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~ITY OF PRIOR LAKE
i BUILDING PERMIT,
RTIFICATE OF ZONING COMPLIANCE
ILlTY CONNECTION PERMIT
1. While
2. Pink
3. Yellow
File
City
Applicant
100 I 9_
TEMPORAR
94. 4tJ f(
Permit No.
DIRECTIONS
SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN
BEFORE PERMIT IS ISSUED (Please Print or Type and sign at bottom)
2. SIT D ESS
/
12. NO. OF STORIES
3. LEGAL DESCRIZJN
LOT . BLOCK
~lAADONPt
13. TYPE OF CONSTRUCTION
W~
14. FLOOR AREA APPORTIONMENT USE
&tJ .. QU2... .
ADDITION
(Address)
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS ~
SEATS ----
16.5Vl"1 T DVALUE
~ . t)CJO I, CX2
17. COMPL TION DATE
(Tel. No.)
Reroofing 0 Porch 0
Finish Basement 0
10. CULVERT SIZE
Yes No
's 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 will conform to all existing state and local laws and will proceed in accordance with submitted plans. I m aware that the
e. urth rmore, I hereby agree that the city official or a designee may enter upon the property to perform ne ed i ections.
~'/
x
Ucense No.
FOR ADMINISTRATIVE USE
MATERIAL FILED WITH APPLICATION
SOIL TESTS 0 ENERGY DATA -?--
SETBACKS: Required
Actual
Side
Side
Back
Front
PILING LOGS 0 PERCOLATION TESTS 0
PLANS & SPECS f- SETS
SURVEY -jr- COPIES
PLOT PLAN 0
PROPOSED GRADE FOUNDATION
IN RELATION TO CURB OR CROWN
OF STREET
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
-z-
'76
- .J
bC-~~
PERMIT VALUATION
7,~ b IS
Amount Brought Forward .............. .... $
Park Support Fee ........................... $
SAC ......................................... $
Collective Street Fee ....................... $
Sewer Tap ................................... $
License Check Fee ......................... $
Pressure Reducer .......................... $
Meter Horn ................................... $
Water Meter ................................. $
o Sewer & Water Connection Fee ........... $
o WaterTowerFee ........................... $
Water Tap ................................... $
Builder's Deposit ............................ $
Other ......................................... $
Total Due ....:.;.0.......................... $
Paid t./ 4S. I~ Recei t No.
Date glJI
TYPE OF CONSTRUCTION: I II III IV
Occupancy Group A BEl H@)1
Division 1 ~
City:
de] /_
/'%0.
I':::'
Cla
IS:
Permit Fee................................... $
Plan Checking Fee ......................... $
State Surcharge ............................. $
Penalty ....................................... $
Septic System............................... $
Other ......................................... $
c.w.~
Check if
Deferred
l;C1 s:...l -;:
Subtotal............................... $
our Building Permit w~pproved. \ G
Date S=I-~
B
I~
Certificate of Occupancy
Issued
QLj-ljo9
24 Hour notice for all inspections 447-4230 9:00 a.m. . 10:00 a.m.
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Cw... ph.ot\t-
1. Blue
2. Gold
3. Yellow
File
City
Applicant
# qS--/~7
IjQ7c"'397R
C:.lU
Applicant:
Address:
Signature:
Legal Des Iption: Lot
Site Addr ss:
Building Permit # PID #02). () qr; . !J 0 V-l>
NOTE: This permit will not be processed without complete information.
Sub'
FIXTURE UNITS
Unit
Quantity Type of Fixture Amount Total
I Bath Tub with or without shower $ 6.00 C.L)'~
Dishwasher $ 6.00
'4 Floor Drain $ 6.00 ;).4 \ ~~
I . (,., , \. "':, c::,
Lavatory (bathroom sink) $ 6.00
Laundry Tray (1 or 2 compartment sink) $ 6.00
Shower Stall $ 6.00
~ Sinks: $ 6.00
\.J Bar Sink $ 6.00 (~ c :::::, c:::,
'/ Water Closet (toilet) $ 6.00 /' , c---. ("0....
