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Home My WebLink AboutBuilding Permit 04-1138 ----- ---- _._---.--_..__~__,---------...,.-..,--.. .J w :E i= o W ~I Ww ~o ~j:: ~O OZ -Z ~O n.j:: u..o Ow ~3i -Z 0_ (I) (I) W ~ o o e( ~ W i o C) ~t; Z ZI- ::::; a:U:~ :::!I-ww:;( !:!::!:OOW ~~~~:!: ~n.n.n...J C>::EWW(I) ~ 8 ~~ ~ 000,00 n.n.~ ;:);:)z :':::'::-..J ~ oou..e( C> oOC)Z Z-X:X::!:u: -~~~mx: ~5~~~~0 ;:)w-<in..J ~::E~(I)n. 00000 o Z W Z o :z: n. Z o i= Z 0 Q ~ ~ C>!;(C>i= ~ ZC:!:~..J_ i=Z::&;:)e(W 8 is ~ ~,:!: 5i u..u..u.._ 0000 0 C) Z a: W ~; Z o i= o W n. 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(I) ~ l- X W Z W :z: I- 0:: o u.. o II) GO ~ ..... ~ ..J ..J cC o ~ i-. ~ ~ ~ ~ ~ ~ C ~ ll., ~ ~ ~ I;i., ~ "l: ~ ~ ~ ~ ;;::) 01 l.I.l Ill: l.I.l l::l ~ ~ !l CITY OF PRIOR LAKE BUILDING PERMIT, p-;--;._~t~~~~ : I \ TEMPORARY CERTIFICATE OF ZONING COMPLIANql~' OCT 1 2 2004 'I : AND UTILITY CONNECTION PERMIT \1 I I : ' See Main File ~:.1~,,"", I PERM~o~,1;3B-11 C(PleaSepe or print and Si~at bottom) ADDRESS 53 i-H.r t: F- LAU~ LEGAL DESCRIPTION (office use only) LOT 3 BLOCK Z- ADDITION OWNER (Name)_f(x..k qv~l- (Address) I" t5 I ZONING (office use) j(' I SD PID - QOC(- I 17~~114 ~f.:.:>t But LI7 l:.f 5 S. (Phone) g S-z. - fJ 1- 0'15.5 BUILDER (Company Name) S.6...M f. A5 A l'o-.{ ~ (Contact Name) (Address) (Phone) (Phone) TYPE OF WORK 0 New Construction ODeck OPorch ORe-Roofing ORe-Siding OLower Level Finish 0 Fireplace OAddition OAlteration OUtility ConnectIOn 0 Misc. CODE: Pc:1I.R.C. DI.B.C. Type of'C;;nstmction: Occupancy Group: A B Division: I E II F I III IV V A HIM R 2 3 4 5 PROJECT COST /V ALUE $ (excluding land) B S U 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 authonzed 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 submittcd plans. I am aware that the building otficial can revoke this permit for Just cause Furthermore, I hereby agree that the CIty official or a destgnee may enter upon the property to perform needed inspectIOns x Contractor's License No. Date Permit Valuation Permit Fee Plan Check Fee State Surcharge Penalty Plumbing Permit Fee Mechanical Permit Fee Sewer & Water Permit Fee Gas Fireplace Permit Fee Park Support Fee SAC I"; Water Mete Pressure Reducer Sewer/Water Connection Fee Water Tower Fee O(J.OO [)O,(!)o 35". :> Q 0.00 Builder's Deposit Other TOTAL DUE This Application Becomes Your Building Permit When Approved ~'9~ BUlldlll!! Oflielal 10/~S";ay ( Date ' # # $ $ J35Q.OfJ $ 2SD.oo $ 4-S.00 $ 2P~. !) D $ C';O.Oo $ $ $ # # ThiS IS to certify that the request in the above applicatIOn and accompanYing documents is in accordance with the City Zoning Ordinance and may proceed as requested. ThIS document when si ned by the City Planner constItutes a temporary Certificate of Zoning compliance and allows construct~oeommencellefoJtoccup*,CY, a cpo. IS 10ccupancy must be ISSl ~ Z-~~ ll3ft~r ~ee IVlaln . 1 e Planning Director / ate Special Conditions, if any 24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245 16200 Eagle Creek Avenue Prior Lake, MN 55372 ~ . S~e Main File t White - Building cana~ - Enrineering ~k - Planni~ The ('('n'tr of the L.kr Country BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED p()C t< /0- /"~ ~/ / ,.', 1/; . ( , ^ -" A iv.....) ! /d 1 ~ /?J '-/ l~1 .__..,~.(.... \,i....f,( - / /d-Oc/ l-- f-:? J // /~ / j....--{..(/-V L:,-, The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: I' 1,-_;"" . /1/) S- :3 - A1,;M.~ .10 cU!/-a/';4JL f ./ , . Accepted ~ Accepted With Corrections · '''';. .. I t, . Denied ~i .. Reviewed By: ~ " ~ Date: I~/ZS~ Y . ~.: , ... Comments: J, s "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." See Main. File Tht' C'tnlfr of tht> t.kt CounlT)' C-White :...BUi~ Canary - t:ngmeering Pink - Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT PCK-tc ~ ~ 1-~ APPLICATION RECEIVED /0'- /d.