HomeMy WebLinkAboutBuilding 99-0685
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CITY OF PRIOR LAKE
BUILDING PERMIT,
EMPORARY CERTIFICATE OF
ZONING COMPLIANCE
D UTILITY CONNECTION PERMIT
DATE RECEIVED
DIRECTIONS
SPACES NUMBERED 1 THRU 17 M
BEFORE PERMIT is ISSUED (Please Print or Type and sign at bottom)
2. SITE ADDRESS
5~35
hYQ..:S f ~+. Job'
3. lEGAL DESCRIJ;'TION /
lOT '-I BLOCK r
ADDITION 10 rt' sf {J c~ t s / ~ Aci..ttr?
(Address) . ~ (\ I
5b3.~ r"'r~J t \...it,
(Address)
1. White
2. Pink
3. Yellow
File
City
Applicant
Permit No.
qq~&Bb
1. DATE
5 -/7-99
R/5D
BUilDING INFORMATION
11. SIZE OF STRUCTURE
(Height) (Width) (Depth)
12. NO. OF STORIES
PIC ,;J5~ - tJ{) l.j -D
4. OWNER
5. ARCHITECT
..,... (Name)
V 1M '" KiM
(Name)
Cr"'; 9
6. BUilDER
(Name)
(Address)
SA.J1e
~
J>, ~ "!
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
~
Chimney 0 Misc.
8. PROPERTY AREA OR ACRES
Sq.Ft.
9. PROPERTY DIMENSIONS
Width Depth
10. CULVERT SIZE
Yes No
13. TYPE OF CONSTRUCTION
(Tel. No.)
4'10' 385'
(Tel. No.)
14. FLOOR AREA APPORTIONMENT USE
(Tel. No.)
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS
SEATS
building official ca
I hereby certify that I have furnished infonnation 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
on will conform to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the
. Furthermore. I hereby agree that the city official or a designee may enter upon the property to perfonn needed inspections.
5-/7-'17
x
License No.
Date
SETBACKS: Required
Actual
FOR ADMINISTRATIVE USE
MATERIAL FilED WITH APPLICATION
Back Side Side 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 3'p-n.CJQ PLOT PLAN 0
Front
BUilDING DEPARTMENT VALUATION
USE OF BUILDING
,e13..:s ~ / e
/
TYPE OF CONSTRUCTION: I II III IV
Occupancy Group A B E F HIM
Division 1 2 3 4
Permit Fee ................................... $
V
R S U
City:
71. ?S-
48.s!
1.5"0
Plan Check Fee ............................. $
State Surcharge ............................. $
Penalty ......... ......... ..................... $
Plumbing Pennit Fee ....................... $
~
Mechanical Pennit Fee ..................... $
Sewer & Water Penni! ...................... $
Gas Fireplace Penni! ....................... $
ThiS~li9l'9b~ecomes ~lJilding Pennit When ApP~)Ii1Sl--
Byfb-~ Date ~ -8 77
Certificate of Occupancy
Issued
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 ........................... $
WaterTap ................................... $
51 in the above application and accompanying documents is in accordance with the City Zoning Ordinance and may procee requested. This document when
nst' tes a te porary Certifi too in compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be issued.
24 hour notice for all inspections 447-9850
Special Conditions ff any
H.t{,
Thr ('enter of the L.ke 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:
Comments:
Accepted \ ./
p
Denied
Reviewed By: 9. C){. Jvvrw.-J
~d0 ~-O^' ole:... -4cJ~tLh.- frJrvh
~ Mfdc11:u;/ 5(fr(/{:J ~ ~~A~lVt<J
~Vt{J t:30/o ~~).
Accepted With Corrections
Date:
~ f g /7;
.
wi/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."
.- '..' -'_.--_._'--~._-_._.__.._--_.__.~ --- <~_._. -, ",- -.._~._. .-......-.-- -.-__.~_<_........._._~,_._._ _., ~._.~ -0'_.---- "_ _.....__.__...,._~__."._....~... ~__---:.___.._.,__..__._,.,._. _'_....__....~__-..,.. __.____'__.~-,~_..._
qCJ--&;86
The ('rnler or the Lake Counlry
White - Building
Canary - Engineering
Pink - Planning
NAME OF APPLICANT
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
TIM ~ I< 1M CRAIE?
~_4-/qc;
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
5~35 F()R.6.ST" CI SE:
Accepted
Accepted With Corrections ~
Denied
~~A
Date:
(, - 8-9 er
Reviewed By:
Comments:
\. ~ ~ deck ~cQ. ~ 1-
"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."
,../'
/
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,." .f
PRIOR LAKE
INSPECTION
RECORD
D~PARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS S(",~<;5" ~r-e~t G.J. S.L
TYPE OF WORK lPck -
USE OF BUILDING sFD
PERMIT NO. Cz 9 -~ DATE ISSUED c.. . :3 -75
BUILDER r\-~-- ~
NOTE: THIS IS troT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
FOOTING
PLACE NO CONCRETE UNTIL ABOVE'
DATE
~
FINAL
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS 447-9850
I
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