HomeMy WebLinkAboutBuilding Permit 94-0177
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEAL TH AND SAFETY!
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D rn @ [g OWi & ~ OF PRIOR LAKE
i! UILDING PERMIT,
If TfIMPZ$JIlt' C IFICATE OF ZONING COMPLIANCE
U AND TV CONNECTION PERMIT
Permit No.
1. White
2. Pink
3. Yellow
File
City
Applicant
i4- I t"(7
DIRECTIONS
SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN
BEFORE PERMIT IS ISSUED (Please Print or Type and sign at bottom)
2. SITE ADDRES
1. DATE
ftf
BUILDING INFORMATION
11. SIZE OF STRUCTURE
(H i ~ (Width) I I
6. BUILDER
~ (Name)
(Name)
Sf,.,
PID ;2S;:'/4CJ ~co4-o
3. LEGAL DESCRIPTION
13. TYPE OF CONSTRUCTION
14. FLOOR REA APPORTIONMENT USE
5. ARCHITECT
(Tel. No.)
7. TYPE OF WORK
New Construction 0
Chimney 0 Misc.
8. PROPERTY AREA OR ACRES 9. PROPERTY DIMENSIONS 10. CULVERT SIZE
Sq. Ft. 0 Width 12-- Depth I 0 Yes No
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
~Uilding official can re k h' ermit f r Ju cause. Furthermore, I hereby agree that the city official or a designee may enter upon the property to perfsJi:;lir:fections.
Ucense No. Date
Septic 0
Addition 0
Heating 0 Plumbing 0
Finish Attic 0 Residing 0
Reroofing 0 Porch 0
Finish Basement 0
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS
SEATS
16. ESI!MATED VALUE
" ~(;1tlCJ
17. COM;;;N;;TE
(Address)
(Tel. No.)
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 0
PILING LOGS 0 PERCOLATION TESTS 0
PLANS & SPECS 0 SETS
SURVEY 0 COPIES
PLOT PLAN 0
SETBACKS: Required
Actual
Front
Back
Side
TYPE OF CONSTRUCTION: I II III IV
Occupancy Group A BEl H €)M
Division 1 @
Permit Fee ................................... $
City:
Amount Brought Forward .................. $ (r8. b-3
Park Support Fee ........................... $
SAC ......................................... $
Collective Street Fee ....................... $
Sewer Tap ................................... $
License Check Fee ......................... $
Pressure Reducer .......................... $
Meter Horn ................................... $
Water Meter ................................. $
o Sewer & Water Connection Fee ........... $
o Water Tower Fee ........................... $
Plan Checking Fee ......................... $
4 , . oc>
1<&.. ~b
.8'8-
State Surcharge ............................. $
Penalty ....................................... $
Septic System............................... $
Other ......................................... $
~.t)3
Check if
Deferred
uilding Permit When Approved. r:
Date es:.- ~ --7 ej
. cation and accompanying documents is in accordance w~h the City Zoning Ordinance and may proceed a
ry Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate
Date
Special Conditions ij any
24 Hour notice for all inspections 447-42309:00 a.m. .10:00 a.m.
flLj-I?l
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT ~, l.u. ~kJ .
APPLICATION RECEIVED S/.lSJ 1/<1 ~)
(
The City of Prior Lake ENGINEERING Department has reviewed the
building permit application for construction activity located at
Ljf'-/3 CUJ/lln~ ILu'Ju ~l C/.
Accepted ~ D~ied
Reviewed by: v: t:~
Comments: rl~
.
Accepted with Corrections
Date s-~slrf
"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 ~t1. ~ .
APPLICATION RECEIVED .J=-... ,;- (~~4
The City of Prior Lake ENGINEERING Department has reviewed the
building permit application for construction activity located at
L/ tt/J /U;~. ~ J~ [,.
Accepted ~ ~
Reviewed by: ~
J1/Ju,
Accepted with Corrections
Date S'Asht
I ,
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 ~.J, ,'~ .~
APPLICATION RECEIVED slJ: 'If' . ~AHd
The city of Prior Lake PLANNING Department has reviewed the
~u~lding permit a~~~cation for construction activity located at
i/-fL/3 fLjjlLA~./ ~~lL/ d-&
AccePted~
Reviewed by:
Denied
flVG
Accepted
with Corrections
~4~ /9c(
, (
Date
Comments:
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."
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
..
NAME OF APPLICANT ~Aj..l../ ~I~e-J
APPLICATION RECEIVED Sl.lt//~'i
,
The City of Prior Lake PLANNING Department has reviewed the
building permit application for construction activity located at
L/ flJ.3 ~ tf11lu J- t.
Accepted
Reviewed by:
DeniedL
t/UJ6
Accepted
with Corrections
s1z~ / ~ '-(
I (
Date
Comments:
~ ~ ~CA
"VI
<) CM u-f~
"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
::::I::T:::L:::::VE~'~~/~J~
The City of Prior Lake BUILDING Department has reviewed the
building permit application for construction activity located at
1/ f LtJ tU'UJ>J' CJr / Ju J. (;.
Acc~Pted 'be ~e~~ted
Rev1ewed by: ~
Comments:
with Corrections
Date 6~'2(,q
"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."