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Building Permit 93-0021
CITY OF PRIOR LAKE INSPECTION ,,~~). PERMIT NO. J I ADDRESS IS 1,/0 OWNER DATE TIME CALJ.ED..lN SCHEDULED 1/-7j.... 77 .3 r W COMPlETED L::-r~(" J. () t\~tAJ ~" "... I CONTH. ~ TELEPHONE NO. I.U 0 FOOTING ~ 0 FRAMING CI) 0 INSU ON Q 0 BD. <: INAL ~ 0 FOUNDATION ;x: 0 DEMOL. ~ 0 FIRE PREV. ~ COMMENTS: ..,J ~ ~ IE Q, ~ ~ ~ l.&.. l.U ex: ~ ~ ~ ~ ~ f3 It I.U 0 WORK SATISFACTORY:PROCEED Q 0 CORRECT WORK AND PROCEED 8 0 CORRECT WORK. CALL FOR REINSPECTION BEFORE COVERING o CORRECT UNSAFE CONDITION WITHIN HOURS. INSPECTOR WIU RETURN. o STOP ORDER POSTED. CALL INSPECTOR. o INSPECTION RE D. CALL TO NGE ACCESS. call for the next OPLUMBING RI OSITE INSPECTION o MECHANICAL-RI 0 EXCAV./GRADINGlFILLlNG o WATER HOOKUP 0 LAKESHOREJWETLANDS o METER SETrrURN ON 0 COMPLAINT o SEWER HOOKUP 0 GAS LINE AIR TEST o SEPTIC INSTALL. 0 SEPTIC FINAL o SEPTIC MAl NT. 0 FIREPLACE o PLUMBING FINAL 0 MECHANI~L FINAL ~S e vvt'€-,^+ h'l1,~ S;,' l-e C !0S{J d dv-a- -n~) ft;t~u~~~~~~ o PHOTO TAKEN OwnerlContr. Inspector Y_CClpyISifl-._ 447-4230 _CClpy~'.F/Ie ,CITY OF PRIOR LAKE ,: U 'i BUILDING PERMIT, RTIFICATE OF ZONING COMPLIANCE ILlTY CONNECTION PERMIT PenRlt No. 9 ~ - Z \ 1. White - City 2. Pink - Applicant 3 . Yellow - Assessor LOT ADOmON BLOCJ< L T"::.It....~V\~~ ~ PID::2 :; - :J- ~~ -(:) \2.- 0. 4 OWNER ~/f OJ(}( p ",,'t 5. ARCHITECT N/7/V J.,,& 6. BUILDER (Tel. No.) N. vv. ~ (Tel. No.) 14. FLOOR AREA APPORTIONMENT USE (Name) (Address) (Tel. No.) 15. NUMBER OF OCCUPANTS OR SEATS OCCUPANTS SEATS 16~S MATED VALUE Fireplace 0 Septic 0 Heating 0 Plumbin Reroofing 0 Porch 0 New ConstructlonO AlteratlonsO AddltlonO Finish AttlcO ResldingO Finish Basement)( ChlmneyO Misc. 8. PROPERTY AREA OR ACRES S . Ft. Yes No 17. COMPLETION DATE 1 ;5 lJe c- 7Y 9. PROPERTY DIMENSIONS Width 10. CULVERT SIZE Ion which Is 10 Ihe beSI 01 my knowledgelrue end correcl, I elso certlly Ihall em Ihe owner or eulhorlzed agent II nform to allexlaUng state and local laws and will proceed In accordance with submitted plans. I am a.ar. that ermore, ~hereby agr.. Ihallhe clly olllclel or e design.. mey enler upon the property to perform needed inspec. tj>~ /~ ~ V ~ Dele FOR ADMINISTRATIVE USE SETBA MATERIAL FILED WITH APPLICATION SOIL TESTS .0 ENERGY DATA 0 Fronl Back Side Side PROPOSED GRADE FOUNDATION IN RELATION TO CURB OR CROWN OF STREET USE OF BUILDING ~~. ~ ...~ \>--;',.:>"l,..... OFF STREET PARKING SPACES REO. SPACES ON PLAN 2'j PERMIT VALUATION .> PILING LOGS 0 PLANS & SPECS X SURVEY 0 PERCOLATION TEST SETS o COPIES .L ()c::.~ PLOT PLAN Amount Brought Forward. . . . . . . . . . . .. S /0'1:. '7 ~ Park Ded . . . . . . . . . . . . . . . . . . . . . . . . . . . .. S Sac.................................. S Plumbing ... . . . . . . . . . . . . . . . . . . . . . . . .. S Sewer Tap. . . . . . . . . . . . . . . . . . . . . . . . . .. S Sewer Hook-up. . . . . . . . . . . . . . . . . . . . . .. S Water Hook.up '. . . . . . . . . . . "'. . . . . . . . . .. S Meter Horn. . . . . . . . . . . . . . . . . . . . . . . . . .. S Water Meter. . . . . . . . . . . . . . . . . . . . . . . . . . S OSewer & Water Connection Fee. ... . .. S DWater Tower Fee..................... S Water Tap.... . .. ... . .... .. . .... .... . . S City Fee. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . S Other. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. $ Total Due.. .. .. .. .. .. .. .. .. . ... $ I 'IIL- Q'~' " Paid L--<'-.. -.J Recei t no. ,- /l ~ TYPE OF CONSTRUCTION; I II III IV Occupancy Group A BEl H~ Division f@ Co ~ Permit Fee .. .. .. .. .. .. .. .. .. .. .. .. ... $ - (:) ~ Plan Checking Fee. . . . . . . . . . . . . . . . . . .. S Lio . ~ <: State Surcharge . . . . . . . . . . . . . . . . . . . . .. S 2-, c 0 Penalty . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. S Septic System. . . . . . . . . . . . . . . . . . . . . . . . S Other. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. S Subtotal. . . . . . . . . . . . . . . . . . . . . " S / b C ~ 7 ~ City: Check if Deferred ecomes Your Building Permit When By Certificate of Occupancy Issued Date ~-/~~ Date ,,- Thl.l.,o certify Ihellhe request In the ebove eppllcallon .nd eccompanylng documflnl.lsln eccordence with Ihe Clly Zoning Ordlnence end mey proceed es reque. . This docu, ,,*,1-. slgned By I' e City PI.nner con.,II.... elempor.ry Certlflcale 01 Zoning compllence end ellows conslructlon 10 commence. Belore occupancy. e Cerlllllcele 01 Occupency muel .u O.'e Sp.cl.1 Conditions if any Clly Pl.nner 2. Hour nollce for all inspections -"7-4230 9:00 e,m. . 10:00 a.m. Comments: Accepted with Corrections Reviewed Date ~, PLANNING Accepted X Reviewed by: Zoning: Comments: DenIed kJ. Accepted With Corrections Date: BUILDING Accepted ~~~~ied Reviewed bY:~ Square Footage: Accepted with Corrections Date: Z~ (Q-~...:::3:.. Comments: PERMIT ISSUED "BPAPCK" CITY OF PRIOR LAKE PLUMBING PERMIT I~/b'.l 'I 1. Blue 2. Gold 3. Yellow File City Applicant # 93 -d.,j 4" q 7--(;; -/34' Applicant: Address: Signature: Legal Descri n: Lot Block /:' 0. Site Address: 5/ c;}-. ('/ r:t{, I 1\, ,..'~.- Building Permit # 13- / '1 PID # .....~S 0;0 I - C / 3 -/ NOTE: This permit will not be processed without complete information. RU~ FIXTURE UNITS Unit Quantity Type of Fixture Amount Total I Bath Tub with or without shower $ 6.00 ~ -- t Dishwasher $ 6.00 &;- , Floor Drain $ 6.00 tv - \ Lavatory (bathroom sink) $ 6.00 {~ - I Laundry Tray (1 or 2 compartment sink) $ 6.00 {,,- Shower Stall $ 6.00 f Sinks: $ 6.00 (0- Bar Sink $ 6.00 I Water Closet (toilet) $ 6.00 I..c- J Rough-ins $ 6.00 18- i Water Heater $ 6.00 (0- 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 $ 00, <;0 This permit is granted upon the express condition that said contractor, shall comply in all respects with the ordinances of the tate lumbing Code and the amend~eR.ts ~ereof. , RECEIYfNO. .-!Jl~ DATE _ ' ~'l ~r ATIEST Call for all ins ctions 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