HomeMy WebLinkAboutBuilding 00-0606
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DATE RECEIVED
CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
1. White
2. Pink
3. Yellow
File
Cily
Applicant
G- / I Cl!CJO
00. 0 foOltJ
Permit No.
DIRECTIONS
SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN
BEFORE PERMIT IS ISSUED (Please Print or Type and sign at bottom)
1. DATE
"
BUILDING INFORMATION
11. SIZE OF STRUCTURE
(Height) (Width) (Depth)
12. NO. OF STORIES
I
A{)1j f\J
a s- - 344 -()()<f
LOT
ADDITION ll) \ \J .6
4. OWNER .$ L\ (Name)_.
-nl/)(
5. ARCHITECT (Name)
BL~ ttJ
PID
13. TYPE OF CONSTRUCTION
(Address)
(Tel. No.)
14. FLOOR AREA APPORTIONMENT USE
(Address)
(Tel. No.)
6. BUILDER (Name)
I Ie Bu I' Iclt r)~c.. _
~ddress) J _ \./ I q ~ (Tel. No.)
f/ O. CO~ _ Ih3 .
CY'<:m 11/\ ~ ~lc;.. 75'1'"'8973
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS
SEATS
16. PROJECT COSTNALUE
7. TYPE OF WO~
New Constructio
Chimney 0 Mis.
8. PROPERTY AREA OR ACRES
Sq. Ft.
Fireplace 0
Alterations 0
Septic 0
Addition 0
Deck 0
Finish Attic 0
Re-roofing 0 Porch 0
Re-siding 0 Finish Basement 0
9. PROPERTY DIMENSIONS
Width Depth
17. COMPLETION DATE
10. CULVERT SIZE
Yes No
I here ertify that ished inf~6tiv,' V" II ';~Ptication which is to the best of my knowiedge true and correct. I also certify that I am the owner or authorized agent for
the above menti ned pro e and that all construction I onform to all eXisting state and local laws and Will proceed In accordance with submitted plans. I am aware that the
~Uilding Offict .s perrhit for just c e. Fu more, I hereby agree that the city official or a designee may enter upon the property to p;::;.m ;ei~7~s.
1'5'" I ^ Signature License No. Date
FOR ADMINISTRATIVE USE
SETBACKS: Required
Actual
MATERIAL FILED WITH APPLICATION
SOIL TESTS 0 ENERGY DATA 0
PILING LOGS 0 PERCOLATION TESTS 0
Front
Back
Side
Side
BUILDING DEPARTMENT VALUATION
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
PLANS & SPECS 0
SETS
COPIES
3fD
USE OF BUILDING
SURVEY 0
PLOT PLAN 0
/5" IJ()O. 0 do
PERMIT VALUATION
TYPE OF CONSTRUCTION: I II III IV V
Occupancy Group A B E F HIM R S U
Amount Brought Forward .................. $
Park Support Fee ........................... $
SAC ......................................... $
Collective Street Fee ....................... $
Sewer Tap ................................... $
Pressure Reducer ......%................ :
Meter Horn ................................... $
Water Meter.................. ......... ...... $
Sewer & Water Connection Fee ........... $
Water Tower Fee ........................... $
WaterTap ................................... $
Builder's Deposit ............................ $
Other ......................................... $
Total Due .............................. $
Paid
City:
I!I5D . ~
~, OtJ . oe
Division 1 2 3 4
Permit Fee................................... $
'. (~~2C:;-
7tfs. 'Ib
,6. .60
Plan Check Fee............................. $
State Surcharge ............................. $
Penalty....................................... $
Plumbing Permit Fee ....................... $
~nn
/~t:) .00
/OO.de>
:?~. '50
'16.00
Mechanical Permit Fee ..................... $
Sewer & Water Permit ...................... $
This
By
r Building Permit When Awove~2q'
Date (,.. -(,.. ~
Issued
,
24 hour notice for all inspections (952) 447-9850
00 '(jGO(o
fht" Ct'nlt"r or the L.kt Counlry
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
(\
19+'h I d-emn
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
\S~b '3 lJ);~
?'
~
Accepted
Accepted With Corrections ~
Denied YrJ(p -4..
Reviewed By: (;;;;:y~ - ::....
Comments:
Date: C, -'29- ~
"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."
00.D(06l.t
The ('('nfer of the I.ab Country
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
-r If (' ~,\ ' I II (1 f. }c '<
I '---' L . \. I .. _' ,~ I.; . \ -....:;,
I .
~ () +rj
,,' \ . ft'\. c...... JI ..:]
,J' I
": - "~,,-
,<' --.>. "\
, , . LX ~\ )
, ,.....,"t ,."' . . \\.
\ ;-' \c. \ . I J
" 4
."". i.....-'j
\...... l.,'
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
.~-- ~~,:'1 L~~'? I '$; \.' f 1,
.j(..;><' '.' ',--, .,}..... i I;... .~
..,../ t?) 4 ,)
\ ~. \..'" ,". "....~.
.......-..
Accepted
Accepted With Corrections ~
Denied
Reviewed By:
~.~
Date:
7-{7 -6()
Comments:
k ~~~ CJ3'~ ( ~&.>v- I$, ~
~~ ~C~t,k~~2~v3~
- .~gQ C-_.P'>-- f<a9~ 4 J}f'~_
~ ~~k( 6- MJ~ ok 3D~ 17~
~ q38 ~L.
"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 bf 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."
co - 6"tjb
The Crnlrr of the r..kr Counlry
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT --.-T / c... ~ J \ \ rt 0 K~
I
APPLICATION RECEIVED ~\. ~ 19 +n
\r\C (~\6\~
d-6lJO
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
Accepted
\SO<b '3
/
tk2drU :2~
Accepted With Corrections
C<ulson
/ill;rPlo.llbn 411.
