HomeMy WebLinkAboutBuilding 99-0458
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DATE RECEIVED
APR L a \999
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)
2. SITE ADDRESS
':::.5~
LOT
t2L>-O~:.SA Df2.A
I , BLOCK 3
CA1<.1>/kIt\L Kn:x:",E
3. LEGAL DESCRIPTION
ADDITION
(Name)
A1A l A l)6\.t~,-y
(Name)
5. ARCHITECT
~me)
L f i (.,1-{ it>U' L. OE..f2.~
dt.l'1-1 195 /If .51- ! AS r
7. TYPE OF WORK
6. BUILDER
New Construction 0
Fireplace 0
Alterations 0
Septic 0
Addition 0
Chimney 0 Misc.
8. PROPERTY AREA OR ACRES
Sq. Ft.
51.
1. White
2. Pink
3. Yellow
File
City
Applicant
Permit No. ~q-458
1. DATE
4-~.. 'i
PuD
BUILDING INFORMATION
11. SIZE OF STRUCTURE
(Height) (Width) (Depth)
12. NO. OF STORIES
PID 25- 302- O~-O
A:hD I r7 e--.J
(Address) (Tel. No.)
&,1;).- 4'10 ~ q 3;;l~
p~ I 01L L AK.f-. tJ ..s~- 3"}
Deckll
Finish Attic 0
(Address)
{P55
(Address)
13. TYPE OF CONSTRUCTION
14. FLOOR AREA APPORTIONMENT USE
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS
SEATS
16. PROJECT COSTNALUE
Re-roofing 0
Re-siding 0 Finish Basement 0
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 ab 'oned property an at all const 'on will conform to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the
buil . g ollic' I n revoke his e t for just ca e Furthermore, I hereby agree that the city official or a designee may enter upon the property to pe~<J'-m needed inspec' ns.
:J.()/G:,8T i'5 &f" -)($ ~ c:;
License No. Date
SETBACKS: Required
Actual
Front
BUILDING DEPARTMENT VALUATION
USE OF BUILDING
(<.ES 1'(112...
,
TYPE OF CONSTRUCTION: I II III IV
Occupancy Group A B E F HIM ~
Division 1 2V
Permit Fee................................... $
Plan Check Fee ............................. $
State Surcharge ............................. $
Penalty....................................... $
Plumbing Permit Fee ............... ........ $
Mechanical Permit Fee ..................... $
Sewer & Water Permit ...................... $
FOR ADMINISTRATIVE USE
Back
Side
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
PERMIT VALUATION
Side
MATERIAL FILED WITH APPLICATION
SOIL TESTS 0 ENERGY DATA 0
PILING LOGS 0 PERCOLATION TESTS 0
PLANS & SPECS 0
SETS
8, (JOC) . CJd
SURVEY 0
PLOT PLAN 0
COPIES
S U
City:
--
l -:<\ t"[ ."'2 s
~~ .7....1-
~ . C)(')
~
~I \ 1\G\q
Gas Fireplace Permit ....................... $
This ~71o~ecomet Your Building Permit When A~roved.
By ~r Date <r-c,- 1
Certificate of Occupancy
Issued
Amount Brought Forward .................. $
Park Support Fee ........................... $
SAC ......................................... $
Collective Street Fee ....................... $
SewerTap ................................... $
$
Pressure Reducer .......................... $
Meter Horn ................................... $
Water Meter........... ...................... $
Sewer & Water Connection Fee ........... $
Water Tower Fee ........................... $
Water Tap ................................... $
Buiider's Deposit ............................ $
Other ......................................... $
Total Due .............................. $
Paid
Date
24 hour notice for all inspections 447-9850
Special Conditions d any
qCl-L(-~8
White - Building
Canary - Engineering
Pink - Planning
The ('enter of Ihe Lake Country
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
J. L..E:-I~H BU\L..DEf2S
4/2-8/qq
I /
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
5(055 C--R05SANDRA ST.
Accepted Accepted With Corrections ~..
Denied
Q!J fJ ~ i:::--
7
Date:
)-c.-9c;
Reviewed By:
Comments:
I.
"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."
White - Building
Canary - Engineering
Pink - Planning
The Center of the Lake 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
1/
Accepted With Corrections
Reviewed By:
~~1~
. (2--1 I s.d:ba cJ0
I
Date: s/7191
. ,
~_()IL
Denied
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."
"._l!!____--....,..--------------;---.--.- .---~..-----...,..-.--- -----------.-----.----- .-.--
PRIOR LAKE
INSPECTION RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS 505C:; (itD<;s~
NATURE OF WORK J>olCl-.... ~ Dee k
USE OF BUILDING S~\:)
PERMIT NO. q~-Lfog DATE ISSUED 5-(,,- 9<]
CONTRACTOR Le ~ ~l-(J..o.n5 .
NO"fE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR DATE
I FOOTING (f) I &1{ ~ - '3-11
I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
FRAMING
INSULATION
ELECTRICAL
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
_ I I
FINALS
~ !
)
BUILDING
ELECTRICAL
DO NOT OCCUpy UNTIL ABOVE HAS BEEN SIGNED
NOTICE
This card must be posted near an electrical service cabinet prior to rough-in inspections
and maintained until all inspections have been approved. On buildings and additions
where no service cabinet is available, card shall be placed near main entrance.
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (612) 447-9850