HomeMy WebLinkAboutBuilding Permit 93-0252
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEAL TH AND SAFETY!
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T1~R 'i
CITY OF PRIOR LAKE
BUILDING PERMIT,
CERTIFICATE OF ZONING COMPLIANCE
UTILITY CONNECTION PERMIT q ~ /')..- '\
Permit No. -- -'- ~ d--
I. White
2. Pink
3. Yellow
File
City
Applicant
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
,0 ~3
3. LEGAL DESCRIPTION
LOT ;p q--1
1, DATE
S'-17-~3
1"
I'r.
BUILDING INFORMATION
11. SIZE OF STRUCTURE
(Height) (Width)
tN/'
ee
5. ARCHITECT
(Name)
~
(Name)
~
y ~~
(Address)
f, ~ tl
(Address)
PID~~ 11/ -t)(P'f
12, NO. OF STORIES
1-
6. BUILDER
k. Ie:! €Lf(
13. TYPE OF CONSTRUCTION
'~;;,j
14, FLOOR AREA APPORTIONMENT USE
1
ADDITION
4, OWNER
7. TYPE OF WORK
New Construction /if'
Chimney 0 Misc.
8. PROPERTY AREA OR ACRES
Sq. Fl. .1 a. (;" e ~
Fireplace 0
Alterations 0
Septic 0
Addition~
Heating " Plumbing ~
Finish Attic 0 Residing 0
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS ~.
SEATS
16. ESTIMATED VALUE
(Address)
9, PROPERTY DIMENSIONS
I
Width 5' () Depth '-I 1 /"1
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 ex/sting state and local laws and will proceed In accordance with submitted plans. I am aware that the
building 0 'al can revoke this permit r cause. Furthermore. I hereby agree that the city official or a designee may enter upon the property to perform needed Inspections,
L l G - ( J..C) ~ 'I q 1- /1~ J 6 f'J 5"- /"1 - ~..>
Ucense No,
)0, < '-' (./.
17. COMPLETION DATE
x
Date
FOR ADMINISTRATIVE USE
PROPOSED GRADE FOUNDATION
IN RELATION TO CURB OR CROWN
OF STREET
USE OF BUILDING ~~~~~
OFF STREET PARKING
SPACES REO.
~ ~ '" SPACES ON PLAN
PERMIT VALUATION
MATERIAL FILED WITH APPLICATION
Side SOIL TESTS 0 ENERGY DATA -f1-
PILING LOGS 0 PERCOLATION TESTS 0
PLANS & SPECS ?- SETS
SURVEY ?- COPIES "Z-
~G::, PLOT PLAN 0
SETBACKS: Required
Actual
Front
Back
Side
Septic System ............................... $
Other ......................................... $
. ............................ $ ~c.4, J, 3..
Check if
Deferred
Amount Brought Forward .. .. ..... .. .. . . ... $ (,. (..
Park Support Fee ........................... $
SAC ......................................... $
Collective Street Fee ....................... $
Sewer Tap ................................... $
UcenseCheck Fee ......................... $
Pressure Reducer .......................... $
Meter Horn ................................... $
Water Meter ................................. $
o Sewer & Water Connection Fee ........... $
o Water Tower Fee ........................... $
Water Tap ................................... $
Other ......................................... $
Other ......................................... $
Total Due.... ......................... $
Paid
~
TYPE OF CONSTRUCTION: I II III IV f!)
Occupancy Group A BEl ~
Division 1 ~4
Permit Fee ................................... $ ~ '6~. ~~
Plan Checking Fee ......................... $ :J c :J- _ s.~
.). "3", ~ 4 \
City:
State Surcharge ............................. $
Penalty ....................................... $
By
es Your Building Permit When Approved.
Date :Y- ( <..-9 ~
Date
application and accompanying documents is in accordance with the City Zoning Ordinance and may proceed as requested. This document when
mporary Cert~j~~ance and allows construction to commence. Before occupancy. a Certificate of Occupancy must be issued,
Date Special Conditions ~ any
24 Hour notice for all inspections 447-4230 9:00 a.m. . 10:00 a,m,
~
Certificate of Occupancy
Issued
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICAN'I1; f -"./ ~~ ~ ~,
APPLICATION RECEIVED ,<;-=.- / 7 - q3
The City of Prior Lake PLANNING Department has reviewed the
application
-2.
activity located at
AcceptedL Cered; Accepted
Reviewed by: ~ f" 9(1)1Jr& jj
Comments: ()111)Ct f t i '( {, }}1 904 ( 1
I }JI 51lZ'{Ld L
with Corrections
Date 5/ If ' 93
'7~ / - /{}/ (,[1'\ /Iltl/('[Lhy
/
"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 ~
Y-'/ -0}~~)
---:r=, / 7 -- ? 3
APPLICATION RECEIVED
The City of Prior Lake ENGINEERING Department has reviewed the
building permit application for ~onstru\tion activity located at
1& () ,9 ~ ~~i~A-<-''-+~ b 71,!~) .
"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 APPLICANTC-YJ^ J~--~l.!i!
APPLICATION RECEIVED _--s-- / -J -q3
The City of Prior Lake BUILDING Department has reviewed the
building permit application for ~structioQ activity located at
lip ()1?~3 ~~L~l'~ 4ii YI LJ. ) .
Accepted ~~
Reviewed by:
Comments: A~ ,..-....,\ ~~
Accepted with Corrections
Date
f:..::'~c.';:- cf ~'-2
"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."