HomeMy WebLinkAboutBuilding Permit 99-0604
CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
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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
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----
.,';........ , ~ :;l
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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,
" . / / '~.' ~ , '.
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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
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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