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HomeMy WebLinkAboutBuilding Permit 94-0225 CODE REOUIREMENTS ARE FOR YOUR PERSONAL HEALTH AND SAFETYI f ~ i> 0 000000 8 000 0000 -t 0 ~ 'V -0 ~ ~~~~~~ m ~ 0 m Z _ '110'11 z'11'11 . ~ ~ ~ K -mO- ~8 r- g ::a I :D~C~ 0 m z :II K m~:D:D:D~ m Z C~~ 'V m m ::; m 0 - - J. gr- ~ !Z :II ~ ~ o~mmm % 81 ~.,.. I ~ 6~QQQ~ ~ :::I . ~ Ii) 0 Z - " - . 0 Z P o :II Z:DC~~!ft Z m Z - :D Z > Z Z 0 ~~~~~Q P 0:11 ~;;l~O~~ , ~ ~ m08~0< ~n ~ O' r-~.. m m . 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Heating 0 Plumbing 0 Finish Attic 0 Residing 0 Reroofing 0 Porch 0 Finish Basement 0 9. ROPERTY DIMENSIONS Width Depth 10. CULVERT SIZE Yes No 1. White 2. Pink 3. Yellow File City Applicant 15. NUMBER OF OCCUPANTS OR SEATS OCCUPANTS SEATS 16. ESTI~.ATED VALUE " , \~ ()(., (1 17. COMPLETION DATE SURVEY PLOT PLAN 7S 12. NO. OF STORIES 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 cial can revoke . permit for just cause. Furthermore. I hereby agree that the city official or a designee may enter upon the property to perfS need~sP~ X . -Ol.: - Signature Ueense No. Date FOR ADMINiSTRATIVE USE SETBACKS: Required Actual Side Side Front Back PROPOSED GRADE FOUNDATION IN RELATION TO CURB OR CROWN OF STREET USE OF BUILDING OFF STREET PARKING SPACES REO. SPACES ON PLAN PERMIT VALUATION -'7.., oe>o TYPE OF CONSTRUCTION: I II III IV Occupancy Group A BEl H R (6) OMsl~ 3 4 Permit Fee ................................... $~ Plan Checking Fee ......................... $ q'5 . W) State Surcharge ............................. $ (/I . (!)n - City: Penalty ....................................... $ Septic System ............................... $ Other ......................................... $ Check if Deferred ~~gA too Permjt When Approved. ~' Date {;-/3--/7 Pald Issued MATERIAL FILED WITH APPLICATION SOIL TESTS 0 ENERGY DATA LI PILING LOGS 0 PERCOLATION TESTS 0 PLANS & SPECS~ETS Date ion and acco" mpanyi~nts is in accordance with the City Zoning Ordinance and may proceed rt~!'2:!5'- ff ~and allows construction to commence. Before occupancy, a Certificate Date Special Conditions n any 24 Hour notice for all inspections 447-42309:00 a.m. '10:00 a.m. Amount Brought Forward .................. $ Park Support Fee ........................... $ SAC ......................................... $ Collective Street Fee ........... ............ $ Sewer Tap ................................... $ Ucense Check Fee ......................... $ Pressure Reducer .......................... $ Meter Horn.... ............. .................. $ Water Meter ................................. $ o Sewer & Water Connection Fee ........... $ o Water Tower Fee ........................... $ 91/-~1.s- BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF ~PLICANTd1fJA~ APPLICATION RECEIVED 0'/'<7 If tJ The City of Prior Lake BUILDING Department has reviewed the building permit application for construction activity located at 1/;3 'I /'-/~.U JfihL 1/. u . Accepted .-()rt1-ed _~ed Reviewed bY.~~_/~ Comments: with Corrections :><-... Date G-I?-?Cf S~..12 '" trO~ Q (' ~ ft~ ~.V ,\..eA. , J.Ikt~ "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." BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT d~~ APPLICATION RECEIYED ~/L71?Y The City of Prior Lake ENGINEERING Department has reviewed the building permit application for construction activity located at L/10 if I va ;iL \)hI1L/ ~. L. AccePted~ Denied Reviewed by: V RttaM'I Comments: 17 tfJlR .I' Accepted with Corrections Date 5 ~7 /'14' I , "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." BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT ~}jrL- )~ APPLICATION RECEIVED J/Z7/~Y The City of Prior Lake PLANNING Department has reviewed the for construction activity located at building permit application L/ld tj /'ftJ JI...; dL. ~. t . ./' Den.i7~ Reviewed by: ~ Accepted Accepted with Corrections Date ~~/-p'V Comments: liThe 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." CITY OF PRIOR LAKE PLUMBING ..PERMIT 1. Blue 2. Gold 3. Yellow File City Applicant # q '/~JJj'- 4J./ 7-5'S~ ~ Applicant: Address: Signature: Legal Descrip n: Lot ...3 Block f Site Address: i.JjIJ 1.- ClJ-~)ffL..L../ 1 [ . Building Penn it 1# fit.! -IJ J 1/1 PID 1# JS -J. t 6 - d, lJ/- () . NOTE: This pennit will not be processed without complete infonnation. FIXTURE UNITS Sub: - J- &l Unit Quantity Type of Fixture Amount Total Bath Tub with or without shower $ 6.00 Dishwasher $ 6.00 Floor Drain $ 6.00 Lavatory (bathroom sink) $ 6.00 Laundry Tray (1 or 2 compartment sink) $ 6.00 Shower Stall $ 6.00 Sinks: $ 6.00 Bar Sink $ 6.00 Water Closet (toilet) $ 6.00 Rough-ins $ 6.00 Water Heater $ 6.00 Water Softner $ 6.00 Stand Pipe (washing machine) $ 6.00 Sewage Ejector $ 6.00 Backflow Assembly (RPZ, Double Check, PVB) $25.00 Backflow Assembly Test $10.00 / Lawn Sprinkler $25.00 Other $ 6.00 Minimum Fee $25.00 SURCHARGE .50 GRAND TOTAL $ ;lS.S-o 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. 9111/'1 DATE , AITEST Call for all ins ti s 24 hours in advance. 4629 Dakota St. S.E., Prior Lake, Minnesota 55372 / Ph. (612) 447-4230 / FAX (612) 447-4245 AN EQUAL OPPORTUNITY EMPLOYER