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Home My WebLink AboutBuilding Permit 99-0053 DATE RECEIVED .25 BOO CITY OF PRIOR LAKE BUILDING PERMIT, TEMPORARY CERTIFICATE OF ZONING COMPLIANCE . AND UTILITY CONNECTION PERMIT . DIRECTIONS SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN BEFORE PERMIT IS ISSUED (Please Print or Type and sign at bottom) t)(Jle ~d~ ~ rJE. k'.1~D HOCK ( PID 'ls- 2...84'0 \~-O I 5....!= ^ ... \~~ ~~ (Address) (Tel. No.) 14744- l:Snd\e f2.1~G li 4 (Address) (Tel. No.) 2. SITE ADDRESS '4 xA 1.1~ 3. LEGAL DESCRIPTION LOT I~ ADDITION ~~t ,Az7~' 4. OWNE~ _ (Name) r X'tACO 5. ARCHITECT (Name) :::Jnn e~ 1. DATE 1-2$-99 6. BUILDER (Name) (Address) (Tel. No.) 442. - al10 _~(~ F7i/?f)~~. FD.Bcx ??\ ~I('~ 7. TYPE OF WORK ~F;;:a c::J Septic c::J Deck c::J Re-roofing c::J Porch c::J New Construction c::J Alterations c::J Addition c::J Finish Attic c::J Re-siding c::J Finish BasementJll:,. Chimney c::J Misc. 8. PROPERTY AREA OR ACRES Sq.Ft. 9. PROPERTY DIMENSIONS Width Depth 10. CULVERT SIZE Yes No 1. White 2. Pink 3. Yellow File City Applicant Permit No. 9q - OOs3> BUILDING INFORMATION 11. SIZE OF STRUCTURE (Height) (Width) (Depth) 12. NO. OF STORIES 13. TYPE OF CONSTRUCTION 14. FLOOR AREA APPORTIONMENT USE 15. NUMBER OF OCCUPANTS OR SEATS OCCUPANTS SEATS 16. PROJECT COSTNALUE 17. COMPLETION DATE 3..../6-4i 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 mention, ed property a d that ~truction ill conform to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the building official ca e e this p rmit for st ca e. F hermore, I hereby agree that~ official or a designee may enter upon the property to Pjorm needed inspections. X L3~24PJ -~-9i..- ignature . \ License No. Date J FOR ADMINISTRATIVE USE SETBACKS: Required Actual Front BUILDING DEPARTMENT VALUATION USE OF BUILDING _R E: S A.i.!<- Plan Check Fee ............................. $ State Surcharge ............................. ~ Penalty ....................................... $ Plumbing Permit Fee .~.:9.9..?:?... $ MeChanical Permit Fee ..................... $ ; MATERIAL FILED WITH APPLICATION Back Side Side SOIL TESTS c::J ENERGY DATA c::J OFF STREET PARKING PILING LOGS c::J PERCOLATION TESTS 0 SPACES REO. PLANS & SPECS c::J SETS SPACES ON PLAN SURVEY c::J COPIES PERMIT VALUATION 2, c;>CX5. t!!)e:7 PLOT PLAN c::J Amount Brought Forward .................. $ Park Support Fee ........................... $ SAC ......................................... $ Collective Street Fee .... .... ........ ....... $ Sewer Tap ................................... $ $ City: t:t.-(J 1/2, 7 Pressure Reducer .......................... $ Meter Horn ................................... $ Water Meter ................................. $ Sewer & Water Connection Fee ........... $ Water Tower Fee ........................... $ Water Tap ................................... $ Builder's Deposit ............................ $ Other ......................................... $ Total Due .............................. $ Paid (0';. ~ r Receipt No. 3 '-I 3 G, 1- Date 1-27- CJ' By ~u-tIJe/S t.~..c-- 4.0. ~"O TYPE OF CONSTRUCTION: I II III IV ~ Occupancy Group A B E F Ji I M ""R S U Division 1 2t:Ji 4 Permit Fee ................................... $ ,;;, Z .2.-s-' ~ I.Oc? Sewer & Water Permit ...................... $ :~:~l:;;:,~;.r-~~ Certificate of Occupanr:/' . Issued CITY OF PRIOR LAKE PLUMBING PERMIT Applicant: 0??/1' /h /J~k) / /; // --:::C',A/e-- Phone:.c./4;2- 3:Y77 Address: (/Q, /z)j). //3rPad4/t:at Signature: ~f/t'na/d/k~rlf4r1 Legal Description: Lot Block Site Address: /L/7L/L,/ b/"'/'dU J4dk/!. /;(.a4L- / Building Permit # PID # NOTE: This permit will not be processed without complete information. 1. Blue File 2. Gold City 3. YelIow Applicant # 1'9-!:>-~ The Center of the Like Country Sub FIXTURE UNITS Quantity Type of Fixture Quantity Type of Fixture / / Bath Tub with or without shower Dishwasher Floor Drain Lavatory (bathroom sink) Laundry Tray (1 or 2 compartment sink) Shower Stall Sinks Bar Sink Water Closet (toilet) Rough-ins Water Heater Water Softner Stand Pipe (washing machine) Sewage Ejector Backflow Assembly (RPZ, Double Check, PVB) Backflow Assembly Test Lawn Sprinkler 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 GRAND TOTAL (/ PAID WITH ; BUILDING PERMIT 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. l-l. ~ 7' 9 DATE i4~ AITEST Call for all inspections 24 hours in advance. 16200 Eagle Creek Av. S.E., Prior Lake, Minnesota 55372 / Ph. (612) 447-4230/ FAX (612) 447-4245 An Equal Opportunity Employer 'I - -T White - Building Canary - Engineering Pink - Planning Thr ernlrr or lhr lib Counlry BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST, NAME OF APPLICANT APPLICATION RECEIVED f., U t '- ,) 0'- E:::> G ,;:- (IV -=-. q9 - 00 s .s .. The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: jCl7t!lf rl5h'JI-c f2,~ [/: . Accepted Accepted With Corrections I- Denied /-; Reviewed By: (r () '7J.. Comments: /, ~ A ~~ r;(AJ~c:A Date: 1- 27-97' ~J cnJ- "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." ._._------".~-_...._....,-,..,_.,.."'. The ('enlrr of Ihr L.ke Counlry White - Building Canary - Engineering Pink - Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED ..' "-,~j ~~. 1- 'L .'......' r..___ -': '--/1 , --) "\ The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: ... Accepted ./ Accepted With Corrections Denied if4{ ~ Date: Jps-i:l:) Reviewed By: Comments: , r t, "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." ",t.. " "I - - T ;"~rt";~r,t!9-C':~f'~;- ~",..~; "_''-':~~~i,:~:,-,r.-,~'" . .';',,':;-y". .'.:'"._,~'>./- :~~<":;;:;r:,~~~'- .' .' ":;;r"'i;," .DEPARfMEN1i\.~ ' ,'., ~%I!"",",' "", ,,',.,f~'. -, ';';',:~I.'\rn",,:,i,'AA,\m',' "., ,.,'.,', ,'", BUI.-.......IN"'. ft, , ;)1"':. ~ ~::( . " r .,) .:~-'~,}[, . ....., \:I~~ ,., LI.: :\;7;$~:~,:..~\~f~h:~~."-~: :~.,.:, ,';"":;;i', ' ':\:;_c":""J!'_':;\;-, .r