HomeMy WebLinkAboutBuilding Permit 93-0269
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~DE REQUIREMENTS ARE FOR YOUR PERSONAL HEAL TH ffi SAFETYI
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CITY OF PRIOR LAKE
1 BUILDING PERMIT,
q.EMPORARV CERTIFICATE OF ZONING COMPLIANCE
____l.AND UTILITY CONNECTION PERMIT Permit No. q~- z..~ '9
1. White
2. Pink
3. Yellow
File
City
Applicant
DIRECTIONS 1. DATE
SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN
BEFORE PERMIT IS ISSUED (Please Print or Type and sign at bottom) 7- 17 - q 3
2. SITE ADDRESS
I ~ 100 ell ,f-JG- 6AY--s C/i2., iJE. P/lID/<"L-Ake-
PID
2'6052.- - 0070
BUILDING INFORMATION
11. SIZE OF STRUCTURE
(Height) (Widthz'e l (Depth) 26 I
12. NO. OF STORIES
I
3. LEGAL DESCRIPTION
13. TYPE OF CONSTRUCTION
F~ A-f>1e.
14. FLOOR AREA APPORTIONMENT USE
....,B~ l
7. TYPE OF WORK Fireplacej2l' Septic 0 Heating,2J Plumbing 0 Reroofing 0 Porch 0
New Construction 0 Alterations 0 Additio'!P'" Finish Attic 0 Residing f6. Finish Basement 0
Chimney 0 Misc. :Pe.C k... New Go ~re..fl6.L Oco~s, - AJ.~, ~ ....-:l
8. PROPERTY AREA OR ACRES 9. PROPERTY DIMENSIONS 10. CULVERT SIZE
Sq. Ft. . 5 ~ {!.- Width Depth
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS
SEATS
16. ESTIMATED VALUE
-1 17i ODO
17. COMPLETION DATE
SepT 3~ ~3
(Address)
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
b~can revoke thi . just, use. Furthermore, I hereby agree that the city official or a designee may enter upon the property to perform needed inspections.
X'" . ' . I 7-/t-OJ3
Lioense No. Date
FOR ADMINISTRATIVE USE
Front
Back
Side
Side
MATERIAL FILED WITH APPLICATION
SOIL TESTS 0 ENERGY DATA 0
PILING LOGS 0 PERCOLATION TESTS 0
PLANS & SPECS"'" SETS
SURVEY 0 COPIES
"1-
SETBACKS: Required
Actual
PROPOSED GRADE FOUNDATION
IN RELATION TO CURB OR CROWN
OF STR EET --:s::s...
USE OF BUILDING ~ ; J,., .~
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
PERMIT VALUATION
2-C., ~z..A.
c~CJ
PLOT PLAN ~
Check if
Deferred
Amount Brought Forward .. .. .... . .... . . ... $
Park 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 ......................................... $
2..71,1
TYPE OF CONSTRUCTION: I II III IV 0f)
Occupancy Group A BEl H(ItM
Division 1 ~4
City:
Plan Checking Fee ......................... $
State Surcharge ............................. $
Penalty ....................................... $
Septic System ............................... $
Other ......................................... $
Subtota ............................... $ J.;, 2-~ _ '7
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Permit Fee ................................... $
By
es Your Building per~ZJ:roved.
- 19~
--_ Date ( ,- ~
Date
. n and accompanying documents is in accordance with lhe City Zoning OIdinance and may proceed as requested. This document when
Ce~te Of,Z/m. ~. compliance and allows construction 10 commence. Before occupancy, a Certificale of Occupancy must be issued.
~ ZLJ :::;"'7
Date ~ Special Conditions ff any
24 Hour notice for all inspections 447-42309:00 a.m. . 10:00 a.m.
Certificate of Occupancy
Issued
;A- be-;' 1//.1' __-e_-
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BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
"
, J~J"'JxL
/ -~--93
NAME OF APPLICANT ,~~
APPLICATION RECEIVED
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The City of Prior Lake BUILDING Department has reviewed the
building permit application for construction activity located at
J '1IZJo &LA~ ~ (iAA
Accepted with Corrections
Date ~ (.:s-~~
+
Accepted Denied
Reviewed by: ~-::-::-:-.
Comments: ~. p.(2..::L. .-
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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."
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
.-:- '""" ,,/
NAME OF APPLICANT (, '^~ ;/--.,'.-'
APPLICATION RECEIVED /)-2t.~-7~
The city of Prior Lake BUILDING Department has reviewed the
building permit application for construction activity located at
IA( ~ (Cd \",,"\_ 4r~ C !('c
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Accepted with Corrections
'Y/ -', 1 "'-.
Date ()- <--,~ ......::..:..
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Accepted Denied
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Reviewed by:,/~
Comments: .:....
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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."
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
~~/ ~-
7 -3-D-9-3
APPLICATION RECEIVED
The City of Prior Lake PLANNING Department has reviewed the
building permit application for construction activity located at
/</ lOr; K~ CJ~ (lJ-J\
Accepted
Reviewed by:
Denied
~
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Accepted with Corrections
t,.-
OfT-
Date /.~30-93
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cut! 1-AuJ dA(l{jj/,~ j G-. .
(~;}6) ~fU~ (/M -f6121J RrYny ~)
"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
'-[~Lj --1-'/\/1 d1
-; - 3.n .- 9-3
APPLICATION RECEIVED
The City of Prior Lake ENGINEERING Department has reviewed the
construction activity located at
L
Accepted
Reviewed by:
Denied
Jk"1
Accepted With "Corrections
/!'~&tJ.->lr Date g - 1- 13
.
Comments: /(/()-Vc
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."
File No.
Exhibit
PLAT DRAWING
(THIS IS NOT A SURVEY)
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Property Address:
"The location of the improvemenu shown on this drawing are approximate and are based on a visual inspection of
the premises. The lot dimensions are taken from the recorded plat or county records. This drawing is for informational
purposes and should not be used as I survey. It does not constitute I liability of the company and is intended for
mortgage purposes only:'
TRSI rev. 3/18