Loading...
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." ""'~-."-'"