HomeMy WebLinkAboutBuilding Permit 94-0572
~L HEAL TH ANO;ETY!
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CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT . all A. .~h0 /
Permit No. . ~ 1. u' v c..--'
DIRECTIONS 1. DATE
SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN
BEFORE PERMIT IS ISSUED (Please Print or Type and sign at bottom) I ~ - /5 Cj'i
2. SITE ADDRESS \
'1900 \:/ ~on0
3. LEGAL DESCRIPTIO
LOT 0 /6D f, PID ,lS-()6i -tJt)S-{)
ADDITION
4. OWNER t \\ t~~il r\
5. ARCHITECT (Name)
o u;rJ~../'
6. BUILDER (Name)
\l.D~T C.:1 l\()~
7. TYPE OF WORK Fireplace 0
New Construction 0 Alterations 0
Chimney 0 Misc.
8. PROPERTY AREA OR ACRES
Sq. Ft.
I. While
2. Pink
3. Yellow
File
City
Applicant
BUILDING INFORMATION
11. SIZE OF STRUCTURE
(Height) (\Vidlh
12. NO. OF STORIES
:L
(OJ;!) H
13. TYPE OF C9tJSTRUCTI~~
Wc.:OC:\ +rt\rY'...-C;;"""
14. FLOOR AREA APPORTIONMENT USE.
". fI .,/Tel. No.)
~ I \t-V--/.J I., ( ,
'~t e ~' pc:
(Tel. No.)
!f4 )-<6 W/}
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS A I A
SEATS IV . .
16. ESTI~TED VALUE
2/j (J(')0
17. COMP ETION DATE
f=C;T. r~lo I Sf {'1 '\5
FOR ADMINISTRATIVE USE
(Address)
\fll~I~/ Y<yOo Crec):::1
(Address)
(Address)
'lAC I'Q,! fY'.tJ
Septic 0 Heating 0 Plumbing 0
Addition)q Finish Attic 0 Residing 0
(Tel. No.)
lDl '''I5l.t-.:l3ioS-
Reroofing 0 Porch 0
Finish Basement 0
9. PROPERTY DIMENSIONS
Width Depth
10. CULVERT SIZE
Yes~
Front
Back
Side
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 property 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
building offici n r voke this per' st cause. Furthermore. I hereby agree that the city official or a designee may enter upon the property to perform needed inspections.
X /2. -YJ:: -qv
Ucense No. Date
SETBACKS: Required
Actual
PROPOSED GRADE FOUNDATION
IN RELATION TO CURB OR CROWN
OF STREET
USE OF BUILDING
OFF STREET PARKING
Side
MATERIAL FILED WITH APPLICATION
SOIL TESTS 0 ENERGY DATA 0
SPACES REO.
SPACES ON PLAN
PERMIT VALUATION ::2.'8 I "3 04 ~ Y
PILING LOGS 0
PLANS & SPECS 0
SURVEY 0
PLOT PLAN 0
Occupancy Group A BEl r(ii>M
Division 1 ~4
City:
Plan Checking Fee ......................... $
State Surcharge............................. $
Penalty ....................................... $
;),78.00
I 8 D.IO
l '-L IS
Permit Fee ................................... $
Septic System............................... $
Other ......................................... $
~ry~.e5
Check if
Deferred
Subtotal............................... $
Issued
Amount Brought Forward .................. $
Park Support Fee ........................... $
SAC ......................................... $
Collective Street Fee ....................... $
SewerTap ................................... $
License Check Fee ......................... $
Pressure Reducer .......................... $
Meter Hom ................................... $
Water Meter ................................. $
o Sewer & Water Connection Fee ........... $
o WaterTowerFee ........................... $
Water Tap ................................... $
Builder's Deposit ............................ $
Other ......................................... $
Total Due .............................. $
.l-
Paid ..J
PERCOLATION TESTS 0
SETS
COPIES
Date
e application and accompanying documents is in accordance w~h the City Zoning Ordinance and may proceed as uested. This document when
temporary cert/~~ ~~'17-nce and allows construction to commence. Before occupancy, a Certificate Occupancy must be issued.
