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Home My WebLink AboutBuilding Permit 99-0052 DATE RECEIVED CITY OF PRIOR LAKE BUILDING PERMIT, TEMPORARY CERTIFICATE OF ZONING COMPLIANCE AND UTILITY CONNECTION PERMIT 1. White 2. Pink 3. Yellow File City Applicant .2. Permit No. 4'1-ootf,2- . DIRECTIONS SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN BEFORE PERMIT IS ISSUED (Please Print or Type and sign at bottom) 1. DATE JAJJ I :1 ~ )CJ~ 'J BUILDING INFORMATION 11 . SIZE OF STRUCTURE R .:.. ) (Height) (Width) (Depth) 2l7;/BR~S P}/EA~ANi MEAO/JuJ LAAlE. 3. LEGAL DESCRIPTION 4. ~W~R (Name) KEA/JJtl)J )/. WIJORJ 5. ARCHITECT (Name) (Address) SA)1 t:: (Address) (Tel. No.) JfJ/-O-88if ~ (Tel. No.) 12. NO. OF STORIES OtJE Sr/JR, y WALK oJ..l-r 13. TYPE OF CONSTRUCTION F fJ.A /VI e. 14. FLOOR AREA APPORTIONMENT USE LOT \'L... f" t4 j;;: 1\-<; A~ BLOCK 2- N'~~v~ PID 'J...S" - 3 :1..8 --023-0 C\ (:..:it- I 0 3Y ADDITION (Name) (Address) (Tel. No.) 5,1/ V IE 4' F IIZ 15. Pl-,A c. e .B1/,RAlSv'ILl-c 5S 337 I).. 7 ~ c't>lItJTY I(tJAO 't;l.... TeL. ~9 9- JJ 7 Jf 7. TYPE OF WORK Fireplace LI Septic 0 Deck 0 Re-roofing LI Porch LI New Construction 0 Alterations 0 Addition 0 Finish Attic 0 Re-siding 0 Finish Basement 0 1 ~ROJECT COSTN ALUE ChimneY)'( Misc. tAl 0 00 8i1I!..J.J J~ Jl - E Kc If L / .03 1-1 T -lJ" J q 5'9 '7 S- 8. PROPERTY AREA OR ACRES 9. PROPERTY DIMENSIONS 10. CULVERT SIZE 17. COMPLETION DATE Sq. Ft. Width Depth Yes No F c.Blb4A'I ) 999 I hereby certify that have fumished information on this application which is to the best of my knowledge true and correct. I also certify that I am the owner or aulhorized agent for the above menti d 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 buildin. Ici an revok t s permit for justruse. Fu~ore, I hereby agree that the city official or a designee may enter upon the property to perform needed inspections. X II ~~/ J-.2-5'.-qq Signature' -- License No. Date 15. NUMBER OF OCCUPANTS OR SEATS 6. BUILDER OCCUPANTS SEATS FOR ADMINISTRATIVE USE Front Back Side Side MATERIAL FILED WITH APPLICATION SOIL TESTS 0 ENERGY DATA 0 PILING LOGS 0 PERCOLATION TESTS LI PLANS & SPECS 0 SETS SETBACKS: Required Actual BUILDING DEPARTMENT VALUATION USE OF BUILDING . - ~<=-. J4 f Ie. I OFF STREET PARKING SPACES REO. SPACES ON PLAN PERMIT VALUATION ~.f~' ,..,0' SURVEY PLOT PLAN o COPIES o TYPE OF CONSTRUCTION: I II III Occupancy Group A B E F _~ I M Division 1 ~ Permit Fee ................................... $ ~ IV '---v-' cR>s U City: Amount Brought Forward .................. $ Park Support Fee ........................... $ SAC ......................................... $ Collective Street Fee ....................... $ Sewer Tap ................................... $ $ Plan Check Fee ............................. $ (~'2..ES- 'fD . c{:b- L. ()O C..,O \ ,1,1 State Surcharge ............................. $ Penalty......... ................. ............. $ Pressure Reducer .......................... $ Meter Hom ................................... $ Water Meter ................................. $ Sewer & Water Connection Fee ........... $ Water Tower Fee ........................... $ Plumbing Permit Fee ....................... $ Mechanical Permit Fee ..................... $ Sewer & Water Permit ...................... $ Issued Water Tap ................................... $ Builder's Deposit ............................ $ Other ......................................... $ Total Due .............................. $ Paid \ c. ~.', \ Receipt No. Date I 11-1 I ~i C}-.t the equest in the above application and accompanying documents is in accordance with the City Zoning Ordinance and may proceed as requested. This document when sig ild the' Ian? Ir constitutes a temporary Ce~'fi te of Zonin compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be issued. I / r: ^ \ . . - . anne ' Ie Special Conditions ~ any V 24 hour notice for all inspections 447-9850 \ O~"I 34 :>c;'7 By (2.0 (.\.. Gas Fireplace Permit ....................... $ This.Jl6iili~e~ur duiidinQPermit When ~pro~S BY~~ Date I -~7 _ / ~? Certificate of Occupancy Tht ('tnltr or Iht tlkt Counlry White - Building Canary - Engineering Pink - Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED J(~ N ~0'UOK.; , t J2-S /1 c The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: Accepted Accepted With Corrections Denied Reviewed By: C2 O~ Comments: Date: J - ~ i-ere; J. f'1.a.i,^k:", Q.l-e~~",. +...~ 'Y.'",^\o..Jsk.\.:.C~..c; c...c:. \ .'c:::kc.Q 2. TeM 0'- UL c..\f'P"I'HJJU-~ tMcj-ut'vo-l..... CJY\.f"", U 3.~.e... ~,IM'^~'''r ~W\ ,_At'l\-- ex\et.d.... t':)(]Rj- ~ p}o~ \;-\A.O_ -ef U.L Cl't- I c. 00 l\l\\""'~l.a_ \'c::. ~_tJ-":'l-Jl.~)... L~ ('_L3......~1f ~.Qc. lrlrou+-. fuw~ "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 of the L.kt Country BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED '"' . \ I \. ,) ! / ! / I , / The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: Reviewed By: \/ 9(lJ;.~ Accepted With Corrections Accepted Denied Date: ( I;} L}55 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." _.....--~._-- I -- PRIOR LAKE INSPECTION SITE ADDRESS /~~f~~L uJ TYPE OF WORK I Lbo:J "C:;..t-o VC- ~... (O~/lV-1 USE OF BUILDING SF . U PERMIT NO. 9 cr - .5 ;;<, DATE ISSUED (-d-. '7 -( 9 BUILDER k'eft...-l !AJU(') r; PHONE # NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT DEPARTMENT OF BUILDING AND INSPECTION INSPECTOR DATE .... I I PLACE. NO CONCRETE UNT,!.J---+BOVE HAS BEEN SIGNED ~ FRAMING (Cr {~J# ~- J:t- 19 I FINAL I ".Ts I ;d!?J/ qq Call between 8:00 and 9:00 A.M. for all inspections t I FOR ALL INSPECTIONS (952) 447-9850