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Home My WebLink AboutBuilding Permit 99-0168 CITY OF PRIOR LAKE BUILDING PERMIT, TEMPORARY CERTIFICATE OF ZONING COMPLIANCE AND UTILITY CONNECTION PERMIT ~CEI\fEQ *R I ? DIRECTIONS SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN BEFORE PERMIT IS ISSUED (Please Print or Type and sign at bottom) 2. SITE ADI(RESS I~~'F\ Du\~ Av.e.. S. E.. _ 3. LEGAL DESCRIPTION 1. White 2, Pink 3, Yellow File City Applicant Permit No. C(q-/&I? 1. DATE 8, BUILDING INFORMATION 11. SIZE OF STRUCTURE (Height) (Width) (Depth) 12. NO. OF STORIES ADDITION Doc.. PID 2S'- "t 02 -(")c..(1 - I 13, TYPE OF CONSTRUCTION LOT \l~~~K 4.~:R L..\:~ ~\:.~ ~~ (Address) 5. ARCHITECT (Name) (Address) 6d3UILDE~ f (~rT]e) I 1.c~ddrflSS) ~~,~\'" ,'.-e, 'f"Otcc.~"CTV\ e'-lNE <{"'"'Ave. ~pl$ 1'-40\. 5S'LlL3 D..,~ D~ Septic 0 Deck 0 Addition 0 Finish Attic 0 s: II} t\o..\.c..~..Q...r- 9, PROPERTY DIMENSIONS (Tel. No.) 14, FLOOR AREA APPORTIONMENT USE (Tel. No.) (Tel. No.) 3'11 -~'tJ' c11../7 -ltQL.- Re-roofing 0 Porch 0 Re-siding 0 Finish Basement 0 7. TYPE OF WORK New Construction 0 Fireplace 0 Alterations 0 "Z. ...J,. ~('Oor- Chimney 0 Misc, 8. PROPERTY AREA OR ACRES Sq,Ft. 15. NUMBER OF OCCUPANTS OR SEATS OCCUPANTS SEATS 16. ~OJECT COSTNALUE J/lz.o,oo 17. COMPLETION DATE Yes 1 O. CULVERT SIZE No Width Depth 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 property 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 revoke this permit for just cause, Furthermore, I hereby agree that the city official or a ~esignee may enter upon the property to perform needed inspections, X ~ \~ Signature License No, Date 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 10:00('") .no PLOT PLAN 0 SETBACKS: Required Actual Front BUILDING DEPARTMENT VALUATION USE OF BUI~ING Q./I - I f\/ l- I TYPE OF CONSTRUCTION: I <#> III IV V Occupancy Group A CB> E F HIM R S U \(~'( ~e." \ 1J' \" . >> Division 1 2 3 4 Permit Fee ................................... $ , L.;~ :~ S- IO~.f} ,').00 Plan Check Fee ............................. !!" State Surcharge............................. !!' __,. Penalty ....................................... :1', Plumbing Permit Fee ....................... $ Mechanical Permit Fee ..................... :I' :. ~ ~ p..G\ Vh '1)\ Sewer & Water Permit ...................... :t ur Building ;:t,;;it 3P1f>!P?d. Issued Amount Brought Forward .................. $ Park Support Fee ........................... $ SAC ......................................... $ Collective Street Fee ....................... $ Sewer Tap ........,.......................... $ $ Pressure Reducer .......................... $ Meter Hom ................................... $ Water Meter ................................. $ Sewer & Water Connection Fee ........... $ Water Tower Fee ........................... $ Water Tap ................................... $ Builder's Deposit ............................ $ Other ......................................... $ Total Due .............................. $ Paid 1....1,1-~ 1"'L. 7/1'-:> (cr~ L7Z, 72- ~ ~8'Z-- fl.A~ Receipt No. Date By This is to certify that the request in the above application and accompanying documents is in accordance with the City Zoning Ordinance and may proceed as requested. This document when signed by the City Planner const~utes a temporary Certificate of Zoning compliance and allows construction to commence, Before occupancy, a Certificate of Occupancy must be issued. City Planner Date 24 hour notice for all inspections 447-9850 r Special Conditions ~ any White - Building Canary - Engineering Pink - Planning Th. C.n.., of Ih. Lak< Counlry 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 ;I Accepted With Corrections Denied r) 7/J Reviewed By: \,L/0';}"?' A ) Comments: I. See.. QJll'\M~.\. .u.. <t~ - {'28 ~r- ~ \0--.-:;,' 9~S.. .e ~ . Date: --3-)"\- 1'S' 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." T' DATE RECEIVED CITY OF PRIOR LAKE BUILDING PERMIT, TEMPORARY CERTIFICATE OF ZONING COMPLIANCE AND UTILITY CONNECTION PERMIT I. While 2. Pink 3. Yellow File City Applicant Permit No. 1i.. L2S 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 1:6677 Duluth Avenue SE 3. LEGAL DESCRIPTION 1. DATE .5J;E (19. 