HomeMy WebLinkAboutBuilding Permit 94-0189
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3. Yellow
Fik
City
Applicant
CITY OF PRIOR LAKE
BUILDING PERMIT,
j'TEMRd&lRY CERTIFICATE OF ZONING COMPLIANCE
ANQ; ~TILlTY CONNECTION PERMIT (2 J.
----.J L/ Permit No. - ,l...j -
I
DIRECTIONS
SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN
BEFORE PERMIT IS ISSUED (Please Print or Type and sign at bottom)
2, SITEZj~B~ 1M(2:~-2- &~IT- N
3. LEGAL DESCRIPTION
LOT .;ST 7- BLOCK
ADDITION 771e= H/ft23t!7 ~
4, OW~~ ,,(Nam~ (Address)
1tff1<~tZ.- .p/f!~P~7/1!!25 /A.I c...,
5, ARCHIT50CT (Name) (Address) _ \
IP YJ!lLol'" .-?~7' ..f)I ~:i!c::'..;7/o.u5 I/v LJ YoM,J
6, BUIL9~R/Uo (Name) (Address) (Tel. No,)
/-ff'L 7900 ~7"~/!!M)/! Y iJ/l. tJI..M~>-.,.J
7, TYPE OF WORK
New Constructio~
Chimney 0 Misc,
8, PROPERTY AREA OR ACRES
Sq, Ft. /CJOD
Fireplace 0
Alterations 0
IYl
1,DATE
MAt 6/ /7'1
BUILDING INFORMATION
11, SIZE OF STRUCTURE
(Height) (Width) (Depth)
-
,-
'---'
12, NO. OF STORIES
/ PID '3s.-;;.,(, '3 '-00 ~
~~ ~&Jff/,'AJ
13, TYPE OF CONSTRUCTION
~~ot/S"8
(Tel. No,)
r..>>r
14, FLOOR AREA APPORTIONMENT USE
~03/
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS
SEATS
~, ESTIMATED VALUE
=:r / s-o J:::-
17, COMPLETION DATE
I? - ':2-~ /!Ios
Septic 0
Addition 0
Heating 0 Plumbing 0
Finish Attic 0 Residing 0
Reroofing 0 Porch 0
Finish Basement 0
9, PROPERTY DIMENSIONS
Width '32--Depth'" 5-
10. CULVERT SIZE
Yes
No
I hereby certify 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
i ed property and that a nstruction will conform to all existing state and local laws and will proceed in accordance with submitted plans, I am aware that the
n voke t ' ust cause, Furthermore. I hereby agree that the city official or a designee may enter upon the property to perform needed inspections,
:e- 72(/.-<j.~/'-6 '9V
Signature License No, Date /
SETBACKS: Required
Actual
Front
PROPOSED GRADE FOUNDATION
IN RELATION TO CURB OR CROWN
OF STREET
USE OF BUILDING
Occupancy Group A BEl tlii)
DMsion 1 ID
Permit Fee ................................... $
Pian Checking Fee ......................... $
State Surcharge............................. $
Penalty ....................................... $
Septic System ............................... $
Other ......................................... $
FOR ADMINISTRATIVE USE
MATERIAL FILED WITH APPLICATION
Back
Side
Side
SOIL TESTS
o ENERGY DATA
OFF STREET PARKING
SPACES REO,
SPACES ON PLAN
PERMIT VALUATION
I ~ , <.:::::Q~
SURVEY
PLOT PLAN
City:
Amount Brought Forward .................. $
Park Support Fee ........................... $
SAC ......................................... $
Collective Street Fee ....................... $
Sewer Tap ................................... $
License Check Fee ......................... $
Pressure Reducer .......................... $
Meter Horn ................................... $
Water Meter ................................. $
Sewer & Water Connection Fee ........... $
WaterTowerFee ........................... $
Water Tap ................I................. $
Builder's Deposit ..b!...A............. $
Other ......................................... $
c;- ~"
~~
~ ,.....~
71~,~
S20 . -4 ~
iSt Q~
~ -1.,
,"~
1-4/ ,?, ~~
Check if
Deferred
~
By
r Building Permit When APP~Ved. ~
~. '. ~ "\'
. Date -:.> --:J=-::..