- -0</ The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed a).: _y _ lfiJ53- jj~;ia~ ~~ I / Accepted ~ Accepted With Corrections Denied Reviewed~ :;~ Date: /cJ/z-~~l/ / Comments: Soo-Main--FiIe "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." See Main. File White - Building C ~anary - t:.nqlneel ;II~ Pink - Planning Thr ('t"ltr of tht I..kt' Country BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST 1/) .- I (, '-'.~f ," j / I )" ,"j ! /'! . )) 'J' /, 'I' /" .i,"./ ' C.__--" lA....l- '''<-.. IL..k:-Jt..., '>,i,'i. /( ?"'-.,./' I .. /.;2 " ~ <-:;) (/ .' ( V ,..) /~I /") ,.... 1" / //,,-:i. / ,/',j (.!..t..1:'.C,)-<./ NAME OF APPLICANT APPLICATION RECEIVED /0 ~'('~. J../' " CJ '....' K.- The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: \.~_/ / l./' t,-:," ,:) -. J /,., j -f..,....,. "")'./,,,1. , " . /'.7 ;:),,) <:.J Ittr:f..k:>"'~,<..;f/a <!:~"f:.: l.- '--t.;~~>-?,Cj.<..._"._~., , I I Accepted )( ~ ...... Accepted With Corrections Denied Reviewed By: m1:6 ~CL- (J1Ct/~ h'/c Date: / !-2-07 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." NOV 0 5 2004 ~ I I I: ii i ~. E'- ~~,= I PE~NQ,#'-+al CITY OF PRIOR LAKE SEWER AND WATER PERMIT 53 -'[ LEGAL DESCRIPTION (office use only) LOT ADDITION PID BLOCK l)a~Jlec~d ZONING (office use) Iic\m~~ ILL AJLYlU L p{ I t;l/ (City) (Phone) 95;;) - #7 -()95s LaK -e 55-3-79 (Zip Code) OWNER Do _ I.... (N ame) ---!112L."'- (Address) I []I g I '} t(~-LK {)u LuJh (Address) C:::.'( _J - APPLICl.T (Name) I i\~ \ (Address) ( ~ l S G ( o..d e I n L t\\DJ d S S+(,., e \- ::tt= l (Address) (Phone) C}Sd -d33 --/~ APPLICANT SIGNATURE DATE APPLICANT PLEASE COMPLETE BELOW Size of water service inches. Location of any couplings from structure _ feet. Type of sewer pipe. D ABC D PVC D Cast Iron Estimated length of sewer line _ feet. Clean out (if required) located at _ feet from structure. I % of job cost with a $39.50 minimum $17.50 t)4-;/J3r 6~ pf\'IO ,/ F2-- ~01l/0tl Residential sewer and water line connection Sewer connection only $35.50 $17.50 FEE SCHEDULE Industrial, Com'I & Multi-family Water connection only Estimated Cost $ Building Permit # SEWER AND WATER PERMIT FEE STATE SURCHARGE TOTAL PERMIT FEE $ $ $ " ./.50 / ;' (Office Use Only) This Application Becomes Your Building Permit When Approved Date II- 5". b+- Building Official Date 24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245 11-12-2004 04:03PM MATTHEW DAt~ I ELS. I t~C . 423 3017 Po07 Date Rec'd CITY OF PRIOR LAKE PLUMBING PERL\1IT 1.6'0< F;'. I PERi"lIT NO.~. :. Ootd Ci<y I. V cllClw ~\lOlic.n' ;u bottOm) ;"00-3 ZONING (o~Cl: lIS.) LEGAL DESCRIPTION (oltic! use only) LOT 3 BLOCK:L- ADDInON PID (Address) APPLICA...x.rr. I . ~ (Name) ~-rtl OJ'.;) f1, J J ,j~ ) , '-.:.4Jt (? . (Address) L.c;!).;v) (JAJJr..AJJ){'!lJ, ~.JJ-" (Address) f/ ' (Phone) tsl. ~~. qlfYJ J rI ~./ 1 1. r. "-hI.. 7) . (City) ..3'1~ () APPLICANT SIGNATURE (Phone)" b5"/. DATE s:5Ob8 (Zip Code) ~~ . 3'130 JI!/!}./a4 (Contact Person) Quantity Type of Fixture Quantity Type of Fixture I I Bath Tub with or without shower ! _:f Rough-ins I Dishwasher I Water Heater I Floor Draip I~ Water Softner -~ Lavatory (Bathroom Sink) Stand Pipe (Washing Machine) I Laundry Tray (lor 2 compartment sink Sewage Ejector I Shower Stall Backflow Assembly I Sinks Backflow Assembly Test Bar Sink Lawn Sprinkler ~ Water Closet (Toilet) I Other ~ '11....." ..... ,...,.. n , 1 I APPLICANT PLEASE COMPLETE BELOW FEESCBEDULE Industrial, Commercial &. Multi.family 1 % of job cost with a S39.50 minimum Residential. New One &. Two-Family S99.50 Residential, Additions & Altentions $39..50 Estimated Cost $ Building Pennit # PLUMBING PERMIT FEE $ I STATE SURCHARGE $ TOTAL PERMIT FEE $ . i- ,,~~\r , 94. st),\ . ;. .'......,l~ IdIJ.~~ i;;:'l- (Office Use Only) Tbis Applicstion Becomes Your Building Permit When Approved Date Paid Receipt No. Oatq\J n V 1 5 200<1 By Buildhlg Official 1.4 hour notice for.n iaspectlons (952) 447.9850, fax (952) 447-4245 0'- ., TOTAL P.07