HomeMy WebLinkAboutBuilding Permit 93-0205
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CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH AND SAFETYI
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1. While File
2. Pink City
3. ~~lO~ Applicant
CITY OF PRIOR LAKE
2 9 :CB .!: I BUILDING PERMIT,
TEMPORAJit! ~ERTIFICATE OF ZONING COMPLIANCE
. <<OIUTILlTY CONNECTION PERMIT /'"( 2 -
j Permit NO.I...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 .su.. A-/-k.. J..., cC.
1. DATE
b/zq '(3
BUILDING INFORMATION
11. SIZE OF STRUCTURE
(Height) (Width) I Go I (Depth)
12. NO. OF STORIES
BLOCK
PID ~~~. ~
a0-,~r7 -Oft7-0
ADDITION
PrIOr l..L.
r
7. TYPE OF WORK Fire lace 0
New Construction a. Alterations 0
Chimneyo Misc. ~ S,~
8. PROPERTY AREA OR ACRES
Sq. Ft. 590 A..u-~
Septic 0
Addition 0
Heating 0 Plumbing 0
Finish Attic 0 Residing 0
(Tel. No.)
'flf5 .4'f~5
(Tel. No.)
13. TYPE OF CONSTRUCTION
Co Ilude.-
14. FLOOR AREA APPORTIONMENT USE
5"0 .$ , 'of
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS N~
SEATS Nfrl'-'-
16. ESTIMATED VALUE
." h1aB't/I. I ~ CI ~ ~
17. COMPLETION DATE
(Tel. No.)
Ll-'f7;;
Reroofing 0 Porch 0
Finish Basement 0
9. PROPERTY DIMENSIONS
Width Depth
10. CULVERT SIZE
Yes No V"
/I ~
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 ttie 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
buildi official r e is er . for ust cause. Furthermore, I hereby agree that the city official or a designee may enter upon the property to perform needed inspections.
X {t Fe4.J r.O. ?,q -17?dJa4<. 4>/291 f3
License No. I fiate
FOR ADMINISTRATIVE USE
MATERIAL FILED WITH APPLICATION
SOIL TESTS 0 ENERGY DATA 0
I ~ <"':>=<;:,..
I
SETBACKS: Required
Actual
Back
Side
Front
PROPOSED GRADE FOUNDATION
IN RELATION TO CURB OR CROWN
OF STREET ,)
USE OF BUILDING 1---& f?' C,;t AJ..- '..,..::.
13:..12-.
~
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
PERMIT VALUATION
TYPE OF CONSTRUCTION: I II III IV f!)
Occupancy Group A([) I H ~
DiViSi~
Permit Fee ................................... $
!Jr. CI~
"I1.".c"'\<:
~,,::>.~
Plan Checking Fee ......................... $
State Surcharge ............................. $
Penalty ....................................... $
Septic System ............................... $
Other ......................................... $
JC1?6<'
This Aplica' ~ es Your Building Permit When Approved.
BY" Date /- )(-Cf 00\
Certificate of Occupancy
Issued
City:
Check if
Deferred
Side
PILING LOGS 0
PLANS & SPECS 0
SURVEY 0
PLOT PLAN 0
PERCOLATION TESTS 0
SETS
COPIES
Amount Brought Forward .................. $ 10 ?, 6-C
Pari< Support Fee ...................... ..... $
SAC ......................................... $
Collective Street Fee ....................... $
Sewer Tap ................................... $
Ucense Check Fee ......................... $
Pressure Reducer .......................... $
Meter Horn ................................... $
Water Meter ................................. $
o Sewer & Water Connection Fee ........... $
o Water Tower Fee ........................... $
Water Tap ................................... $
Other ......................................... $
Other ......................................... $
Total Due .............................. $
Paid
Date B
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 requested. This doc nt when
signed By the City Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be issued.
City Planner
Date
24 Hour notice for all inspections 447-4230 9:00 a.m. . 10:00 a.m.
Special Conditions ff any
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
J-h ~ j / p )-A-n~
to -~ -cp
The City of Prior Lake PLANNING Department has reviewed the
building
~ application for ,construction activity located
f' ~L;'~ . .
at
Accepted'{.
Reviewed by:
Denied
tJ0G
Accepted
with Corrections
6/10 / ~S
q ( -
Date
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."
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
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(? -r ~ q- - 9 ~
APPLICATION RECEIVED
The City of Prior Lake ENGINEERING Department has reviewed the
building permit application for construction activity located at
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Accepted ,/
Denied
Accepted with Corrections
Date '6-3(;- 13
Reviewed by: jJ A."'1 d Lt6~}J.I
Comments: Vi/P{;"
"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."
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
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~ -~~9 - 9--~
APPLICATION RECEIVED
The City of Prior Lake BUILDING Department has reviewed the
building
permit application for construction activity located
!?~fl ~r~ .
at
Accepted . ~;ed Accepted with Corrections ~
Reviewed by: /j~. Date 7- ?-q~
Comments: ..1-, S~;;:.;./~/:-~ F''-' .... (~':. ~ F..&:..e",- :~. I~~
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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."