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Home My WebLink AboutPermits 00-0730 & 01-0312 ~: f.Ui. f;~r::'ill~ '~EM;~~f~:i~~~~~: OF -\if _ ,.>> UTILITY CONNECTION PERMIT DIREcnONS t I SPACES NUMBERED 1 fHRU 17 MUST Bt: t-U..L~"'''. BEFORE PERMIT IS ISSUED (Please Print or Type and sign at bottom) 2. SITE ADDRESS ''1 \~ 3. LEGAL DESCRIPTION ..3 1. White 2. Pink 3. Yellow File C~;.': ~t o~ .f Permit No. 1. DATE <S/I'I./rm BUILDING INFORMATION 11. SIZE OF STRUCTURE... . (Height) (Width}~;- (Depth) ~Q Cl ~~ BLOCK;J PID ~ S -- 347- 0 J4-f.L PJ\.Q1)J."el.~l- -~ ~T'\Ot ~N ~ \ a 1\.'-__ 12. NO. OF STORIES LOT 13. TYPE OF CONSTRUCTION ADDITION 4. OWNER Ke\T" 5. ARCHITECT (Address) " , S b p~ t.~$ L....\ VH c ~'1.' LVl. (Address) (Name) LoLLIOb (Name) (Tel. No.) 4~O - "\ l~ "f (Tel. No.) 14. FLOOR AREA APPORTIONMENT USE (Name) (Address) (Tel. No.) y~ ~ - "'::.l fc '-f Lfl.(o - q2,.OC 6. BUILDER 15. NUMBER OF OCCUPANTS OR SEATS OCCUPANTS SEATS 16. PROJECT cOSTNALUE \4. w.. .. \JJ~ ~ k~l ~G \( €' , T'\~ 7. TYPE OF WORK New Construction (] Septic (] Addition (] Fireplace (] Alterations (] Deck (] Finish Attic (] Re-roofing (] Porch (] Re-siding (] Finish BasemeK Chimney (] Misc. 8. PROPERTY AREA OR ACRES Sq. Ft. 17. COMPLETION DATE 9. PROPERTY DIMENSIONS Width Depth 1 O. CULVERT SIZE Yes No I hereby certify that I have furnished infonnation 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 confonn to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the building P9icial can revoke this pennit for just cause. Furthennore, I hereby agree that the city official or a designee may enter upon the property to perfonn needed inspections. X ~-P... c:;JcrU' t ~-I'-I-OO ,,-,tunt License No. 0.. FOR ADMINISTRATIVE USE SETBACKS: Required Actual MATERIAL FILED WITH APPLICAnON SOIL TESTS (] ENERGY DATA (] PILING LOGS (] PERCOLATION TESTS (] PLANS & SPECS (] SETS Front Back Side Side BUILDING DEPARTMENT VALUATION OFF STREET PARKING SPACES REO. SPACES ON PLAN USE OF BUILDIN~ SURVEY PLOT PLAN (] COPIES (] ~'-XL , ~ PERMIT VALUATION TYPE OF CONSTRUCTION: I II III IV V Occupancy Group A B E F HIM R S U DMsion 1 2 3 4 Bh ~ Pennit Fee .............. .... ............. .... $ - (. c..~ Amount Brought Forward . ... . .. .. .. . .. .... $ Park Support Fee ........................... $ SAC ..... ..................... ........ ....... $ Collective Street Fee .. .. .. .. . .. .. .. .. .. .... $ Sewer Tap ................................... $ $ City: Plan Check Fee ............................. $ State Surcharge ............................. $ Penalty....................................... $ Plumbing Pennit Fee ....................... $ Mechanical Pennit Fee ..................... $ 21~O Pressure Reducer .......................... $ Meter Horn. .. .. .. .. . .. . .. . .. .. .. .. .. .. .. . .... $ Water Meter ................................. $ Sewer & Water Connection Fee ........... $ Water Tower Fee ............... ............ $ Water Tap ................................... $ Builder's Deposit ............................ $ Other ......................................... $ Pahj T~;ZSu.uuuu~~~u.$J;l:o.... · Date e -/ t. (J() --- This is to certify that the request in the above application and accompanying documents is in accordance with the City Zoning Ordinance and may pr requested. This document when signed by the City Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be issued. ~ t/. tJ . L!J l) Sewer & Water Pennit ...................... $ ~ · . .:.~~~:~~:..~~~lMlnl,,6pproved. B _ ~ Date 1:1 ' (....