HomeMy WebLinkAboutBuilding Permit 90-0076
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CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT Permit No. C; ('"')
1. White - City
2 . Yellow - Assessor
3. Pink - Applicant
7C.
LOT BLOCK
AD~ITION --B ~ c.J 0 IIv ~
PID
33 -1110;;)7-0
() BUILDING INFORMATION
11. SIZE OF STRUCTURE
(Height) (Width) (Depth)
12. NO. OF STORIES
Z
lYLo ,.. 0 IL.
.
5.
h.
(Address)
(Tel. No.) _
~~3-S(O j
(Tel. No.)
4 7-~12"'L
(Tel. No.)
13. TYPE OF CONSTRUCTION
U:bOt:?
14. FLOOR AREA APPORTIONMENT
USE
4.
New Construction~
Finish Basement 0
Heating 0 Plumbing 0
Addition 0 Finish Attic 0
Reroofing 0
Residing 0
Porch 0 GarageD ChimneyO Misc.
9. PROPERTY DIMENSIONS 10. CULVERT SIZE
Width Depth Yes No
x
tJ
FOR ADMINISTRATIVE USE
SETBACKS: Required
Actual
Front
Back
Side
MATERIAL FILED WITH APPLICATION
SOIL TESTS 0 ENERGY DATA r8
Side
PROPOSED GRADE FOUNDATION
IN RELATION TO CURB OR CROWN
OF STREET (" r.
USE OF BUILDING. \;'n.oJrE d-~,'~
--~
,.
PILING LOGS
o
PERCOLATION
TEST
SETS
o
Date 4'~, (/(-<9 (~
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN SURVEY ~ COPIES ~
PERMIT VALUATION c. /1; C) II ~ OC} PLOT PLAN 0
Amount Brought Forward............. $/0?9, <;,2-
Park Ded . . . . . . . . . . . . . . . . . . . . . . . . . . . .. $ ;? ~ 0. T)'~
Sac.. ... . .. ... . ... .. . .. . ... ... ... .. .. $ (c~ ("',,"',. ')':"
Plumbing ... . . . . . . . . . . . . . . . . . . . . . . . .. $
Sewer Tap. . . . . . . . . . . . . . . . . . . . . . . . . .. $
Sewer Hook-up. . . . . . . . . . . . . . . . . . . . . .. $
Water Hook-up. . . . . . . . . . . . . . . . . . . . . .. $
Meter Horn. . . . . . . . . . . . . . . . . . . . . . . . . .. $
Water Meter. . . . . . . . . . . . . . . . . . . . . . . . .. $ ?,) - <"> ~
Check if ~Sewer & Water Connection Fee. . . . . .. $
Deferred
9+Water Tower Fee. . . . . . . . . . . . . . . . . . . .. $
Water Tap. . . . . . . . . . . . . . . . . . . . . . . . . . . . $
City Fee. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $
Other. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. $
Total Due...................... $1c:;c.c/~ '32
Receipt /5;2 R'1
PLANS & SPECS
15---
TYPE OF CONSTRUCTION; I II III IV V..J
Occupancy Group A BEl H(fbv1
Division 1 :(:>>4 G -? --
Permit Fee........................... $ .;>-~(~~.:'>o, ~
. -4c C 'Cd-
Plan Checking Fee. . . . . . . . . . . . . . . . . . .. $ \ I" - ,
::iC
State Surcharge. . . . . . . . . . . . . . . . . . . . .. $ /, G <:':c,
Penalty . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. $
Septic System........................ $
Other. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. $
Subtotal. . . . . . . . . . . . . . . . . . . . . . . $ / D ?'? . -~ 2_
City:
comes Your Building Permit When
Paid
Date
uest In the above application and accompanying documents Is In accordance with the City Zoning Ordinance and may proceed
Ity Planner constltues a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a
1./--/7 - D Y-L A-((/'S 1~J. ~~ ~y~-t-
Date
Special Conditions If any
24 Hour notice for all Inspections
447-4230 9:00 a,m, . 10:00 a.m,
CITY OF PRIOR LAKE
SEWER AND WATER PERMIT
NO.
90-/-3
NOTE: Sewer and Water
contractors must
be registered
with the city.
APPLICANT: Dc Ill~
ADDRESS: ~~,~ /YO..P"' .5+cJAJ'"C-
SIGNATURE:~ ~
PHONE: )'7"1'- Z?? i
DATE: ;:;0~t?
BLDG. PERMIT # :& -.7?
----
SITE ADDRESS: ./ f/ ft~ ~ A A TF'~ selJt?;F ~ L, PID# ? 5-//"- t:?2 7 -0
FILL IN THE BLANKS
1. Estimated length of water service
r.F feet.
2. Size-of water service ~;i inch(es).
3.
4 .
5.
Location of any couplings from structure ~
Type of sewer pipe. ABS PVC~ Cast Iron
7cJ
feet.
Estimated length of sewer line
6.
Clean out
structure.
(if
required) ,
located
at
feet.
.Ii 1/G feet
from
This ~Pli, c,a,"J,thion. ~ be _come,~ your permit when approved.
BY ~}tA1 /~ , ( C( ~ ) DATE: 1- :<l/~ 90
----------------------------------------------------------------
----------------------------------------------------------------
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 ~!dt/ /C;u
RECEIPT # /5';;; crtt::)
AMOUNT PAID ~5. S 0
REC'O BY ~,)
.
~
4629 Dakota St. S.E., Prior Lake, Minnesota 55372 / Ph. (612) 447-4230 / Fax (612) 447-4245
v
CITY OF PRIOR LAKE
PLUMBING PERMIT
No. 7 0 ~ 6 ()
Applicant:
Address:
Signature:
DC #le cl) #A:// C /? L...
~-2 r~/~j~
%'?~ 4d-1~
Phone:
,~?/'?';Y-e...
)
J?'79-Z.??T
Legal description of premises to be plumbed: Lot Block
Sub: ::33 -1/P-Dd7~ 0
Address: /L/~~.~- ~V~ ~
Building Permit# 9' () - J 0
NOTE: This permit will not be processed without complete information.
FIXTURE UNITS
_.
Quantity Type of Fixture Umt
Amount Total
~- Bath Tub with or without Shower $4.00 g,oo
/ Dishwasher $4.00 L/oo
/ Floor Drain $4.00 I/O 0
.2_ Lavatory (bathroom sink) $4.00 ){'.O 0
Laundry Tray (1 or 2 compartment sink) $4.00
/ Shower Stall $4.00 2/0 ()
,
SINKS:
Combination Sink and Tray
/ with or without disposal $4.00 ~oo
Bar Sink $4.00
2- Water Closet (toilet) $4.00 '6.tJO
Rough-ins $4.00
I Water Heater $4.00 ~.CJO
Water Softner $4.00
/ Stand Pipe (washing mach) $4.00 1IC) a
Sewage Ejector $4.00 ~
Other $4.00
Lawn Sprinkler $20.00
TOTAL ,LJf-oO
SURCHARGE .50
GRAND TOTAL f f SG>
This permit is granted upon the express conditions that said contractor, shall comply in all
respects with the ordinances of the state Plumbing Code and the amendments there of.
Date
Attest
Call for all inspection 24 hours in advance.
(612) 447-4230 . 4629 Dakota Street S,E, . Prior Lake. Minnesota 55372