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Home My WebLink AboutBuilding Permit 95-0234 CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH AND SAFETYl ~ ~ i 5" n OOL1DO n OOOijiOO ~ 0 ~ '1:1 Z n ~ i (II ~ 0 m ~ c m =t ~ z~ooo I: "TIO"TI"TI z"TI"TI r C ::u (I) 1 i ~ CJl 000 :ijmgz CJl~g m z I: '1:1 < n 'llS6:IJ:IJ:IJ:IJ I: m~z~ e~.... 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C> m I\) e I. e,.) :IJ i 0 Z D rn @ ~ 0 ~7 J" {j- ,--- -- OliN OF PRIOR LAKE II_ .eUILDING PERMIT, EtPORARY CEI;lV~ICATE OF ZONING COMPLIANCE AND UTlI::n'1V CONNECTION PERMIT q 'I : Permit No. S- - '2 ~ 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 1. White 2. Pink 3. Yellow File City Applicant 1. DATE "r BUILDING INFORMATION 11, SIZE OF STRUCTURE (Height) (WIdth) '(Depth) 12. NO. OF STORIES PlD J!S - J..ly-- b 11-0 13. TYPE OF CONSTRUCTION ADDITION 4. OWNER (Name) (Address) I (Address) (Tel. No.) New Construction 0 Chimney 0 Misc. 8, PROPERTY AREA OR ACRES 9. PROPERTY DIMENSIONS 10, CULVERT SIZE Sq. Ft. Width Depth Yes No Z ) .J I hereby certify that I have furnished 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 official can revoke this permi or just se. Furthermore, I hereby agree that the city official or a designee may enter upon the property to pertorm needed inspections, X ~ 5. ARCHITECT (Name) 6, BUILDER (Name) (Address) . Septic 0 Addition 0 Heating 0 Plumbing 0 Finish Attic 0 Residing 0 7, TYPE OF WORK Fireplace 0 Alterations 0 (Tel. No.) 14. FLOOR AREA APPORTIONMENT USE (Tel. No.) 15. NUMBER OF OCCUPANTS OR SEATS OCCUPANTS SEATS 16. ESTIMATED VALUE Reroofing 0 Porch 0 Finish Basement 0 Ucense No, Date FOR ADMINISTRATIVE USE SETBACKS: Required Actual MATERIAL FILED WITH APPLICATION PROPOSED GRADE FOUNDATION IN RELATION TO CURB OR CROWN OF STREET USE OF BUILDING Baek Side Side SOl L TESTS 0 ENERGY DATA 0 OFF STREET PARKING PILING LOGS 0 PERCOLATION TESTS 0 SPACES REO. PLANS & SPECS 0 SETS SPACES ON PLAN SURVEY 0 COPIES PERMIT VALUATION 00 PLOT PLAN 0 Front TYPE OF CONSTRUCTION: I II III IV Occupancy Group A BEl HtBlM Division 1 ~ City: 6(0.7S sCo . f9q .90 Permit Fee ................................... $ Plan Checking Fee ......................... $ State Surcharge ............................. $ Penalty ....................................... $ Septic System ............................... $ Other ......................................... $ Subtotal............................... $ 't l/ . 5l{ Check if Deferred mas Your Building Permit When Approved. - Date ~-7-% Issued Amount Brought Forward .. .... .. "co" . .. ... $ Park Support Fee ............................ $ SAC ......................................... $ Collective Street Fee ....... ................ $ Sewer Tap ................................... $ License Check Fee ......................... $ Pressure Reducer .......................... $ Meter Hom .................. ........ ......... $ Water Meter ................................. $ o Sewer & Water Connection Fee ........... $ o Water Tower Fee ........................... $ Water Tap ................................... $ Builder's Deposit ............................ $ Other ......................................... $ Total Due .............................. $ , Paid Date 'n the above application and accompanying documents is in accordance with the City Zoning Ordinance and may proceed equested. This document when h es a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be issued. {P-J-~ Date Special Conditions W any 24 Hour notice for all inspections 447-4230 9:00 a.m. . 10:00 a.m. qr,w'-! White - Building Canary - Engineering Pink - Planning Tho ConI.. of Iho Lib Country BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT 'Zf:-./. 4.. !41~ APPLICATION RECEIVED SI2-~/fS- . The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: /II 71-' CLny (In,{JJ/ Accepted ~ Accepted With Corrections Denied r9-/WJ 1-- Reviewed By: (;f {f5.-~ Com~s: ~ /, ~ {)OeL~~ Date: &- 7-9X liThe 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." White - Building Canary - Engineering Pink - Planning Tho Conlo' of lho Lib Country BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT f/, /. ... A.7, t1' ,r;,~ , ,,-/ , APPLICATION RECEIVED .5'/2 it / fJ- The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: ;/, I. /i ,-1.- I I /... j I-~ I: I I'l 'I ) ~ / { I 1(/- (,. 't, If ../ Accepted / Accepted With Corrections Denied Reviewed By: 17-. M V__HAPJ t..EE1L- Date: S/Z,iP/\99, ~ 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." __"""""_._",,_..,=_o___.,,.,_,~- _____....___~ ... White - Building - Canary - Engineering Pink - Planning t.~ The Cenler of the Like Counlry BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT ZI;, ./. ~~>, jf1/;;;>-~ APPLICATION RECEIVED S 17-10 / ,S- The Building, Engineering, and Planning Departments have reviewed the building permit applicatioQ for construction activity which is proposed at: /1./ 7 IS- (JI/l/1LJ-~ (~/'r0 / Accepted Accepted With Corrections Denied _v ~~41 11{X,e~ Date: 5;0//15" Reviewed By: 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."