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HomeMy WebLinkAboutBuilding Permit #00-0100 ~ DATE RECEIVED ..3 /2../00 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) 2. SITE ADDRESS c-:: F) 15B UDA(l..\AJo.;Y) ~'T, 3. LEGAL DESCRIPTION LOT '6 BLOCK \ ADDITION 5AN'-O POI rJTE 4~f}.r.. WN~ (Name) D ;; CPlI1: .5 p:t P'--" 5. ARCHITECT (Name) ~7~ /00 PuP PID '25- "Z-'S1. 008"0 .~T~ A-PD ~) (Tel. No.) 57 J~ ('...,r}Jtt: _......1 r~- If'l.~:13 ~ (Address) (Tel. No.) 6. BUILDER (Name) (Address) (Tel. No.) 7. TYPE OF WORK New Construction 0 Chimney 0 Misc. 8. PROPERTY AREA OR ACRES Sq.Ft. Septic 0 Addition 0 Re-roofing 0 Porch 0 Re-siding 0 Finish Basem~ 10. CULVERT SIZE Yes No Deck 0 Finish Attic 0 Fireplace 0 Alterations 0 9. PROPERTY DIMENSIONS Width Depth 1. White 2. Pink 3. Yellow File City Applicant Permit No.L;6. 00/00 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 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 pro and that trueD ill conform to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the buil . ' this r jUS~..' ore, I hereby agre~at the city offic~or a designee ma. y enter upon the property to perform neede.d inspections. X ____--0 f"-IOO-l/5 ~crzl.-../~~--:S 3~...o.d LsiQnature ,/ - License No. Date Amount Brought Forward .................. $ Park Support Fee ........................... $ SAC . .. .. . .. . .. .. .. .. . .. .. .. .. .. .. .. .. .. .. ... $ Collective Street Fee ....................... $ Sewer Tap ................................... $ $ FOR ADMINISTRATIVE USE SETBACKS: Required Actual Front Side Side Back BUILDING DEPARTMENT VALUATION OFF STREET PARKING SPACES REO. SPACES ON PLAN PERMIT VALUATION ~...a:20 · USE OF BYJtDING - ,tA<; A Ill- / 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 L./ . 1 S- City: Plan Check Fee............................. $ State Su rcharge ............................. $ (.SD Penalty....................................... $ Plumbing Permit Fee ....................... $ MATERIAL FILED WITH APPLICATION SOIL TESTS 0 ENERGY DATA 0 PILING LOGS 0 PERCOLATION TESTS 0 PLANS & SPECS 0 SETS SURVEY PLOT PLAN o COPIES o ~ ~\ U\ Pressure Reducer .......................... $ Meter Horn................................... $ Water Meter ................................. $ Sewer & Water Connection Fee ........... $ Water Tower Fee ........................... $ 40. 00 Mechanical Permit Fee ..................... $ Sewer & Water Permit ...................... $ ~i2~~~~w~n~~~ Certificate of Occupanc/ Water Tap ................................... $ Builder's Deposit ............................ $ Other......................................... $ Total Due .............................. $~. 2S Paid / /" . 2. S-- ReC!p;;e.pt .3 (Q 9~ ~ Issued I J Date 3/' 10 0 By This is to certify that the request in the above application and accompanying documents is in accordance with the City Zoning 'Ordin~nce and may proceed s requested. This document when Si~City I ner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be issued. ..u...t,,~ ~ '" ~ ~ &V C' lanner Date Special Conditions ij any 24 hour notice for all inspections 447-9850 CITY OF PRIOR LAKE PLUMBING PERMIT APPlicant:~A ~ i ~ 4p'-L- Address: . $"-7 ~dql'"' W~A~ S;f Signature. ~ ':"' ~ ~__ Legal Description: Lot 8 ~ Block' Sub 5ANCL..f6I~ ST* Site Address: A-D 1.) Building Permit # F,,Jl<iI-1eO ~~ PID#2.!5- ?