HomeMy WebLinkAboutBuilding 99-0729
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DATE RECEIVED
CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
1. White
2. Pink
3. Yellow
File
City
Applicant
JJN I 5 1999
Permit No.
9Cl-72-tJ
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
1 \0 D s9)..: r1, l, 1\ If e (t. 0
1. DATE
J<J,Je 1'1- - 7
J2/SD
BUILDING INFORMATION
11. SIZE OF STRUCTURE
(Height) \ (Width) - . \ (Depth) ""J
D Ov V
12. NO. OF STORIES
3. LEGAL DESCRIPTION
G, i 7
BLOCK
PID 25-/33 - ()(",S-O
LOT
5. ARCHITECT
(Name)
(Address)
Pro/1'c.1'f J ~O .sP~~~
(Address)
13. TYPE OF CONSTRUCTION
Wt'cJ
14. FLOOR AREA APPORTIONMENT USE
OOf(u;CJ).t' peeT
ADDITION
~~PI2.I;J 6 L.L
6, BUILDER
(Name)
(Address)
(Tel. No.)
d (~1)7'f't-7-18a3
(Tel. No.) ~
tJ (20/Lc1i1
(Tel. No.)
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS 3..-</1--4 pe
4. OWNER (Name)
De bD H~H \(,If.
A.l-
f3v~ Id:r>)' dut-Se.(Ue.J
7. TYPE OF WORK Fireplace 0
New Construction S Alterations 0
ChimneyO Misc, de -rAc4e6
8. PROPERTY AREA OR ACRES
SeptiC 0 Deck 0 Re-roofing 0 Porch 0
Addition 0 Finish Attic 0 Re-siding 0 Finish Basement 0 16. PROJECT COSTNALUE
, ~A)e <t- s " 0 . 00
9. PROPERTY DIMENSIONS 10. CULVERT SIZE 17. COMPLETION DATE
Per,.,.., :7
Sq. Ft. Width Depth Yes No I ,..." ~,,J-r ~ A f 7e t-- i.s. V" I
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 pro erty 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 official can re this permit for just cause. Furthermore, I hereby agree that the city official or a designee may enter upon the property to perform needed inspections.
X :),J,Je J( - 9 ~
SEATS
License No.
Date
FOR ADMINISTRATIVE USE
SETBACKS: Required
Actual
Front
Back
Side
Side
MATERIAL FILED WITH APPLICATION
SOIL TESTS 0 ENERGY DATA 0
PILING LOGS 0 PERCOLATION TESTS 0
PLANS & SPECS 0 SETS
SURVEY 0 COPIES
PLOT PLAN 0
BUILDING DEPARTMENT VALUATION
USE OF BUILDING
/2ES 4/R-.
/
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
PERMIT VALUATION
TYPE OF CONSTRUCTION: I II III IV _~
Occupancy Group A B E ~ I M '1'r S U
Division 1 ~V '-/ 7s-
Permit Fee ................................... $ :2::2..
City:
Amount Brought Forward .................. $
Park Support Fee ........................... $
SAC ......................................... $
Collective Street Fee ....................... $
Sewer Tap ................................... $
Plan Check Fee ............................. $
IL/~ .~
7.
$
State Surcharge ............................. $
Penalty....................................... $
Plumbing Permit Fee ....................... $
Pressure Reducer .......................... $
Meter Horn ................................... $
Water Meter ................................. $
Sewer & Water Connection Fee ........... $
Water Tower Fee ........................... $
Mechanical Permit Fee ..................... $
Sewer & Water Permit ...................... $
Issued
~1f3. 34
:35~33
Gas Fireplace Permit ....................... $
ur Building Pe . , When AJlP'rov~
Date (", -/9-17
Date,?
This i ertify that the re(lUest in the above application and accompanying documents is in accordance with the City Zoning Ordinance and may procee s requested. This document when
sign I:l by e nn constitutes a temporary Certificate of on' g compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be issued.
Special Conditions if any
24 hour notice for all inspections 447-9850
Th, (',n... or Ih, Lak, Counl".
(lC;~ 72-;
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
P K C Ie C:--r-i
rr I'; ':) ;' c; 7'
. f
The Building, Engineering, and Planning Departments have reviewed the building permit
__ ________~p.?~~~ation for construction activity whichi~J?!o~os_ed_~!~._________.____-"-_____________.__._'_.'_U__
Z 7 f.c CJ 5//1<: 11\1/ ~ L/-/ Ie. E- I<'U
I
Accepted
v'
Accepted With Corrections
Denied
I .- .
R~viewed By: JJ",..:rF'1( L Hac Sf'4AIi,1I.l
Date: 7/7!9?
Comments: '1rI. EI<lf5 'AlELIt.IN{., 'DD>AR.Tt"1.EtJf' 1-111$ AJn ISSueS w,n-t THIs
BcllI..O,.Ni> P,::~rr.
SEE: IIJFo "-""AT/ON 0,.) RcvfZ./t SE S f~E"
~E't: A1'"'n1t~~: I, Ct(.OSlQN C.O.N'n(Ol.... R.AN Z, EIl.aSloN CO.-.JTitOL I'1EA.~.J({~S
"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."
Theo Ceonleor of Iheo L.keo Counlry
qCJ~ 72-;
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
p,eo/C.o I~'I
&/15/99
, ,
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
Z 7~() SPRIN9 !.-/1/cG RD
Accepted Y-
Accepted With Corrections
::::::ed By: i2far.y~
Comments:
Date:
& -I f!3 -7?-
"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."
Thf' Cf'nlf'r or Ihf' Lakt 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:
Accepted /' Accepted With Corrections
Denied 9 /J/ j
Reviewed By: .VI). VVCv0 Date: ~/3DII/
Comments: ... 8t) L;A -DJ~. ~S - Dfe. Nt) bluff} /Y\() flax:!
~ ArcJ1i-fe~ ~(;/i~ -(j)~J ~{/I()J~ ~()Yf-c<a -OK
IJ t +W1M -ok-
-I Uri vt~ m &<- Y\o.Nd f Suyfuu d
f tx-iV~ ~~ AM~ ID76
*A(( Lore; ~ ~ l~ I ?IU
"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?{,t; 5pril/lfj t'k - ~
TYPE OF WORK D.o~c~ G.~
USE OF BUILDING
PERMIT NO. 7' J - ~7 '::<! '7
BUILDER ~
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF
BUILDING AND INSPECTION
&-18-tf
DATE ISSUED
FOOTING
PLACE NO CONCRETE UNTIL ABOV
FRAMING -A ~
DATE
I FINAL
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS 447-9850