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HomeMy WebLinkAboutBuilding Permit 99-0604 CITY OF PRIOR LAKE BUILDING PERMIT, TEMPORARY CERTIFICATE OF ZONING COMPLIANCE AND UTILITY CONNECTION PERMIT &~~ DATE RECEIVED MAY 2. 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 f'99~SS /J - '-{L-l~r.:; !./rll'lr!{YYJ"l Sh Sf:- 3. LEGAL DESCRIPTION LOT I j f1 ( t 7f J[) BLOCK ADDITION Cf I {j It' /!f'~f i< U (' I fae.. 4. OWNER A'0~) J I . I ///4'Uhu fh'){f~ 5. ARCHITECT (Name) 1. White 2. Pink 3. Yellow File Gty Applicant Permit No. QQ-604- 1. DATE 5" /z-~/q'1 t?2- BUILDING INFORMATION 11. SIZE OF STRUCTURE (Height) (Width) (Depth) 12. NO. OF STORIES PID ?"> -.27- fl?.O - 0 13. TYPE OF CONSTRUCTION (Tel. No.) 440-7iJ(;,$ ( tJ) ~L/,vJ (Tel. No.) 14. FLOOR AREA APPORTIONMENT USE (Address) (Addr.sS)/) I n 447) V'rlOIWce y. _./! I Ii //IAf.!jW 7. TYPE OF WORK Fireplace [j New Construction 0 Alterations 0 Chimney LJ Misc. B. PROPERTY AREA OR ACRES 19. PROPERTY DIMENSIONS 110. CULVERT SIZE Sq. Ft. Width Depth Yes No I hereby certify that I have fumished inf rmation 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 a t all construe' will conform to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the ~Uilding official can rev ~~ urthermore, I hereb~ agree that the city official or a designee may enter upon the property to PZ~~s~s. SignalU're ., License No. Dale - 6. BUILDER (Name) (Address) Ii ,/ (1i1?fIJ "- Septic 0 Deck 0 Addition 0 Finish Attic 0 ..... 15. NUMBER OF OCCUPANTS OR SEATS 1.-10 _S'tlZ,1 OCCUPANT~ Re-roofing 0 Porch 0 /" Re-siding 0 Finish Basement~ SEAT~ ~I}DJECT COSTNALUE , 4tSOO 17. COMPLETION DATE SETBACKS: Required Actual Front Back BUILDING DEPARTMENT VALUATION FOR ADMINISTRATIVE USE MATERIAL FILED WITH APPLICATION Side Side SOIL TESTS (] o ENERGY DATA PILING LOGS 0 PERCOLATION TESTS LJ USE OF BUILDING R:6S k/12- OFF STREET PARKING SPACES REO SPACES ON PLAN PERMIT VALUATION L.l1'\I"\A . tlA -", SETS COPIES ~~'\\ c~ \",\ Meter Horn ... .... .... ............. .... ....... $ ~ Water Meter ................................. $ Sewer & Water Connection Fee ........... $ t~ WaterTowerFee ........................... $ Il \ \/ Wat.rTap ................................... $ ~ Builder's Deposit ............................ $ ",,\o.l;~~~ rnpahid.r ..~~.~...~.~...........R....ce...i.P.t..N.O<. ~ d;. _.:"'/~?' ",\ r T:ta~. ::~....................... < -:,,,, --; v / I Dat. 17 j2,/qq By ~ f in the above application and accompanying documents is In accordance with the City Zoning O~jnan&e and'may proc~; requested. This document when . u tamporary Certifi't(. ro~mPliance and allows construction 10 com~~~ ~I~ ~~ancy. a Certificate 01 Occupancy must be issued. Date SpeclarCorMrtions ~ any . TYPE OF CONSTRUCTION: I II III IV B2. Occupancy Group A B E F HIM C13'" S U Division 1 (]:>4 8'1 Permit Fee ................................... <I: .?C:- Plan Check Fee ............................. <I: State Surcharge ............................. $ 2.ClO Penalty. ...................................... $ J./".t!lO Plumbing Permit Fee ....................... <t_ Mechanical Permit Fee ..................... <t Sewer & Water Permit ...................... $ :V~~,~i~~.;.~itWt;n^r.rolpd . Blf4!bd:"::tS Dat. - ~ i Certificate of occupat Issued ThiS:fr~~.~ . '"'lu. signib~l"'d/5..erco -if Cijy Planner PLANS & SPECS LJ SURVEY LJ PLOT PLAN (] City: Amount Brought Forward .................. $ ParkSupportFee ........................... $ SAC ......................................... $ Collective Street Fee ....................... $ Sewer Tap ................................... $ $ Pressure Reducer .......................... $ 24 hour notice for all inspections 447-9850 ~ 9/2//99 ~~.......,.-~ ."""'""..,."'...-",....,.-,., '.""~'~ ,_.. -.,..-... --.-- ,;.:;;:.:J:.'\"!';?,;.~...':'.-r-" ---- .,';........ , ~ :;l , ~~ (" <0'/----'''' Thp ('pnIPror lht L.kr Counlry White - Building Canary - Engineering Pink - Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED .......f ' ., ' I. ""1. . '/.,' ":r ,,---' _ ,'. /_.. ;" j"', '0, " . / / '~.' ~ , '. ,:~ / i,,' I( l, I The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: ,.t <..__ -; , /0,- (' :......,,1 Accepted / Accepted With Corrections Denied Reviewed By: t;tJ1 J~ Date: fa/I(97 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." . ~'w C/CJ-fb04- Thr(".lIluof thr l..-krCounlry White - Building Canary . Engineering Pink . Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED /'? r::;77J-I15V1/ }#j tv' f S II Llt..f2...5 PIZ/Oe.. wooD .5T. The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: t.j.425 PIZ/OIZ WOOD Sl. 56 Accepted Accepted With Corrections Denied n / W Reviewed B{/L .0f~ Date: ((J -(-?'~ I Comments: - jlec....fJ ~' 12 ~ -I,-~~J , ,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 DEPARTMENT OF BUILDING AND INSPECTION SITE ADDRESS -1.~~ Q.~r-k100~ SJ. NATURE OF WORK 'R-,<:;~ k t. _.,~ USE OF BUILDING S' Fi) PERMIT NO. q '7'-(;CJ tf DATE ISSUED r... (-'7 I CONTRACTOR f1tA.~ IL. .....J... NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT /..r.OSTlt40 INSPECTOR DATE /- I pw.....R -T'IQN tr i... tn Backfill) I I PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED ROUGH - INS I I 1 <::1;""'''''' , '."JJ'.1'ER .' SEPT',... ~ 1 ~~lrJS (P.:_.'t= ~-......, BUILDING ELECTRICAL PLUMBING HEATING DO NOT OCCUpy UNTIL ABOVE HAS NOTICE I I I I I BEEN 1 SIGNED 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. J Call between 8:00 and 9:00 A.M. for all inspections FOR ALL INSPECTIONS (612) 447-9B5D