Certificate of Occupancy
Issued
Date
plication and acco.mpa,ny~, documents is in,accordance with the City Zoning Ordinance a may proceed as requ sted. This document when
ry Certifi~goning co liance and allows construction ~"nce, ~pre occuJl.C!ncy, a ~cate of Occupancy M be issued,
~ ~~. s..~ "-- i~""" .-..r"f..l.-I ~'1 ~ u~n~
Date Special Conditions ~ any ~
24 Hour notice for all inspections 447.42309:00 a,m, . 10:00 a.m.
1Lf-/(f
GREEN . FILE
YELLOW . APPLICANT
GOLD - CIT"
CITY OF PRIOR LAKE NO. qt-/y/
SEWER AND WATER PERMIT
NOTE: Sewer and Water
contractors must
be registered
with the City.
APPLICANT: ~ ~Lh Ik
VI . t /2. \
ADDRESS :11-z,~ LA1u..tA fLl..rt.." J ~ Y .
SIGNATURE: f:i ~~
SITE ADDRESS ~ t!i$4- ~f)R.. .L5llfi L.J\.
FILL IN THE BLANKS
PHONE: 'ii9 ..~ ?g
DATE: g -2- ,/4-
BLDG. PERMIT # I ~ 9 ~ 91-
PID# "B -~t3 -00 7-D
1. Estimated length of water service
?o
feet.
2. Size of water service
\
inch(es} .
3. Location of any couplings from structure
( 0 feet.
4. Type of sewer pipe. ABS~ PVC
Cast Iron
5. Estimated length of sewer line
\0
feet.
6. Clean out (if required), located at
structure.
-e- feet
from
------------------------------------------------------------------
------------------------------------------------------------------
This application becomes your permit when approved.
BY j1r!-?~v {W. DATE: f/!/?y
======-=========~_!===============================================
FEES:
$
$
$
35.00
.50
35.50
Sewer and water line connection permit.
Surcharge
TOTAL
* Fee for either sewer or water individually is $20.00 plus
$ .50 surcharge.
* Sewer and water permits issued for new construction must be
recorded on the building permit card at the time of issuance
to insure that no duplicate sewer and water permits are
issued.
DATE PAID
RECEIPT #
;;:;7
'2 .--..S?}
AMOUNT PAID c:;>J5J ~ ~
REC'D BY /f ~
4629 Dakota 51. 5.E., Prior Lake, Minnesota 55372 / Ph, (612) 447-4230 / Fax (612) 447-4245
AN EQUAL OPPORTUNITY EMPLDYER
GREE. . FILE
YELLOW . APPLICA.T
GOLD. CIT'I
CITY OF PRIOR LAKE NO. /'1', hll
SEWER AND WATER PERMIT
NOTE: Sewer and Water
contractors must
be registered
with the City.
APPLICANT: Jv' /i; .' lu', i/ _ 1\('
PHONE: '.. /1
"
--; r:
J / (5
(
r~ ,I
) I LJ
ADDRESS: ///1 /,' ,':
,
. .','
-ell !~J~'I'_~"
/
: ~{ Ir-.{'
,\
DATE: /" ..
I "
SIGNATURE: '4,-{ , l{/~ ( ,"if 7.;-
SITE ADDRESS.:" ;L?~2cJ -'t{t1..2JJi:'''/
"\ i
,/ ,J 0 6 C \ \
- ~
BLDG. PERMIT # I:~ lj ~ '75'
PID# ':'.c:._ J I :; _() D 7- D
,"-.,,/ ,)\.. ~,......
FILL IN THE BLANKS
1. Estimated length of water service
00
feet.
2. Size of water service
inch(es) .
3. Location of any couplings from structure
10 feet.
4. Type of sewer pipe. ABS~ PVC
Cast Iron
5. Estimated length of sewer line
(e:)
feet.
6. Clean out (if required), located at
structure.
-e
feet
from
------------------------------------------------------------------
------------------------------------------------------------------
This application becomes
/ i l _ ~
BY -,')11/ 'f.r::;} It; I-{ i../; j;/
.. .' ! /
======~===========================================================
your permit when approved.
