HomeMy WebLinkAboutBuilding 99-0103
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CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
DATE RECEIVED
.. , 6 1999
DIRECTIONS
SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN
BEFORE PERMIT IS ISSUED (Please Print or Type and sign at bottom)
ADDITION
4. OWNER
5. ARCHITECT
(Name)
(Name)
II '>>, 5 (fbi';; 5f..
5hqtc .
fu~
Septic 0 Deck 0
Addition 0 Finish Attic 0
Fireplace 0
New Construction 0 Alterations 0
Chimney 0 Misc.
8. PROPERTY AREA OR ACRES
Sq.Ft. 60
9. PROPERTY DIMENSIONS
Width '!2 r Depth 130 /
x
1. White
2. Pink
3. Yellow
File
City
Applicant
Permit No. clq - () /03
1. DATE
BUILDING INFORMATION
11. SIZE OF STRUCTURE
(.~eigpl) (Wiplh),.
~k
PID R 2517 202()()
13.
(Tel. No.)
(Tel. No.)
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS
612 -yvs- 67'1)
Re-roofing 0 Porch 0
Re-siding 0 Finish Basement~
SEATS
10. CULVERT SIZE
Yes No
SETBACKS: Required
Actual
FOR ADMINISTRATIVE USE
License No.
l't)
.~~
,~~0
7 J ---. 'f
.lIo. 00. Uo,'d,.' -e~.
w;. oe::;...
Date 2-2~-91
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 requested. This document when
signed he' er onstnutes a temporary Certificate of Zing c m iance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be issued.
1
Front
Back
BUILDING DEPARTMENT VALUATION
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
PERMIT VALUATION
USE OF[!:;!lING ~
11-;
TYPE OF CONSTRUCTION: I II III IV
Occupancy Group A B E F HIM
Division 1 2 (J) 4
Permit Fee ................................... $
S U
6 '1. z.S-
Plan Check Fee ............................. $
State Surcharge ............................. $
'2..00
Penalty ....................................... $
Plumbing Permit Fee ......................:;j)
Mechanical Permit Fee ft................. $
Sewer & Water Penmit ...................... $
.......... $
Thi
By
ling Penm.ilWhen ApPIJ'f1'
DateL -/t::j-
I
Issued
Side
MATERIAL FILED WITH APPLICATION
Side SOIL TESTS 0 ENERGY DATA 0
PILING LOGS 0 PERCOLATION TESTS 0
PLANS & SPECS 0 SETS
SURVEY 0 COPIES
PLOT PLAN C:t-
City:
Amount Brought Forward .................. $
Park Support Fee ........................... $
SAC ........................................
Collective Street Fee ....................... $
Sewer Tap ................................... $
$
Pressure Reducer .......................... $
Meter Horn ................................... $
Water Meter ................................. $
Sewer & Water Connection Fee ........... $
Water Tower Fee ........................... $
I(.L
24 hour notice for all inspections 447-9850
Special Conditions ff any
White - Building
Canary - Engineering
Pink - Planning
The Cenler or the L.ke Country
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
L/
Accepted With Corrections
Denied
~AN~~
comme~~~~1i7J~L6;:;=:t-
Reviewed By:
Date:
2- { ~--CPt
"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. Blue File
2, Gold City
J, YeHow Applicant
- (),?
. itilf--
,"ll'
CITY OF PRIOR LAKE PLUMBING PERM
L (; L.tI l57e. (...611 e:v
ADDRESS 3337 B/1U rtn ST s vJ
LEGAL DESCRIPTION (office use only)
LOT..:? BLOCK.3 ADDITION ..s u N.J E 1 HI L- (.".J
PID 2.5 -/72-
I OWNER
(Name)
(Address)
(Phone)
APPLICANT
(Name)
(Phone)
YYO-7YOb
(Address)
5r~
(Address)
(City)
(Phone)
(Zip Code)
Y'/I-j'ltS!
r-20-0 L
(Contact Person)
APPLICANT PLEASE COMPLETE BELOW
Quantity Type of Fixture Quantity Type of Fixture
I Bath Tub with or without shower Rough-ins
Dishwasher Water Heater
Floor Drain Water Softner
r Lavatory (Bathroom Sink) Stand Pipe (Washing Machine)
Laundry Tray (lor 2 compartment sink Sewage Ejector
Shower Stall Backflow Assembly
Sinks Backflow Assembly Test
Bar Sink Lawn Sprinkler
I Water Closet (Toilet) Other
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 # tJ '7.- -- 0 0 q 1
3'lEO
.50
4-0.0U
$
$
$
PLUMBING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
(Office Use Only)
This ApPll~alJ.Jo)1recomes Your Building Permit When Approved
)Ck/1 ~-ZtjrOU
Building Official Date
paid40. 0 0
Dat'j_ d- tl' fl J-
ReCe~?e(/
By ~
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245