HomeMy WebLinkAboutBuilding 99-0011
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DATE RECEIVED
00 elf '/ <11
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.
q9 - bM I
1P l_f31-
DEe 2 8
2. SITE ADDRESS
11./ 105
~Ql~S
~-{
BUILDING INFORMATION
11. SIZE OF STRUCTURE
(Height) (Width) (Depth)
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
12. NO. OF STORIES
LOT
( n
~Sl) d.4n r
BLOCK I
C'r;/"Vnat
l1 ..IV'-
"":l 1"\ I'
PID "5 J' (J( '1 .
A drl v
OOVJ' ()
13. TYPE OF CONSTRUCTION
ADDITION
(Address)
14. FLOOR AREA APPORTIONMENT USE
(Address)
-4Z->
6. BUILDER
(Name)
(Address)
(Tel. No.)
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS
New Construction 0
Chimney 0 Misc.
8. PROPERTY AREA OR ACRES
Sq.Ft.
Re-roofing 0 Porch 0
Re-siding 0 Finish Basement 0
SEATS
9. PROPERTY DIMENSIONS
10. CULVERT SIZE
Width
Depth
Yes
No
x
License No.
FOR ADMINISTRATIVE USE
Front
Back
Side
Side
MATERIAL FILED WITH APPLICATION
SOIL TESTS 0 ENERGY DATA 0
PILING LOGS 0 PERCOLATION TESTS 0
PLANS & SPECS 0 SETS
SETBACKS: Required
Actual
BUILDING DEPARTMENT VALUATION
USE OF B<<;:G
AIR
"
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
PERMIT VALUATION
SURVEY
PLOT PLAN
o COPIES
o
TYPE OF CONSTRUCTION: I II III IV
Occupancy Group A B E F ~ I M
Division 1 2(Y 4
Permit Fee ................................... $
S U
City:
Amount Brought Forward .................. $
Park Support Fee ........................... $
SAC ......................................... $
Collective Street Fee ....................... $
Sewer Tap ................................... $
$
18~. '2'l...
Plan Check Fee ............................. $
/ t 7. . c.S
l?.'tl
~.()O
cr,.\\.~
. I .- '\t~
,...."
State Surcharge ............................. $
Penalty....................................... $
Sewer & Water Permit ...................... $
\L
~ ,....Ii
1'.l\tV.\. (1
\r J ct
U\ '
Pressure Reducer .......................... $
Meter Horn................................... $
Water Meter ................................. $
Sewer & Water Connection Fee ........... $
Water Tower Fee ........................... $
WaterTap ................................... $
Builder's Deposit ............................ $
Other ......................................... $
Plumbing Permit Fee ....................... $
Mechanical Permit Fee ..................... $
This
By
eea s Yo Building Permit When)l,pproved.
Date 1- '-f- ~8
Gas Fireplace Permit ....................... $
Certificate of Occupancy
Issued
By
This is to certify that the request in the above application and accompanying docu ents is in acc()rdance with the City Zoning Ordinance and may proceed as req ested. This document when
SignCF-\~rary certi~~ ~ zrin c~Plianc nd construction to commence. Before occupancy, a Certificate of Occupancy must be issued.
Crty Planner Date Special Conditions ~ any
24 hour notice for all inspections 447-9850
9? -Ddl)
The Cenler or the Lakt Country
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
,
l
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
, .. .
Accepted
v/
Accepted With Corrections
Denied
~~~
Date:
L 2- - ~Sc9' 0 tl;'
Reviewed By:
Comments:
~%~ A-1 7u-l9w:1~l2] 0~ ~
\\ l~v~ l~~M ~/~~~
~l ~~wff ~ fL:,}/~,~
"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."
The ('enter of Ihe Lake Counlry
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT ~jAif:C~ zm...U)-oi:.L
APPLICATION RECEIVED 1)../'/1/'1
1f-~)ol(
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
NNjc{~ elL" .
Accepted
Accepted With Corrections ~
Denied
Reviewed By(dJtfj..}'k
Comments:
Date: I -4~78
I . Reo-& ~AO
Ot.. VerdJ
l>euk ~cn.J:-
.eX\'sf,'(S ~CJC)t"~9:a
"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."