HomeMy WebLinkAboutBuilding Permit 94-0369
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OF PRIOR LAKE
UILDING PERMIT,
IFICATE OF ZONING COMPLIANCE
ITV CONNECTION PERMIT ell .?f '1
Permit No. f ~.~
1. While
2. Pink
3. Yellow
File
City
Applicant
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
6
1. DATE
'/tJ, }
/ivy
P/,.~ /
~ ):.<(
fY/'"
'5n?~
BUILDING INFORMATION
11. SIZE OF STRUCTURE ~7
(Height) ~ (Width) '2? (Depth) :J 9
12. NO. OF STORIES
110.(
13. ~PE OF CONSTRUCTION
151~~ U- Fr~ I-Il ",J
14. FLOOR AREA APPORTIONMENT USE
3. LEGAL DESCRIPTION
LOT9IJ-41! ~.)()f 5) BLOCK
ADDITION d(tlk.i~ ~Ay,1c ~
4. OWNER (Name) (Address)
Chl'l5 rJ.. (/ S. CJ '" It., 0 ').. 0
5. ARCHITECT ~ame) (Address)
:J(irf Uo~..1/ /I~O'J\;J f l( ell'~1r
6. BUILDER . (Name) (Address 15. NUMBER OF OCCUPANTS OR SEATS
. X'JIf\ 010,' J-L lP'Od( '" Se/I- OCCUPANTS 0"'(
7. TYPE OF WORK Fireplace 0 Septic 0 Heating:;( Plumbin~ Reroofing 0 Porch 0 SEATS
New Construction 0 Alterations,., Addition ~ Finish Attic 0 Residing 0 Finish Basement 0 16. ESTIMATED VALUE
Chimney 0 Misc. I~ c::x.o
B. PROPERTY AREA OR ACRES 9. PRW'i.yr DIMENSIO~S..31 10. CULVERT SIZE 17. COM LETION DATE
Sq.Ft. 4';;1 Widthn,yu Depth t J Yes ~ 3/ jqttl/
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 me 'oned prope 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
buildin . can revo per it for Just cause. Furthermore, I hereby agree that the city official or a designee may enter upon the property to perf~peed inspections.
X "?,)4 ~"
Signature Ucense No. Date
PID .{,) - () ? /; - {)3/ -tJ
c rt' 'f/C
(Tel. No.)
o ,(,0// <)-"
FOR ADMINISTRATIVE USE
SETBACKS: Required
Actual
MATERIAL FILED WITH APPLICATION
Front
Back
Side
Side
SOIL TESTS
o ENERGY DATA
o
SPACES ON PLAN
00
PILING LOGS 0
PLANS & SPECS 0
SURVEY 0
PLOT PLAN 0
PERCOLATION TESTS 0
SETS
COPIES
PROPOSED GRADE FOUNDATION
IN RELATION TO CURB OR CROWN
OF STREET
USE OF BUILDING
~ o..c~ 'f"~owi... ccr\^.
TYPE OF CONSTRUCTION: I II III IV
OccupancyGroup A BEl H@M
DIvision 1 2@4
Permit Fee ................................... $ 19B. DC
Plan Checking Fee ......................... $~ ,!l 0
State Surcharge ............................. $~ . a(')
OFF STREET PARKING
SPACES REO.
PERMIT VALUATION
Penalty ....................................... $
Septic System ............................... $
Other ......................................... $
I............................... $ t~ 35 ,,~o
Check if
Deferred
Amount Brought Forward .................. $ 335,70
Park Support Fee ........................... $
SAC ......................................... $
Collective Street Fee ....................... $
SewerTap ................................... $
License Check Fee ......................... $
Pressure Reducer .......................... $
Meter Horn ................................... $
Water Meter ................................. $
o Sewer & Water Connection Fee ........... $
o WaterTowerFee ........................... $
Water Tap ................................... $
City:
i1ding Permit When Approved.
