._0"" &. AlIersl."""
Residential, AC Ontf
R" ," ',,, to aOO n.. Slate BU"'harge on the bottom oj lhie appIiesl",n.
Th2- prioa of your heating pelrnLt includes one rough-in and one final i
Addtonal insp9di""s wiR be bileci at $.'15.1)() each.
<-
House l-teating Test Record .oost be subrrillod ..., JM!Q!llg ~
ing certitc.te of occupency will be i...uad.
~!;;~ REOIJIRED wih nunt>er of sl4JPly and ."'..n opo.....'
"""" will CFM', per opening. New __ or -..... _floor plan wiIh .u
and retum_~,'.. ,shown HEAT LOSS CALCLJtATlOOS, P....YMENI AND
APPLICATIONS MAY BE MAILED TO THE CITY OF PRIOR lAKE, 16200 EAGLE
CREEK AVE. S.E. PRIOR LAKE. MN 553n. .
CIlLl Hall business OO!JfS are 8 B.rll. ~ 4;30 p.m.
AU. WORK MUST BE INSPECTED (ROUGlf.It AND FINAL) - CALL CITY HALL
/
447.-0 FM 'f4i- ....ZJfS'.
I harolly apply lor a mecila"!cal systems permit .nd I acknowledge lMt the
lnformaUoII abow is complete and accurate; that tho work will be in conformance
with the oroinances and codes of tho city ""d with Ihe stala bullding/mochani<:al
coda,,; thaI lI,;s 'orm dooo not become a permil unlil signed by the BUILDING
OFFICIAL; thai tl.... w<>rk will b9 In .ccmdarn:" with tile app'oved plar< in the
Z;~ond 8PfJ,ovat <>1 plans? -;{?...-c:?C
- ~~~~ :::
PRIOR LAKE
INSPECTION RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS 1.L"/n ~ 1',iQ~\?_ _,.Q /l:- .
NATUREOFWORK ~~ .j,. ~'-~~~L t2.~ ~"1A-.""'--
USE OF BUILDING ~~i)
PERMIT NO. (]iJ =- Oe47- DATE ISSUED <:!J-/ , -U,r)
CONTRACTOR M"""A' 1,^- (~ (..1'2. - S 1<')-2.. 7Q(P
NOTE: THIS IS NON PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
~
I
I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
L
I
FRAMING
INSULATION
ELECTRICAL
, I
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17/(:7/0
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1m, /A7~
I
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HEATING (if required)
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
l.- I I
FINALS
1\
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I
HEATING I
DO NOT OCCUpy UNTIL ABOVE
NOTICE
)
H )6Q)OO
[ I
BUILDING
ELECTRICAL
HAS BEEN SIGNED
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
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
Lil ;(()
SCHEDULED /1-..<2-0 i I :3CJ
)/-/c/detJ Po jJd
OWNER
CONTR.
PHONE NO.
PERMIT NO.
0-9/~
o FOOTING
o FOUNDATION
o FRAMING
o INSULATIONL-
~~INAL t-
O SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXIGRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
COMMENTS:
,) \
+-, -p,
~ORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT" C~~SPECTION BEFORE COVERING
Inspector: . D _ Owner/Conlr:
CALL 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTJ