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Home My WebLink AboutBuilding Permit 94-0374 CODE REOUIREMENTS ARE FOR YOUR PERSONAL HEAL TH AND SAFETY! I 5' ~ n 000000 8 000 0000 ooot 0 ~ Z n (I) ~ z~8Oo~ "TIO"TI -"TI"TI m ~ g fI) =t ~ :J I: -mO- z~8 ~ g I CD en 000 ~~c~ en rn z ." < ... 'lJ~J:lJ:lJ:lJ:l I: ." rn :D rn 0 - - m ]lJ:lJ:l~ rn 'lJOZrr ~-4 % 2J rn ~ 0 0 oommm C -- (I) ." ... 0 gi!lQ~~~ z J:lr> ~-4 z 0 fI) I :J ooot ~-4.-e;> 'V ~ . (5 ~ z ~ z~c~~~ Z m 0 J:l~Z J:l> Z ~ ~;ll:;ll:~ ~ :IJ ~~j;l~~~ ~ moOrO-< ~ C' or'lJ" m , 0 Z "TI J:l 'lJ 00000000 ~~~~g~ 'lJenenen~~3:;3! Emm~~>me rzOJ:l!;lm ~~~ .....ni: -4enz!!!om CD(')(')J:lJ:l~?;!!! O'lJ=:z 0 z~-8en::rzz >m_~ e;> Z -e;> J:l~~m "TI~~ m~~:!! ~o-o - >;ll: r ZJ:lz::! ~, rcCc' e;>' 0 r r'lJ~'lJ:!! i ~ 0 m Z > > CD 0 ::r r 8 m Z 'lJ m In "TI r 0 Ii' m ::r0 ~ c ~ 0J:l In z em 0 00000000 0 0 ~8 'lJ ~:!!fR~8>~~ '< S o~~en~;ll:om i -m ZJ:l ::r'lJ-r'lJm~Z n en- 0 0 'lJZ >>oz>5' en 0 me;> ~ Zo"TIm- G5'lJ ~ ~ - - Z m Z ;ll: om~>-4J:l~o -I m I 0 m ~ r$ ~c::! ;D J:l Z " :!! ;il !!lz~ I ~ ~ >~ ~ r= r zr J:l oC ..... !!l enZ f e;> c m .. J:l 0 11 ~ J"e OF PRIOR LAKE D LS @ ~ o 'WI [g ILDING PERMIT. TEMPORARY C.. ,'FICATE OF ZONiNG COMPLIANCE JL 2 9.. u' t~ TV CONNECTION PERMIT .!iJ ~ ~ 1 u) Permit No. - !. While 2, Pink 3. Yellow File City Applicant DIRECTIONS SPACES NUMBERED 1 TH BEFORE PERMIT IS ISSUED (Please Print or Type and sign at bottom) 2, SITE ADDRESS >k:- Lit; {; C nil ~ w "'-I~I e/rc-J e AI. E . 3, LEGAL DESCRIPTION LOT '6./1 (JIJ 'i, /-..5 BLOCK ADDITION !l1~~4 (Name) H R< {.() W.s. <b 1, DATE .5 -~, -.:ry BUILDING INFORMATION 11, SIZE OF STRUCTURE (Height) (Width) (Depth) 12, NO, OF STORIES PID.L.~ -()3 2 - tJ tJ I -I) 13, TYPE OF CONSTRUCTION (Name) (Address) (Tel. No,) '!Y() - II{/. 4'9 (Tel. No.) 14, FLOOR AREA APPORTIONMENT USE (Address) It 116 6r11t I ~JI,vH-c/ -1 6, BUILDER (Name) (Address) (Tel, NO,), J /' H4e,~~~ ~CA-bf ~/Y#o ~ ttr41 ...,I{7-3tJ/::? 7, TYPE OF WORK Fireplace 0 Septic 0 Heating 0 Plumbing 0 Reroofing 0 Porch 0 New Construction 0 Alterations 0 Additio<< Finish Attic 0 Residing 0 Finish Basement 0 Chimney 0 Misc, ej rAP; .e.- 8, PROPERTY AREA OR ACRES 9. PROPERTY DIMENSIONS 10, 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 mentioned properly and that all constru ' conform to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the building official ca1"evo.k. e th' permit 10. r J.ust e, Furth re, I hereby agr~e that the city official or a designee may enter upon the properly to perform needed' spections, X r L; _ ,(/ -tIP! l,t 'f..... 7 "'LC Ucens~ No. Date 15. NUMBER OF OCCUPANTS OR SEATS OCCUPANTS SEATS 16, ESTIMATED VALUE 2..0 ~ t7tPc? - 17, COMPLETION DATE FOR ADMINISTRATIVE USE Front Back Side MATERIAL FILED WITH APPLICATION Side SOIL TESTS 0 ENERGY DATA 0 PILING LOGS 0 PERCOLATION TESTS 0 PLANS & SPECS 0 SETS SURVEY 0 COPIES PLOT PLAN 0 SETBACKS: Required Actual PROPOSED GRADE FOUNDATION IN RELATION TO CURB OR CROWN OF STREET USE OF BUILDING OFF STREET PARKING SPACES REO, SPACES ON PLAN TYPE OF CONSTRUCTION: I II III IV V City: Amount Brought Forward ............,..,.. $ "3 Cd n .~() Park Support Fee .....,......,.............. $ SAC ",.."""..,.""."",...""".""" $ Collective Street Fee ."",.",.""",."" $ Sewer Tap ,............,........,....,..,.... $ License Check Fee ..........,........,...., $ Pressure Reducer ..,..............,........ $ Meter Horn ..................,..,......,...... $ Water Meter ..,..........,..,......,........, $ o Sewer & Water Connection Fee "".""" $ o Water Tower Fee .........................., $ Occupancy Group A BEl H R M Division 1 2 3 4 Permit Fee ....,......,............,....,..... $ ~ IlD . r)("J Plan Checking Fee ..,......,............... $_l t..l 0 . '10 State Surcharge ..............,........,..... $ lO . 00 Penalty ..,..........,................,........ $ Septic System ,....,..........,.............. $ Other ,....,....,............,....,......,...., $ Subtotal........................,...... $ 3<c{o. 40 Check if Deferred By omes Your Building Permit When APProVedy Date 8 -{c-- f Water Tap ........................,......,.., $ Builder's Deposit ............................ $ Other ..,........,....,..,......,........,...., $ Total Due ............,........,........ $ Paid . " {. ,) Recei t No, , /1 J 'A- e application and accompanying documents is in accordance wtth the City Zoning Ordinance and may proceed as uested, This document when mp' nce and allows construction to commence, Before occupancy, a Certificate 0 Occupancy must be issued, Certificate 01 Occupancy Issued Speeial Conditions ~ any 24 Hour notice for all inspections 447-42309:00 a,m, '10:00 a,m. q 1) -.] 7 f: GREEN - FILE YELLOW - APPLICANT GOLD - en., CITY OF PRIOR LAKE NO. 'Ii/_IlL SEWER AND WATER PERMIT NOTE: Sewer and Water contractors must be registered with the City. APPLICANT: ;;:}g/ct f.A/(C: J;;JjN/J18r~r~ PHONE: L/t/7-/3th ADDRESS: 457& E Jrltfr..!-151. DATE: 9-(;-7- 9~ SIGNATURE: ~ f}flLtmA<<"u BLDG. PERMIT # '1'1 -OJ 1'/ SITE ADDRESS: 4/1& &t!(:J/ll./t~/(I(1/7 ~;I', #~PID#}.5 -03.<- tJl)/- tJ FILL IN THE BLANKS 1. Estimated length of water service I'~ feet. 2. Size of water service I inch(es). 3. Location of any couplings from structure It) itt-J.J" ifeet. 4. Type of sewer pipe. ABS PVC Cast Iron 5. Estimated length of sewer line feet. 6. Clean out (if required), located at structure. feet from ------------------------------------------------------------------ ------------------------------------------------------------------ This application becomes your permit when approved. BY .J(irdi..1'iV t" fL" DATE: q 117 /;'1.. /' .. I ====== -==========------------------------------------------------ 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 tfa1!rV RECEIPT # J.lf 7'll) AMOUNT PAID j}j.J7} REC'O BY (1 Ai./ { 4629 Dakota 51. 5.E., Prior Lake, Minnesota 55372 / Ph, (612) 447-4230 / Fax (612) 447-4245 AN EQUAL OPPORTUNITY EMPLDYER !. Blue 2, Gold 3, Yellow File City Applicant CITY OF PRIOR LAKE PLUMBING PERMIT .~ T. - Applicant: {I,., s~. K't, <.: c::' Address: di/;,,>?->. Il~ I: ~"~ Signature: I ~ -vL,. -9. ~2 Legal Description: Lot ' Block Sub: Site Address: -j/'/t?t:.. C~lf'cu,{.' ;..'c,. d t? i Ie c.L-e.. Building Permit # {'-I-- OS 1 f PID #1..J- 0 32. - 0 I) 1- () NOTE: This permit will not be processed without complete information. Phone: ,4",/e- # qtj -;.s9 ~~ / - ;';-J.!? / FIXTURE UNITS Unit Quantity Type of Fixture Amount Total I Bath Tub with or without shower $ 6,00 Dishwasher $ 6.00 Floor Drain $ 6.00 Lavatory (bathroom sink) $ 6.00 Laundry Tray (1 or 2 compartment sink) $ 6.00 / Shower Stall $ 6.00 Sinks: $ 6.00 Bar Sink $ 6.00 / Water Closet (toilet) $ 6.00 Rough-ins $ 6.00 Water Heater $ 6.00 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 $ J S .5CJ This pennit 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, RECEIPT NO. 1/11/9 V DATE '.1. I ATIEST Call for all inspe i ns 24 hours in advance, 4629 Dakota SI. 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 'AMi- ~nj;.,'L>JU APPLICATION RECEIVED S/2.~ If 'i The city of Prior Lake BUILDING Department has reviewed the building Rjrmit applicatio~ for construction activity located at '-//f~ -2J/vflJ~.J.I~ ~L/ Accepted ~Q~nied Accepted Reviewed by: tJ ,~ - :J with Corrections ~ Date~-I6 ~ 7' Comments: l. ~ c.J.1. Vll)\~ a-,"~" ~c..-.. ~v~~ (""\~~ "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 -lril- 1f~ APPLICATION RECEIVED ,J;-!21JJ /9 tf The City of Prior Lake ENGINEERING Department has reviewed the building permit application for construction activity located at if/ r; 0 ~~J01J"1J~ (~h Accepted "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.1I BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT -/Jo;t ~ ./;;,,~,.kJ APPLICATION RECEIVED S-/z.t /1{ If The City of Prior Lake PLANNING Department has reviewed the building permit ,application for construction activity located at '-/-1 f bJJ/ljLL'1~J Cuu.~/ /~nied by: W- Accepted Accepted with Corrections Reviewed Date h~a& ,0/ Comments: "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."