HomeMy WebLinkAboutBldg Permit 01-0675
~~ ]lOTO "O"O"'OQ
uell'" {'-213--0/
.'/f-(J/-03t7~
CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
(, -1.-S'-0/
/f!.1S{)
25' 37/- 02/-0 12. NO. OF STORIES
=,m.alld~'
Oltl.c:c:. I 13. TYPE OF CONSTR~CTION
~.~ A,,! ~ 4.. ]>p.K
14. FLOOR AREA APPORTIONMENT USE
~IIL fA'()(} ~S'B<fl<llJ A.w.k ~ ~
7. TYPE OF WOF k Fireplace 0 Septic ~ Deck 0 Rs-roofing'O porCh)( SEATS
NewConstruclior 0 Alterations 0 Addition 0 Finish Attic 0 Ae-siding D Finish Basement 0 16. PROJECT COSTNALUE
ChlmneyD Mise h 19GO/L'D
8. PROPERTY AI lEA OR ACRES 19. PROPERTY DIMENSIO~ 110. CULVERT SIZE 17. COMPLETION DATE
Sq. Ft. Width Depth Yes No ~ 2..00 I
I hereby certify tllat 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 menti Ined 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
building offi ial c rev ke . permit for just cause. Furthermore, I hereby agree that the city official or a designee may enter upon the property to perform needed inspections.
qlZ,/
License No.
DIRECTIONS
SPACES NUME ERED 1 THRU 17 MUST BE FILLED IN
BEFORE PERMr . IS ISSUED (Please Print or Type and sign at bottom)
2. SITE ADDRE~
?,g Sl/IItOy fOul PO".sr
3. LEGAL DESC IPTION .
LOT :+ 1 BLOCK
ADDITION 2 t..l II A I'Wo.\-}, )U
4. OWNER (Name)
{J,u,/:M ~k {l'lIS,Jt.~
5. ARCHITECT (Name)
<;;AMJ
(Name)
J
(
PID
~ o,t.J.u WllO ()
(Address)
III Vo V)I<-'1
(Address)
~:....
6. BUILDER
(Address)
x
}II1r,
Signature
Date
1. DATE
File
CilY
Applicanr
11.SIZ
(Height)
(Depth)
(Tel. No.)
'f!1-t If" n /I
(Tel No.)
(Tel. No.)
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS
FOR ADMINISTRATIVE USE
OFF STREET PARKING PILING LOGS 0 PERCOLATION TESTS 0
SPACES REO. PLANS & SPECS 0 SETS
SPACES ON PLAN SURVEY 0 COPIES
PERMIT VALUATION 8/~' ty"') PLOT PLAN 0
Water Tap ................................... of:
Builder's Deposit ............................ cI::
Other ......................................... $
Paid T~;3..;~b.....~:I~;~0$- i;~~
Dale -0~/:ro/ By ~_______
This is to certify th~' t the uest in the above application and accompanying documents is in accordance with the City Zoning O.rdinance and. ~y proceed as requekteJ. This document when
s~'" ('~la constitutes a temporary Certificate Zon' g compliance and allows construction to commence. Before occupancy, a Certificate of Occu~cy must be issued.
.AA T _._ - -,-
"..- I C' PI~er Date Special Conditions ~ any
SETBACKS: Required
tClual
Front
BUILDING DEPA TMENT VALUATION
Back
Side
USE OF BUILDIN 3
~s "f/L
r
TYPE OF CONS' "AUCTION: I II III IV V
OccupancyGroul A B E F HIM R S U
Division 1 2 3 4 ~C)'
Permit Fee ......j............................ $ -77". ,- (
PlanCheckFee ............................ $ ". (,
1.4.00
City:
State Surcharge ............................ $
Penalty .......... ............................ $
Plumbing Permit :ee ....................... $
~\
1,1
Issued
Side
MATERIAL FILED WITH APPLICATION
SOIL TESTS Q ENERGY DATA Q
Amount Brought Forward .................. $
Park Support Fee .... ...... ................. $
SAC ......................................... $
Collective Street Fee ....................... $
Sewer Tap ................................... $
$
Pressure Reducer .......................... ~
Meter Horn ... ............. .... ............... It
Water Meter ................................. $
Sewer & Water Connection Fee ........... $
Water Tower Fee ........................... of:
24 hour notice for aU inspections (952) 447-9850
.
Thr Crntr nf Ihr L.kr ('ountry
White - Building
Canary . Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NhME OF APPLICANT
AF'PLlCATION RECEIVED
LiE E k~ t~1c2tJ~/t:' ('(.I\,~,:Tk-.
(f - 2P-,. CI
The Building, Engineering, and Planning Departments have reviewed the building permit
ap plication for construction activity which is proposed at:
:=: 1=-4- ,___.I--f/\ u,./~~-c \, E IJ I
I
Ac cepted ,..,.--
Accepted With Corrections
De nied
Reviewed By: ~-G4_.--?.//.A'.A--z Date7/t~ I
c,~~ ~ ~~~ /UJ):~M~"
.
