HomeMy WebLinkAboutBuilding 99-1173
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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
9 ~ff9?
DIRECTIONS
SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN
BEFORE PERMIT IS ISSUED (Please Print or Type and sign at bottom)
2. SITE ADDRESS
51.3iP W /VL)I7/}1'1 CT
Permit No.
9'9-//73
1. DATE
se;
-..;r1-f'l
IZISD
BUILDING INFORMATION
11. SIZE OF STRUCTURE
(Height) (Width) (Depth)
3. LEGAL DESCRIPTION
LOT
ADDITION
/6
WIL,Oe,e Ness
BLOCK
..3
PID Z5-~-03S-0
12. NO. OF STORIES
13. TYPE OF CONSTRUCTION
4. OWNER (Name)
J&?A,€K. L07H6/<!..
(Address)
5. ARCHITECT
(Name)
(Address)
If - ".}1el:..~)€ ~ 8 14. FLOOR AREA APPORTIONMENT USE
- J~oJ: 7;~" -' !jO
(Tel. No.)
6. BUILDER
(Name)
(Address)
(Tel. No.)
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS
7. TYPE OF WORK
New Construction 0
Fireplace
Alterations 0
Septic 0 Deck 0
Addition 0 Finish Attic 0
Re-roofing 0 Porch 0
Re-siding 0 Finish Basemen~
SEATS
Chimney 0 Misc.
8. PROPERTY AREA OR ACRES
Sq. Ft.
16. PROJECT COSTNALUE
9. PROPERTY DIMENSIONS
Width Depth
10. CULVERT SIZE
Yes No
17. COMPLETION DATE
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 authorized 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 submitted plans. I am aware that the
building official can revoke t 's permi for just c uSU.JJ!*Ihermore, I hereby agree that the city official or a designee may enter upon the property to perform needed inspections.
X . .' - <...,c.-~ 7 -;a.y -f7
Signal' License No. Date
SETBACKS: Required
Actual
FOR ADMINISTRATIVE USE
Front
Back
Side
Side
MATERIAL FILED WITH APPLICATION
SOIL TESTS 0 ENERGY DATA 0
PILING LOGS 0 PERCOLATION TESTS 0
BUILDING DEPARTMENT VALUATION
USE OF BUILDING
K! 65 ~ Ae.
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
PERMIT VALUATION II CXJt) . 0 ~
PLANS & SPECS 0
SURVEY 0
SETS
COPIES
PLOT PLAN
o
TYPE OF CONSTRUCTION: I II III IV
Occupancy Group A B E F HIM
Division 1 2 3 4
Permit Fee ................................... $
V
R S U
City:
Amount Brought Forward .................. $
Park Support Fee ........................... $
SAC ......................................... $
Collective Street Fee ....................... $
SewerTap ................................... $
:s '-l . t'J <)'
Plan Check Fee ............................. $
State Surcharge ............................. $
.so
Penalty....................................... $
Plumbing Permit Fee ....................... $
$
Mechanical Permit Fee ..................... $
Pressure Reducer .......................... $
Meter Horn ................................... $
Water Meter ................................. $
Sewer & Water Connection Fee ........... $
Water Tower Fee ........................... $
Water Tap ................................... $
Builder's Deposit ............................ $
Other......................................... $
Total Due .............................. $ 7">'. 2 ~
Paid , "'Z..- r Receipt No.3" 2.8:3
Date 9'. ~ By
st in the above application and accompanying documents is in accordance with the City Zoning Ordinance and may proceed requested. This document when
nstltutes a temporary Certifi~ of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be issued.
~ .€Ja~
Sewer & Water Permit ...................... $
a e Permit ..99..-:1/73$
L16 .f!70
ilding ~:tr;:it ~~~~v:J')
Certificate of Occupancy
Issued
Special Conditions if any
24 hour notice lor all inspections 447-9850
99-//73
Thr ('rnlrr of Iht L.kr Country
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
jL1 /1 Ie;:::... L 0 7716R....
9/Z4-/C;1
/ ,
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
5/3~
w V tV 0 rt;r:J-M 6/
,
Accepted
/-
Accepted With Corrections
Denied ~
Reviewed By: {; J."
Comments:
Date: 7-2 '/-, r
L Rend -f-L; b~5~J- ~~c'~
(-+~~ cnl-
"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."
:".',>.0
The Cenler or Ihe Lake Country
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
. "C~_.
J "J''''' f
,..I
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
Denied
\/
Cl f7 J'tC41 Date
~ ~-d~
Accepted With Corrections
Accepted
Reviewed By:
q/~ I /17
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."
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CITY OF PRIOR LAKE PLUMBING PERMIT
Date Rec'd
F/~e wi LOWf5~ L-GVb~
.#9'1-//73
/- 9-~Z-
It,,,
,I'
I. Blue File
2. Gold City
1 YelJow Applicant
':/
I PERMIT NO.~;?;'IJ03 q I
"
5/30
Wt./AlDHAI1
-
61 .
NING (office use)
,e/.:;sO
LEGAL DESCRIPTION (office use only)
LOT I (p BLOCK .3 ADDITION
PID 25-.33 - .35-0
OWNER
(Name)
/I1.4.e.K.- L-07H 6e
(Phone) ~ ... 'll"~
(Address)
APPLICANT
(Name)
(Address)
(Phone)
(Address)
(City)
(Zip Code)
(Contact Person)
(Phone)
Quantity Type of Fixture Quantity Type of Fixture
I Bath Tub with or without shower Rough-ins
Dishwasher Water Heater
Floor Drain Water Softner
J Lavatory (Bathroom Sink) Stand Pipe (Washing Machine)
Laundry Tray (1 or 2 compartment sink Sewage Ejector
Shower Stall Backflow Assembly
Sinks Backflow Assembly Test
Bar Sink Lawn Sprinkler
J Water Closet (Toilet) Other
APPLICANT PLEASE COMPLETE BEL W
FEE SCHEDULE
Industrial, Commercial & Multi-family 1% of job cost with a $39.50 minimum
Residential, New One & Two-Family $99.50
Residential, Additions & Alterations $39.50
Estimated Cost $
Building Permit # Oz. - 0037
39,.50
.50
40,00
$
$
$
(Office Use Only)
PLUMBING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
This Application Becomes Your Building Permit When Approved
ew--- --.1- ~- tJ 2-
Building Official Date
Pai'40 , ()O
Dat1_q_Oz-
By
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
PRIOR LAKE
INSPECTION RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS ~'"J~ Wy"'~lAClVV\ Qte
NATURE OF WORK :B..~<4l.\M.e.'^-.~ ~,.",,"~k
USE OF BUILDING ~ ~ D
PERMIT NO. 9' -ll/~ DATE ISSUED 'i..'J. ") -97
CONTRACTOR --L.Mk~t-
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
~; i
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
INSPECTOR
DATE
J
]
FRAMING
INSULATION
ELECTRICAL
'3
L
, :t:t.. () _ (JO 31
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST
COVER NO WORK UNTIL A OVE HAS BEEN SIGNED
- I [ ]
FINALS
NOT OCCUpy UNTIL ABOVE HAS BEEN SIGNED
NOTICE
This card must be posted near an electrical service cabinet prior to rough-in inspections
and m~,intained 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 INSPEiTIONS (612) 447-9850