HomeMy WebLinkAboutBuilding 99-0506
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DATE RECEIVED CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
-{ ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
I. White
2. Pink
3. Yellow
File
City
Applicant
Permit No.
qq-5lJb
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
n0G70
IOLo,..1\ 0
""~
'S.~
BUILDING INFORMATION
11. SIZE OF STRUCTURE
(Height) (Width) (Depth)
3
12. NO. OF STORIES
PID Z6-LW-(J~5-o
13. TYPE OF CONSTRUCTION
ADDITION
4. OWNER
~~
5. ARCHITECT
(Tel. No.)
14. FLOOR AREA APPORTIONMENT USE
6. BUILDER
(Name)
(Address)
(Tel. No.)
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS
7. TYPE OF WORK
New Construction 0
Fireplace 0
Alterations 0
Septic 0
Addition 0
Dec.?(
Finish Attic 0
Re-roofing 0 Porch 0
Re-siding 0 Finish Basement 0
SEATS
16. PROJECT COSTNALUE
Chimney 0 Misc.
8. PROPERTY AREA OR ACRES
Sq. Ft.
9. PROPERTY DIMENSIONS
Width Depth
10. CULVERT SIZE
17. COMPLETION DATE
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 p e d 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 official r ok rmi for just cause. Furthermore, I hereby agree that the city official or a designee may enter upon the property to perform needed inspections.
X
License No.
Date
FOR ADMINISTRATIVE USE
SETBACKS: Required
Actual
MATERIAL FILED WITH APPLICATION
Front
Back Side Side SOIL TESTS n 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 2,OClO.O d PLOT PLAN 0
BUILDING DEPARTMENT VALUATION
USE OF BUILDING
1l6<S It/~
,
TYPE OF CONSTRUCTION: I " III IV. ..../i
Occupancy Group A B E F ./tt; I M (..R'
Division 1 t:Y4
Permit Fee ................................... $
S U
City:
Amount Brought Forward .................. $
Park Support Fee ........................... $
SAC ......................................... $
Collective Street Fee ....................... $
Sewer Tap ................................... $
$
Plan Check Fee ............................. $
(oL.(,~
40.47
J I 00
State Surcharge ............................. $
Penalty....................................... $
~ 'I'~q
~\\11\\qql
?,~
Pressure Reducer .......................... $
Meter Horn ................................... $
Water Meter ................................. $
Sewer & Water Connection Fee ........... $
Water Tower Fee ........................... $
WaterTap ................................... $
Builder's Deposit ............................ $
Plumbing Permit Fee ....................... $
Mechanical Permit Fee ..................... $
Sewer & Water Permit .......... ........... $
This
By
I ding Permit ~ ~pJ2!:9veEli c,
Date~
Issued
Paid
quest in the above application and accompanying documents is in accordance with the City Zoning Ordinance and may proceed requested. This document when
c..on tilutes a temporary Certificaj , D"f17"Pliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be issued.
Crty Planner ~ Dat~ Special Conditions rt any
24 hour notice for all inspections 447-9850
The Cenler of Ihe Lakr Counlry
White .. Building
Canary .. Engineering
Pink .. Planning
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:
Denied
~
(fCJf. j nJ(J,U Date:
~ctcJ ofIteu (;)~.
Accepted With Corrections
Accepted
Reviewed By:
>/;0 lie:;
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 bf
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- 5?Jh
The Center or the take Country
White .. Building
Canary - Engineering
Pink .. Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
,IVl/K6 /VJAf'/SFeL,,-Oi
5 /7 /qq
, ,
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/70 60 (Vteol\lTV
~Ve:-. 5. E.
Accepted
Accepted With Corrections
Y-
Denied Y/J(( J---
Reviewed B@~.
Comments:
~+4~cL (~~
Date: 5"-/3-9 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."
PRIOR LAKE
INSPECTION
RECORD
SITE ADDRESS _11]04>6 1()H1\A-tn ~.
TYPE OF WORK De.c k..
USE OF BUILDING Sft)
PERMIT NO. C(9 -::;'-0&
BUILDER .tt..k-e fv1al~ <<>F.. 1",J.r-
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 5-/3-9r
~ INSPECTOR DATE
I FOOTING ~ ~ 17-1-9;
PLACE NO CONCRETE UNTI~ ~BOVE HAS BEEN SIGNED
Ir~ I I
I FINAL I 1
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS 447-9850