HomeMy WebLinkAboutBuilding 99-0765
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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
JI4 ..I ~
Permit No.
qq-7~~
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
& --/rt-9'l
BUILDING INFORMATION
11. SIZE OF STRUCTURE
(Height) (Width) (Depth)
3' sq
w.lf ...,.)......;vucl
'. +-
S~
3. LEGAL DESCRIPTION
(
PI~)-;rjS:(J07- ()
12. NO. OF STORIES
LOT
ADDITION
~
13. TYPE OF CONSTRUCTION
(Name)
(Address)
~...., w: II <>w.....,''''. ~ ';>t
(Address)
(Tel. No.)
S€, '-f' 0, '1'31
(Tel. No.)
14. FLOOR AREA APPORTIONMENT USE
5. ARCHITECT
(Name)
6. BUILDER
(Name)
(Address)
(Tel. No.)
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS
7. TYPE OF WORK
New Construction 0
Chimney 0 Misc.
8. PROPERTY AREA OR ACRES
Sq. Fl.
Fireplace 0
Alterations 0
Septic 0
Addition 0
Deck
Finish Attic 0
Re-roofing 0 Porch 0
Re-siding 0 Finish Basement 0
SEATS
16. PROJECT COSTNALUE
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
buildin can revoke this permit for 'ust use. Furt or ,I hereby agree that the city official or a designee may enter upon the property to perform needed inspections.
X ~ (,,//3199
Signature License No. Date
FOR ADMINISTRATIVE USE
SETBACKS: Required
Actual
Front
Back
Side
Side
MATERIAL FILED WITH APPLICATION
SOIL TESTS 0 ENERGY DATA 0
BUILDING DEPARTMENT VALUATION
USE OF BUILDING Q {i <\ F4..t1Z
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
PERMIT VALUATION :( t::x::.::JD. C)5'
PILING LOGS 0
PLANS & SPECS 0
SURVEY 0
PERCOLATION TESTS 0
SETS
COPIES
PLOT PLAN
o
TYPE OF CONSTRUCTION: I II III IV
Occupancy Group A B E F HIM e; S U
Division 1 2 ~ '2 _
Permit Fee ................................... $ G:, 2. 5
Plan Check Fee ............................. $~
State Surcharge ............................. $ I . ex::>
City:
Amount Brought Forward .................. $
Park Support Fee ........................... $
SAC ......................................... $
Collective Street Fee ....................... $
SewerTap ................................... $
$
Penalty....................................... $
Plumbing Permit Fee ....................... $
~
Pressure Reducer .......................... $
Meter Horn ................................... $
Water Meter ................................. $
Sewer & Water Connection Fee ........... $
Water Tower Fee ........................... $
Water Tap ................................... $
Builder's Deposit ............................ $
Other ......................................... $ . J...
Total Due .............................. $ !().3. )
~l()3"-l ~ Receipt No. 3c.7Sin
Date ~] -2C; -'1C . /
Mechanical Permit Fee ..................... $
Sewer & Water Permit ...................... $
Gas Fireplace Permit ....................... $
~~iS ~'t3~ding ~:t:it %h;~~f1d.
Certificate of Occupancy
Issued
Special Conditions ~ any
24 hour notice for all inspections 447-9850
C/Y!- 705-
White - Building
Canary - Engineering
Pink - Planning
The' (""nfer or thf' L.kr Counlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
(11 iu ~11r!f1h}u IJfa 17m) JaJd
0-lf-9tJ
.
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
,
3c.S-9 1. I J
o . [L~ t L9t<-) /08<<1 sr -.sL~
Accepted
Accepted With Corrections )L
Denied
/2t&r4
Date:
(,.'2~-9"
Reviewed By:
Comments:
I. Rea.& ~ &a.clc ~~
"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 Center of the Lake Country
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
{ ./
. I..
