HomeMy WebLinkAboutBuilding Permit 00-0909
CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
~~
QATI= RI=r.FIVI=.Il
/0.2.00
DIRECTIONS
SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN
BEFORE PERMIT IS ISSUED (Please Print or Type and sign at bottom) I/!JOO
2. SITE ADDRESS /' (j L I
l'l/'lf) (o_",H Il,,~ iii/- J },OY i:-
3. LEGAL DESCRIPTI9j'
LOT q.- BLOCK J
.:TAf1GS rlRS/
1. DATE
"A.s //J 0
81
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PID
7S -lq4- -fY'A. - 0
() (Name) . ft';d:, (' . r / (Tel. No.) 61 '1.--
I)."'.{>,," -r;:.. ( t; Sf~)-. 'J "'- III JIIJ ?~ ./.~. <t]Y f)'Ij
5 ~f}CHITECT fName) (Addres~ /I' n (Tel. No.)
g ~'/-1 tj,vAi /0/' 7.5"tL../?J"" f I. A.'; rnr.~,,_-r (S-I 'f.:Jl ).).,Jj
6. UILDIifl (Name) (Address) ~ (Tel. No.) ~1V"";J1(!,,;-l 15. NUMBER OF OCCUPANTS OR SEATS
o;Au- IJ~ 8~lG-1= f'!n;' "'"1"'. sz-t,> .....,.. ,em.;CJtj 1"67b~Jd, V OCCUPANTS
2J...,~(r1_.r /1Jt7() !lull ,<'" //?- 1/ J(,J-'i3'1-Lf)/~ SEATS
7. TYPE 0 ORK Fireplace 0 Septi(1'b Deck 0 Rs-roofing 0 Porch CI
New Construction 0 Alterations ~ Ad.dition 0 Finish Attic D Re-siding 0 Finish Basement 0
Chimney Q Misc.
8. PROPERTY AREA OR ACRES 19. PROPERTY DIMENSIONS 110. CULVERT SIZE
Sq. Ft. Width Depth Yes No
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
bUild~'6fficia can revo~ermit for just cause. Furthermore, I hereby agree that the city official or a designee may enter upon the property to perform needed inspections.
X 1-- ~;%' Licens'!P- :I 9 - :a~ - IS "
ADDITION
4. OWNER
B""I,<'
t'
FOR ADMINISTRATIVE USE
SETBACKS: Required
Actual
Front
Back
Side
Side
11. SIZEO
(Height)
(Depth)
12. NO. OF STORIES
1WPE OF C.ONSTRUCTION
jC. ~,..<> />11
14. FLOOR AREA APPORTIONMENT USE
16. PROJECT COSTNAL~I;.
1'1.("00 ~
17. COMPilEilON OATE
MATERIAL FILED WITH APPLICATION
SOIL TESTS 0 ENERGY DATA 0
USE OF BUILDING
tft!.
A/IL
I
OFF STREET PARKING PILING LOGS Cl PERCOLATION TESTS Cl
SPACES REO. PLANS & SPECS Cl SETS
SPACES ON PLAN SURVEY Cl COPIES
PERMIT V ALUA TION 17./'00'''''''' PLOT PLAN Cl
BUILDING DEPARTMENT VALUATION
TYPE OF CONSTRUCTION: I II III IV V
OccupancyGroup A B E F HIM R S U
Division 1 2 3 4 1'1
PermitFee................................... $~ .. "2..s-'
City:
Plan Check Fee ............................. ::t:
/21.7/
II .()C)
State Surcharge ............................. $
Penalty ....................................... $
Plumbing Permit Fee ....................... $
Mechanical Permit Fee ............. ........ $
B~.
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m s Your Building Permit 'j;3n ApP~d. Z~
Date -A-
.
Issued
Amount Brought Forward .................. $
Park Support Fee .... ....................... ~
SAC ......................................... $
Collective Street Fee ....................... 't,
Sewer Tap ....................................'1:
$
Pressure Reducer .......................... CI:
Meter Horn ... ............. .... .... ........... $
Water Meter ................................. $
Sewer & Water Connection Fee ........... $
WaterTowerFee ........................... $
24 hour notice for all inspections (952) 447-9850
Total Due .............................
