HomeMy WebLinkAboutBuilding Permit 94-0354
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEAL TH AND SAFETY!
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CITY OF PRIOR LAKE
ILDING PERMIT,
FICATE OF ZONING COMPLIANCE
CONNECTION PERMIT
DIRECTIONS
SPACES NUMBERED 1 T
BEFORE PERMIT IS ISSUE
2, SITE ADDRESS L)
t./ ~.~ 6 r/
3, LEGAL DESCRIPTION
LOT
I
L White
2, Pink
3. Yellow
File
City
Applicant
1. DATE
Permit No. 5:l-~ S <.f
BUILDING INFORMATION
11, SIZE OF STRUCTURE
(Height) ff 'f I (Width) f V I (Depth) / ,)
12. NO. OF STORIES
I
13, TYPE OF CONSTRUCTION
PID JS-2.YO - ()O.L - b
ADDITION
4, OWNER
5. ARCHITECT
(Name)
6, BUILDER
Oe
7. TYPE OF WORK
Fireplace 0
Alterations 0
Residing 0
(Tel. No.)
't~/tJ -' I ~'-O
(Tel. No.)
15, NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS
SEATS
16. ESTIMATED VALUE
,It f,(,t,O
17, COMPLETION DATE
SETBACKS: Required
Actual
FOR ADMINISTRATIVE USE
Ucense No.
New Construction 0
Chimney 0 Misc.
8. PROPERTY AREA OR ACRES 9. PROPERTY DIMENSIONS 10. CULVERT SIZE
Sq. Ft. Width q iJ. ,,''hepth /2. 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
building 0 ~al can revoke this permit for just cause, Furthermore, I hereby agree that the city official or a designee may enter upon the property to perform needed inspections.
X
Front
Side
Back
PROPOSED GRADE FOUNDATION
IN RELATION TO CURB OR CROWN
OF STREET
USEOFB~C
TYPE OF CONSTRUCTION: I II III IV
Occupancy Group A BEl H (f3) M
Division 1 2~
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
PERMIT VALUATION
Date
MATERIAL FILED WITH APPLICATION
SOIL TESTS 0 ENERGY DATA 0
PILING LOGS 0 PERCOLATION TESTS 0
PLANS & SPECS 0 SETS
Side
SURVEY
o COPIES
City:
Permit Fee................,.......,.......... $
-~
2(, .<.~
.~
Plan Checking Fee ......................... $
State Surcharge ............................. $
Penalty ....................................... $
Septic System...,........................... $
Other ......................................... $
Subtotal............................... $
{,,8.S l
Check if
Deferred
en Approved.
Date 8 - 3-91
Issued
PLOT PLAN 0
Amount Brought Forward .................. $
Park Support Fee ........................... $
SAC ......................................... $
Collective Street Fee ....................... $
Sewer Tap ................................... $
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 ~ f .J
Date 8J 'tJ
{~I
--
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 uested, This document when
si neG t~ City P. n consmutes a temporary certif~3 of ni compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be issued.
ily Planner Oat Special Conditions ~ any
24 Hour notice for all inspectiOns 447-42309:00 a.m, '10:00 a.m.
99-30''1
f{'f _3..;-y
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT,)j-;7\.rJ1L <J; ",k,;.;
APPLICATION RECEIVED 1/.27/I/I}
The City of Prior Lake ENGINEERING Department has reviewed the
bUilding~permit .app~a~ion for construction activity located at
L/~4 '---f~d--LU.L"'/JJ7~ dJ. [..
Accepted
Reviewed by:
Comments:
Accepted
With Corrections
Date 7 ~~/9~
"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 1/J.l/fY ~/'Jj;;~
APPLICATION RECEIVED 1/27/1<1
The City of Prior Lake PLANNING Department has reviewed the
building permit application for construction activity located at
L/SuU :jJ~~J~ .J.t.
Accepted V
Reviewed by:
D,e.nied
~
Accepted with Corrections
Date
0"- ( ~ Cf<j
Comments:
1
"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."