~q-Ooe-D NOTE: This permit will not be processed without complete information. ~ The Cenler of Ihe Lake Counlry 1. Blue 2. Gold 3. Yellow File City Applicant PPNo. 06 - D / 0 () Phone: At.. , '7 t( S- -0:1....'3 <. FIXTURE UNITS 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) FEE SCHEDULE Industrial, Commercial & Multi-Family (1 % of job cost, $39.50 minimum) Residential, New One & Two Family Residential, Additions & Alterations State Surcharge Quantity Type of Fixture )k Rough-ins Water Heater Water Softner Stand Pipe (washing machine) Sewage Ejector Backflow Assembly (RPZ, Double Check, PVB) Backflow Assembly Test Lawn Sprinkler Other I I $99.50 $39.50 $ $ $ $ .50 fJpL vJ I 0 V' 0 I 0 Db" ,J ,strl fl ,." f,,' GRAND TOTAL $ This permit is granted upon the express condition that said contractor, shall comply i all res cts with the ordinances of the State Plumbing m7ndmfnts thereof. R . . It; 10 () DATE , / All bST Call for all i 16200 Eagle Creek Av. S.E. Prior Lake, MN 55372/ Ph (612) 447-9850/ FAX (612) 447-4245 An Equal Opportunity Employer ~ DO-o;OD Tht' Ct'nlt'r of Iht' Lake Counlry White - Building Canary - Engineering Pink - Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT CH-fZ-\S "?A Frs . 3ft.-/OO ( APPLICATION RECEIVED The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: Accepted X_ Accepted With Corrections Denied ~... ~ Reviewed ~ tf?// Date: ? - :? - 2Clc:C7 Comments: _~ ~~~~~ ~w~ ~c>J - 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.1I .- 00 ~(60 The Center of the Lake Country White - Building Canary - Engineering Pink - Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT H ,<:> I ..' /'\ ,'''' I":' ,I ,'-- APPLICATION RECEIVED /7-, O(J The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: 5158 &oA~ooO ~~. ~~c= Accepted ~ Accepted With Corrections Denied Reviewed By: ~ ~ Date: 'S - t.o - CKJ Comments: .Awv~ ~ ~~~ ~ <fO :LY\clvk ~\f\.l~, <l ~~~, 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. II PRIOR LAKE INSPECTION RECORD DEPARTMENT OF BUILDING AND INSPECTION SITE ADDRESS 5 '7 s"J3 (1 ~ AcJ-u..1a",J/' NATURE OF WORK ~ 'bI\tA-1'~ - USE OF BUILDING ~F D PERMIT NO. 00- 0/00 DATE ISSUED -g -'$-Goe e' CONTRACTOR ()~~~ '\PCo..~_ NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT INSPECTOR DATE PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED ROUGH - INS ^ tfJ 0213 \)~ ~ ~ FRAMING INSULATION ELECTRICAL PLUMBING HEATING (if required) ~ \ '$ J3 JA1 3'-2.t....~ \ 2>:n ~ :, 1,1 em \ COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED FINALS L'J} ,pp (/1 ' BUILDING ELECTRICAL PLUMBING HEATING DO NOT OCCUpy UNTIL ABOVE HAS BEEN SIGNED 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 shall be placed near main entrance. '" .. - Call between 8:00 and 9:00 A.M. for all inspections FOR ALL INSPECTIONS (612) 447-9850 DATE bjakm 5:00 I 5'75<6 ~tAJ(TQ-(Jj ~ CITY OF PRIOR LAKE INSPECTION NOTICE ADDRESS OWNER PHONE NO. o FOOTING o FOUNDATION o FRAMING ;!INSULATION FINAL o SIT SPECTION C MENTS: fA fV~b 0 \ \) \ '" / ~ / --- f / SCHEDULED CONTR. PERMIT NO. o PLUMBING RI o MECH RI o WATER HOOKUP n EWER HOOKUP o PLU FINAL o MECH FINAL TIME 00-0\00 o EX/GRAD/FILLING o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GASLlNE AIR TST o r ,1 I-I '\ L6'}.v~1T~ ! \ ~/, I ;' I /1 / r / Uti / / ~ --- ~-- -' { I r 1 1; i}rA (L / V\./ (5 --- / Inspector: Owner/Contr: NEXT INSPECTION 24 HOURS IN ADVANCE. INSNOTI