Paid "";//4, r6
Date /(J. I I. dO
This is to certify th t the request in the above application and accompanying documents is in accordance with the City Zoning Ordinance and may proceed requested. This document when
sign C lanner constitutes a temporary Certlficate ~o.?ing compliance a allows const 'on to comJ!!!!.,C8. B re occupancy, a rtificate of Occupancy must be issued.
riA,} A/\ UD /'1/ W ~ ~ ~
t\y Planner - Date '-J Special Co ions if any
/
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00- 010()
White . Building
Canary - Engineering
Pink - Planning
Th~ Crnl.. of Ihe L.kr Counlry
BUILDING PERMIT APPLICATION DEPMUMENT CH.ECKLlST
NAME OF APPLICANT
,k: ;-1 K:.~Cfv~17Z. ,
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APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
) 4- F7 h (,~( ~! I' I E.. Ie t.- c.... II (/ t;...
Accepted
v'"
Accepted With Corrections
Denied
RevieWedBy:~~i7~
- , - -
Date:
"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."
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~~
WhQO '. ~uJQJ
Canary - Engineering
Pink - Planning
Thr ("..ntt' of Ih.. L.k.. Country
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
,leAK WN:::>tk.
10.2-00
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
J4-/qB
.
WMt167eeE fhl6.
Accepted
~
Accepted With Corrections
Denied ~ 1 .
Reviewed BY(;;:Y IA/ ~
,
Date: /0 -/0 -C'cx:!JO
Comments:
~~~
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V
"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,"
OCT-12-2000 THU 08:37 AM
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OCT-12-2000 THU 08:37 AM
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P. 01
! /117 f?lvt--
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ill 1,/1917
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Joel Smith Heating & A1C, Inc.
14034 Lexington AVe. NE
Ham lake. MN 55304
OffIce: 783-792-1066
Cell: 612-363-5797
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PRIOR LAKE
INSPECTION RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS flIl"tA C""'^"~~ //tJ(J
NATURE OF WORK ~ .\:.....~
USE OF BUILDING O~"C-4'
PERMIT NO. ()o.Oq(jq DATE ISSUED 10 - (0- ~ooo
CONTRACTOR ~k &.......,:.J 7~3-,{3'1- '1"210
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
--- · I i
I ackfill) I I j
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
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FINALS
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HEATING I bJ.,
,
DO NOT OCCUpy UNTIL ABOVE HAS
NOTICE
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FRAMING
INSULATION
ELECTRICAL
~
HEAT . required)
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BUILDING
ELECTRICAL
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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
CITY OF PRIOR LAKE
INSPECTION NOTICE
DATE TIME
SCHEDULED ;0-/3 -0 d-~ o-b
/C//CfR- C:Jm}?1elC-~ -:il:5oo
ADDRESS
OWNER
CONTR.
PHONE NO.
PERMIT NO.
() ~909
o FOOTING 0 PLUMBING RI
o .FOUNDATION 4CJl 0 MECH RI
UFRAMING \...!:9 0 WATER HOOKUP
tJ -'NSULATION 0 SEWER HOOKUP
o FINAL 0 PLUMBING FINAL
o SITE INSPECTION j( MECH FINAL
c;.OMMENTS{J) ~la-p ~~ q.,:~
~~~ ~Q~/ ~~~~
~ ~ (2.A, 5--p~ /J~ (11~
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
o WORK SATISFACTORY, PROCEED
;JCORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
q,
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
ADDRESS
/'Y/9 P
SCHEDULED 1'-~/f/!0lJ ///30
~-.!f.5Jo
OWNER
CONTR.
PHONE NO.
PERMIT NO.
(J-?o,?
o FOOTING
o FOUNDATION
o FRAMING
o INSULATIO~
FINAL 1"0
~ SITE INSP TION
COMMENTS:@l.)
~j~
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
AilE! PLUMBING FIN.:"..!:'.r...:....
l!Y)"l MECH FINAL ...,--- -.J
~ ~K c>o- ~J~
/~~~,
o EXlGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
o WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
fJ. CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspeclor: ~, Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/
INSNOTl
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
/~/9?
&
OWNER
CONTR.
PHONE NO.
( .fu.di
~
Sda
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING @
o INSULATION
)!l. FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
-(-,~. .
M....
'fJ ':h -
fn
"~/.J
,,-
~
)!J WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
DATE TIME
{I/la/~ A.T;
, '-C..e- .4ve,
t')-'1d9
o EXIGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
~
-
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
~
f
CALL 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
Inspector:
Owner/Contr:
INSNOTI
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!