HomeMy WebLinkAboutBldg Permit 01-1197
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
(Please type or print and sign at b_~~~~)
ADDRESS ~
_iJ);jVL~S A/1J<. k-
I. White File
2. Pink City
3 . Yellow Applicant
/~~;n\ ~ 1L.
LEGAL DESCRIPTION (office use only)
LOT BLOCK ADDITION ctlu11or-A- .LJ;}>>llI;"&~
~=R (I~tr d~iJ~,,- ~
I.t,J-nJ ~J-$ ~ k
(Address)
BUILDER ~.. ~_
(Name) ~
(Contact Name)
(Address)
TYPE OF WORK
o Misc.
/
M"New Construction
OLower Level Finish
(Phone)
(Phone)
(Phone)
o Deck
o Fireplace
o Porch
ORe-Roofing
OAddition
OAlteration
Date Rec' d
9-;)1 J
I PERMIT NO. q/~
,/NlNO (oI'''~)
PID.;jS 4~J8 -~..~
ORe-Siding
OUtility Connection
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 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 inspections.
x
I Permit Valuation
I Permit Fee
I Plan Check Fee
I State Surcharge
I Penalty
I Plumbing Permit Fee
I Mechanical Permit Fee
I Sewer & Water Permit Fee
I Gas Fireplace Permit Fee
PROJECTCOSTIVALUE (excluding land) $
Signature
$
$
$
$
$
$
$
$
'~J~~(!X)
~l 6~
()~ 00
cr. e>O
es Your Building Permit When Approved
10 - 18."ZLJtj (
Date
Contractor's License No.
I Park Support Fee
I SAC
I Water Meter Size 5/8"; 1";
I Pressure Reducer
Sewer/Water Connection Fee
Water Tower Fee
I Builder's Deposit
lather
I TOTAL DUE
,-
I Paid 'f" UV
I Date I (J "'z,C ,-0 I
Date
# $
# $
$
$
# $
# $
$
$
$ q./') IYJ
. ..-
~p.~
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 as requested. This document
~;d by the CiAPlannet constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be
~~~~ IP-tlCtt'Cl
'Iannmg Director Date Special Conditions, if any
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
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. -
White - Building
Canary - Engineering
Pink - Planning
lht ("tnlt< of lht t..kt Counlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
r
-
APPLlCATJON RECEIVED
c:; ---;:) 7-0/
,
M
NAME OF APPLICANT
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
I~sc;:/ JlL01d (~io)~ ;;; ~
Accepted
x
f
Accepted With Correttions
Denied
RevieV(ed By:
Comments:
/lIR1)
Date: . t to-z,-d}
.
I
See Reverse Side fOrArlditiC'n~llnformation!
: C~~ AUc;ll;hments: 1) Grading Plan, 2) Erosion Control Measures
3) Erosion Control PI;:m
"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." -
White - Building
Canary - Engineering
Pink - Planning
The ('"nlfr of Ihe take ('ounlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
('
NAME OF APPLICANT
APPLICATION RECEIVED
q".,d- 7-6/
, .
LU5
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
I~ss-./ Ilbncl;::fak;J~
Accepted ~
Accepted With Corrections
Denied - h
Reviewed BY:~.
Comments:
Date: /()-I e-?oc:J/
"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."
tI
Th. e.nt., nllh. I..k. Country
White - Building
Canary - Engineering
Pink - Planning ;
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
(
NAME OF APPLICANT
APPLICATION RECEIVED
7-
)1':<...
47 7-0/
/
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/ c-r/
I .') ..-) J
./ ,/'
~-.-~~
-:,'.1 ~
Accepted '-4 ~
Accepted With Corrections
.
Denied
/0-/6- (>ocJ/
Date: if) A~ (~ (
Reviewed By:
~.
..
,4
Comments:
~i/eJ ~ ~ <-~ fA>. ~eJ)
liThe issuance or granting of a pe.rmit 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 no! be vahd.'L~"
,
U11l4/ZUUl U9.~4 F~ 651834i400
.
