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HomeMy WebLinkAboutBuilding 99-0517 ';: ~ ::! ~ ~ hl K:l ~ ~ ~ t:S ~ ~ hl ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ ~ Ilo ~ ~ ~ o > r- r- t ..... I CD 00 en o "Tl o ;:0 -I :J: m z m >< -I Z (J) "U m o -I (5 Z to.) .... :J: o c: ;:0 (J) Z > o ~ z o ~ }("o 0 . ". 8 8 ~ ;:0 ;:0 ;:0 ;:0 ;:0 " m m CIl 00> -f -f -I ~ > en ;:0 ~ ~ ?' i5 0 Z -I o > 0 ~ ~ ~ ':; ~ "'0 -" ~ 0;:0;:0 ~M~ I (\! \\,~ \1l \ ''Rl . 0'" j o "'-/ < m ;!! Z G) ::J III "0 CD Sl o :"! C') o 3: 3: m z -4 en D~ODDD CIl"TlZ"Tl"Tl"Tl =i ZCll;:O 00 m>c>CO -r-r-3:Z-f Z >-oz ~tg~~G) m z 0 ~ z i5 z 000000 3:"UCIl;!:3:"U mr-m)imr- OCS-IOC :J:3:mm:J:3: "Tl!!!;:O;:O;:o!!! zz:z::z:-z >G)oo G) r-!!~~ ;!! Zcc ~"'O"'O 000000 G)"Tl"Tlom >;o;oO~ (J)mm3:G) !:"U"U"'O~ ~>>>c >oOz=ii _mm-f_ ;:O"Tl;:O r- -f-- r- (J)Z Z -f~ G) 'tI :J: o z m Z 9 "U m ;:0 3: :::j z 9 ...Q -Q v. - :J o :e z m ;:0 o o Z -I ;U :t- o o ;:0 m (J) (J) -(') z_ ~~ mo 0"Tl ::!"U 0;:0 z- zo 0;:0 ::i> 0" mm " ~ (J) o :J: m o C r- m o ~ c )> -i m -i i m DATE RECEIVED CITY OF PRIOR LAKE BUILDING PERMIT, MAY a 0 ~ 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. ,I '-I- ) b (1. '1 L White 2. Pink 3. Yellow File City Applicant Permit No. qq-5/7 1. DATE S--/{)"1~ Pror L~(.. ~/sD BUILDING INFORMATION 11. SIZE OF STRUCTURE (Height) (Width) (Depth) 3. LEGAL DESCRIPTION 6 rvlL-OeRA/5C,<;:; 4. WNER (Name) !t1 ich c e.. ' 5. ARCHITECT (Name) 12. NO. OF STORIES 2.. PID 25- 318- O.?D - 0 ,oIJNDS (Address) "q <.( W}Je{-nC:S5 (Address) (Tel. No.) LOT BLOCK ADDITION 13. TYPE OF CONSTRUCTION 14. FLOOR AREA APPORTIONMENT USE 6. BUILDER (Name) (Address) SA fY\ 0 7. TYPE OF WORK New Construction 0 Septic 0 Addition 0 Deck Finish Attic 0 '\ Re-roofing 0 Porch 0 Re-siding 0 Finish Basement 0 SEATS 16. PROJECT COSTNALUE Fireplace 0 Alterations 0 Chimney 0 Misc. 8. PROPERTY AREA OR ACRES Sq. Ft 9. PROPERTY DIMENSIONS Width Depth 10. CULVERT SIZE Yes No (Tel. No.) 15. NUMBER OF OCCUPANTS OR SEATS OCCUPANTS 17. COMPLETION DATE I hereby certify that I have fumished 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 abov ntioned property and that all construction will conform to all existing state and local laws and will proceed in accordance with submitted plan. am aware that the buil' fficial can ke this rmit for just cause. Furthermore, I hereby agree that the city official or a designee may enter upon the property to 0 needed inspections. X ~ ),-)D.cf'1 License No. Date FOR ADMINISTRATIVE USE MATERIAL FILED WITH APPLICATION SETBACKS: Required Actual Front Side Back BUILDING DEPARTMENT VALUATION OFF STREET PARKING SPACES REO. USE OF BUILDING !l-cS ~/R-. , SPACES ON PLAN PERMIT VALUATION 3~. C{"'~ TYPE OF CONSTRUCTION: I II III IV Occupancy Group A B E F HIM ~ S U Division 1 2 Q4 City: Permit Fee ................................... $ 74.. 7~ 'Ie .57 I,!::IV Plan Check Fee ............................. $ State Surcharge ............................. $ Penalty....................................... $ Plumbing Permit Fee ....................... $ Mechanical Permit Fee ..................... $ wt. \ 11\C~~ 'J\~' Sewer & Water Permit...................... $ Gas Fireplace Permit ....................... $ This ~liC9Jli~Becomel Your Building Permit When Approv,ll.d. By (jJ:- ~~ Date" -( 3-7 f Certificate of Occupancy Issued Side SOIL TESTS o o ENERGY DATA PILING LOGS 0 PERCOLATION TESTS 0 PLANS & SPECS 0 SURVEY 0 SETS COPIES PLOT PLAN o Amount Brought Forward .................. $ Park Support Fee ........................... $ SAC .."'".................................... $ Collective Street Fee ....................... $ Sewer Tap ................................... $ $ Pressure Reducer .......................... $ Meter Horn.. ........... ...................... $ Water Meter ................................. $ Sewer & Water Connection Fee ........... $ WaterTowerFee ........................... $ Water Tap ................................... $ Builder's Deposit ............................ $ Other ......................................... $ '.f{' , Paid T~~4.e8.4.............~~~.~i~~~0$ :;; ~ 'f Date 5'.. 16 q 'f By 24 hour notice for all inspections 447-9850 The ('enter of the l.ake ('ountry White - Building, Canary - Engineering ~ . Pink - Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED .~' ,~., I / :, The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: .;.:.. .;- L_ _~~_~..~ Accepted Denied / Accepted With Corrections Reviewed By: ~ ~ Comrr.ents: ~ ~~1 ~o l<C;u;1I ~_ Wl~ /~ ...~~.( fdfOP~ }~Bv1S ~ ~-( ---50 lkvl-Q-, $e-n/~~~"f2LIA~.. _~l&. ~le,,~ %V~ r~hrepr Date: 5"[7 ~70 ~~~~ ~:J!:r~ L~~~ StJy~ ~tvU1~~ Ii' "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 -5/7 The Ctnler of tht L.kt Country White - Building Canary - Engineering Pink - Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED /"1/ CH/lEt.- 0 () Y 1..-6 5~O/qc; f The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: /~ 92-4- yYII-OERJVc5S 71<.A-1 L- Accepted Accepted With Corrections , ( "" Denied Reviewed By: ~kk y Date: )-IS -'l. 9 Comments: _j2,Cln2 ~ ~l< 1-LaQ.~ "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 DEPARTMENT OF BUILDING AND INSPECTION SITE ADDRESS ~ LJt.~J..QJV\e9..S - 1~. TYPE OF WORK .J2~~c- USE OF BUILDING SF \) PERMIT NO. g~ -511 DATE ISSUED r::;--Is-i? BUILDER bc'j\~ NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT INSPECTOR DATE I FOOTING trL fLJ-1, I ff.Qit I 5)"- d '"'7 ~ I PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED II~ I I I I FINAL I I I Call between 8:00 and 9:00 A.M. for all inspections FOR ALL INSPECTIONS 447-9850 .