HomeMy WebLinkAboutBldg Permit 00-0110 LL
CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION P RMIT
~/~E7;E;
DIRECTIONS
SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN
BEFORE PERMIT IS ISSUED (Please Print or Type and sign at bottom)
2. SITE A
1. White
2. Pink
3. Yellow
BUILDI.
11. SIZE OF S
(Height)
(Depth)
1</
12. NO. OF STORIES
PID 25 ~3L/-7 - 0/(0- 0
2ND ADnN.
5. ARCHITECT
(Name)
(Address)
6. BUILDER
(Name)
(Address)
13. TYPE OF CONSTRUCTION
14. FLOOR AREA APPORTIONMENT USE
(Tel. No.)
(Tel. No.)
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS
SEATS
16. PROJECT COSTNALUE
7. TYPE OF WORK
New Construction 0
Fireplace 0
Alterations 0
Septic 0
Addition 0
Deck 0
Finish Attic 0
Re-roofing 0 Porch 0
Re-siding Finish Baseme~
Chirnney 0 Misc.
8. PROPERTY AREA OR ACRES
Sq.Ft.
9. PROPERTY DIMENSIONS
Width Depth
17. COMPLETION DATE
No
I hereby certify that I have fumished 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
building 'c' can r .~J hereby agree that the city official or a designee may enter upon the property to pe
X
FOR ADMINISTRATIVE USE
License No.
SETBACKS: Required
Actual
Front
Back
Side
BUILDING DEPARTMENT VALUATION
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
PERMIT VALUATION :S./t.)...~. CJ C)
USE OF BU~~
A/IL
,
TYPE OF CONSTRUCTION: I II III IV V
Occupancy Group A B E F HIM R S U
Division 1 2 3 4
Permit Fee ................................... $ 7 LI. 7~
City:
Plan Check Fee ............................. $
State Surcharge............................. $
Penalty ....................................... $
Plumbing Permit Fee OD-:::OIIO. $
(. ';-0
'10.00
~
Mechanical Permit Fee ..................... $
Sewer & Water Permit ...................... $
ilcling Permit When ~PIQve<1;D
Date 3- C,"LD
Issued
Side
MATERIAL FILED WITH APPLICATION
SOIL TESTS 0 ENERGY DATA 0
PILING LOGS 0 PERCOLATION TESTS 0
PLANS & SPECS 0 SETS
SURVEY
PLOT PLAN
COPIES
o
o
Amount Brought Forward .................. $
Park Support Fee ........................... $
SAC ......................................... $
Collective Street Fee ....................... $
Sewer Tap ................................... $
$
Pressure Reducer .......................... $
Meter Horn ...... ............................. $
This is to certify that the request in the above application and accompanying documents is in accordance with the City Zoning Ordin
sign b the . Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before
~ -4-L9()
City Planner
Date
24 hour notice for all inspections 447-9850
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OO-O((D
The Crnler of Ihe Lake Counlry
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
G,qr~L-/fFF; /fflJe.OLO
3/3/00
,
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/7/36 P/II3l1S/l;V/ /'1G/100vV
Accepted -><
Accepted With Corrections
Denied ~:~:~7r'l17 L
Reviewed By: ~
Comments:
_(?DacQ ~ ~~ ~~~~~_ I+~~
Date: S-Co- ~CJ
"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 -ouo
The- Cf'nler of the Lake Country
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
G/-Jii!L/JFF fIJ'}kCLU
3/2/(0'
..
The Building, Engineering, and Planning Departments have reviewed the building permit
applicatiQn fQr cQnstructiQn activity which is prQPQsed at:
//// :"":;f. I~I/Ir;;)~/l/v,-r /lI61)Lj[ (J
.'
Accepted
v
Accepted With CQrrectiQns
Denied
~~
Reviewed By:
Date:
3-~~c90
Comments:
~~~ ~ ~~y~.<f6 ~
~ q-.<:F~ ~,
"The issuance .or granting .of a permit .or approval .of plans, specifications and
cQmputatiQns shall nQt be cQnstrued tQ be a permit fQr, .or an approval .of, any viQlatiQn .of
any .of the prQvisiQns .of this code .or .of any .other .ordinance .of the jurisdictiQn. Permits
presuming tQ give authQrity tQ viQlate .or cancel the prQvisiQns .of this cQde .or .other
.ordinances .of the jurisdictiQn shall nQt be valid."
_.".,___ _,~~___,,,,,,,,,,,V-"Ii-' ,.- ~ :-- -..- "'~--'--"~-,
.-. - - -
CITY OF PRIOR LAKE
PLUMBING PERMIT
1. Blue File
2. Gold City
3. Yellow Applicant
OO-OJ 10
PPNo.
Applicant: Phone:
Address: ~ ~~
-rSignature: LM./tfH;;(J(d,,~
Legal De$Cription: Lot - a ~IO k . Sub
Site Address: j 7/.3 e ?#1377S /71v'T rlE:J11JotAJ
Building Permit # (51J- CJ) t D PID #
NOTE: This permit will not be processed without complete information.
FIXTURE UNITS
The Cenler of Ihe Like Country
Quantity Type of Fixture Quantity Type of Fixture
Bath Tub with or without shower Rough-ins
Dishwasher Water Heater
Floor Drain Water Softner
J Lavatory (bathroom sink) Stand Pipe (washing machine)
Laundry Tray (1 or 2 compartment sink) Sewage Ejector
1 Shower Stall Backflow Assembly (RPZ, Double Check, PVS)
. Sinks Backflow Assembly Test
Bar Sink Lawn Sprinkler
.
t Water Closet (toilet) -f...n ~ ~ Other
-
FEE SCHEDULE
Industrial, Commercial & Multi-Family
(1 % of job cost, $39.50 minimum)
Residential, New One & Two Family
Residential, Additions & Alterations
State Surcharge
$99.50
$39.50
$
$
$
$
.50
GRAND TOTAL $
, . ......~.\O ,~r.7'.-'
. p.' . 'iT
""uw r .
i ~ "~1~_"
This permit is granted upon the express condition that said
contractor, shall comply in all respects. with the ordinances
of the State Plumbing Code and the amendments thereof.
RECEIPT NO. DATE
A TIEST
Call for all inspections 24 hours in advance.
16200 Eagle Creek Av. S.E. Prior Lake, MN 55372 / Ph (612) 447-9850/ FAX (612) 447-4245
An Equal Opportunity Employer
PRIOR LAKE
INSPECTION RECORD
,
r
)
.
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS J:1J 35 R~ K~J ~ ~
NATURE OF WORK ~o-~ ~-.....~
USE OF BUILDINlJ sm 0
6~~~~A~~OR . twJr DATE ISSUED '3 -G,-~
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
~ I
) I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
- ~
f" .
L ____ ~
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
- I I
FINALS
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT OCCUPY UNTIL ABOVE HAS BEEN SIGNED
NOTICE
This card must be posted near an elecwical 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 (612) 447-9850