HomeMy WebLinkAboutBuilding 99-1313
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DATF RECEIVED CITY OF PRIOR LAKE
'j' BUILDING PERMIT,
NOV - 5 I99J T]j~ORARY CERTIFICATE OF
'/ ~ONING COMPLIANCE
l ~J At) i ILlTY CONNECTION PERMIT
I, White
2, Pink
3, Yellow
File
City
Applicant
Permit No.
qC;- /3/3
1, DATE
DIRECTIONS
SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN
BEFORE PERMIT IS ISSUED (Please Print or Type and sign at bottom)
3. LEGAL DESCRIPTION
LOT
ADDITION
4. OWNER
M e;;T{;.S
A- $Name)
h I tn '-11'1
(Name)
6. BUILDER
(Name)
BUILDING INFORMATION
11. SIZE OF STRUCTURE
(Hei ht) (Width)
1f1 <: J(C ~ I t1<<, 12J
AI
12. NO. OF STORIES
BLOCK
A I\J.D 13 (J /J AI n.s
(Address)
/3 7<"V7 fJ1 c I!.t ;.." ~
(Address)
PID 2-5-QZZ,- 003-0
13. TYPE OF CONSTRUCTION
Rc~(/411 ' s;l~
14. FLOOR AREA APPORTIONMENT USE
12J
(Tel. No.)
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS
dot'7
(Address) .5i-,c.K.if ~..~/
/'10 t4 S1. fJ'",,' (b/~) ?s/ -~>2SC7
SEATS
K-I h ~ flrlvYU. }
7. TYPE OF WORK Fireplace 0
New Construction r,f. Alterations 0
Chimney 0 Misc. D e k. ceo' "- (' J
8. PROPERTY AREA OR ACRES
Sq. Ft. /6 I1re,5
Septic 0 Deck 0
Addition 0 Finish Attic 0
€3~.... ~ <.-
9. PROPERTY DIMENSIONS
Re-roofing 0 Porch 0
Re-siding 0 Finish Basement 0
16. PROJECT COSTNALUE
<.-....<0 00<:> <.>..;
17. COMPLETION DATE
10. CULVERT SIZE
Width
Depth
Yes
No
/;2
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 off~an revoke t~ pjl111it for' t ca . Furthermore, I hereby agree that the city official or a designee may enter upon the property to perform needed inspections.
X .Y/ I~/)vl/T:;t:,-, t52C.Q.2... /
Signature License No. Date
SETBACKS: Required
Actual
Front
FOR ADMINISTRATIVE USE
MATERIAL FILED WITH APPLICATION
Back Side Side SOIL TESTS 0 ENERGY DATA 0
OFF STREET PARKING PILING LOGS 0 PERCOLATION TESTS 0
SPACES REO. PLANS & SPECS 0 SETS
SPACES ON PLAN SURVEY 0 COPIES
PERMIT VALUATION 20,t'Jt::J(). OC:> PLOT PLAN 0
USE OF BUILDING
BUILDING DEPARTMENT VALUATION
R.-CS /-l/(L
TYPE OF CONSTRUCTION: I II III IV V
Occupancy Group A B E F HIM R S U
Cify:
Amount Brought Forward .................. $
Park Support Fee ........................... $
SAC .......................................... $
Division 1 2 3 4
Permit Fee ................................... $
U1.'ZC;-
I B~ . ?(
lo . ()O
Collective Street Fee ....................... $
Sewer Tap ................................... $
$
Plan Check Fee .............................. $
State Surcharge............................... $
r uilding ~:t:it 1~n 5J1'~'i i
..L'
(/ .'U t'c
I LL /1'(/'
, I / ,
\J ,'{-.-'
iii-I,
Pressure Reducer .......................... $
Meter Horn ................................... $
Water Meter........... ........... ........... $
Sewer & Water Connection Fee ........... $
Water Tower Fee ........................... $
Penalty....................................... $
Plumbing Permit Fee ....................... $
Mechanical Permit Fee ..................... $
Sewer & Water Permit ....................... $
This
By
Issued
Water Tap ................................... $
Builder's Deposit ............................ $
Other ......................................... $
Total Due .............................. $
'-1 (:'
. .j
Paid
Date;: f.- (- c' ' By
est in the above application and accompanying documents is in accordance with the City Zoning Ordi ance and may proceeq.j s requested. This document when
o stitutes temporary Certificate r ~11"omPliance and allows construction to commence. Before occupancy, a Certiticate of Occupancy must be issued.
-H ' '1
Date Speciai Conditions ~ any
24 hour notice for all inspections 447-9850
The Centrr of the Lake Counlry
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
Accepted ~
Accepted With Corrections
Denied ~~ j
Reviewed By: _ __' , J~ Date: i I - cr-1,
Comments: _~-Oj( I ~r;( fl-f .~ SO. S~
I
5i u -Oje J evvJ\. fY\(~ -O)L- J w-aS~ 1ff'~x Itf ''''''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."
clQ-/3/3
White - Building
Canary - Engineering
Pink - Planning
Thr Ctnlrr or Iht takt Counlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
j/"/ ^J (-y )"-/7) Ie / r:. ('._~
I '-_ / t.. I ! L/---'
II / ~~;--/(?C)
I
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/379(1 j\'/c../<:E,NNA k!.u
Accepted
/
Accepted With Corrections
Denied
Reviewed By: tJAI..TI/l.. I?Hfl.t.st"1~"',J
Date: 11/ls/9~
I .
Comments: 'THE:. F-,J61 t0U1l.\ de. VF-I'II/t,Me:.J'- ~Il~
.00 I:>SvES vJ IT'" '-rh~
?aoposfD ~MI1G.E.
"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."
(, / i:
IflrJ\
q9-/313
lh. C.ntff of Ih. Lab Country
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
~/ Nq HoH65
/I/S-/qc;
,
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/3799 M(,;K6;VNA RD
Accepted
Accepted With Corrections ~
Denied lA r6 k-/
Reviewed By - t1 /7-
Comments:
Date:
11- 7-77
,
"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."
PRIOR LAKE
INSPECTION RE'CORD
SITE ADDRESS 13~i7 he.\<\. ell\lI'lo.. RJL.
NATURE OF WORK NPIL\ 0oV\.c:;Vt-0<:.. ~C::>v...<;
USE OF BUfLDING
PERMIT NO. ~ - \'3\3 DATE ISSUED 1\- 15- 11
CONTRACTOR \~I'I~' H~-e5 .
NOTE: THIS IS NOT PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF
BUILDING AND INSPECTION
UNTIL ABOV
ROUGH - INS
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
- I I
FINALS
-
,-
-----
BUILDING
ELECTRICAL
~ -
~---
DO NOT OCCUpy UNTIL ABOVE HAS BEEN SIGNED
NOTICE
This card must be posted near an electrical service cabinet prior to rough-in inspections
and maintained until all inspections have been approved. On buildings and additions
where ~o 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 INSPECTIONS (612) 447-9850