"Tille 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
anI of the provisions of this code or of any other ordinance of the jurisdiction. Permits
prE suming to give authority to violate or cancel the provisions of this code or other
orc inances of the jurisdiction shall not be valid."
,
,
!
I
I
I
FROM : SABER Heating and A/C
PHONE NO. : 6124738565
J~l. 262001 06:10AM P2
i i ; ~ " tB i i ~ [ r ; ~ ~ ~ ~; tt f t
I H Ul~ ~ifii 'c '" I",,:
: - ~ ~ r :- . I b~ I ~ Ii'~ ~ '. f-; ~ I g
~ ~ I ,C i ~ "~2F ~ .' t. JI~
DlI~ ,. e" r I. I I :"'i". p 1J. f iJ il
I i fll'f' '."fl ,iJ!~~ .~~ ~ ...
- If I I "I" .t - ~: t'" ~ . ~ z '; i aJ =
~~ I ,.. 'I ~S-2L~~! I
!i) 0 . .g:, ~ ...J .
"0. :?: ~ I ~ t;:; l~ . lo.;j 'I .,
m-l. ~ J::. ~~ C> ~
~X (~\
-. " CI ,
~ ". (' 7-' .::::--.
-- ~ ~I - ....,
-I i . I . , I , f ; . ~, . . I.. ttr'. 6 ' ~
* d\ ~
~ .
l~ liltll ~ II,~IJ.." I ,-' .-'~:III'ft I
-r ..I r I J J'.f ,; I, .. ; .... ... ~ f ;.,; I
l..C) II' ~ ~ I .. : 1 I fS' ,
J) . Jrsh Ifilrll'" t J',". ><
. I a", jlll J ,. , .. J~.. .
f f · !f!1 I , n" I (=11 1- r J I,'
': -:1111 1'.1 If I ; . .
. , :.brt I II" J f ! nln~ "
l1.'f,1 - ! 'Ill I I : I /1
~. ,- I: i II rf I r ;: ! ....~
~ . : $Jfi ~ ", f 10, ".
, 'J' if · 9 II. ft. . .
~ fJ I- ; I., I: 'I . - fn
-- r r r
;.,' 1 ,
-- -~..., ..... ......."
ft.~W'..'T6 YVJ ..~.~~? ..16^lnT
~
-
PRIOR LAKE
INSPECTION RECORD
SITE ADDRESS 3/ J<{ c.~ _ ~ R
NATUJRE OF WORK ~,.,..L ~ ~s.. 0 . .
USE OF BUILDING
PER~IT NO. 0 f - QJ.p /5" DATE ISSUED
CONTRACTOR "'.oe.ru-\~~' PHONE952-~B2'7-77/(
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF
BUILDING AND INSPECTION
. DATE
I ...,) /3J F) }
l ,
I I .
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
"
, FOOTING
,
I ~6. 0;;CTOR
~\\~
EL~CTRICAL
.
8 t, ) e(
I Ii I
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I j
FINALS
'b~~
UI LDING
ELE CTRICAL
...
,o/~IQ.'
DO NOT 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 shalll?e placed near main entrance.
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (952) 447-9850
~
PRIOR LAKE
INSPECTION RECORD
SITE ADDRESS 51 3'-{ C,~ _ ~ R
NATURE OF WORK 'Ja.cL d- f"',-v- t 0
USE OF BUILDING
PER II1IT NO. 0 ,- QJ.P /5" DATE ISSUED
CONTRACTOR 'De.ru-\~ ~ PHONE9Q-~B2?-77/(
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF
BUILDING AND INSPECTION
,
.
, FOOTING
,
I ~6. V~CTOR
I I .
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
DATE
I "7.)13)~}
I
~ 8!~(
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I j
FINALS
'b ~~ '{)M~I
BUI DING
EL CTRICAL
...
DO NOT 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 (952) 447-9850
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
OWNER
L07~lo(
TIME
PHONE NO.
CONTR.
PERMIT NO. 0 { -~ 75'
o FOOTING 0 PLUMBING RI
o FOUNDATION 0 MECH RI
o FRAMING 0 WATER HOOKUP
o )NSULATION 0 SEWER HOOKUP
J! ~~NAL 0 PLUMBING FINAL
o SITE INSPECTION<!='.... of"" ~.MECH FINAL
COMMENTS: ( 1..I,d
(" _ C6€-
~~e
o EXIGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
~RK SATISFACTORY. PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WOR,~ CALL FOR REINSPECTION BEFORE COVERING
Inspector: ~ V I'LVf4I Owner/Contr:
CALL 447-9850 FOR tHE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
INSNOTl