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HomeMy WebLinkAboutBuilding Permit 99-0983 e/~ ~/;,; CITY OF PRIOR LAKE BUILDING PERMIT, TEMPORARY CERTIFICATE OF ZONING COMPLIANCE AND UTILITY CONNECTION PERMIT File City permitNo.~-qE13 , DIRECTIONS SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN BEFORE PERMIT IS ISSUED (Please Print or Type and sign at bottom) 1. DATE BUILDING INFORMATION 11. SIZE OF STRUCTURE (Height) (Width) 2. SITE ADDRESS tA2-V\ BW~tM~L 3. LEGAL DESCRIPTION S' I!J (Depth) 12. NO. OF STORIES 7 t-hu.- ~lJ fJ,A&;{ ~d~ PID 2.."')-3.~..()5D -0 LOT . BLOCK KNb-B II J (Name) J / iN 1/11 /JiA/tlDIJ 'f/:tJ.MA!!; 5. ARCHITECT (Name) Y 13. TYPE OF CONSTRUCTION ADDITION JJ _ . --L I (Tel. 110.) . JI/.:,...... 14. FLOOR AREA APPORTIONMENT USE ~fJ1'~, (Tel. No.) 4. OWNER (Address) (Name) (Address) (Tel. No.) 6. BUILDER 15. NUMBER OF OCCUPANTS OR SEATS OCCUPANTS SEATS 7. TYPE OF WORK ~10'\~ ~~ire~ce ~. i-- F..~~tf.9 Deck 0 New Construction 0 .fi;lterations ~ Addition ~ Fi~ Chimney 0 Misc. ,J,UI- --.B:MinO,J/tt., -S. 8, PROPERTY AREA OR ACRES 9. PROPERT-Y DIMENSIONS. Sq. Ft. Width Depth Re-roofing 0 Porch 0 Re-siding 0 Finis~semen~ Z4-~ ~ 10. CULVERT SIZE 16. PROJ!~TNALUE 17. COMPLETI9N D."} A E lo/~~ I here certify th have " , ~ :. .:~... .~:: _., n this application which is to the best of my knowledge true and correct. I also certify that I an/the o-$ner or 'authorized agent for the abov ention and t at all co ction will conform to all existing state and local laws and will proceed in accordance with submitted plans. I a1 i~re that the :uilding offic n re ke this p if' cause. Furthermore. I hereby agree that the city official or a des~e4;enter upon the property to perform ~./qqtions. - :.~t~ License No. ' ~e " Yes No I J SETBACKS: Required Actual FOR ADMINISTRATIVE USE MATERIAL FILED WITH APPLICATION Side SOIL TESTS 0 ENERGY DATA 0 PILING LOGS 0 PERCOLATION TESTS 0 PLANS & SPECS 0 SETS SURVEY 0 COPIES PLOT PLAN 0 Front Back Side BUILDING DEPARTMENT VALUATION OFF STREET PARKING SPACES REO. SPACES ON PLAN PERMIT VALUATION ~....rv'\. <!)O , ~6S 4/..e... / USE OF BUILDING TYPE OF CONSTRUCTION: I II III IV V Occupancy Group A B E F HIM R S U Amount Brought Forward .................. $ Park Support Fee ........................... $ SAC ......................................... $ Collective Street Fee ....................... $ Sewer Tap ................................... $ $ City: Division 1 2 3 4 7'l.7S- Permit Fee ................................... $ Plan Check Fee ............................. $ l,SO Slate Surcharge ............................. $ ~~ Penalty......... ........ ...................... $ Pressure Reducer .......................... $ Meter Hom ................................... $ Water Meter................................. $ Sewer & Water Connection Fee ........... $ Water Tower Fee ........................... $ Plumbing Permit Fee ....................... !t, Mechanical Permit Fee ..................... $ Sewer & Water Permit ...................... $ GaS~ir a ep~, .~1fr.1f!.J..... $ 40.00 This cautl mes uilding perm'!!~rrl2.Pl!j~' By 'h V. V Date Certificate of Occupancy Water Tap ................................... $ Builder's Deposit ............................ $ Other......................................... $ , Total Due .............................. $ / /" ~ Paid / /, . l-- J Receipt No. .3'-z.- "" ,;-- Date .,. h- l,,//1I11J By bove application and accompanying documents is in accordance with the City Zoning Ordinan~e 'n"may proceed equested. This document when empqr certifi<g 'f fttir(~t4fPliance and allows construction to commence. Before occupancy, a Certfficate of Occupancy must be issued. , ~ Special Conditions ff any Issued v 24 hour notice for all inspections 447-9850 '.......:.1'...,....,.____-.. ....r... r ----~-"~~~~- J.,":~-:' .'f>."'""'I"7' ..;-+ ~~~~_~:~~'" ~,~ ~" .--.' ~.". --r-.. /" "..-, ," . ,/' ,/ ~ /,. I"~ , Thr ernlrr or Ihe L.kr Counlry White - Building Canary - Engineering Pink - Planning BUILDING PERMIT APP~ICATION DEPARTM~NT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED ..:;.~/' , , ~'--/' / ,/:::.- (....-... ",--,., t '~_-"___ ,/ / .' (~.. / The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: '" / '-- I ,,/ l .' . ' / / /_ L,j "'T~. Reviewed By: /" r)*J~ Accepted With Corrections Accepted Denied Date: ~/Jllq7 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." Cf9 - ~83 Th~ Crntrr of the- Lakr Country White - Building Canary - Engineering Pink - Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED tY/NOWOOO HOMES r3///0/9C; The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: /422-Cf 8c-U60/~O . / k:.... Accepted ~ Accepted With Corrections Denied Reviewed By: p.,~. Date: $~jy 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." PRIOR LAKE INSPECTION RECORD SITE ADDRESS 1'12 2.., -g{V~.~'t-~ 1t-. NATURE OF WORK -,Ehu'c; ~ h..~; IV ~14A.- ~u-d USE OF BUILDING St="D PERMIT NO. 9!J- UJ? DATE ISSUED 9-/9 CONTRACTOR ~,~l. u~~tf& 1fw.-1-I. NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW -THE PERMIT IS BY SEPARATE DOCUMENT DEPARTMENT OF BUILDING AND INSPECTION INSPECTOR DATE FRAMING INSULATION ELECTRICAL PLUMBING HEATING (if required) FIREPLACE GAS LINE AIR TEST I I I _ / PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SI~~ ROUGH - INS .(l~ ""''' {,0 / ~..1 ';/ - . -~.,., - -- - .. - '. " . r . ~+- ' COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED I I FINALS BUILDING ELECTRICAL PLUMBING HEATING DO NOT OCCUpy UNTIL ABOVE HAS BEEN SIGNED NOTICE This card must be posted near an electrical service cabinet prior to rough-in inspections and maintained until all inspections have been approved. On buildings and additions where no service cabinet is available, card shall be placed near main entrance. Call between 8:00 and 9:00 A.M. for all inspections FOR ALL INSPECTIONS (612) 447-9850