SEBESTA BLOMBERG
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Date 7-1.4-C)'
By 13. ~\LGQt1..'€"
. Client Ci.\..v ~(:.- ~ L~\~
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SEBESTA BLO~fBERG
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PRIOR LAKE
INSPECTION RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS ~ ~~ ~~ l1/,l:;LElI'~ U: Lt:-
NATURE OF WORK ~ '\ .
USE OF BUILDING ?fJk. ShelJeJ--
PERMIT NO. (1/ - / /t:z...rJ D~T~ISSUED I ~ - I B - 2f1Jo/ .
CONTRACTOR (\t t' ~\- ~ PHONE '
NOTE: THIS IS NO~ERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
I FOOTING I
FOUNDATION (Prior to Backfill) I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
FRAMING
/h.
4//7/tJV
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
~.
Lf/ /7/d z.,
I. I
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 heen 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
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
JI-;;;;"(YL
PHONE NO.
/6b~1 Bl'nd Lc,K~ Tr I
CONTR. r7./ ,!y'&fL fr,'()~ Le.u
PERMIT NO. (!) {- 1/97
ADDRESS
OWNER
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
~AL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
XE~ILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
COMMENTS:
6rqdt- 01'
~ORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector:~~ ~ Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNorl
ADDRESS
11o~~(
DATE TIME
SCHEDULED ~ A- t'
~~~ TI!-,
CITY OF PRIOR LAKE
INSPECTION NOTICE
OWNER
CONTR.
PHONE NO.
PERMIT NO.
t)(-11'17
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
~AL
,ff SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXIGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS: ~ ~~
~~
?!!WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: ~ Owner/Contr:
1(;71'
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTl
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1./ CEDAR FACIA SiAINED
) 2'-0" OVERj-jANG
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~TEEL COLUMNS Ft,INTED I
a-
~TEEL BASE PLAT:
/ ~ONCRETE 5LA3 Ol'~ GRADE
. '.' .....-'"-. . "'-../ ~' X 2' CONC. PIE~.
~2~)~: pJ~K:MINIMUM)
I~;'~~N REVIEW .
g{~EC~~{~' ~CBMITTEDPERMIT No.IJ/-11 f1
~cr~EPTED WITH CORRECTIONS AS NOTED
[1 !\JO' i~CCEPTED-CORRECT & RESUBMIT
Y1
'JPH.~("Tln~~:"!t" are for your information. All work shall be done
,r:,;i' ':()f'npir~nc" INlth ail applicahle building & zonrng code re-
,~,..!.),!!nc items nol specifically noted In thiS review.
i "";'j SET ON srrr: Al ,t'J,LL TIIVlES.
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f0 SIDE ELEVATION
~ PARK BUIl.DING (OPTION A)
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A5Pl-IAL T Sl-IINGLES
ON ~15 9WG. PAPER/
ICE t V'JA TERS:.lED
.
EDAR GABLE ENDS 5T AINED
RECESSED/ ON FIRST TRUSS
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SOARD, S7 AINED
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j I nereby cernfy t.l-tat this plan, s;::ecrfica:lon, 01
repon v;as prep~_!"ed by me or unc'~r n~y direct
supervision and that I am a ouiy Regi~tered
Professional E."lgineer under the laws of u~e
State of ..M I "-IN ~D~
Oat.. 1- 4--0 I Reg.No.liil..04-
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(~TR\Jc{{i~L- ONLY'
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f 2'-0- O.C. ST~INEO
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Scale
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66
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The West line of Outlot A, WA TERFRONT
PASSAGE ADDITION is assumed to have
a bearing of _NOOO6' 1 r E.
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. Denotes iron monument found,
o Denotes iron monument set and marke(
by Minnesota Registration No, 13295.
.L Denotes iron monument to be set on
or before the 1 st day of May, 1996.
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Bench Mark: Top nut -'of hydrant at the
southeast comer of Fish Point Road and
Cottonwood Lane. Elevation = 952.73 fE
(N. G V. D. - 1929).
APPROVED
PLAf\Jl''' rl(:; r. c::",-
WILDERNESS PONDS
Rehder s~e~~,~oc~~s.
Sheet 2 of 2 She,
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