HomeMy WebLinkAboutBuilding Permit 00-0912
~~
DATE RECEIVED
CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
/0.9.00
DIRECTIONS
SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN
BEFORE PERMIT IS ISSUED (Please Print or Type and sign at bottom)
2. SITE ADDRESS
If-;.
1. DATE
/O~~
t-3
I
3. LEGAL DESCRIPTION
.3
BLOCK
!l (),:
LOT
ADDITION
(Address)
(Tel. No.)
/(,.
o:tr.RCHITECT
6. BU DER
(It
(Name)
(Address)
/O.s ~
(Address)
7 f') 7 w ISO..J./.~X4- W7-:1.7/t!'
fJ1a.,t~ ~.
7. TYPE OF WORK
New Construction 0
Fireplace 0
Alterations~
Septic 0
Addition 0
Deck 0
Finish Attic 0
Rs-roofing LI Porch 0
Rs-siding 0 Finish Basement 0
Chimney 0 Misc.
8. PROPERTY AREA OR ACRES
Sq. Ft.
9. PROPERTY DIMENSIONS
Width Depth
10. CULVERT SIZE
Yes No
12. NO. OF S
13. TYPE OF CONSTRUCTION
14. FLOOR AREA APPORTIONMENT USE
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS
SEATS
16. PROJECT COSTNALUE
-4 ?hr8,
17. COMPL.>'TION DATE
/~/S"..,
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
b' g icial can revoke ermit fo just cau Furthermore, I hereby agree that the city official or designee may enter upon the property to perform ne ad inspections.
X S /0 "/4?>
License No. Date
Amount Brought Forward .................. $
Park Support Fee ........................... $
SAC ......................................... $
Collective Street Fee ....................... $
Sewer Tap ................................... $
$
Pressure Reducer .......................... $
Meter Hom ....... .... ................. ....... $
Water Meter ................................. $
Sewer & Water Connection Fee ........... $
Water Tower Fee ........................... $
Water Tap ................................... $
Builder's Deposit ............................ $
Other ......................................... $
FOR ADMINISTRATIVE USE
SETBACKS: Required
Actual
Front
"oJ<
Side
Side
BUilDING DEPARTMENT VALUATION
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
PERMIT VALUATION ~ ~,~
USE OF BU'LDING
J/~ Fl/R..
,
TYPE OF CONSTRUCTION: I II III IV V
Occupancy Group A B E F HIM R S U
Permit Fee ..........~i~~~i.~~...1...~...~..~... $_13l'"J. 2S
8"t.~(
'/.OC)
City:
Plan Check Fee ............................. $
State Surcharge ............................. $
Penalty ....................................... $
Plumbing Permit Fee ....................... $
~oo
,0.1
Mechanical Permit Fee ..................... $
Sewer & Water Permit ...................... $
This
By
mes Yo Building Permit 'lhhen Approved.
Date' - 11- ?a::io
MATERIAL FILED WITH APPLICATION
SOIL TESTS 0 ENERGY DATA 0
PILING lOGS 0 PERCOLATION TESTS LJ
PLANS & SPECS 0
SURVEY 0
SETS
COPIES
PLOT PLAN
o
Certificate of Occupancy
Issued
Date
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 r uested. 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.
Cijy Planner
Date
Special Conditions if any
24 hour notice for all inspections 447-9850
~~
00 ' oq rz....
Th.,C'.,nlnofth., LaruCountl')l
While - Building
Canary. Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
MIiHo rff1/...D Br..-ORS.
/0. 9. 00
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/bZ~/ /'1ft/N AI/6:
.
Accepted X
Accepted With Corrections
Denied
Reviewed By: \;!.J ~ .)A
Comments:
Date: 10 -I/-?,""'"
"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."
~1
Cu lijlz...-.
White ,Building
Canary . Engineering
Pink - Planning
The ('rnlrr of lhr Lllkr Country
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
/!;--jll(, /1/;-11-.1...) eLi--I,<~,
/(,), (/U
.
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
I\VE,
1~:2~'i
.
1'1 hi f\j
Accepted x
Accepted With Corrections
Denied
Reviewed By:
)
Date:
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 violats. or cancel the provisions of this code or other
ordinances of the jurisdiction shall not be valid."
CARLSON HARDWARE COMPANY
16281 MAIN AVENUE S.E.
PRIOR LAKE, MN 55372
952-447-2240
TO: CITY OF PRIOR LAKE, INSPECTIONS
FM: BERNARD J. CARLSON
RE: PERMIT REQUIREMENTS
1. To comply with requirements of the City of Prior Lake Permit Office,
we will not remove the second stairs leading to our small basement
area. This stairway will be used as an emergency exit only and will
have a trap door exit of approximately 30 inches by 48 inches,
2. This area will be used to store surplus store fixtures and seasonal
merchandise
eople will be going into this space only a few times
a year.
/c?_ q~{j)&
PRIOR LAKE
INSPECTION RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS -11",':181 M AIV\ Ave_
NATURE OF WORK l',^~.,mr- AI\.,rr..\o't'T'^-
USE OF BUILDING M - c.o"'-'\.........OV(=-^.
PERMIT NO. O() .0 ql?.- DATE ISSUED 10 - {(-Laoo
CONTRACTOR tl.,^",~ lS~
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT ~~
INSPECTOR DATE
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
p
~ ~ --
"
\,
FRAMIN qf7.
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
-
'-
- -
.
T
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I WALLBOARD I I
FINALS
)
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT OCCUpy UNTIL ABOVE H S 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
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS --101J?;;
OWNER
, I OAT'
SCHEDULED l~
L.J~1r4(AJ ~ ~
CONTR.
TIME
AT
PHONE NO.
o EXIGRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
If?
:&6
I .
M oJ-~ 1j).;;:;,~'Fxt :;i'; c".., "r .771'
o FOOTING
o FOUNDATION
~RAMING
.....0 ~SULATION
o FINAL
o SITE INSPECTION
COMMENTS:
r: A\..L
r'J.orf-r(cc< D
PERMIT NO.
00 ,"[(L
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
GoMi'l
I kc;;~A{07/t.
o WORK SATISFACTORY, PROCEED
o CORRECT AC AND PROCEED
~OR CT R, CALL FOR REINSPECTION BEFORE COVERING
Inspect Owner/Contr:
SO FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
/NSNOTl
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
/02'8/
HrI/N //VE.
DATE TIME
ID.l-S'Qa
z.:~
"3': ~<>
OWNER
CONTR.
PHONE NO.
PERMIT NO.
rJOO'1/"2-
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
C'<W\~U/L -b eXI'cs+"~./ ~~
()cYk~cOV'-ot"~
,
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
UiAcL,. P ~ \
REINSPECTION BEFORE COVERING
Owner/Contr:
OR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
INSNOTI
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
L
CITY OF PRIOR LAKE
INSPECTIClt<i NOTICE
ADDRESS
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
COMMENTS:
~J,\NC\'O/l
()c) \(,..9, ,r"J
I
SCHEDULED
". .
/(,2fl /'/;-1//1.
CONTR.
PERMIT NO.
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
-Io....xl.-J; '6
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~~
DATE TIME
II L":'v6 ~_~)
'? :-',,:",
liVE
~ .
1(('//"2-
o EX/GRAil/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
v".) \-:"cy~
~"
~RK SATISFACTORY, PROCEED
o CORRE~~TI ~D PROCEED
o COR~CT ~ : iALL Fe REINSPECTION BEFORE COVERING
. I
I
Inspec r: I Owner/Contr:
OR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTJ
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
DATE TIME
~bjY/o; /: 5' 0
,
ADDRESS
/&,;271 h1~ ~,
OWNER
CONTR.
t)() - '! 47
()o.- 1"7'1 00- 91 L
/
PHONE NO.
D FOOTING @
D FOUNDATION N
D FRAMING .
D INSULATION
pc FINAL
D SITE INSPECTION
PERMIT NO.
D PLUMBING RI
D MECH RI
D WATER HOOKUP
D SEWER HOOKUP
D PLUMBING FINAL
D MECH FINAL
D EX/GRAD/FILLING
D COMPLAINT
D FIREPLACE RI
D FIREPLACE FINAL
D GASLlNE AIR TST
D
"If- COMMENTS:07 ~ tt-: ~~,
~@ ~-C-<>J. 1-:tL~ ~ ~
I~ ~JO._ ~OJ
@ J:t04 ;tiJ u.e ~A.r U. t...k:tI. 02'7'Y tiff)
i:~?I::-~L~NZ
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@ ~,C~ ~', ~ ~i:r ~~0-'
D WORK SATISFACTORY, PROCEED
D CORRECT ACTION AND PROCEED
~ CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: ~ I Owner/Contr:
CALL 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
INSNOTI
iI/'l?,!ol A, ,\,
rI\a.:~- k,
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
I~~?I
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING (J
o INSULATION .\
o FINAL \"
Ii SITE INSPECTION
COMMENTS: ((JJ
,
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
DATE TIME
CXJ - '1/ Z- "''7'1
tY1 _ "l 'f7 00 - {;}
o EXIGRADfFlLLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
t!o.~ oJ tro<'~::7
(KJ
~. /
t!)~;;t;o ~"'"..~, ~-~ '-'LlD~JJl.,
-b,~~,
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93 - !j"jt.{ - tJo'i ~
~J'
o WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
~ CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: ~( Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
1l'i$lWTl
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS 1(,. z.g \
OWNER /J... ~.
M&.. '.- S+.
CONTR.
OA. TE TIME
4/~/n... ,.(..-r-.
D.-&!>74(
PERMIT NO. ~ _ ., , &.
DO-""T
-
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
III FINAL
b SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
o EXlGRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
efhcL ~
DO - ?]L(
.:t:I=- .
J'
DO - '1 {2-
00- q 'f7
'IlWORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK CALL FOR REINSPECTION BEFORE COVERING
'"'~- ~ ' """'"""""
CALL 447,9850 F R THE NEXT INSPECTION 24 HOURS IN ADVANCE.
If'lSNOTl
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
.