HomeMy WebLinkAboutBuilding 99-0406
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DATE RECEIVED
4/2 t(qor
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. ~ - 40 0
DIRECTIONS
SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN
BEFORE PERMIT IS ISSUED (Please Print or Type and sign at bottom)
DATE
1-1S--91
BUILDING INFORMATION
11. SIZE OF STRUCTURE
(Height) (Width) (Depth)
2. SITE ADDRESS
!1!;7 7 IHtM~' j./~6iL.6 TAAIL
ADDITION
f-No8 HILL
BLOCK
'3IU) ADDITION
3
12..1
E'" 3 '-Iii -005- ()
--=u~ ~- ~O2--0
12. NO. OF STORIES
3. LEGAL DESCRIPTION
5"'
LOT
13. TYPE OF CONSTRUCTION
5. ARCHITECT
(Name)
(Address)
(Tel. No.)
(., 12 .- If <J 7 - S- ~ t.{ '3
(Tel. No.)
14. FLOOR AREA APPORTIONMENT USE
4. OWNER (Name)
E/2.IL b. (..ljJ!>>fP-eJV\
(Address)
6. BUILDER
(Name)
(Address)
(Tel. No.)
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS
7. TYPE OF WORK Fireplace 0 Septic 0 DeCk': Re-roofing 0 Porch 0
New Construction 0 Alterations 0 Addition 0 Finish Attic 0 Re-siding 0 Finish Basement 0 16. PROJECT COSTNALUE
ChimneyO Misc. .JI. '*'000.00
8. PROPERTY AREA OR ACRES 9. PRO~TYfIMENSION~ 10. CULVERT SIZE 17. COMPLETION DATE
Sq.Ft. i3JS"T7.'-I7 Width n,t1. Depth I r.7z.~- Yes No MI>Y 15",1'1'19
I hereby certify that I have furnished information on this application which is to the best of rny 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 offici~n revok~ t~ pe~ause. Furthermore, I hereby agree that the city official or a designee may enter upon the property to perform needld inspections.
X ~:Z-- ~ /'l '--=-- 4-lz I _ "I C1
Signature License No. ' ate
SEATS
FOR ADMINISTRATIVE USE
BUILDING DEPARTMENT VALUATION
USE OF BUILDING f OS ;4/ K...
,
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
PERMIT VALUATION
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 0
SETBACKS: Required
Actual
Front
Back
Side
TYPE OF CONSTRUCTION: I \I III IV ?;;:'
Occupancy Group A B E F ~\! I M LSl' S U
Division 1 2(JJ 4 ~__
Permit Fee ................................... $ 8 .2 L)
5' to .1"2-
2~C)o
City:
Amount Brought Forward .................. $
Park Support Fee........ ................... $
SAC ......................................... $
Collective Street Fee .......... ....... ...... $
Sewer Tap.......... ......................... $
$
Plan Check Fee ............................. $
State Surcharge ............................. $
This
By
Pressure Reducer .......................... $
Meter Horn... ........... .............. .... ... $
Water Meter ................................. $
Sewer & Water Connection Fee ........... $
Water Tower Fee ........................... $
Water Tap ................................... $
Builder's Deposit ............................ $
Other ......................................... $
Total Due .............................. $
Penalty. .................... ..... .... ......... $
Plumbing Permit Fee ....................... $
Mechanical Permit Fee ..................... $
Sewer & Water Permit ...................... $
Certificate of Occupancy
Issued
Paid
Date
This is to certify that the request in the above a Iication and accompanying documents is in accordance with the City Zoning Ordi nce and may proceed a requested. This document when
ary Certificate Zonin~ c Iiance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be issued.
Special Conditions IT any
24 hour notice for all inspections 447-9850
White - Building
Canary - Engineering
Pink - Planning
Th. (".nl.r of Ih. bk. ("ounlry
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:
Reviewed By:
/
tl~~LM
* jJck ~PfM~ -h) ~ ~ilKUIS
*" ~ ff.H. WLU~ ~~
Accepted With Corrections
Accepted
Denied
Date:
4/dd./77
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."
qq - 400
White - Building
Canary - Engineering
Pink - Planning
The Centn of thr like Country
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
E: (<./ ('--/ L( 1\1 () STkO M
4/2-1/09
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
4-57/ HUMMIN9BI~O TTc.Al L-
Accepted Accepted With Corrections "><--
Denied
Reviewed By:(j2t rJyk-
Date: L( - 2~ ~ c9
Comments:
_f20~ ~ Dock I-k..-e-Q ("~
"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
RECORD
SITE ADDRESS ds 7/ H. UIMIM \ V\(}~') 1'r-cQ \N'A.\' \
TYPE OF WORK --1kc(C
USE OF BUILDING 5+::JJ
PERMIT NO. 79- LfO&
BUILDER Li~Q~
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF
BUILDING AND INSPECTION
DATE ISSUED
e-(- 2c'-? 1
INSPECTOR DATE
I FOOTING I ~. \\,- 1~-10-~~
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
Ir&~~Q I I
I FINAL I I
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS 447-9850
\
\
CERTIFICATE OF SURVEY .I~bro
For:ROCK CREEK HOMES LLC Ulq
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