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Home My WebLink AboutBuilding Permit 99-0500 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 MAY 6 1999 Permit No. QQ-60U 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 ISICf7 LrJ D:fU bvd::.. ~. t-.J I Al 1'. DATE . ,;:;f'J -S-b -'7-/ .rtlI~c.V PUO BUILDING INFORMATION 11. SIZE OF STRUCTURE (Height) (Width) (Depth) 3. LEGAL DESCRIPTION 12. NO. OF STORIES ADDITION 4. bWNER (Name) C-PE.I:::eR ~N- THe. BLOCK WIl--DS C 2,.,;0 I7DOtJ PID CS. 323 .o<-.c..O LOT I 13. TYPE OF CONSTRUCTION (Address) (Tel. No.) 14. FLOOR AREA APPORTIONMENT USE ,~~E:s. 5. ARCHITECT (Name) (Address) '-;PCPE~ He ('-( C:-S (Tel. No.) 6. BUILDER (Name) vCD~t" r\ol'-icS SLQ 'I'H, P:D Si; t"',....~~ t N r'"7 -rot---f 1'-11'-.1 7. TYPE OF WORK Fireplace 0 New Construction 0 Alterations 0 (Address) / ~ ~, (Tel. No.) ~ ~ 'lcC")-ZC(f Z. 15. NUMBER OF OCCUPANTS OR SEATS OCCUPANTS :s~0c-c...f Septic 0 Dec~ Addition 0 Finish Attic 0 Re-roofing 0 Porch 0 Re-siding 0 Finish Basement 0 SEATS 16. PROJECT COSTNALUE Chimney 0 Misc. 8. PROPERTY AREA OR ACRES Sq.Ft. 9. PROPERTY DIMENSIONS Width Depth 10. CULVERT SIZE 17. COMPLETION DATE Yes No I hereby certify that I have fumished 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 officia revoke this.permit fOrJu~~h:ore, I he..rebY agree that the city official or a designee may enter upon the property to perform need. e..d inspections. X s.::-Ap_ _ -=-~ . ~ '_ ' S--(Q-~ 7 /' Signature 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 BUILDING DEPARTMENT VALUATION USE OF BUILDING ReS ;19/~ OFF STREET PARKING SPACES REO. TYPE OF CONSTRUCTION: I II III IV I~ Occupancy Group A B E F A I M~ S U DIVIsion 1 2(J.,A h Permit Fee ................................... $ 8 ,. 2s SPACES ON PLAN PERMIT VALUATION ~'Ot"l(') C" c.1 , SURVEY o COPIES PLOT PLAN 0 City: Amount Brought Forward .................. $ Park Support Fee ........................... $ SAC ......................................... $ Collective Street Fee ....................... $ Sewer Tap ................................... $ $ Plan Check Fee ............................. $ State Surcharge ............................. $ '5(, .1'2-- 2. 0 f'.> Thi By Water Tap ................................... $ Builder's Deposit ............................ $ Other ......................................... $ Total Due .............................. $ Paid I US ,ctl Receipt No. Issued Date 4 - 2b --Ct~ By Uv'J A \ 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 reqUD;~d: This document when sign~y ~ City 11 ner constnutes a temporary Certificate of Zoning complian~d allows c~truction to commenc~pancy, a Cer@cateofOccupancymustbeissued. JrrT: K~P_:~ ~ . ~ C Planner ' - Date - v Special Conditions ff any ................... $ ~ /~ Pressure Reducer .......................... $ Meter Hom ................................... $ Water Meter ................................. $ Sewer & Water Connection Fee ........... $ Water Tower Fee ........................... $ Penalty ....................................... $ Plumbing Permit Fee ....................... $ Mechanical Permit Fee ..................... $ Sewer & Water Permit ...................... $ i1ding Permit When wro,!e5t,. Date t;' -( S-c:r1 ILj'J ~q I =:6:] l5' 24 hour notice for all inspections 447-9850 _.~- II T .- ~.~- "'--:1. I ~. ~,.~,"~ ..,~ > "of I ','r- I'V';'l'''_:''~ ~ .J."~ ~.~ - ~ The ('tnler of the takr Country White - Building Canary - Engineering Pink - Planning BUILDING PERMIT APPL.ICATION 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: / " j :' C.-.. Accepted v Accepted With Corrections Denied Reviewed By: S1J MA g-t"Lt ~ Date: ~. t 2--0Ct com~~ '1':' W~ pr~ lv'evl~ ~ ?NJ~ 10 1)"A/t~ ~ <,.r~.. f(,~~ J/~lR.s~ ~ee-1MP~ ~e..~fVe.-O.. "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." 91-500 The ("t'nlrr of the Lake Country White - Building Canary - Engineering Pink - Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED PED6I2S~N H()H6S O/ro/qq The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: /5 / CJ7 WOOD DU6K- 11</1 / L- Accepted Accepted With Corrections ~ Denied . Reviewed By: ( ~ ~ .-A_ - j/ Comments: (\~ ~ ~\C-~~~ Date: I:)-f'3 -( r "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 /51 ctl t J~}C l . (~ TYPE OF WORK Dr (c USE OF BUILDING ~ CD PERMIT NO. C; 9- ~Od DATE ISSUED 5-r5-~ BUILDER ~\. "'-0---\ , . /' 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 FOOTING fJ,P~) ,ltQ~ I :r- /6 "~J PLACE NO CONCRETE UNTIL 'ABOVE HAS BEEN SIGNED I I 1 I FINAL I 't;;. 11A I Call between 8:00 and 9:00 . . ~II inspections FOR ALL INSPECTI NS 447-9850 ';:f.-.';~.:".;,_