;
,
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/
/
Accepted
Accepted With Corrections
Denied
Q7)J, j/lDU Date
5dtXtJfLJ ~ GY
~~crjqq
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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: englnc'erlng
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LAN:) s.liR~'fCnl . ~IVl", ~Pl';'",tlU
lllHD PLA..!." ~OSC...[ Al\CHIllCli
CITY OF PRIOR LAKE
2~a lnl~IP(I~O U(I~Q
Mvndolo Helqhl~, MN ~,~,~o
(612) 6B1~'914 F^X;661-9488
~OOl
~.O.6.:"~6/99 WED 12: 26 FAX 6124474245
:ertificate of Survey for:
62:i 11ighwo~ '0 N.t.
Blaine. MN ~5"34
(612) 783-1860 FAX: 7BJ-1B83
SIGNET CONST., INC.
Lor AREA'" 13,OSi s.r.
HOUSE AREA. ',126 S.f.
ORIV'::WA'1' ARtll. - 500 S.F.
COV~RACE - 17.0"
965.7
8
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APPROVEB rl\~
PLANNING DE ~,1 965.1
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63.76
968.0
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HillEl PRoPOSED mAllES SHOW!'l ptf! ClIAOll'Q p\.AN BY> v~~~tv END_
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or 91RUClUlIEI ~l Y. SEt MC~TEOTUI\L PL"NS FOIt llUlI.D1NC "NO
fOllIlOIl 11011 01 t.\EWSIOH5.
1l0TE: HQ SPEQlflC 5011.$ ...vESIIGII'ION NAS BUH CIl,,"rLETED 011 nil" LOT BY lllE
~uRVE~OR. THE S\J11l.tll~I'N or 5\)1l1 '0 l;1!PPOIlT THf 'PlOt'\: K\)\iSt
PRO/'05l:0 IS 1'01 tHE ll.tSl'O!t$lDlLlN or tHE :iUft';f:'l'OR.
enOPOSEtI HOU<;f: FI EVA}JON
LOWEST FLOOR €:LEvA liON. '7 (e;, "!) .t.>
TOP Of' 5l0CK ELEVATION: q(.,(p, Z.
GARAGE SLA8 ELEVATION: ~(.,~,~
!to't, ,illS CER1It'Cl.U DOEll 1101 PUll.POOT Te IlHOW t"'stMEN1S Il'H(R 'HAN x 001l.00 ll€N0I'" lIl1S'IHO iL[vMIDI'I
llIOSE SHOIlli ON fliE _(CQRIlEO PLAT, ( DOIl.CO I f1El'totts PROPOSEO ELEv"T101l
HOlE, _cOIlT.l.ctOR IIUSl 'ltIlIFY OP.lY(wAV ClESICN. =-==-= DENOTES OOAlIIAOi. AND IlltlllY [A"MENl
_ OEIIOIt:~~AlNJ.CE f~OW OIRECllllN
HillE: eElIRlHIlS SHO'NN ARt /lASED ON N'I lIiSU~EO OlltU" -- OEHOTE~ ",ON\JIoIon
--a-- OENOnS CIH5Et HUll
W( I-IERE8Y CERTIfY TO SIQNET CONST.. INC, TH^ T THIS IS ,., ,RUE ANO CORRECT REPRESENTATION Or A
SURvEY OF "THE OOUNDARIES Of:
LOT 7, BLOCK 1, WESTBURY PONDS
SCOTT COUNTY. MINNESOlA
11 OOES NOT PuRPORT TO SHOW IMPROvtMENTS OR ENCI-lROACHMEtolTS,
UNOER 1.4)' DIRECT SUPERVlS'O~ THIS 7TH OAY OF MARCH, 1997.
SCALt : 1 INCH "" 30 rEET
""63 97070.00 SWK
ZIil"d
~
. .:..
PRIOR LAKE
INSPECTION
RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS ~8~9 \.t)i\l~IJ..)~ Si-.
TYPE OF WORK -1Je\.U COVtGtr-uc..~\'cTV\...
USE OF BUILDING SFD
PERMIT NO. Cf9- 7(ars- DATE ISSUED G,-:2~-c:r 7
BUILDER -1\0.'-" l'H.u~
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR DATE
I FOOTING (11.) ~ I (,,-30 '11 I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
1!JW . I.--> I I I
I ANAL I I I
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS 447-9850