Dale: 0t/tl?
r~l/(r.5e SltIe
fI, e ~ ~,,;
: ..
. .
5~e ~It~~hlllelll$.. I. ri",Jf/l/ 6nule .:r;,s/e~hiJ" 7iJ/:',.,..ILlh",e &r~~ P/tt'1
3. ~SliJ" (JA!/b/ ~llfll./'e5" 9 El7JSid'?t tk:#~/ ~tIL..
'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."
r
09/06/00 WED 11:44 FAX 6124474245
CITY OF PRIOR LAKE
141001
GIlU. . .....E
nlLow . .......ICQT
GOi.D . C1lT
CITY OF PRIOR LAKE
SEWER AND WATER PERMIT
S.w. No. DO . O~6&
NOTE:
sewer and Water
contractors mu.st
be registered
with the city.
APPLI ~ANT: Dave Pericins Contractin lAC.
14230 Basalt St. N.W.
ADORE: :s:
SIGN'i 'URE: ~
SITE ~DDRESS: 152(p ~ Wi ld s PKJAJY
FILL IN THE BLANKS
1. E ;timated length of water service
2. E: .ze of water serviceJiLtCu{JpBr inch (es) .
3. I. Ication of any couplings from structure feet.
4. 'I' 'pe of sewer pipe. ABS PVCY Cast Iron
feet.
5. E :timated length of sewer line
feet.
6. Cean out (if required), located at
sructure.
feet
from
~~~~_t :====__~~~~~~__==~~=~~_~---~=~~~~~==~~~~~~~=~~===~_~_=~~~~~=~
ermit when approved.
DATE: 9/7/t! J
--~--~~L~~-----~----------------------
_____X+~ _______________~_______~_________
BY
~~=;_ ==~__w===~~~===~
FEES:
$
$
$
35.00
.50
35.50
Sewer and water line connection permit.
Surcharge
TOTAL
* F! e for either sewer or water individually is $P1.hl> plus
$; .50 surcharge.
* 5, wer and water permits issued for new construction must be
r, corded on the building permit card at the time of issuance
b insure that no duplicate sewer and water permits are
i: sued.
DATE : AID
RECEr" T #
AMOUNT PAID H
PAlOWlT
REC' 0 BY BUllJ)lMG pe,RM\T_
16200 Bag.! Creek Av. S.E., Prior Lake, Minnesota 55372/ Ph. (612) 447.4230 / FAX (612) 447-4245
An Equal Opportunity Employer
Sent By: PLYMOUTH PLUMBING AND HEATINGj
612 5331121 j
Aug-30-00 10:24AMj
Page 3/3
~
"'-_.../"
Tb. C.~I.r .r th, J..~. (:.onll7
CITY OF PRIOR LAKE
PLUMBINP PERMIT
LJ ~J mb'
a
1. :Rlue . File
2. GDld Cty
J. Yellow AppliWIIII
Applicant:
Address:
# 25-344- C04- 0
NOTE: This permit will not be processed without complete information.
FIXTURE UNITS
Quantity Type of Fixture Quantity Type of Fixture
~ Bath Tub with or without shower , Rough-ins
Dishwast er l Water Heater
Floor Ora n Water Softner
~ Lavatory (bathroom sink) Stand Pipe (washing machine)
l Laundry ray (1 or 2 compartment sink) Sewage Ejector
-;:L Shower oS tall Backflow Assembly (RPZ. Double Check. PVB)
f Sinks Backflow Assembly Test
Bar Sink Lawn Sprinkler
.~ Water el< set (toilet) :L Other ~ ; ( \ l r'Jr ~.'~
Signatur .
Legal Descri
Site Address:
Building Permit it
FEE SCHEtLE
Industrial, c4mmerCial & Multi-Family
(1 % of job 04st, $39.50 minimum)
Residential, ~ew One & Two Family
Residential, ~dditions & Alterations
!
State Surchatge
l
1
I
I
I
.
I
1 This permit is granted upon the exprcss condition tha[ said
I contractor. shall conlpl in all respC:<:LS with Lhe ordinances
. of the Slate Plumbing [he amendments therecf.
! R CJ. <;; -Vb DATE
I A TrEST .
! Call for all in clions 24 hours in advance.
16200 Eagle Creek lv. S.E.. Prior Lake, Minnesota 55372 / Ph. (612) 447-4230/ FAX (612) 447.4245
! An Equal Opportunity Employer
I
$99.50
$39.50
$
$
$
f5
PAID WITH
~SUILD'NG PERMIT
.50
GRAND TOTAL
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PRIOR LAKE
INSPECTION RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
SITEADDRESS J5~(a3 W,~l&s ~WoU
NATURE OF WORK 0J2..0
USE OF BUILDING 8F D
PERMIT NO. 120. &0& DATE ISSUED u.27-2000
CONTRACTOR J C C:I\~. PHoNE~ 7t, 'S - 'zstI-89 TS,
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
SEWER I WATER I SEPTIC
FRAMING L 0/~ 0
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST ~ rPJ tJ.H,
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
~' I I
FINALS
INSPECTOR DATE
R/-l I 7 4f: J~
I FOOTING
FOUNDATION (Prior to Backfill)
PLACE NO CONCRETE UNTIL
ROUGH -
GRADING (Prior to Sodding)
BUILDING'fc,oo.' f llTl ,
ELECTRICAL
PLUMBING
HEATING
DO NOT OCCUpy UNTIL ABOVE
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 'sha'~ t;e placed near main entrance.
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (612) 447-9850