HomeMy WebLinkAboutBuilding Permit 94-0479
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH AND SAFETYI
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OCT tE~t&A i;
CITY OF PRIOR LAKE
BUILDING PERMIT,
ERTIFICATE OF ZONING COMPLIANCE
UTILITY CONNECTION PERMIT
Permit No.
DIRECTIONS 1. DATE
SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN
BEFORE PERMIT IS ISSUED (Please Print or Type and sign at bottom) I d- 11- '1' t(
2, SITE ADDRESS
3' S 2. tA/TJ"-R.v /1 ' . '7('/ () r lAic f
3. LEGAL DESCRIPTION
LOT 6'1 BLOCK PIDn!.S -I'll - [> / 9 .- 0
ADDITION )JD1Y!t/w;)00
(Name)
'w
5. ARCHITECT (Name)
1. White
2, Pink
3. Yellow
File
City
Applicant
Of l( - 4 '1~
BUILDING INFORMATION
11, SIZE OF STRUCTURE
(Height) (Wid! ) (Depth)
, ; ( /2-'
12. NO. OF STORIES
I
13. TYPE OF CONSTRUCTION
(Address) (Tel. No,)
.'V14J ~l 'S2 ":r./l'V z., i .r 0 .7/5- 0
Septic 0 Heating 0 Plumbing 0 Reroofing 0 Porch 0
Additiok Finish Attic 0 Residing 0 Finish Basement 0
14. FLOOR AREA APPORTIONMENT USE
(Tel. No,)
Wo / fc..)
(Tel. No.)
FOR ADMINISTRATIVE USE
15, NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS
SEATS
16. IiPTIMf' TED VALUE
~; +crov
9, PROPERTY DIMENSIONS 10. CULVERT SIZE 17, COMPL TION DATE
Width ~{/ Depth 450: Yes No ~ - I S -qs-
I hereby certiWlhat I hav ur i. hed 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 ion p~ pe nd 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 offi . I ca v rmit for just cause. Furthermore. I hereby agree th'~9El city official or a d ignee may enter upon the property to perform needed insp"'ions.
X ., WO~/r} IO-//Af7
Signature Ucense No. Date
SETBACKS: Required
Actual
Front
Saek
Side
PROPOSED GRADE FOUNDATION
IN RELATION TO CURB OR CROWN
OF STREET
OFF STREET PARKING
SPACES REO,
SPACES ON PLAN
PERMIT VALUATION I '-\ , Oq). fY)
.
TYPE OF CONSTRUCTION: I II III IV
Occupancy Group A BEl H ~ M
DMsion 1 2~
City:
Permit Fee................................... $
, lP"2.0C>
I 0 '5. "$0
~.C90
Plan Checking Fee ......................... $
State Surcharge ............................. $
Penalty ....................................... $
Septic System ............................... $
Other ......................................... $
Check if
Deferred
Subtotal............................... $
L '1 L.\ . 30
This
uilding Permit When Approved,
Date I b .- ( 1---Q't
By
Issued
MATERIAL FILED WITH APPLICATION
SOIL TESTS 0 ENERGY DATA 0
PILING LOGS 0 PERCOLATION TESTS 0
PLANS & SPECS ~ SETS
SURVEY / COPIES
Side
PLOT PLAN
o
Amount Brought Forward .................. $ '2
Park Support Fee ........................... $
SAC ......................................... $
Collective Street Fee ....................... $
SewerTap ................................... $
License Check Fee ......................... $
Pressure Reducer .......................... $
Meter Horn ................................... $
Water Meter ................................. $
o Sewer & Water Connection Fee ........... $
o WaterTowerFee ........................... $
Water Tap ................................... $
Builder's Deposit ............................ $
Other ......................................... $
Total Due .............................. $
Paid :i. '1 y. .1 ·
Date
This is to certify that the request in the above application and accompanying documents is in accordance w~h the City Zoning Ordinance and may proceed as
signed ~ the City st~utes a temporary Certificate of zonJlm, 70mpliance and allows construction to commence, Before occupancy, a Certificate
lo ID-/'1-/4-
lanner Date Special Conditions ~ any
24 Hour notice for all inspections 447-4230 9:00 a.m. . 10:00 a,m,
71/-Lj 79
to -
White - Building
Canary - Engineering
Pink - Planning
The Center of the Lake Country
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT -)0 (;-[1- ~/1k,(AC C -/
APPLICATION RECEIVED Jolt, JfV
The Building, Engineering, and Planning Departments have reviewed the building permit
application f,~r construction ;~tiVity which is:ropo~d at: 31.... <"
..3J !;L AU;, h.L t OJ 1.u -..J-U/ fllYV:7 ~d'/ .ouJ/~r
V
Accepted
Accepted With Corrections
Denied
Reviewed By:
Date:
"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."
l/ LI ()" );.r
{~
X..J I ~ 10/ll/tly
~te~
Canary - Engineering
Pink - Planning
The Ctnftr or the Like Country
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
. ,
.' .'
,
,.: t t " / ;
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
,
'-
i: ,
Accepted
v- f)J!2Rr 5i/(~ ~ 110-41
Accepted With Corrections 'D4.n ~Cr?i"}'~Y; I O-JJ;-'l"'l
Reviewed By:
~
~
c::u
JO-/L- 1';7
Date: ~ {/ <11
Denied
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."
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White - Building
Canary - Engineering
Pink - Planning
Th. C.nt.. of th. I.ok. Country
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT ~A,.l.{J ~ ~;J,~~
APPLICATION RECEIVED iohl /f'l
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
,3 j,rL /i11;~rc1 (~!u:lL/
Accepted
Accepted With Corrections ~
Date:
I t? ~/1-+f
,
Q t- \-~
1
t-o ~uJ ~t- J-L.L
"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."