HomeMy WebLinkAboutBuilding Permit 99-0041
DATE RECEIVED CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
1. White
2. Pink
3. Yellow
File
City
Applicant
Permit No. 9/- 00<(1
. DIRECTIONS
SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN
1. DATE
BEFORE PERMIT IS ISSUED (Please Print or Type and sign at bottom)
/. /8 . qq
"tVansiun avenU/J 5E f(2.
BUILDING INFORMATION
11. SIZE OF STRUCTURE
(Height) (Width) (Depth)
2. SITE ADDRESS / We) Jq
3. LEGAL DESCRIPTION
12. NO. OF STORIES
LOT
1~8
BLOCK
/7
PID ''25 -OO/'-DCj'~ -(')
13. TYPE OF CONSTRUCTION
ADDITION
4. OWNER ~~a":,e),
.JdJi.Jont1/L.lI:!::!1,1 wn
5. ARCHITECT (Name)
t\ I Cl
~~ 3S::>:'1~~ItLue/Lu.J-71b rr~.l(Tl7 15:~:::::'CUPANTSORSEATS
7. TY~ORK Fireplace 0 ~~ De;;-' ~e-rOOfing 0 Porch 0 SEATS
New Construction 0 Alteration~ Addition 0 Finish ~ttic 0 Re-siding 0 Finish Basement 0 16. PROJg9T COSTNALUE ,.-
ChimneyO MiSC.1i..2..nlo f'fI. f.5'.uuyj(U Elf) MYYLP (f'O .sb.1tr(1 UP P q. 10,598.
8. PROPERTY AREA -OL~ES 9. PROPERTY DIMENSIONS 10. CULVERT SIZE ~) 17. COMPLETION DATE
Sq. Ft. Width Depth Yes No 3./8. '14
(Address)
I fo 1;) /9 ~CLn~+m,
(Address)
(} ~J'" · ,%
(Tel. No.)
4117.dR3')(
(Tel. No.)
14. FLOOR AREA APPORTIONMENT USE
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 ve me'o prope at all construction will conform to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the
b Idin offi . his' or just cause. rthermore. I hereby agree that the city official or a designee may enter upon the property to perform needed inspections.
~~!:2..0 /.,8.(:)9
License No.
Date
FOR ADMINISTRATIVE USE
SETBACKS: Required
Actual
Front
Back
Side
Side
MATERIAL FILED WITH APPLICATION
SOIL TESTS 0 ENERGY DATA 0
PILING LOGS 0 PERCOLATION TESTS 0
PLANS & SPECS 0 SETS
BUILDING DEPARTMENT VALUATION
OFF STREET PARKING
USEOFit:~NG4 / L
~\
TYPE OF CONSTRUCTION: I II III IV
Occupancy Group A B E F HIM S U
Permit Fee ..........~i~:~i~~...1...~.~..~... $ ? '-(. 7~
SPACES REO.
PERMIT VALUATION
'2 , C;-17/J . 0 e:>
SURVEY
PLOT PLAN
o COPIES
o
SPACES ON PLAN
City:
Amount Brought Forward .................. $
Park Support Fee ........................... $
SAC ......................................... $
Collective Street Fee .... .. .. .... .... ....... $
Sewer Tap ................................... $
$
7'0. ~ r
Plan Check Fee ............................. $
State Surcharge............................. $
1.2.~
Penalty ....................................... $
Plumbing Permit Fee ....................... $
Mechanical Permit Fee ..................... $
Pressure Reducer .......................... $
Meter Ham................................... $
Water Meter ................................. $
Sewer & Water Connection Fee ........... $
Water Tower Fee ........................... $
Water Tap ................................... $
Builder's Deposit ............................ $
Other ......................................... $
Sewer & Water Permit...................... $
Gas Fireplace Permn ....................... $
This &tJ~eT Your Building Permit When ~prov)l,~
By ~ Date J ,- a:;-z...7
Certificate of Occupancy
Total Due .............................. $ ') (, . () C)
Recei~!J)'o. J'I~3q (r I
Date I-W-c}1 By Itt..fJdL Is
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 requ~sted. rjIs 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.
Paid
Issued
City Planner
Date
Special Conditions ~ any
24 hour notice for all inspections 447-9850
Th. C.nt.r of Ih. Lob Counlry
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHI;:CKLlST
NAME OF APPLICANT ReV1€.wJ b~ A\AcL2~,\
APPLICATION RECEIVED I - L 0 -'t 'j
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
Il,? L9
't'Va..l1\ s. htv1. A-ve..
SE.
Accepted
Accepted With Corrections X
Denied ......-l ~
Reviewed By: I ~~ _~ -
lP"'~ / -
Comments:
l- ~_{;..I( ~r ~~ r~~-\"~
2. U.p&r.L ~~o~~k~> ~r ('[1[ UE;Q, Pe:;ul'~~
,'lA., b~N')c:!lV\..A~ ' h(\ It WQ...\ <; ..f. d /o.eJMrhA.A q" 0 t-t -el.J.-J.J'o.-l..,/
, V /
/ e lJ -e. ( -.r ~~ A t- 'af -'2 c....)>
Date:
I - 2..0 - ? '{
'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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