DATE: {IIi J7'tJ
FEES:
$
$
$
35.00
.50
35.50
Sewer and water line connection permit.
Surcharge
TOTAL
* Fee for either sewer or water individually is $20.00 plus
$ .50 surcharge.
'"
* Sewer and water permits issued for new construction must be
recorded on the building permit card at the time of issuance
to insure that no duplicate sewer and water permits are
issued.
;<_ I(
;' " l
'/ (/
...,'-,
--"', .
~ .../
DATE PAID
AMOUNT PAID
)
..--,......
RECEIPT #
/1 (-/
// ( I ';-( /
REC'O BY
/- I ,""'"
,; / /j/~-
4629 Dakota St. S,E., Prior Lake, Minnesota 55372 I Ph, (612) 447.4230 I Fax (612) 447-4245
AN EQUAL OPPORTUNITY EMPLDYER
1. Blue
2. Gold
3. Yellow
File
City
Applicant
The Cf'nler of Ihe Lake Country
& dL ;,-./
Building Permit # - PID # '" 3..1 -.2 t... ., - IJ 0 7 ~ r)
NOTE: This permit will not be processed without complete information.
FIXTURE UNITS
Quantity Type of Fixture Quantity Type of Fixture
/ Bath Tub with or without shower Rough-ins
) Dishwasher J Water Heater
I Floor Drain Water Softner
If Lavatory (bathroom sink) / Stand Pipe (washing machine)
/ Laundry Tray (1 or 2 compartment sink) Sewage Ejector
~ Shower Stall Backflow Assembly (RPZ, Double Check, PVB)
I Sinks Backflow Assembly Test
I Bar Sink Lawn Sprinkler
3 Water Closet (toilet) Other
FEE SCHEDULE
Industrial, Commercial & Multi-Family
(1 % of job cost, $39.50 minimum)
Residential, New One & Two Family
Residential, Additions & Alterations
State Surcharge
GRAND TOTAL
$
$ ~ ~f'O
$
$ .50
$ /op, ~()
$99.50
$39.50
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.
, I RECEIPT NO, ,/tC/flt DATE
ATIEST
Call or all inspectio s 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
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT -4&j.y f/~~ .Jlu,
APPLICATION RECEIVED S / 1/ '
The City of Prior Lake ENGINEERING Department has reviewed the
building permit
~ S i tJ-;kJnV
Accepted /
a~ion for construction activity located at
Denied
Accepted
Reviewed
,;
"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. II
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT ~--t1",j;;~ ~.
APPLICATION RECEIVED ,J1/J/1t/
The city of Prior Lake PLANNING Department has reviewed the
building permit application for construction activity located at
~J- f 'f /h.J-t'L, ~
Accepted
Reviewed by:
Denied
Accepted with Corrections
Date
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."
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT 14J.v ~1WI~ L.
APPLICATION RECEIVED ,JJJI/~V
The City of Prior Lake BUILDING Department has reviewed the
building permit aHPli~ation for construction activity located at
W1J- "1h.Jw ~
Accepted I-- ~ied
Reviewed by: \~
Comments: 1 .J--.-... ..;.;....TJ...:.....\ \
Date ~-
,
d.- ~~ v-.... t-p....~. ~
with Corrections ,
~~_c~
EA~,~~~\
Accepted
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 tst~1rc:z
NATURE OF WORK -;A' , . ~L
USE OF BUILDING
PERMIT NO. tN19 DATE ISSUED f/z/~'L
CONTRACTOR' ,J...V-P":'
NOTE: THIS IS NOT A P RMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
I FOOTING
DATE
19/tl1~,. gJ,f}N
INSPECTOR
.Jf~-"L
I FOUNDATION (Prior to Backfill) I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
SEWER I WATER I SEPTIC
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
FIREPLACE ~:,..I.o '-"fL<-/~
GAS LINE AIR TEST
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I WALLBOARD I L
FINALS
61"'0-/
q~
r2-"2.I-~
I 7.- - ~ '3 - /~
GRADING (Prior to Sodding) f ,
BUILDING -~~ '7,/ro/CIQ
ELECTRICAL I ,
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 447-4230