HomeMy WebLinkAboutBuilding Permit 99-0866
CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
DATE RECEIVED
JUL J 3 1999
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
;;;
3. LEGAL DESCRIPTION
,;(
LOT
6. BUILDER
Chimney
8. PROPERTY AREA OR ACRES
Sq.Ft.
9. PROPERTY DIMENSIONS
Width Depth
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I. White
2. Pink
3. Yellow
File
City
Applicant
Permit No. BP 99 -f~b
1. DATE
t-I/~ r;
ZONING
BUILDING INFORMATION
11. SIZE OF STRUCTURE
(Height) (Width) (Depth)
12. NO. OF STORIES
LV"'
Re-roofing 0 Porch 0
Re-siding 0 Finish Basement 0
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS
SEATS
16. BflOJECT COSTNALUE
~j rOC>
17. COMPLETION DATE
10. CULVERT SIZE
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 iii ial can revoke this permit for just u:e. Furthermore, I hereby agree that the city official or a designee may enter upon the property to perform needed i~~ons.
X COO> 7-(~-~'L
License No. Date
SETBACKS: Required
Actual
Front
Back
BUILDING DEPARTMENT VALUATION
FOR ADMINISTRATIVE USE
Side
USE OF BUILDING
J:/ ('
FYI t< .
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
PERMIT VALUATION
TYPE OF CONSTRU~N: I II III IV V
Occupancy Group t(yj E F HIM R
Division 1 2 3 4
S U
,.-
23.7s
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.S-O
Permit Fee................................... $
Plan Checking Fee ......................... $
State Surcharge ............................. $
Penalty ....................................... $
Septic System ............................... $
Other ......................................... $
s Your Building Permit When Approved.
Date 7 - (')" -17
Issued
(D OQ. Olf"
City:
~
~
~
Side
MATERIAL FILED WITH APPLICATION
SOIL TESTS 0 ENERGY DATA 0
PILING LOGS 0 PERCOLATION TESTS 0
PLANS & SPECS 0
SETS
COPIES
SURVEY 0
PLOT PLAN
o
Amount Brought Forward .. .. . ... .. .. ...... $
Park Support Fee ........................... $
SAC ......................................... $
Collector Street Fee ....................... $
Sewer Tap .... ......... ........ ..... ......... $
License Check Fee ......................... $
Pressure Reducer .......................... $
Meter Hom ................................... $
Water Meter ................................. $
Sewer & Water Connection Fee ........... $
Water Tower Fee ........................... $
Water Tap ................................... $
Builder's Deposit ............................ $
Other ......................................... $
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 requested. This document when
signed by the City Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a CertiflCBte of Occupancy must be issued.
City Planner
Date
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24 hour notice for all inspections 447-4230
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Special Conditions W any
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The eenler or Ihe like Counlry
White . Building
Canary . Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
(t; r 156/'( a.{ifo
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The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/7{)cJ/ Ffsl1 /JI)IY7r )~d sf
Accepted
Accepted With Corrections
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Denied
Reviewed By: U (<
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Date:
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"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."
CARLSON AUTOMATIC FIRE PROTECTION
COMPANY
12488 Xenwood Avenue
SAVAGE, MINNESOTA 55378
(612) 894-3250
Fax (612) 894-9855
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ATTENTION
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WE ARE SENDING YOU 0 Attached 0 Under separate cover via
the following items:
o Shop drawings
o Copy of letter
o Prints
o Change order
o Plans
o
o Samples
o Specifications
THESE ARE TRANSMITTED as checked below;
f For approval 0 Approved as submitted
o For your use 0 Approved as noted
o As requested 0 Returned for corrections
o Resubmit_copies for approval
o Submit_copies for distribution
o Return_corrected prints
o For review and comment
o FOR BIDS DUE
o
19
o PRINTS RETURNED AFTER LOAN TO US
REMARKS
aft
I
SIGNEO~~
" enclosures ere not as noted. kindly notify us at once.
COPY TO
ARNELL BUSINESS FORMS
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The' ('~nlt"r of the- L.kt Country
White - Building
Canary - Engineering
Pink . Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
(fa r (StJrl Cl<.do
7-/3-19
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The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
J 7{)cJ/ hS0 iJIJ/n r J? d s ~
Accepted
Accepted With Corrections
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Denied
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Date:
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Reviewed By:
Comments:
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"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."
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Fax Number:
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Telephone: (612) 894-3250
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Time: v-r
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AUTOMATIC SPRINKLER SYSTEMS.. FABRICATION ... ENGINI:;E~ING i
INSPECTION SI::RVICE CONTRACTS - EMERGENCY MAINTENANce .24 HOUR SERVIFE
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