HomeMy WebLinkAboutBuilding 99-0303
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DATE RECEIVED
.
..
CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
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
-rL
(Name)
t'n,'-h:he..ll
(Name)
5. ARCHI ECT
6. BUILDER
(Name)
1'1
M; kkel(
7. TYPE OF WORK
New Construction 0
Fireplace 0
Alterations 0
Chimney 0 Misc.
8. PROPERTY AREA OR ACRES
Sq. Ft.
I
2~
1. White
2. Pink
1. Yellow
File
City
Applicant
Permit No.
qq -303
;;
1. DATE
3/ 30 I '1 Cj
st
BUILDING INFORMATION
11. SIZE OF STRUCTURE
(Height) (~i~th}
12. NO. OF STORIES
PID
:2S-3tJc.f- 013 -u
13. TYPE OF CONSTRUCTION
(Tel. No.)
-rll. '1'11)-3573
(Tel. No.)
14. FLOOR AREA APPORTIONMENT USE
(Address)
~ I H,-dcll'l1
(Address)
Me!.
(Tel. No.)
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS
(Address)
lll~1
/J,CJde/l (J,lId 7R...
Re-roofing 0 Porch 0
Re-siding 0 Finish Basement 0
SEATS
16. PROJECT COSTNALUE
Septic 0
Addition 0
DeckX
Finish Attil'O ~
tflfo- 3573
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 iaws and will proceed in accordance with submitted plans. I am aware that the
building ~ can revok t i!l'p . for just cau e. Furthermore, I hereby agree that the city official or a designee may enter upon the property to pertorm eeded i spections.
X 30
License No.
SETBACKS: Required
Actual
Front
BUILDING DEPARTMENT VALUATION
USE OF BUILDING ~ S 111 rZ.
TYPE OF CONSTRUCTION: I II III IV
Occupancy Group A B E F HIM
Division 1 2 3 4
Permit Fee ................................... $
Plan Check Fee............................. $
State Surcharge ............................. $
Penalty....................................... $
Plumbing Permit Fee ....................... $
Mechanical Permit Fee ..................... $
Sewer&WaterPermit...................... $
............... $
FOR ADMINISTRATIVE USE
Back
Side
Side
MATERIAL FILED WITH APPLICATION
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 ~ () DO . (to) C> PLOT PLAN 0
,
V
R S U
City:
WaterTap ................................... $
Builder's Deposit ............................ $
Other ......................................... $ .
Total Due .............................. $ I "d4 < <[;L(
PaiJt 12...~ .84- Receipt No. 3503(,0
Issued
Date 4/cS/Cl1 By ~
This is to certify that the request in the above application and accompanying documents is in accordance with the City Zoning Ordin~nce and may proceed as requested. This document when
sign by the City I ner constitutes a temporary Certificate of Zoni~ compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be issued.
\/1 -~'t -4'1
lanner Date Special Conditions if any
7l.f.lC;-
48. S-~
l . ')
~
U~\I(Vi~
L<\AfV
I ding Permit ~hen APp~r
Date -1-
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 ........................... $
24 hour notice for all inspections 447-9850
White - Building
Canary - Engineering
Pink - Planning
Thr ('entrr of Ihe Lake Counlry
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
Reviewed By: ~~~
Comments:
Date:
L( -I L(-CJC7
"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."
,. -..- --_. .- ~---'--'--"""-'_",.,.,."-----...,..."...--
~_,-",'-~,~-"",~".~"",""-e"'~'''_
.______----..1
qq -303
The ('rn1er of Ihe Lake Counlry
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
~pl1/-f~
4 -q -qC;
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
L( l <6/ .JJi cl~ P6y7 ol Wad
Accepted
Accepted With Corrections
Denied
{/J~
Date:
t/ /;{ / r?
I I
Reviewed By:
Comments:
,. ~C4cJ ~ D4C~ ~ oJ
"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."