HomeMy WebLinkAboutBuilding 99-0267
5" 0 0 0 l~O 000 "lJ 0 > -0
lJl :I: ~ 0 z_
"0 0 :E 0 ~ Z""cgcg 0 0 ~~
<1l 0 3: z ;:0
g Sl 0 n1>~~c:O m mO
0 ;:0 ;:0 !!: m ;:0 m 0.."
:1 ;:0 '" _'!j;3:Z-4 z en ::j"lJ
h'J m m Z -0- en
0 en en~ ~ > ~ 9 0;:0
>:J -4 > z t~ g z-
h'J > -4 -f zO
l<::l tD 0 en en -4 Z 0;:0
S -4 .." ::j!;
co (5 > (5
~ en 0
~ 0 Z 0",
Z -t mm
.." 0 > 0
~ 0 > Z ~ ~
;:0 ,
~ , 0
-I .." "tJ "lJ ~O 0 0 0
~ :I: 0 ;:0 ;:0
~ m ;:0 0 0
z ;:0 0 0
~ m m m m 3:"tJen=E3:"tJ
>< Z m m m'~>m'
-t 0 0 oC: -40C:
Z ~ en :I:3: m:I:3: "lJ 0 en
'" ~ "tJ
~ en m ..,,!!!;:O;:O;:o!!! m 0 0
<:> ~ "lJ ::J 0 ZZ:I::I:-Z ;:0 Z :I:
::! m <1l -4 >Ci)00 Ci) ~ -t m
0 :::t 0 ,..,,00 ;:0 ::j ~ C
." ()
E -t 0 Z -"'''' - Z c:
(5 ~ Zcc ,
m ~"tJ"tJ 9 m
z m 0
~ "->> .."
".. 0
~ J: ;:0
m
S 0 0 ~
c:
;:0 0
en < 000000
m
~ Z ;:0 Ci)",,""om
> Z >:ii:ii0~
Ro c Ci) ~mm3:Ci)
~ ;; _"lJ"lJ"tl~
~!j;!j;!j;c (Y
~ z >ooz:;;
""l 0 _mm-4-
~ !1' ;:0"";:0 i' -4
-t-- i' i
enz Z m
-t~ Ci)
CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
DATE RECEIVED
APR
2999
/
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
LB6 q t"""]
Mo. \I\",+6U
u
3. LEGAL DESCRIPTION
L White
2. Pink
3. Yellow
File
City
Applicant
Permit No. q 1- 2t '7
1. DATE c
4'-L-C( J
BUILDING INFORMATION
11. SIZE OF STRUCTURE
(Height) (Width) (Depth)
12. NO. OF STORIES
PID
~5 -OS-I-co s:o
13. TYPE OF CONSTRUCTION
LOT
(Name)
it( b4. ;15 k,
(Name)
ani fcll At,
(Address)
(Name)
(Address)
(Tel. No.)
, l/7- 70v~ 7
(Tel. No.)
14. FLOOR AREA APPORTIONMENT USE
(Tel. No.)
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS
Re-roofing 0 Porch 0
Re-siding 0 Finish Basement 0
SEATS
,W PROJECT COSTNALUE
^ .l O~JO
17, COMPLETION DATE
7. TYPE OF WORK Fireplace 0 Septic 0
New Construction 0 Alterations 0 Addition 0
Chimney 0 Misc. ~(,fllo..c~ It U'3S Cf'^- ~ C
8. PROPERTY AREA OR ACRES 9, PROPERTY DIMENSIONS
Sq. Ft. Depth
10. CULVERT SIZE
Yes No
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~ revoke t9is pe or' st cause. urthermore, I hereby agree that the city official or a designee may enter upon the property to perform needed ins~ections.
X C~ -c! i-,~- 9r
Signature License No. Date
SETBACKS: Required
Actual
FOR ADMINISTRATIVE USE
MATERIAL FILED WITH APPLICATION
Pressure Reducer .......................... $
Meter Horn ................................... $
Water Meter ..........................,...... $
Sewer & Water Connection Fee ........... $
WaterTowerFee ........................... $
WaterTap ................................... $
Builder's Deposit ............................ $
Other ......................................... $
Total Due .............................. $
Paid J!:1l.. Receipt No.
Date
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 uested. This document when
sign t City la er constitutes a temporary Certificate of Zo~mpliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be issued.
~~1~
City lanner Date Special Conditions" any
Front
Back
Side
BUILDING DEPARTMENT VALUATION
OFF STREET PARKING
USE OF BUILDING
~ f.e.S.
SPACES REO.
SPACES ON PLAN
PERMIT VALUATION
~(tt) .c:>n
fJ /1(
I
TYPE OF CONSTRUCTION: I II III IV V
Occupancy Group A B E F HIM R
Division 1 2 3 4
Permit Fee ................................... $
S 0
{/2.Le;-
q6.~
l .00
City:
Plan Check Fee ............................. $
State Surcharge ............................. $
Penalty....................................... $
Plumbing Permit Fee ....................... $
~~
MeChanical Permit Fee ..................... $
Sewer & Water Permit...................... $
This
By
Issued
Side
SOIL TESTS
o
o ENERGY DATA
PILING LOGS 0 PERCOLATION TESTS 0
PLANS & SPECS 0 SETS
SURVEY
o COPIES
PLOT PLAN
o
Amount Brought Forward .................. $
Park Support Fee ........................... $
SAC .................."................"... $
Collective Street Fee ....."........" """ $
Sewer Tap............... ............."..". $
$
24 hour notice for all inspections 447-9850
The ('enler of Ihe Lake Counlry
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
( , / '(~I ! ! .: //~ ,/
I
,,,' ,.;
.'
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/1 /:',' ;t",
:\ ,..-,
Accepted
~
Accepted With Corrections
Denied
Reviewed By:
Date:
L/_ 7 -9~
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."
1/( (,., 7
The' Cf'nler of the' Like Country
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
~- . i
/';;J;
I (( [;~( II :;l!{j
/
"-'-/
"~!'fo;
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
//~(..(;)' J / l/1/ ;'/ f(l/ ( /r~'l
(
Accepted
Accepted With Corrections
Denied
,~
/~. //
Reviewed By: [/ li./.
Comments:
""-cc....:\..,
-~
Date:
, ). ,'"
~J
. " -,)" Y.... J
---"I '
(' \ Jr'r \, I \' r ,_' \.
,,\ _-'"" ~l , ~
;/
"
~'\, "
/'1 f .
.....
/
/-, I
I
1<' .r
" /j
\..~. .--.- .
I'
i '
t"
r~
"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."
,~"",.
qq-(~G 7
White - Building
Canary - Engineering
Pink - Planning
The Cenler of the Like Counlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
Mm 1[~hC(II5j!L/
I
Jj -d -1'9
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
1f-Z)97 J1jt2F71-!cLL Rc-(
Accepted
Accepted With Corrections ~
Denied d
Reviewed By: ~ Q~~
Comments:
Date: 7-7-; [
"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."