HomeMy WebLinkAboutBuilding Permit 94-0413
CODE REOUIREMENTS ARE FOR YOUR PERSONAL HEALTH AND SAFETYI
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D :: CITY OF PRIOR LAKE
IUJ 3 0 I9Q4 U iBUILDING PERMIT,
TEMPORARY ~ TIFICATE OF ZONING COMPLIANCE
I ITY CONNECTION PERMIT
1. While
2. Pink
3. Yellow
File
City
Applicant
Permit No.
1 ~-
Llt.3
1. DATE
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
5 qS s C!..,; r
<6- ?>O -11
BUILDING INFORMATION
11. SIZE OF STRUCTURE
(Height) (Width) (Depth)
12. NO. OF STORIES
LOT
ADDITION b ,LMtC If , II f'>
4. OWNER (Name)
BLOCK -~ PID ~5" - 0:;;( l - 0 f~-- 0
.,. 1l\/\'
H I Us 4- I~ A A d/o (\
13. TYPE OF CONSTRUCTION
14. FLOOR AREA APPORTIONMENT USE
(Tel. No.)
New Construction 0
Chimney 0 Misc.
8. PROPERTY AREA OR ACRES
Sq. Ft.
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS
SEATS
16. E~IMATEDVALUE,/
., DtJO ,
17. COMPL ION DATE
d-qS
(Tel. No.)
Reroofing 0 porch'~
Residing 0 Finish Basement 0
S
9. PROPERTY DIMENSIONS
Depth
10. CULVERT SIZE
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
bui g official can r oke this p rmit forJust cause. Furthermore. I hereby agree that the city official or a designee may enter upon the property to perform needed inspections.
X 8~ .~/) -- 94
License No. Date
SETBACKS: Required
Actual
Front
PROPOSED GRADE FOUNDATION
IN RELATION TO CURB OR CROWN
OF STREET
USE OF BUILDING
~ S~ ~cd-
TYPE OF CONSTRUCTION: I II III IV
Occupancy Group A BEl H@.1
Division 1 2eJ 4
Permit Fee ................................... $
Plan Checking Fee ......................... $
Slate Surcharge ............................. $
Penalty ....................................... $
Septic System ............................... $
Other ......................................... $
Subtotal............................... $
FOR ADMINISTRATIVE USE
MATERIAL FILED WITH APPLICATION
Back
Side
SOIL TESTS
Ll
o ENERGY DATA
Side
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
PERMIT VALUATION
PILING LOGS 0 PERCOLATION TESTS 0
PLANS & SPECS ~ SETS
SURVEY 0 COPIES
PLOT PLAN ,f'
12. bOO. C:>O
City:
Amount Brought Forward .................. $ <' OS. (') 0
Park Support Fee ........................... $
SAC ......................................... $
Collective Street Fee ....................... $
SewerTap ................................... $
License Check Fee ......................... $
Pressure Reducer .......................... $
Meter Horn ................................... $
Water Meter ................................. $
l BO . 00
Il1,o(')
{O}. t) 0
30 ~ .06
Check if
Deferred
Sewer & Water Connection Fee ........... $
o
o Water Tower Fee ........................... $
Water Tap ................................... $
Builder's Deposit ............................ $
Other ......................................... $
TOla Due .............................. $
Og,.
Date
Permit When Approved.
1-7-1<;
Issued
Paid
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 r uested. This document when
si d By the City P onsmutes ~ 7~~ry rtificate of Zoning compliance and allows construction to commence. Before occupancy, a certificate of Occupancy must be issued.
Planner Dale Special Conditions d any
24 Hour notice for all inspections 447-42309:00 a.m. . 10:00 a.m.
qLf-LfIJ
..
White - Building
Canary - Engineering
Pink - Planning
The Centt'r of the Lake Country
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
OJ
NAME OF APPLICANT !JttLtL tiLt lL
APPLICATION RECEIVED V/1,{)/f'l
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
J----3 fj- b Ztt-'>J/ (;i /~
Accepted
v
Accepted With Corrections
Denied
Reviewed By: J /lJM~
Comments: Il ~
Date:
9h/91
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."
White - Building
Canary - Engineering
Pink - Planning
The' ('"nler of Iht Lakf Counlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT I3uufL t.t'IfL
APPLICATION RECEIVED 9/30/f1
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
SJ C;S- /r,~ t IU~'
Accepted
Denied
Accepted With Corrections /
r2J trA
Date:
q-l-9l.(
Reviewed By:
Comments:
\. e-eUr~
? R~
CLlLpJc.-.. ~l'--...l V\0~~ ~A U~ o-uJ- <;
evQ <=> ~ ~ ~\:. H~ !>u \-.
"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,"
White - Building
Canary - Engineering
Pink - Planning
The Cenler or thr Lake Country
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
j'~\ j
.1 i(i. /t_
"'--'"
APPLICATION RECEIVED i, /
,
I/I(
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
~,--,,' /' :''- / . c't ;',.; :/ /' J ,!;' i' L~/
Accepted
/'
Accepted With Corrections
Denied
J4d
Date:
9-1- 9<(
Reviewed By:
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."
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