~d' Certificate of Occupancy Issued Date City Planner Special Conditions if any 24 hour notice for all inspections (952) 447-9850 Ll1 i OF PRIOR LAKE I:I.EATING/AIR COND010NlNGIFIREPLALE PERMIT 1. Pink File . ~ 2. Or-. City . (Please type or orint and sian at bottom) L ~ y' N IS ~ ' D A .. 0..... 30 3. Yellow Applicant ADDRESS / //5b PHbI9SFlA!1 '/'It;,MD()1Aj LAN6 Date R~td 4.., /3- I ZONING (office use) 14 LEGAL DESCR1.1:"llON (office use only) LOT 3 BLOCK 2 ADDI110N ~5RAlT n~w 2ND PID 25.3+1- CJ4---fL OWNER (Name) (Address) /<.6/'//1 I-O{'L-I/\/tfj (phone) APPLICANT (Name) J2::,IIH LoUIN6; (Phone) (Address) (Address) (City) (Zip Code) fontact Person) ,. PPLICANT SIGNATURE K ~ ~~ -..J APPLICANT PLEASE COMPLETE BELOW DNEW CONSTRUCTION D REPLACEMENT D AL l.tKA TIONS FURNACE MAKE AND MODEL FUEL FLUE SIZE RETURN OPENINGS INPUT OUTPUT TYPE OF SYSTEM HEATING OR POWER PLANT (Phone) ~TE '-/- I) - 0 I DWarm Air Plants o Gravity o Mechanical DAir Conditioning DVent. System (~REPLAC~AKE AND MODEL ....... - o Steam o Hot Water' o Radiation o Special Devices o Other Devices PLEASE NOTE: Air Conditioner Units Cannot Encroach into Required Side Yard Setbacks ?P ~/)JeI)JAJA11t6 Industrial, Commercial & Multi-Family FEE SCHEDULE 1 % of job cost Residential, Gas Fireplace $39.50 minimum $99.50 Residential, Additions & Alterations $64.50 Residential, AC Only $39.50 $39.50 $39.50 Residential, Heating & AlC (New Construction) Residential, Heating Only (New Construction) Estimated Cost $ Building Permit # HEATING PERMIT FEE STATE SURCHARGE TOTAL PERl\'u..l FEE $ ~. S V $ .50 $ 4{).rIV (Office Use Only) This Application Becomes Your Building Permit When Approved Building Official Date pai~. t/l) Dat:;?"O'(/ J . ReceiPt~q$~r B~ _ 24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245 ~ 00. 0130 Thr Crntrr of thr Lakr Country White - Building Canary - Engineering Pink - Planning BUilDING PERMIT APPUC,ATION DEPARTMENT CHeCKLIST NAME OF APPLICANT '-<\~I..h -0; ~ . APPLICATION RECEIVED ~ _ ~ I @OOO The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: If I~ ~ l- ,rY\LO..otuLu.; La;,,_ Accepted Accepted With Corrections x.. Denied /~ fL-fZ. Reviewed By: ~ ~/ Comments: _ ~~<~~ -R~~ Date: 8 --I G. - Zo~ ~~ liThe 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. II PRIOR LAKE DEPARTMENT OF . ' BUILDING AND INSPECTION INSPECTION RECORD SITE ADDRESS ~ ~~~.s..) ~ NATURE OF WORK "'Rt.~IM.~ ~~,OC::4 USE OF BUILDING ~ ~r"\ PERMIT NO. 00.0730 DATE ISSUED ~-{~-2doo CONTRACTOR Kei ~ r..,.:,,; ~C; ~otle ~. tiC/I). &f2tXJ NOTE: THIS IS NOT A PERMffJFOR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT INSPECTOR DATE ~ PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED ROUGH - INS FRAMING INSULATION ELECTRICAL PLUMBING HEATING (if required) - t/ .d" vJ(t. I~' ~/9/~/ ref, (~. ~~~) ~. lPUi/61 ~ - ~~ 3!?!CI COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED 3/ '1/41 _ 3/1//)1 3/1/0/ FINALS BUILDING ELECTRICAL PLUMBING HEATING DO NOT yvy;7 rvr yvp [,1- }... 3-0'1 , ~ 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 (612) 447-9850 DATE TIllE CITY OF PRIOR LAKE INSPECTION NOTICE SCHEDULED 4'~]<Jcf ADDRESS 111$& PA1".~~,J-. ~f:t~ OWNER CONTR. PHONE NO. PERMIT NO. 00-739 o FoonNG o PLUMBING Rl o EXlGRADlFILUNG o FOUNDATION [J MECH RI o COMPLAINT o FRAMING o WATER HOOKUP o FIREPLACE RI o INSULATION [J SEWER HOOKUP o FIREPLACE FINAL o FINAL [J PLUMBING FINAL o GASUNE AIR TST o SITE INSPECTION [J MECH FINAL [J COMMENTS: -:::::. ,~ F;~ ) / ~ ----- ..--- ~ / / - l / / (DC \~ " ----- , WORKSATISFAtTORY. PROCEED o CORRECT ACTION AND PROCEED o CORRECT ~ ~R REINSPECTION BEFORE COVERING Inspector: -/I-II.f~ OwnerlContr: ~ALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE., CODE REQUIREMENTS AIlE FO:R YOUR PERSONAL HEALTH & SAFETY! IJII8lfOTJ ~~------