Date B -/'2--1 Cf
Issued
This is to certify that he aquest in the above application and accompanying documents is in accordance with the City Zoning Ordinance and may proceed
sig d the City I r constitutes a temporary Certificate of Zonj!:j.<l~pliance and allows construction to commence. Before occupancy, a Certificate
B -f2.- c.r f-
ly Planner Date Special Conditions ij any
24 Hour notice for all inspections 447.42309:00 a.m. .10:00 a.m.
q '-1-369
1. Blue
2 Gold
3. Yellow
File
City
Applicant
CITY OF PRIOR LAKE
PLUMBING PERMIT
Applicant: Civ'-f'r ~/~ lA-"'\
Address: /(PO")..o ~'fH c...r~<tle /J-v ()riOr
Signature: ~ ~
Legal Description: Lot '5''1 1-.4'41 ,.5'" 0$ s'SBlock Sub: L.e..1c.< S,'d~ pO(rf(
Site Address: 1(,02-0 {Ac,"'t' Crf't'k At, pr/" L/f..h""'.A..- ~17~
Building Permit # 9L/.-Jt:.f PID# :>S--09l.t "'037-0
NOTE: This permit will not be processed without complete information.
FIXTURE UNITS
# t/i/--I t r;
Phone: 7"~O -~/y
t.AK.t' JV\ - ~ 7<
Unit
Quantity Type of Fixture Amount Total
(j) Bath Tub with or without shower $ 6.00 b.oo
Dishwasher $ 6.00
M> Floor Drain $ 6.00 jllJrJ
(j) Lavatory (bathroom sink) $ 6.00 ~.rJu
0) Laundry Tray (1 or 2 compartment sink) $ 6.00 t.tJ~
Shower Stall $ 6.00
Sinks: $ 6.00
Bar Sink $ 6.00
VJ') Water Closet (toilet) $ 6.00 I.. () D
Rough-ins $ 6.00
In Water Heater $ 6.00 t,. CO
II} Water Softner $ 6.00 ~. aD
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 $ ,5'l.j7J
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 ame dments thereof.
- J./. it RECEIPT NO. K uJrl'l DATE
ATIEST
\. all for all inspe 1 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
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
f) '.
NAME OF APPLICANT {')hf.o/ {L'h../t..J,~
APPLICATION RECEIVED 1/.< 9/91/
.
The city of Prior Lake PLANNING Department has reviewed the
building permit application for construction activity located at
/ b 6Ji! (Di"./ & u..-L- {Lv
Accepted Accepted with Corrections
Reviewed Date
"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 (JhUlJ (ikA1L'l~J
APPLICATION RECEIVED 1~?/9f
The City of Prior Lake BUILDING Department has reviewed the
building permit 2r.Plica~ion for construction
!6 o.2JJ tn l' -< ,L tiu .
activity located at
Accepted Denied
Reviewed by: '02.112..t--.
Comments:
Accepted with Corrections ~
Date S- (!-'tq
\, ~u\nIM.:\. tU).R ~ ~ gc~ Se~~
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~, Lc,~~~ F~t:- ~-e.~~ Cf'Ct:t.8 EJ
Ll. ~~\ ~ -\-Jl..~\- ~ ~ t'l2.Ql '''~ c::1"V\.
bSu~,-~+ ~~~ 5,~"
to. ~~f~ ~ ~ ~to.
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"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."
PRIOR LAKE
INSPECTION RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS I'::t 1!Ji~ fi11..I),,</
NATURE OF WORK ...'~__ ~_ ~
USE OF BUILDING
PERMIT NO. 'lif<~~: DATE ISSUED fill/If
CONTRACTOR d it )'/1;. j,/'ty~-,
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
I FOOTING
I FOUNDATION (Prior to Backfill) ~.I ~ IlIiil<'
.
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
SEWER I WATER I SEPTIC
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I WALLBOARD F I ~JL S ~~1
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT
01
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 avaiiable, card shall be placed near main entrance.
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS 447-4230
APR-1~-9~ FRI l~l~e DAYlq.C.POPE.DRAFTINC
-
612 762 0~40
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