Date Special Conditions ~ any
24 Hour notice for all inspections 447-42309:00 a.m. '10:00 a.m.
qL/~SlL
PRIOR LAKE
INSPECTION RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS "'aO~rlJo.>=I,rJ0
NATURE OF WORK O/;~
USE OF BUILDING
PERMIT NO. DATE ISSUED 12/2fl/~tf
CONTRACTOR
NOTE: THIS IS NOT A PERM FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY S PARATE DOCUMENT
INSPECTOR
DATE
I FOOTING I
I FOUNDATION (Prior to Backfill) I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
SEWER I WATER I SEPTIC
FRAMING
INSULATION /1 ,j )17/~j
.'1 n/
ELECTRICAL ,J d
PLUMBING
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I WALLBOARD ~L ~/2/;s
FINALS
GRADING (Prior to Sodding)
BUILDING rC/~ / - ZI:. '-9f1
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
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1. Blue
2. Gold
3. Yellow
File
City
Applicant
CITY OF PRIOR LAKE
PLUMBING PERMIT # ~ ,r; ,.. 2 J
Applicant: f",LrGta [/........;0 Phone: 43:;'-(';1 viCY-
Address: N ~ I!! S-;-. Cr'. ~ <Pt. 1..6 1/ fJ 1 (f: t f'/'r~ $'5 il{. 9
Signature: _ ~-
Legal Description: Lot E I (7\) 'b f- 2.t 3 Block I Sub: () f'-".), .Il,J T ().... -1. J; Ie
Site Address: q. tJl~ CAGE: J) :r:r f;L' V f' -? i2;f)
Building Permit # ql/_ S 7:J... PID # 2. ~- - 00 I - 00 j -0
NOTE: This permit will not be processed without complete information.
FIXTURE UNITS
Unit
Quantity Type of Fixture Amount Total
J Bath Tub with or without shower $ 6.00 b'~~
Dishwasher $ 6.00
Floor Drain $ 6.00
I Lavatory (bathroom sink) $ 6.00 t:.l7V
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 C lJ'h
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 LS,OO
SURCHARGE
.50
~S.SD
GRAND TOTAL $
This permit is granted upon the express condition that said
contractor, shaIl comply in all respects with the ordinances
of the State Plumbing Code and the amendments thereof.
]:5.I~PTN~. .'l/lr1'1DATE
~ '" ~ ' . I ,l.,.A-' A TIEST
~ Ca I for all inspections 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
CITY OF PRIOR LAKE
PLUMBING PERMIT
l. Blue
2. Gold
3. Yellow
File
City
Applicant
#
yl./ -0/ f S-
Applicant: OIB t:f.lG ~ L(/Yt~ I,AJU. ;:>> 36q I Pt'1 Phone: 43'1-'- 9 D-7CJ
A~dress: ~.~)!; _ I~'ojsr Sf. (', ,1P(JL<;; v.fLte-YtVltJ ,)-YU..Lj
SIgnature: r'.J-e",,- J. r:'Z.-t.<v--
L~gal Description: Lot , Block Sub: 0 loa I i~ al'I>J
Site Address: J.l? b () fit "- j'..tJ~.~e.../~ ~ .
BuildingPermit# ~tf-s 7L PID# Jr-()oJ-oI)S-D
NOTE: This permit will not be processed without complete information.
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
I 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
I 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 $25.00
SURCHARGE
.50
GRANDTOTAL$ ~S.51;
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.
'5 J... RECEIPT NO. /<~}.d /fl./ DATE
ATIEST
all for all inspect' n 24 hours in advance.
4629 Dakota St. S.E., Prior Lake, Minnesota 55372 / Ph. (612) 447-4230 / FAX (612) 447-4245
AN EQUAL OPPORTUNITY EMPWYER
White - Building
Canary - Engineering
Pink - Planning
Tho Cont.. of tho Loko Country
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT Q~~~<:J\V\e \ ,~\el
APPLICATION RECEIVED J -:lO - CZ '-f
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
~900 Q.,e,L\- ~~IJ~r~c>Ct~
Accepted
Accepted With Corrections X
Denied
Reviewed By: ~5t:::-.
Comments:
I, 13QJ\CCV\A~ tASe. l€f5oltJ to IM-Q.Q.\- ~ -'<-,:{~S~ WiV\&W ""~Ll('~~
'2. __ <8~.~.Q)'aS~ U~r.J;() -J.-. 2:Jec.L..,ccl. ~l/.A'\S ~\~ \~'" ~C:J....
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I~Di-€.l-~ \l\AO \oe.. V\.ec..€~5C.O
Date: /2 -'28-14
"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."
White - Building
Canary - Engineering
Pink - Planning
The Center of the Lake Country
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
/1/ o'f .
NAME OF APPLICANT \.....1','1 J . 1 , C ~
APPLICATION RECEIVED I {21J!?L)
/
1 I
__ /1 a/ln./
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
,. t1 0 ~'! ,1
j I (J 110 I' / Of. I
'1 I ,.' '- '{t (II L ..-> I,.,' L/ .:'CLlt_.
Accepted
v/
Accepted With Corrections
Denied
Reviewed By: V ~A1
Comments: iJlrhU
Date:
t2/rl-IJ/t~
"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."
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White - Building
Canary - Engineering
Pink - Planning
Thf Cfnf.. or Ihf Lab Country
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED ,j) //L/
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
'-i ./ i .:
<
!., ,-i
Accepted
Denied
/
Accepted With Corrections
~
Date: --12 - d}- CJV'
Reviewed By:
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."
._____._~._,~.__._____.___~___M.'._.__._..__~. ._____.."._.__..__.._,____.____.,...___~.__.__.__.__~.____.----.-.'.-.-------------,,--.-...---.--,.,------.-----~----..-