30 .BUILDING INFORMATION 11. SIZE OF STRUCTURE (Height) (Width) (Depth) ~d ~ . LOT BLOCK PID 1C;.GiOl.D4ct-L 12. NO. OF STORIES ADDITION ~:.70(J-" 11ty.J44 13. TYPE OF CONSTRUCTION 4. OWNER (Name) Pri.or Lake State Bank 5. ARCHITECT (Name) (Address) 1.6677 Duluth Av SE (Address) (Tel. No.) 612-447-210l (Tel. No.) 14. FLOOR AREA APPORTIONMENT USE 6.-BUlLDER " (Name) (Address) (612) 379-893cjTel. No.) 84 NE 14th Av, ~1pls, HN 55413 15. NUMBER OF OCCUPANTS OFtSEATS OCCUPANTS ~lield Fire Protection 7.:.JY"'pE OF WORK Fireplace Ll Septic Ll Deck Ll Re-roofing Ll Porch Ll New Construction Ll Alteration~ Addition Ll Finish Attic Ll (,<,,'. ~e, :~dln~1Ll, Finish Basement Ll Cl1Imney Ll Misc. I " \ ^ . . 8. PROPER"""; AREA OR ACRES 9. PROPERTY DIMENSIONS 10. CULVERT SIZE ~. > SS~ , Width Depth Yes No I 4/15/99 I hereby certlfy that I have fumlshed 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 property 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 revoke 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 ,Or?! " , , r::- Hc,.-\.o.- .C014 2/22/99 Signature \ L \. "' \ ...." , " ., ", ~lcense No. I I q t, t f : I (;1 Dale FOR ADMINISTRATIVE USE SEATS .16. PROJECT CO~ALUE (jj '1:.~~~.~ 9Q:lO. 17. COMPLETION DATE SETB~CKS: Required Actual Front Back Side Side MATERIAL FILED WITH APPLICATION SOIL TESTS Ll ENERGY DATA Ll PILING LO~S Ll PERCOLATION TESTS Ll PLANS & SPECS LJ SETS BUILDING DEPARTME~T VALUATION TYPE OF CONSTRUcnoN: I OJ, III IV~:i1-.. Occupancy Group A B E F HIM R S U I Division 1 2 3 4 Permit Fee ................................... $ '^) I " -) "7 OFF STREET PARKING SPACES REO. SPACES ON PLAN PERMIT VALUATION _, h (~'_::,V\ SURVEY PLOT PLAN Ll COPIES Ll USE OF BUILDING I, I ~ . i/~\, City: Amount Brought Forward .................. $ Park Support Fee ........................... $ SAC ......................................... $ Collective Street Fee ....................... $ Sewer Tap ................................... $ $ '. Plan Check Fee ............................. $ ~-,tl.tt I I' . '\ I ( State Surcharge .................... ~ ,.,: .... $ ( - . ( , "Penalty....................................:.; $ Pressure Reducer ...............,.......... $ Meter Hom ,.................................. $ Water Meter ................................. $ Sewer & Water Connection Fee .......,... $ Water Tower Fee ............. ............., ,$ Gas Areplace Penn~ ........'............... $ Water Tap ................................... $ " // This Appllcation,BecomesYo.~r Building Permit Whe~App~ov!.!- Builder's Deposit ............................ $ By ! / '," Date' Y - / 7 Other ............,............................ $ 'r t -.j') Certlflcate of Occupancy Total Due ...........................,.. $ . _ j \ I ad Paid 4 (f I. "1 1. Receipt No. 1, 4- "7 A <. ssu LI. ' Date --;; r.; ,! (.1 By ~I 1\ H ' This is to certlfy that the request in the above application and accompanying documents Is in accordance with the City Zoning Ordinand, and may proceed as requested. This document when signed by the City Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be Issued. Mechanical Permit Fee ..................... $ :, ; \.~, '" I Plumbing Permit Fee ....................... $ \ '- , \ \.,"'- ~\. \. \. Sewer & Water Permit ...................... $ City Planner Dale Special Cond~lons H any ........ 24 hour notice for all Inspections 447-9850 SHIELD FIRE PROTECTION. INC 84 NE. 55413 LETTER OF TRANSMITTAL DATE JOB NO, 3-'7-97 2.4tts-3tB ATTENTION P4uL ij,-.vl')\ c;An:/-An3l- RE: ~ ..I...Jru<.(g ~ 80+11(" t"-,, ~ A.dS ~~ tn'N~M d 1'1 8 ~ fJt2.tD II!.. L KUt::"liI WE ARE SENDING YOU ~ ATTACHED D PRINTS D PLANS NO. D UNDER SEPARATE COVER VIA D COPY OF LETTER D SAMPLES 1>?1 !-l...l')~t!'.. ~6' DESCRIPTION THE FOLLOWING ITEMS: [gl SHOP DRAWINGS D CHANGE ORDER COPIES DATE D SPECIFICATIONS 3 3/7/<;/7 3 8/~ l~{ sd-s 1=/W1F iJJ1-c~~ /i!f2.4w14tJ/ S (~~ ~ /I., ()I'UJclUC: ~tA.n~-, REASON FOR .TRANSMITTAL CHECKED BELOW: 52J FOR APPROVAL D APPROVED AS SUBMITTED D RESUBMIT COPIES FOR APPROVAL D FOR YOUR USE D RETURNED FOR CORRECTIONS D SUBMIT COPIES FOR DISTRIBUTION D AS REQUESTED D FOR REVIEW AND COMMENT D RETURN CORRECTED PRINTS D APPROVED AS NOTED IKJ Pl~e- ~ wlTW ~ ~fJ..nvy--. D FOR BIDS DUE 19 D PRINTS RETURNED AFTER LOAN TO US COPY TO SIGNEO:j;:2..t!:. ~ ~ PLEASE NOTIFY US AT ONCE IF ENCLOSURES ARE NOT AS NOTED. 032011