Rough-ins $ 6.00
j Water Heater $ 6.00 ~. , <...--::,~
Water Softner $ 6.00
I Stand Pipe (washing machine) $ 6.00 ~ o~
Sewage Ejector $ 6.00
I Backflow Assembly (RPZ, Double Check, PVB) $25.00 "'" ,-
J'::::::' ; (J ~"'"
Backflow Assembly Test $10.00
Lawn Sprinkler $25.00
Other $ 6.00
Minimum Fee $25.00 g.s;;,., ()~~
SURCHARGE
.50
GRAND TOTAL $ 7.:::=, ~~
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 amendmJnts thereof.
~ gl/4 PTNO. 9/r1Jdjj DATE
.
ATIEST
Call or a 'nspections 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
July 22, 1994
Timothy Collins
16614 Inguadona Beach Circle
Prior Lake, MN 55372
Dear Mr. Collins,
The following variances from Zoning Ordinance 83-6 were approved by the Prior Lake Planning
Commission on July 21, 1994, subject to gutters or an appropriate roof line installed to mitigate
the amount of drainage along the north and south sides of the proposed home.
1. An 11.1' lakeshore variance from the 75' lakeshore setback requirement.
2. 7.4' north side yard variance from the 10' side yard setback requirement.
3. A 7' south side yard variance from the 10' side yard setback requirement.
4. A 9.2' east front yard variance from the 25' front yard setback requirement.
5. A 4.4% impervious surface variance from the 30% maximum impervious surface
requirement.
6. A 670 square foot minimum lot area variance from the 7,500 square foot lot area
requirement.
This variance will expire on July 21, 1995. If you have any questions, please feel free to contact
me at 447-4230.
Sincerely,
Jlnw ~ .'11'41 eM)
Gina M. Mitchell
enc.
cc. File
4629 Dakota St. S,E., Prior Lake, Minnesota 55372-1714 / Ph. (612) 447-4230 / Fax (612) 447-4245
AN EQUAL OPPORTUNIlY EMPLOYER
White - Building
Canary - Engineering
Pink - Planning
Thr CC'nCrr of the Lake Country
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
Ii - /I .
NAME OF APPLICANT i/...-J (A)-tll"^ .0)
APPLICATION RECEIVED tJ,n-/9 </ - o/,~~'Y.di../ --c.lw, -,.,. r
J
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/b/'N,Qrj4~A./ LL (lu,;1u
Accepted r-f Accepted With Corrections
Denied ~
Reviewed By: _ Date: 7- ~~ -c:; L~
Comments: .!L, r;;:~ C='~~J2- ~~. ~ ~u~lZ. 12r~
;). S,.~L~~\-t~ T~~,>-~ ~ ~~~ +~<-,~
~\ E(2b~\'<:~ ~~.~( 2-~~,<~ --~f- --S~
SU?--U~'--D,~~\~ .~ ~',-,--S;:~--h'o.-...J
~,
5:,
l-I/JLd
f:-y" ~~
~
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~ G;:: u,;::K";~ .d.d
"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."
, .
The Center of the L.ke Country
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
..f' /) 1,1} ,
NAME OF APPLICANT \_ L"L/Yl'l ~ (A)-{~ ~ A:L.,J
APPLICATION RECEIVED r?' - I 9'- <? L/
,
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at: ,
J;;,t, /(( ~ r a c-f(/Y7.<<J ~ A (~
Accepted
Accepted With Corrections
Denied
Reviewed By:
Date:
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."
,. -
Tho Con tor of tho Lako Country
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
,../, r. .
I' /' J .
NAME OF APPLICANT 'i ".J ;rilt. ,J
APPLICATION RECEIVED p/)!/tl'/~ c/, .,~~J,,! '''r
~
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
I /', j. ;) Ii 'j'
Jk/~/~:~rUlJ. IL/ JJ;tJ.{b (1.'1 ( /L/
v
Accepted
v
Accepted With Corrections
Date:
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."
PRIOR LAKE
INSPECTION RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS /t~:5J1:l~ JAJ, t..~L
NATURE OF WORK .
USE OF BUILDING
PERMIT NO. tN-e.'! ~ DATE ISSUED Ybl/?iI
CONTRACTOR , tL /' t-td.~ J
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
FOOTING
FOUNDATION (Prior to Backfill) ~ -. rf - - I '9
PLACE NO CONCRETE UNT~L ABOVE HAS BEEN SIGNED
ROUGH - INS
DATE
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 !1,G bln/n
F I NiA S
GRADING (Prior to Sodding) .
BUILDING
ELECTRICAL
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