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Home My WebLink AboutBldg Perm 00-0804,FP 01-0003 CITY OF PRIOR LAKE BUILDING PERMIT, TEMPORARY CERTIFICATE OF ZONING COMPLIANCE AND UTILITY CONNECTION PERMIT ~1 QATI= RI=r.I=IV~ 8.28.00 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 44-07 3. LEGAL DESCRIPTION LOT 3 BLOCK WINOSTAI< Pt;NOVI6N ADDITION z /lOON. 4. OWNER \ ~Nam.) G,,\S~ 5. ARCHITECT (Name) LH....\ n (Addr.ss) /' ~Chr~,J',,",^, ~ \1' (Address) 6. BUILDER (Name) (Address) 7. TYPE OF WORK New Construction LI D'C~ Finish Attic 0 Fireplace LJ Alterations LI SepticLl Addition 0 1. White 2. Pink 3. Yellow File City ApplicBDt Permit No. oo..tJetJ4' 1. DATE Y )\-00 BUILDING INFORMATION 11. SIZE OF STRUCTURE (Height) (Width) (Depth) TRA 1 L- -<I 12. NO. OF STORIES PID zS~33fD- 0/3-0 13. TYPE OF CONSTRUCTION s.E. '-l(~~o;~ y S'/ (Tel. No.) 40Z--QOZ2- (T.1. No.) 15. NUMBER OF OCCUPANTS OR SEATS OCCUPANTS 14. FLOOR AREA APPORTIONMENT USE Rs-roofing 0 Porch LI Ae-siding 0 Finish Basemen~ SEAT~ 16. PROJECT COSTNALUE Chimney 0 Misc. 8. PROPERTY AREA OR ACRES 19. PROPERTY DIMENSIONS 110. CULVERT SIZE Sq. Ft. Width Depth Yes No 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 tioned property and that all construction will conform to all existing state and local laws and will proceed in accordance with subrnitled plans. I am aware that the :uilding iCia~r:oke this p~t fO~ ca~rthermore, I hereby agree that the city official or a designee may enter upon the property to perform ~~t~~~u ~ I \;,f.ture License No. Data SETBACKS: Required Actual Front Baok 17. COMPLETION DATE FOR ADMINISTRATIVE USE Side MATERIAL FilED WITH APPLICATION SOIL TESTS 0 ENERGY DATA 0 Side USE OF BUILDING K6.5 /'tIll?.. OFF STREET PARKING PILING LOGS 0 PERCOLATION TESTS 0 SPACES REQ PLANS & SPECS 0 SETS -<-~--~ SURVEY 0 COPIES SPACES ON PLAN ,. ....... PERMIT V ALUA TION 1!Ot1J/913 ~. /J PLOT PLAN 0 BUILDING DEPARTMENT VALUATION TYPE OF CONSTRUCTION: I II III IV V Occupancy Group A B E F HIM R S U Division 1 234 l ~ P.rm;l Fee ................................... $ I ? 'Z.. _ Plan Ch.ck F.. ............................. $~~ -_'3S: 1(:) Stale Surcharge ............................. $ ~ "5po Penalty. ...................................... $ Plumbing Permit Fee ....................... $ 4o.no Mechanical Permit Fee ..................... $ it ...................... $ This ~.Y~~;...~,...~....~.neEP'llted _-" By- ~...D.t. 7-f;;;-~ Certificate of Occupancy/ - Issued ~r:oo 'TV~~Brou9htFolWard .................. ot Park Support Fee ........................... It SAC ......................................... It: Collective Street Fee ....................... $ Sewer Tap ................................... It: $ ~o Pressure Reducer .......................... $ Meter Horn ................................... ot. Water Meter ................................. It Sewer & Water Connection Fee ........... It WaterTowerFee ........................... ~ Water Tap ................................... It Builder's Deposit ............................ $ Other ......................................... $ Paid Tot.1 Du. ...................~~~~i~;~ {~~~~~ Oat. ~ - a. '2<!n7 By W~ This is to certify that the request in the above application and accompanying documents is in accordance with the City Zoning Ordinance and may proceed as requested. This document when signed by the City Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a CertifICate of Occupancy must be issued. City Planner Date 24 hour notice for all inspections 447-9850 Special Conditions ~ any CITY OF PRIOR LAKE BUILDING PERMI;, / F P Date 'c'd TEMPORARY CERTIFICATE OF ZONING COMPLIANCE AND UTILITY CONNECTION PERMIT SGe. I PERMIT NO.. I. While 2 Pink 3. Yellow File Cilv Applicall1 Z~~rffi"Use) (Please tyDe or orint and sign at bottom) ADDRESS .4-401 fb\JOJ'6..J -rp,'\\L- LEGAL DESCRIPTION (office use only) LOT:) BLOCK2- ADDITION WI~IAR. ADD tJ PID is ~~% ~OIS--o OWNER (Name) 12.1U 'f4()7 r; lJLSTA b Po toJ tJ\! If IN' Te.. ~ E (Phone) 1~d- - 4-lf7 - LfR''S!L (Address) BUILDER (Name) s,4/Y\~ (Phone) (Address) TYPE OF WORK 0 New Construction ODeck OLower Level Finish ~irePlaCe OPorch ORe-Roofing ORe-Siding OAddition OAlteration OUtility Connection o Misc. PROJECT COST/VALUE (excluding land) $ 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 revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may ;terupon 1z~:i"'~o~spections Signature Contractor's License No. Date Permit Fee $ I Park Support Fee # $ Plan Check Fee $ I SAC # $ State Surcharge $ I Water Meter Size 5/8"; 1"- $ , Penalty $ I Pressure Reducer $ Plumbing Permit Fee $ 1 Sewer/Water Connection Fee # $ I Mechanical Permit Fee $ I Water Tower Fee # $ I Sewer & Water Permit Fee $ I Builder's Deposit $ I Gas Fir~e Pef}it F~e, $ 10~ I Other E?LEC;;r-~cA- NP $ \ . - ... I [1- _____ I TOTAL DUE 4\ - ~ This p {^p=;tTsrn1~o;ed $ " Paid j:' - I Receipt No. 38'.6~3 ~ Date \ ,,;0\ By tJJlit \ - , This is to certify that the request in the above application and accompanying documents is in accordance with the City Zoning Ordinance and may proceed as requested. This document when signed by the City Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be issued. Planning Director Date Special Conditions, if any 24 hour notice fnr all inspections (952) 447-9850. fax (952) 447-4245 ~1 00.0 M4-"" Tht ('ntrr of Iht Lab Country White - Building Canary - Engineering Pink - Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT .--- ( 1(( / )}il -i"E KK I ./ . I y . ( (' APPLICATION RECEIVED The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: L,; 4- (7 /:;;/ Iv L/ ~. ( ~ l V . / I<- , Accepted ,/ Accepted With Corrections Denied Reviewed BY:~ ~tJ~ Date: 1- I -~J ~~o ~ i()~.~_'f=-~~J t3~ "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." () 6~ o~otV Thf Ctnlu of Iht Lakt Counl".. White - Building Canary - Engineering Pink - Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED 11)/ ,::' fAO,. /~ ~Je. / f3 . ZJA . OC) The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: 4407 PO/'/OV/6W lie. f Accepted Accepted With correctio~ Reviewed By: C?Jl/l ---L i)~::;/ ~- ~ Date: 9 - S- - 2oc:c:> Denied Comments: I, f~ ~ ~~ J;-:u~ ~da-~ 7. f0L~~_''Aork- ~~ "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," Thf Cfnlfr of thf L.kf (~oUnll) Applicant: Address: CITY OF PRIOR LAKE PLUMBING PERMIT I ~ G-uLS..,-A() ~L ~VlG-Jii2- I. Blue 2. Gold 3. Yellow File City Applicant ~~. PPNo. 00 ..80 tf Phone: Signature: Legal Description: Lot Block Sut> Site Address: Building Permit # (/. L-. ft.N ~bk PID # NOTE: This permit will not be processed without complete intormation. FIXTURE UNITS Quantity Type of Fixture Quantity Type of Fixture "-I-- Bath Tub with or without shower Dishwasher --r Sinks Bar Sink '--I.- Water Closet (toilet) ! 'F Rough-ins Water Heater Water Softner Stand Pipe (washing machine) Sewage Ejector Backflow Assembly (RPZ, Double Check, PVB) Backflow Assembly Test Lawn Sprinkler Other Floor Drain Lavatory (bathroom sink) Laundry Tray (1 or 2 compartment sink) Shower Stall 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 $ $ $ 3'1.. C)O $ .50 $ 40. GRAND TOTAL This permit is granted upon the express condition hat said contractor, shall comply in all respects w. h ina of the State Plumb. g Code and the ame eof. 16200 Eagle Creek Av. S.E. Prior Lake, MN 55372/ Ph (612) 447-9850/ FAX (612) 447-4245 An Equal Opponunily Employer PRIOR LAKE INSPECTION RECORD SITEADDRESS qq67 ~l1/hl <Cj~.1 NATURE OF WORK -DoC'~ <rt- ~~Jr- q:;-,,^,'CL-. USE OF BUILDING ~Fr;:) PERMIT NO. ()()-()fjfJ4.- DATE ISSUED ~'-c:;--~o c:::>D CONTRACTOR ~"k-h..,.j NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT DEPARTMENT OF BUILDING AND INSPECTION INSPECTOR DATE , FOOTING , ~~"J/~~.~ I I "- PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED ROUGH - INS ~c.\<:... FRAMING INSULATION ELECTRICAL --- ) 4, /el//z/II ~ IZ- ~, //1 /'(? /1 ' I (-0 ( - I v , I /0/( Z.jDI I ,~i~((), BUILDING ELECTRICAL PLUMBING HEATING DO NOT COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED I I FINALS A l:b: I<' fb;r,_ ~~) '/dr / 1 6:r V &r iIr7~'1/ , tt f OCCUpy UNTIL ABOVE HAS BEEN SIGNED NOTICE - ///7/o.z.:- 1/!7~2-- I I /1t711~~ 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:()0 A.M. for all inspections FOR ALL INSPECTIONS (612) 447-9850 ADDRESS ij~ c1 7 DATE SCHEDULED ~ AlIlo J/;h~ TIME 4:tJ(J CITY OF PRIOR LAKE INSPECTION NOTICE OWNER CONTR. PHONE NO. PERMIT NO. -.r III l-- I'Jr-DOtl3 F,P. o FOOTING o FOUNDATION o FRAMING o INSULATION )GI FINAL o SITE INSPECTION o PLUMBING RI o MECH RI o WATER HOOKUP o SEWER HOOKUP o PLUMBING FINAL o MECH FINAL o EX/GRAD/FILLING o COMPLAINT o FIREPLACE RI }III FIREPLACE FINAL o GASLlNE AIR TST o \ COMMENTS: J)~L ~ , '7'. 1," L. I. (D~~ r_ Y--J(~ )t WORK SATISFACTORY, PROCEED o CORRECT ACTION AND PROCEED o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING Inspector: ~ Owner/Contr: CALL 447.9850 Fak THE NEXT INSPECTION 24 HOURS IN ADVANCE. CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI I/'ISf'lOTJ