HomeMy WebLinkAboutBuilding 99-0679
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CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
DATE RECEIVED
JUN - 3 1999
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
3'1~S WIUOW WOOD STR65T
3. LEGAL DESCRIPTION
LOT
ADDITION
4. OWNER
,Jen
I BLOCK I
fY6ST8()/f!. V PON D.5
. "\". (Address)
L~ '. I \ I Qi)1~ \) 1[.-)
1. White
2. Pink
3. Yellow
File
City
Applicant
Permit No.
qc;-fe; 77
1. DATE
{i!../
BUILDING INFORMATION
11. SIZE OF STRUCTURE
(Height) (Width) (Depth)
12. NO. OF STORIES
PID 2.5- z95 . ()O I -Q
13. TYPE OF CONSTRUCTION
(Tel. No.) 4, I 2 -
ii.:, II ()J-.;tjL.:d \Si. 4 7i-JN.r
(Tel. No.)
5. ARCHITECT
(Name)
(Address)
6. BUILDER
(Name)
(Address)
.. n
0L -L_ \
7. TYPE OF WORK
New Construction 0
14. FLOOR AREA APPORTIONMENT USE
(Tel. No.)
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS
SEATS
Fireplace 0
Alteratjons 0
Septic 0
Addition 0
Deck
Finish Attic 0
Re-roofing 0 Porch 0
Re-siding 0 Finish Basement 0
16. PROJECT COSTNALUE
9. PROPERTY DIMENSIONS
Width Depth
10. CULVERT SIZE
Yes No
Sq. Ft.
17. COMPLETION DATE
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
~~. ffja.1 ITvOI<;fI~iS P~W1it ~ just cause. Furthermore, I hereby agree that the city official or a designee may enter upon the property to perforre;:ed.'!:P lJPt:'jt!t
~cJ " A({A'VV:~ . /L;..
.-t. v !,.. Signature License No. Date
SETBACKS: Required
Actual
FOR ADMINISTRATIVE USE
Front
Back
Side
BUILDING DEPARTMENT VALUATION
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
PERMIT VALUATION lJ,(X)C) .~
USE OF BUILDING
AZ~S ~/2-
. ~
TYPE OF CONSTRUCTION: I II III IV V
Occupancy Group A B E F HIM R S U
Division 1 2 3 4
City:
Permit Fee................................... $
12l1.15'
81 .c~
3.50
Plan Check Fee ............................. $
State Surcharge ............................. $
Penalty....................................... $
Plumbing Permit Fee ....................... $
~
Mechanical Permit Fee ..................... $
Sewer & Water Permit ...................... $
Gas Fireplace Permit ....................... $
es Your Building Permit When N>Pro~~.
Date /.,. / (p- 1
Certificate of Occupancy
Issued
Side
MATERIAL FILED WITH APPLICATION
SOIL TESTS 0 ENERGY DATA 0
PILING LOGS 0 PERCOLATION TESTS 0
PLANS & SPECS 0
SURVEY 0
SETS
COPIES
PLOT PLAN
o
Amount Brought Forward .................. $
Park Support Fee ........................... $
SAC ......................................... $
Collective Street Fee ....................... $
Sewer Tap ................................... $
$
Pressure Reducer .......................... $
Meter Horn ................................... $
Water Meter ................................. $
Sewer & Water Connection Fee ........... $
WaterTowerFee ........................... $
Water Tap ................................... $
Builder's Deposit ............................ $
24 hour notice for all inspections 447-9850
Special Conditions if any
The Center of Ihe Lake Country
cn-h71
White . Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
vENN/FE-e./ KeN
I
ro/3 /97
, I
WIU--/AMS
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
37~5 W/~f.."ow'WOdD s;-(
Accepted
Accepted With Corrections I~
Denied LuL /-
Reviewed By: ( . .
V
Date: C;; -IG:.- L J
Comments:
\, R~ ~ Dec.k ~ ~l ~~ J
2. Do Vb\- r.rtl fc:lOl Wl{-.l.. w~ ()~i;ll Q~ft-o\JJ S4.f-ta -t=-~c~
,'~ \ \A. f~w:..e
,? En-\ut'-t.. ?o)-c..~ ~O. '5~~ ru-I)-A-.~ r
"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."
The Center or the Llkr Country
White - Building
Canary - Engineering
Pink . Planning
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:
J
Accepted With Corrections
Accepted
Denied -4 /J J
Reviewed By: (ff,t/J, ~ Date: I.//; &/17
Comments: -z.~ {2..-/ _ ~ 4 _.ta~ I
t-fcn;f ~~() ~1/5tLX c;Lvttwnl ~do ~ rw-f'
~I ~ ~~t
i {}b;iie.- cyffiPnd tnf- ~ s,fnrcJvre- ~ud4Q,
~ 8~ ld ;;251 GtJcM a"Jfiad ,~-o i,}/' fm-. /"'P'~'
"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."
CER-rlFICATE OF SURVEY
. THi S IS NOT A BOLWDARY SURVEY .
FOR GARDNER BROS. HOMES
KURTH SURVEYING, INC.
PROPOSED 4002 JEFFERSON ST. N.E.
I tERfiBY cerrlFY 1liI\T 1liI$ PlOT Pl.AN VAS.PR[PARE!) BY loE GR^DES COLWBIA HEIGHTS. LI'I. 5J421
OR IN)EJl Iti DIRECT stJPERVI $ION . 1HIIT 1M'S PLAN COIlREen. y 161 2 J 7
SHOWS Ulf: PlACQIEHT OF A PROPOSED 8UtLD$C ON 1HE LIHl 88-9759 FAX 16t1} 7811-7601
!BEeN oeStRJ.BEO ItlJ I I MI A DtI. t II ~~r ') (.. 4 . '7 I
......... .- "" '''''' ST'" <iF 'Q :-: ::::. "I<"'-\. . "l ~1
1.-1 rNNESOTA REGI ST~ NO '( \ \ ~ BASEMENT FLOOR . C)~ l . J..\- BEAR INGS ARE PER PLAT
. ... . . SP I KE SET
. (9~6\ c.:) ~ EXI ST INO ELEVAT I ON
__..--c::-t"'I..-.l.....-----rl ) · PROPOSED ELEV.
<:.u~J2..~-'W.tLtOWOOD- ST-~'--CR-l'vl ::: u V ..:!~/ ~ · DRAINAGE ARROIJ
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WESTBURY PONDS
SCOTTO... MN.'
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PRIOR LAKE
INSPECTION
RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS JryfJS: W;\lowwea:Q... CSt.
TYPE OF WORK ~r ..J- i)lUe
USE OF BUILDING S~\)
PERMIT NO. 9/-~ 7 7
BUILDER W'\\\CuM..S
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
~ INSPECTOR
I FOOTING ?col.... Ded; ,.",,,,\/\ I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
I~ I I
I I
DATE ISSUED {P - /G.- 7-'1
DATE
I FINAL
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS 447-9850
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