HomeMy WebLinkAboutBuilding 99-0965
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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
WJG - 8 1999
Permit No.
9tf-9&75
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
5S~9
1. DATE
8-lo-C,CY
'PUO
BUILDING INFORMATION
11. SIZE OF STRUCTURE
(Height) (Width) (Depth)
12. NO. OF STORIES
ADDITION
/
/VOq6
PID z.s-3;36 - 0(:)2..- 0
13. TYPE OF CONSTRUCTION
5TH
4. OWNER
(Address)
(Tel. No.)
14. FLOOR AREA APPORTIONMENT USE
6. BUILDER
(Name)
(Address)
(Tel. No.)
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS
S AtvlS
7. TYPE OF WORK
New Construction a
Fireplace a
Alterations a
Septic a
Addition a
DecM.....
Finish Attic a
Re-roofing a Porch a
Re-siding a Finish Basement a
SEATS
16. PROJECT COSTNALUE
Chimney a Misc.
8. PROPERTY AREA OR ACRES
Sq. Ft.
9. PROPERTY DIMENSIONS
Width Depth
10. CULVERT SIZE
17. COMPLETION DATE
Yes No
I hereby certify that I 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 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 'cial 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 C. / /,..., I ct C,
License No. c> ( ""De/e
FOR ADMINISTRATIVE USE
Front
Back
Side
Side
MATERIAL FILED WITH APPLICATION
SOIL TESTS a ENERGY DATA a
PILING LOGS a PERCOLATION TESTS a
SETBACKS: Required
Actual
USE OF BUILDING
~e5 rV~
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
PERMIT VALUATION ? ()(')('). C!){)
PLANS & SPECS a
SURVEY a
SETS
COPIES
BUILDING DEPARTMENT VALUATION
PLOT PLAN
a
TYPE OF CONSTRUCTION: I II III IV V
Occupancy Group A B E F HIM R S U
City:
Amount Brought Forward .................. $
Park Support Fee ........................... $
SAC ......................................... $
Collective Street Fee ....................... $
Sewer Tap ................................... $
$
State Surcharge ............................. $
Penalty....................................... $
Plumbing Permit Fee ....................... $
Mechanical Permit Fee ..................... $
(P2.7-s
qO. l.l(p
I . () 0
Division 1 2 3 4
Permit Fee ................................... $
Plan Check Fee ............................. $
Sewer & Water Permit...................... $
~~f\
fb\\
/
Pressure Reducer .......................... $
Meter Horn ................................... $
Water Meter ................................. $
Sewer & Water Connection Fee ........... $
Water Tower Fee ........................... $
Water Tap ................................... $
Builder's Deposit ............................ $
Other......................................... $
Total Due.............................. $
Paid
'7/
You Building Permit 1fiIYl~ -weov'tP:. C;
Date () If - I
Issued
n the above application and accompanying documents is in accordance with the City Zoning Ordinance and may procee as requested. This document when
ttutes a temporary Certificarl' '7'7omPliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be issued.
'3, Idat Special Conditions rt any
24 hour notice for all inspections 447-9850
White - Building
Canary - Engineering
Pink - Planning
The' Center or the L.kt Country
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
Accepted
/
Accepted With Corrections
Reviewed By:
Date:
fS - /I-7r
Denied
Comments:
I~
"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."
".-.- ~,~"~-"""'-"""'--"_'~'------"--"-"'-'~-'-'" ~
9?-?r;5
White - Building
Canary - Engineering
Pink - Planning
The CeoRlrr of the L.kt Country
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
Nrl.eK-/,4HY OU(3/lAi
6/~ /9q
t .
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
5531 /!/C?H,.L/Of/\/76 6; SE:
Accepted
Accepted With Corrections
.~
Denied
621~J
Date:
B ~(O--7 5
Reviewed By:
Comments:
l.eeaJ+k~~J
"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
SITE ADDRESS 55;Scr H l~ (Xt1\Nt- Q.~,
TYPE OF WORK n.~c.~'-
USE OF BUILDING SFD
PERMIT NO. CJI-9~~
BUILDER ~~
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF
BUILDING AND INSPECTION ..
DATE ISSUED 8- /0 -cr f
INSPECTOR DATE
I FOOTING~) Udf I 7-17-19
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
lu1f!I4 MJfJQ. I I
I FINAL I I
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS 447-9850