HomeMy WebLinkAboutBuilding 01-0603
CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
JUN I I 2001
DIRECTIONS
SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN
BEFORE PERMIT IS ISSUED (Please Print or Type and sign at bottom)
2. SITE ADDR SS ~
Q
3. LEGAL DESCRIPTION
LOT I' BLOCK
ADDITION me jItI/L.--OS
4. OWN.s.!L-,
1. White
2. Pink
3. Yellow
File
City
Applicant
Permit No.
O(.lO~03
1. DATE
~ 1-0'
pu.o
(Depth)
12. NO. OF STORIES
/ PID 25-3.30-001- 6
Ct. V t3HoU..s6
(Address)
cis
5. ARCHITECT
(Name)
(Address)
13. TYPE OF CONSTRUCTION
14. FLOOR AREA APPORTIONMENT USE
Fireplace 0
New Construction 0 Alterations 0
Chimney 0 Misc. ':"J r r- \ I\... ...,
8. PROPERTY AREA OR ACRES
Sq. Ft. Width
<:
Depth
10. CULVERT SIZE
Yes No
15. NUMBER OF OCCUPANTS OR SEATS
. -00 II OCCUPANTS
SEATS
16. ESTIMATED VALUE
2000-
17. COMPLETION DATE
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 oke this permit for just cause. Furthermore y agree that the city official or a desi nee may enter upon the property to perform needed inspections.
X O/S" 0 -7--0 I
Ucense No. Dale
FOR ADMINISTRATIVE USE
SETBACKS: Required
Actual
Front
Back
Side
PROPOSED GRADE FOUNDATION
IN RELATION TO CURB OR CROWN
OF STREET
USE OF BUILDING 1/(1-/.er-/ /2-
Side
MATERIAL FILED WITH APPLICATION
SOIL TESTS 0 ENERGY DATA 0
PILING LOGS 0
PLANS & SPECS 0
SURVEY 0
PLOT PLAN 0
PERCOLATION TESTS 0
SETS
COPIES
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
PERMIT VALUATION ~ I ~. DC)
TYPE OF CONSTRUCTION: I II III IV V
City:
Occupancy Group A BEl H R M
Division 1 2 3 4
Permit Fee ................................... $
&'1.d,Q-
1-~.O/
1.00
Plan Checking Fee ......................... $
State Surcharge ............................. $
Penalty ....................................... $
Septic System ............................... $
Other ......................................... $
Check if
Deferred
rtfO\
es Y u Building Permit When APt:f-.
Date (p-/ - Z:o{
Issued
Amount Brought Forward .................. $
Park Support Fee ........................... $
SAC ......................................... $
Collective Street Fee ....................... $
SewerTap ................................... $
License Check Fee .... ............... ...... $
Pressure Reducer .......................... $
Meter Horn ................................... $
Water Meter ................................. $
o Sewer & Water Connection Fee ........... $
o WaterTowerFee ........................... $
Paid
Date
This is to certify that the request in the above application and accompanying documents is in accordance w~h the C~ Zoning Ordinance and may proce as requested. This document when
signed By the C~ Planner const~utes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certific te of Occupancy must be issued.
City Planner
Dale
24 Hour notice for all inspections 447.4230 9:00 a.m. . 10:00 a.m.
Special Conditions ij any
tqCD
SimplexGrinnell
2730 Nevada
Avenue
Minneapolis, MN
55427
DATE:
JOB
NO:
June 8, 2001
ATTENTION:
Fire &
Security
PERMITS
RE:
SimplexGrinnell
Tel: 763-417-0011
Fax: 763-417-0066
TO: CITY OF PRIOR LAKE
16200 EAGLE CREEK AVE. SE
PRIOR LAKE, MN 55372
\....
WE ARE SENDING YOU
ATTACHED
UNDER SEPARATE COVER VIA
THE FOllOWING ITEMS:
[J- Shop Drawings
Copy of letter
Other
[] Prints
LJ Change Order
EJ Equipment Submittal
Specifications
1-'-1 Samples
COPIES DATE NO. DESCRIPTION
1 6- 7 -0 1 PERMIT APPLICA nON FOR 3151 WILDS RIDGE
$ PLEASE CALL WITH THE PERMIT FEE AMOUNT $
763-765-2416
THESE ARE TRANSMITTED as checked below:
n For Approval ~ Approved as submitted
For your use Approved as noted
As requested Returned for corrections
LJ For review and comment
H Resubmit - copies for approval
Submit _ copies for distribution
Return _ corrected prints
D FOR BIDS DUE
D RETURN OF PRINTS THAT WERE ON lOAN TO US
REMARKS
If enclosures are not as tlolcd, kindly notity us at once.
Nang; McGraw
COpy TO:
SIGNED:
10 . d ltHOl
~qCD
Grinnell Fire Protection
2730 Nevada Avenue North
MinneapoLis, MN 55427
=ire &
ecurity
frill".1I Fire
'rotecfioll
Tele: 763-417-0011
Fax: 763-417-0066
grinnelLfire_com
Interoffice Memorandum
This cOJ:./"P._"pondenc"" IM'y contain confidential inrorrr., tion intend~ for the
use of thG' indi vidual or enti ty to whoJll :i t: .1 s addressed. rf the reader is
l10t thE' intended recipirtlnt, or the e~loyee or agent responsible to
del.t\Ter it to the intended I(.'c.tpient, you ..re hereby notiri(fd that "'llY
di~scmin;,l1:ion or r:..'Opying is strictly prohibited.
late
06/14/2001
'0
Paul Baumgartner...city of Prior Lake
Ray Palos
Kitchen Hood Protection
'rom
iubject
~his letter is to inform you that the work described on the permit application for the Wilds
s as follows:
.) Add one & relocate one sprinkler for proper fryer protection in the south hood.
~) Add one head for the broiler area ofthe south hood.
i) Add approx. 2 heads in the hood, one behind the filter & one in the stack of the not presently
-lot protected hood,
10/10'd 9900 ~lv [9~
ll3NNI~~
c1:0c 100c-v1-Nnr
'"
PRIOR LAKE
INSPECTION
RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS
TYPE OF WORK
USE OF BUILDING LJ c't
PERMIT NO. 0/-0 (l?03 DATE ISSUED (0-/,/- ';)cx:J1
BUILDER S I Mp\-fl~ Q~, \At'\€- ~ l '?~3-411-CJO / (
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
~ I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
t~. nO I I
'RNAL I I
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS 447-9850
INSPECTOR
DATE