HomeMy WebLinkAboutBuilding 99-0050
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DATE RECEIVED
.221999
CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
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
3. LEGAL DESCRIPTION
LOT -L.1-
ADDITION
BLOCK
W,-:,SI S-\OtS'""
4. OWNER
5. ARCHITECT
6. BUILDER
M~
(Name)
SAtr~
1-
Aoc tv. -
1. White
2. Pink
3. Yellow
File
City
Applicant
Permit No. ;1- 050
1. DATE
t-'Z.-z.~i..
BUILDING INFORMATION
11. SIZE OF STRUCTURE
(Height) (~idt~ '10." (Depth)
12. NO. OF STORIES
~2 S'D
PID ~02-/ZV()
13. TYPE OF CONSTRUCTION
o
(Address)
(Address)
7. TYPE OF WORK Fireplace Ll Septic Ll Deck Ll
New Construction 0 ~erations'~ Addition CJ, \. Finish Attic 0
Chimney 0 Misc. -L tJ t-e.tl Or-- ~I/,~j)oe
B. PROPERTY AREA OR ACRES 9. PROPERTY DIMENSIONS
Sq. Ft. Width Depth
14. FLOOR AREA APPORTIONMENT USE
(Tel. No.)
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS
SEATS
Re-roofing Ll Porch Ll
Re-siding 0 Finish Basement 0
10. CULVERT SIZE
Yes No
16. ~OJ T COS"T~~
-t' O~
17. COMPLETION DATE
I hereby certify that I have fumished 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 m ne ro ,rty d 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 ca vok is ermit for just cause. Furthermore, I hereby agree that the city official or a designee may enter upon the property to perform needed inspections.
X
SETBACKS: Required
Actual
Front
BUILDING DEPARTMENT VALUATION
USE kUILDING;
SJ{R-
t
TYPE OF CONSTRUCTION: I II III IV
Occupancy Group A B E F HIM
Division 1 2 6' 4
Permit Fee ................................... $
Plan Check Fee ............................. $
State Surcharge ............................. $
Penalty ....................................... $
Plumbing Permit Fee ..~q.:PQJ.~..... $
Mechanical Permit Fee ..................... $
Sewer & Water Permit ...................... $
License No.
Date
FOR ADMINISTRATIVE USE
!//Is tUY:4- Sfr-,~ =
/ k'::.Xc.-- tb
Itl . / t;.-' , (r.-- ~
~. //V;;o I-+.../),-I.'J
\::L; /~r /1,.; Trf '->
Back
Side
OFFS'
SPACE
SPACE
PERMIl
@S U
11,7..(,')
10:; .s1 lOt.
5.~O
C.. /)-;;f2-
r<...-)t..;,. "
4o.c:>Q
CLf) 0, At'
This
By
Certificate of Occupancy
Issued
MATERIAL FILED WITH APPLICATION
SOIL TESTS
o ENERGY DATA
o
PILING LOGS 0 PERCOLATION TESTS 0
PLANS & SPECS Ll
SETS
COPIES
SURVEY
PLOT PLAN
o
o
ought Forward .................. $
1rt Fee ........................... $
................................... $
Collective Street Fee ....................... $
Sewer Tap ................................... $
$
Pressure Reducer .......................... $
Meter Horn ................................... $
Water Meter ................................. $
Sewer & Water Connection Fee ........... $
Water Tower Fee ........................... $
Water Tap ................................... $
Builder's Deposit ............................ $
Other ......................................... $
Total Due .............................. $ 1l1'l. '1 ,
Paid J Il. 7 I Receipt No. ""3 l-f 36 S-
Date 1- ~?-'), By ~
This is rtify th t the raque t in the above application and accompanying documents is in accordance with the City Zoning Ordinance and may proceed as requested. This document when
sign by tenner c stitules a tem rary certifi'7J r;momPliance and allows construction to commence. Before occupancy. a Certificate of Occupancy must be issued.
Date Special Conditions ff any
24 hour notice for all inspections 447-9850
02/01/1999 08:07
512-440-1524
FINAL GRADE INC
PAGE 01
CITY OF PRIOR LAKE
PLUMBING PERMIT
ApplQnr: RcIl4 tJlId. e.~
Add.....: I ~ 2/!:I- ~ '" ALA.&!
Signature:
Legal Oeecrlption: Lot
Site Add.....: S.._.....
BUilding Permit' '1'i... 02j PID , "'S- - ,.()~ -/7 Y ~ a
NOTE: This permit will nor be proce..ed without complete Information.
