HomeMy WebLinkAboutBldg Permit 01-0773
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DATE RECEIVED CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Permit Nc/} J -0 ?Z3 .
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
5332 ROBINSON CIR SE PRIOR LAKE MN 55372
1. DATE
07/16/2001
BUILDING INFORMATION
11. SIZE OF STRUCTURE (Height)
(Width) (Depth)
3. LEGAL DESCRIPTION R1 0
:~~~(;OTZS;_:3Ji/ ~~~d:5":: / -~-
40WNER (Name) (Address)
KEVIN GERDES 5332 Robinson Circle SE 55372
5. ARCHITECT (Name (Address)
<Name> <Address>
6. BUILDER (Name) (Address)
Cedar Valley Exteriors Inc 9920 Zilla Street NW
Coon Rapids MN 55433
7. TYPE OF WORK Fireplace D septlcD Deck _ Re-roofing ~ Porch U SEATS
New constructionD Alterations 0 Addition 0 FInish AttiC Re-slding 0 Finish Baseme~ 16. PROJECT COSTNALUE
ch,mneyD MISC. ?b 1'1r4W1/,- . fe"..,f +4.. c;.;I1". ~ ~ ~ 8141.09
6. PROPERTY AREA OR ACRES 9. PROPERTY DIMENSIONS 10. CULVERT SIZE 17. COMPLETION DATE
Sq. Ft. Width Depth YeG NoD
12. NO. OF STORIES
13. TYPE OF CONSTRUCTION
(Tel. No.)
9524478122
(Tel. No.)
<Phone>
(Tel. No.)
7637552221
14. FLOOR AREA APPORTIONMENT USE
15.
NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS
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 ill conform to all existing state and local laws and will proceed in accordance with submitted plans. I am
aware that the building official can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may enter upon the property to perform
needed ins06ctions.
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Signature
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License No.
07/16/2001
Date
FOR ADMINISTRAT~E
Front
BUILDING DEPARTMENT VALUATION
Back Side
OFF STREET PARKING
SPACES REO.
--------- SPACES ON PLAN
Side
MATERIAL FILED WITH APPLICATION
SOIL TESTS D ENERGY DATA D
PILING LOGS D PERCOLATION TESTS D
PLANS & SPECS D SETS
D
PLOT PLAN D
COPIE!';
SETBACKS: Required
Actual
USE OF BUILDING
SURVEY
PERMITVALUATION
TYPE OF CONSTRUCTION: I 0 II 0 III 0 IV L V 0
Occupancy Group ADBDEDFDHDIDMDRD SDuD
Permit Fee ............~i~iS~~~..1E::J..~~1?; ~_::z1 r 7~
Plan Check Fee ...................................... $ ________
State Surcharge ...................................... $ ______L" ,?,-
Penalty ................................................... $ _
City:
Amount Brought Forward ........................... $ _____
Parik Support Fire ...................................... $ ________________
SAC .......................................................... $
Collective Street Fee ................................ $ ________________
SewerTap .................................................. $
$ --------
Plumbing Permit Fee .............................. $
Mechanical Permit Fee ........................... $ _____
Sewer & Water Permit ............................. $
Pressure Reducer ..................................... $ ________________
Meter Horn ................................................ $ ___________
Water Meter .............................................. $ _________________
Sewer & Water Connection Fee ................ $ ______________
Issued
Water Tower Fee ....................................... $ ________
Water Tap .................................................. $ ________________
Builde~s Deposit ....................................... $ _______________
Other ......................................................... $ ~ _
pa1f7~u:ijO...............~~~.i~;.~:.=q~~-~--=
Date 1- /73-01 By ~
This is to certify that the request in the above application and accompanying documents is in accordance with'the City Zoning Ordinance and rr/iy proceed as requested. This
document when signed by the City Planner constitutes a temporary certificate of Zoning compliance and allows construction to commerce. Before occupancy, a Certificate of
Occupancy must be issued.
Gas Fireplace Permit .............................. $ ____________
This Application Becomes Your Building Permit When Approved.
By ________ Date
Certificate of Occupancy
City Planner
Date
24 hour notice for all inspections 447-9650
Special Conditions if any
ADDRESS
53~2
DATE TIME
SCHEDULED ~ A . {:,
~&.
CITY OF PR-iOR LAKE
INSPECTION NOTICE
,
OWNER
CONTR.
PHONE NO.
PERMIT NO.
()/~771
o FOOTING
o FOUNDATION
o FRAMING @
o INSULA TIO
INAL
~ITE INSPE TlON
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
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~ WORK SATISFACTORY, PROCEED
] CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
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Inspector:
Owner/Contr:
CALL 447-9850 FO~ THE NEXT INSPECTION 24 HOURS IN ADVANCE..
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTl