HomeMy WebLinkAboutBuilding Permit 94-0411
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AND~
OF PRIOR LAKE
~ILDING PERMIT,
!IFICATE OF ZONING COMPLIANCE
CONNECTION PERMIT
1. While
2. Pink
3. Yellow
File
City
Applicant
Permit No.
qLI_ 411
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
1. DATE
.
4-
BUILDING INFORMATION
11. SIZE OF STRUCTURE
(Height) (Width) (Depth)
---.
LOT
ADDITION M.~-\ct..
BLOCK
~ ~.~..
PID .2.b -Mb -OL 7 -0
12. NO. OF STORIES
\
13. TYPE OF CONSTRUCTION
3. LEGAL DESCRIPTION
(Address)
(Tel. No.)
7. TYPE OF WORK
New Construction 0
Fireplace 0
Alterations 0
Septic 0
Addition'l!!(
Heating 0 Plumbing 0
Finish Attic 0 Residing 0
Reroofing 0 Porch 0
Finish Basement 0
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS
SEATS -
~STIMATED VALUE
\
17. COM LETION DATE
---
Chimney 0 Misc.
B. PROPERTY AREA OR ACRES
Sq. Ft.
9. PROPERTY DIMENSIONS
10. CULVERT SIZE
Yes No -
10 -1-
I hereby certify that I have furnished information on this appli tion 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 ns ctio onform to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the
building official evoke this permit for st ca e. u rmore, I hereby agree that the city official or a designee may enter upon the property to perform needed inspections.
X - ~-Iq-~A-
Ucense No. Date
FOR ADMINISTRATIVE USE
SETBACKS: Required
Actual
Front
Back
Side
Side
MATERIAL FILED WITH APPLICATION
SOIL TESTS 0 ENERGY DATA ~
PILING LOGS 0 PERCOLATION TESTS 0
PLANS & SPECS~ SETS
SURVEY ~OPIES
PLOT PLAN 0
PROPOSED GRADE FOUNDATION
IN RELATION TO CURB OR CROWN
OF STREET
USE BUILDING
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
PERMIT VALUATION
Amount Brought Forward .................. $ ~Cf.~
Park Support Fee ........................... $
SAC ......................................... $
Collective Street Fee ....................... $
Sewer Tap ................................... $
License Check Fee ......................... $
Pressure Reducer .......................... $
Meter Horn ................................... $
Water Meter ................................. $
TYPE OF CONSTRUCTION: I II III IV
Occupancy Group A BEl Ht10M
Division 1 ~4
Permit Fee ................................... $
City:
Plan Checking Fee ......................... $
State Surcharge ............................. $
I '1 L 09.-
II'. I~
'1.50
Penalty ....................................... $
Septic System ............................... $
Other ......................................... $
2Sj.fo5
Check if
Deferred
o
o WaterTowerFee ........................... $
Sewer & Water Connection Fee ........... $
:j~:::~~:::::~~~~.~ -
Date ~,2 2$- By t1!h.5.-
This is to certify that the r uest in the above application and accompanying documents is in accordance w~h the City Zoning Ordinance and may proceed as requested. This document when
sig d By the City Plan r stttutes a temporary Certificate of Zonin compliance and allows construction to commence. Before occupancy. a Certificate of Occupancy must be issued.
~G . -(...
City Planner
mit When Approved.
Date q-l -'If
Water Tap ................................... $
Builder's Deposit ............................ $
Issued
Special Conditions if any
24 Hour notice for all inspections 447-4230 9:00 a.m. . 10:00 a.m.
qt/- ifl I
White - Building
Canary - Engineering
Pink - Planning
The Ctnter of 'he Lake Counlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT ~a/lA.1.- /f;/ lr
APPLICATION RECEIVED ill?!?'!
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/620l/:{~A\Jj-p/ (j~.
Accepted
Denied ~
Reviewed By:
Accepted With Corrections
v
&.=,A~--
Date:
9 -( - 11
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."
44.l/1)
The Center of the Lake Country
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
,\
NAME OF APPLICANT JJa t~, Y ~ t;lL"'f-
i Z ,/
APPLICATION RECEIVED v ~ /? Jf'! v
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/6 ,{ 0 L/ ~~lL.1;1 J ~ (jlLlj.
Accepted /
Accepted With Corrections
Denied
Reviewed By: y~
Comments: rltYHl/
Date:
(j / n-/ql
"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."
Thr Crnlrr of Ihr Lakr Counlry
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
.t
NAME OF APPLICANT :/ "" i ,'- I i / I
APPLICATION RECEIVED >/. J J9cJ
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/1 ,~. I i/ :: II j .
, ,I /
i !J'{ f ../ ! J ,.[,../ -
Accepted With Corrections
/
Accepted
Denied
~
Date:
J~:J 4-C1ef
,
Reviewed By:
90
(iJA/5! ve- l/fAA(L4
4
"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."
._.._----~-~_.~-_...~-_.~~-_._.,,--~.~-_._----_...,...---...--
PRIOR LAKE
INSPECTION RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS It ~;Lj ~4l.t~t/ tzr'-l./-
NATURE OF WORK aJlJ:w~
USE OF BUILDING
PERMIT NO. q~- if/I DATE ISSUED Q/l./f/t/
CONTRACTOR .
NOTE: THIS IS NOli A PE IT FOR ANY OF THE INSPECTIONS BELOW
THE PERMI IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
I FOOTING ~tJI1(' 1101.l-Sf/tlS'
I FOUNDATION (Prior to Backfill) r I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
SEWER / WATER I SEPTIC
FRAMING
INSULATION n__ i ,,,I,, JA .-
ELECTRICAL
PLUMBING
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST 1~ /rJ;~/f;~
1
COVER NO VJORK UNTIL '~BOVE HAS BEEN SIGNED
r WALLBOARD f I
FINALS
GRADING (Prior to Sodding)
BUILDING
-
ELECTRICAL
PLUMBING
HEATING
DO NOT OCCUpy UNTIL ABOVE HAS BEEN SIGNED
NOTICE
This card must be posted near an electrical service cabinet prior to rough-in inspections
and maintained until all inspections have been approved. On buildings and additions
where no service cabinet is available, card shall be placed near main entrance.
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS 447-4230