FIXTURE UNITS
I. .... RIa
2. Ovid Ol)
3. Ye\Ww ~
# q,... Sl:J
t../ C{ '1- "''-/5 ~
Phone:
T" CA.... .r .... ....... e-ln
BlOck
Sub
Quantity Type of Fi~u'" Quantity T~pe of Fbnure
\ Bath Tub with or without ,hower Rough-In.
I Dishwasher r Wat.r Heater
Floor Drain l Water SOftner
l Lavatory (bathroom sink) \ Stand Pipe (washing machine)
\ laUndry Tray (1 or 2 companm8nt sink) Sewage Ejector
( Shower Stall Baddtow A8Ierri:l1y (RPZ, Dcdlle Chedc. PVB)
4 Sinks Baclcflow Assembly Test
Bar Sink lawn Sprinkler
~ Water Closet (toilet) Other
FEE SCHEDULE
Industrial, Commercial & Multi-Family
(1% of job cost, SS9.SO minimum)
Residential, New One & Two Family
X Residential; Additions & Alterations
State Surcharge
S&&.50
S3&.50
S
S
$
$
.50
GRANO TOTAL $
l/f-
D "'~ b.- }_
, ~ el ,...
This permit Is J1'8IItcd upon the express condition that said
contrlCtor, alWl comply in all reapcct. with the ordi~
of the SWe P1umbillf Code and the amcndmenlS Iher8of.
. ~BlPI'NO. 1.~1-" DAtE
{; J'4 ATTBST.
Call for all inspection. 24 hours in advance.
16200 Eagle Creek Av. S.E., Prior Lake. Minnescta 55372, I Ph. (612) 4474230 I FAX (612) 447-4245
An EqYal Opparturti.~j:I'JIJ)loyer
CITY OF PRIOR LAKE
PLUMBING PERMIT # cr1-065"O
Applicant: ~""K('().t~ V\uwbT\~ I J::h<., . Phone:~lO--120~
A~dress: \ ~ ~:te. Luu-t. ~ 6~Ceh;jO'( I (Y)~ 5S:~31
Signature: _~_~ .~
Legal Description: Lot Block
Site Address: I ~""\6 \,tLpsi Av€.
Building Permit # 7q - c:v~O PID #
NOTE: This permit will not be processed without complete information.
1. Blue
2. Gold
3. Yellow
File
City
Applicant
The Center of Ihe L.ke COUnl1")
Sub
FIXTURE UNITS
Quantity Type of Fixture Quantity Type of Fixture
, Bath Tub with or without shower Rough-ins
, Dishwasher Water Heater
Floor Drain Water Softner
3 Lavatory (bathroom sink) Stand Pipe (washing machine)
Laundry Tray (1 or 2 compartment sink) Sewage Ejector
I Shower Stall Backflow Assembly (RPZ, Double Check, PVB)
\ Sinks Backflow Assembly Test
Bar Sink Lawn Sprinkler
2 Water Closet (toilet) \ Other -:rce ma.~r \l~
FEE SCHEDULE
Industrial, Commercial & Multi-Family
(1 % of jOb cost, $39.50 minimum)
Residential, New One & Two Family
Residential, Additions & Alterations
State Surcharge
$99.50
$39.50
$
$
$ 39. '50
$ .50
GRAND TOTAL
$~
PAID WITH
BUILC!i\JG PERMIT
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 am d nts thereof.
RECEI .~ DATE
AITEST
Call for all inspections 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
White - Building
Canary - Engineering
Pink - Planning
Thl" ('rnler of Ihe L.ke Counlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
Accepted
,/
v
Accepted With Corrections
Denied
Q ~< 4tOAJ Date: I p )"/7,
~/\ /l.fl-ffL{)dd ~.. 01 c... ,cV< CJ ~~ S.....~; 1 1r s wVj-.
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."
White - Building
Canary - Engineering
Pink - Planning
Tht" (-enlt"r of Ihe Lakf Counlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
O J/ II.
NAME F APPLICANT .( (WI. II/\JY c. -j.. ~!
APPLICATION RECEIVED
I -:r).-- '( C (
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/ I '7 \ ~
f I.~ w_ )
f
I ' r \.
'j)'C' _, \
A \}-Q. .
Accepted
Accepted With Corrections
/..-//
Denied
,/ ,/....
/
i
,
.\
Reviewed By:! ,,>
\~ /"
.../
Date:
/
Comments:
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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."
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