HomeMy WebLinkAboutBuilding Permit 99-0937
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CITY OF PRIOR LAKE
BUILDING PERMIT,
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 '
\ In 7 ~ \ ~tuv:U AK ~ --r0ft-\ L-
3. LEGAL DESCRIPTION
1
ADDITION \{jq h \rxtl d
~re) 012- -t1~~(l (AddrKs~ vrh
(NamJ . ~res's)
1. DATE
\
1 \7,Q qq
Ie/SO
LOT
BLOCK
PID ~- 007-0
6. BUILDER (' \ \1M ~Ntaltw\ ',( {\. m. (Address) (Tel. No.)
0VI l~ m"\L~ \Jh r '\lG81l,~Mt ~~~~ ~~ \iY11t..\
M.f~lf ", :-"_-..,' ~..... -..
7. TYPE OF WORK Fireplac~ Septic CJ Deck CJ Re-roofing CJ Porch CJ
New Construction CJ Alterations oF - Addition CJ Finish Attic CJ Re-siding CJ Finish Baseme~.
Chimney CJ Misc. ~ :
8. PROPERTY AREA OR ACRES 9. PROPERTY DIMENSIONS 10. CULVERT SIZE
Sq. Ft. Width Depth Yes No
4. OWNER
5. ARCHITECT
the abov~nea p
:uildingC.icial.:n r yoke
SETBACKS: Required
Actual
Front
Back
Side
BUILDING DEPARTMENT VALUATION
OFF STREET PARKING
SPACES REO.
USE OF BUILDING
~
Re5~/;e.
,
SPACES ON PLAN ~. t':) 1'1
.. ....... ...... ~
PERMIT VALUATION ---'.EJ: tJ'~........ ,.
Amount Brought Fo
Park Support F
~:~ec;i~\. .:~::::::::::
s",~...(}~.......... :
~tt~il~'~~! .. ......:::::::::::::::: :
Water Meter ... ..................... $
Sewer & Wa action Fee ........... $
Water Tower ........................... $
Water Tap ................................... $
Builder's Deposit ............................ $
Other ......................................... $
Total Due .............................. $
Paid .3 S. 2.. r Receipt ~o"
Date ~/JoI!L1 By
the above application and accompanying documents is in accordance with the City ZoninlOrdina~ce and may proceed a requested. This document when
tes a temporary Certifi~;/~'tJ7omPliance and allows construction to commence. Before occupancy. a Certificate f Occupancy must be issued.
Special Conditions ij any
r.
TYPE OF CONSTRUCTION: I II III IV (j)
Occupancy Group A BE):.. ~ _ ~ ~ S U
DIVISion ~ ....Oc", _ ~
Permit Fee ................................... $ I O\~ .rA ')
City:
'5 q. 7S-
Plan Check Fee ............................. $
~5"'t1."rf.
,'5? .. ~F'I
. ~O
State Surcharge ............................. $
Penalty ....................................... $_
Plumbing Permit Fee ....................... $
~
~:,
Mechanical Permit Fee ..................... $
40 .00
v
(Tel. No.)
~10- b,)cr L/
(Tel. No.)
Side
24 hour notice for all inspections 447-9850
1. White
2. Pink
3, Yellow
File
City
Applicant
Sf!6 ff -37~
Permit No. qq --7137-
, I I
BUILDING INFORMATION
11. SIZE OF STRUCTURE
(Height) (Width) (Depth)
12. NO. OF STORIES
13. TYPE OF CONSTRUCTION
14. FLOOR AREA APPORTIONMENT USE
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS
SEATS
16. PROJECT cn.cn;/VALUE
3/00 ,7FU .
17. COMPLETION DATE
SOIL TESTS
CJ
CJ
CJ
PILING LOGS CJ
CJ
<'5.1..5
3 sJ' 5"Z}
White - Building
Canary - Engineering
Pink - Planning
The Crnttr of the Lake 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:
,/
. .,'..,..,r
ri...._..__
Reviewed By:
./
v
() .Of. jV7J21 Date: ~/C::/77
'if ~ ~ -Ole.
1/
Accepted With Corrections
Accepted
t~
Denied
(
".1(. t,~
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 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,"
.....,
.-- ~- - .-----r-------~;,.,.,_._...,......-.---. .-.------ --~. .~.--~"- _. -- -.....---'-.-,....,...---,...,..--
99- 937
Thr ("rnfer of the Lake Counlry
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
.:5(/ IV 5 G I rI01'16.5
,
tf3/z.-/9tf
, ,
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/(,73/
is L- / /\I 0 L-I:::::-
/R'
Accepted
Denied ~
Reviewed BY:(k_ (}
Accepted With Corrections
~
Comments:
1,~~k~CW ~~
Date:
3-C'o--?9
"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."