CITY OF PRIOR LAKE
ILOING PERMIT,
FICATE OF ZONING COMPLIANCE
CONNECTION PERMIT
DIRECTIONS
SPACES NUMBERED 1 T
BEFORE PERMIT IS ISSUE
2, SITE ADDRESS 0
t./~ -.J. 6 r/
3. LEGAL DESCRIPTION
LOT
1. While
2, Pink
3. Yellow
File
City
Applicant
Permit No.
1,DATE
BUILDING INFORMATION
11, SIZE OF STRUCTURE
(Height) ff'1- I (Width) f V I (Depth) /;2
12, NO. OF STORIES
I
13. TYPE OF CONSTRUCTION
~C
14. FLOOR AREA APPORTIONMENT USE
.)..y~
PID JS-2.YO - ()O.L. b
ADDITION
4. OWNER
5. ARCHITECT
(Name)
(Tel, No.)
't~/tJ- '/~-O
(Tel. No,)
Oe
7. TYPE OF WORK
New Construction 0
Fireplace 0
Alterations 0
Septic 0
Addition 0
(Address)
, Ii" 1"
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, ESTIMATED VALUE
,It f,( ,to
17, COMPLETION DATE
Chimney 0 Misc.
8, PROPERTY AREA OR ACRES 9, PROPERTY DIMENSIONS 10. CULVERT SIZE
Sq. Fl. Width q iJ _,,?(.bepth /2. 0, ~J 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
building 0 'al can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may enter upon the property to perform needed inspections.
6. BUILDER
x
Ucense No.
Dale
FOR ADMINISTRATIVE USE
SETBACKS: Required
Actual
Side
Front
Back
PROPOSED GRADE FOUNDATION
IN RELATION TO CURB OR CROWN
OF STREET
USE OF BUILDING
OFF STREET PARKING
SPACES REO,
SPACES ON PLAN
PERMIT VALUATION
TYPE OF CONSTRUCTION: I II III IV V
City:
Occupancy Group A BEl H R M
Division 1 2 3 4
Permit Fee ................................... $
Plan Checking Fee ......................... $
State Surcharge ............................. $
Penalty ....................................... $
Septic System ............................... $
Other ......................................... $
Subtotal............................... $
Check if
Deferred
This Aplication Becomes Your Building Permit When Approved,
By
Date
Certificate of Occupancy
Issued
MATERIAL FILED WITH APPLICATION
Side
SOIL TESTS
o ENERGY DATA
o
PILING LOGS 0 PERCOLATION TESTS 0
PLANS & SPECS 0 SETS
SURVEY
PLOT PLAN
o COPIES
o
Amount Brought Forward .................. $
Park Support Fee ........................... $
SAC ......................................... $
Collective Street Fee ....................... $
SewerTap ................................... $
Ucense Check Fee ......................... $
Pressure Reducer .......................... $
Meter Hom ................................... $
Water Meter ................................. $
o Sewer & Water Connection Fee ........... $
o WaterTowerFee ........................... $
Water Tap ................................... $
Builder's Deposit ............................ $
Other ......................................... $
Total Due .............................. $
-
Paid
Receipt No,
Date By
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 document 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 447.42309:00 a,m, . 10:00 a,m.
Special Conditions d any
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
Jrb.rMd' ~L>u
7/J7/1cJ
APPLICATION RECEIVED
The City of Prior Lake BUILDING Department has reviewed the
building Rermit apPli~t~on for construction activity located at
1./.5 L t '-f o-n.lv~ I h"'/ \. 'j, A I t1 -/. j., [; . .
Accepted Denied
Reviewed by: tPJ ~._:f::...
Comments:
\. ~~~,.Q D..-ll r> \ c:..- ~.lC.V .. ~ -' 1/\,., -t'"'- c; t!>-- J... +-4.. J~ /!JeJ 1-
Accepted with Corrections ~
Date 8-3- rL(
"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."