HomeMy WebLinkAboutBuilding Permit 99-1142
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CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
DATE RECEIVED
9/;7/99
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 ;: ,
/7~?O IIV~/2i)r- 7r~( r
3, LEGAL DESCRIPTION
2-
J;VOODI2/DGj b
?"'/~ r
k/ce
LOT
5
2~
PID 2s-zQf- 036~O
13. TYPE OF CONSTRUCTION
BLOCK
ADDITION
(Address)
1. White
2, Pink
3. Yellow
File
City
Applicant
Permit He.
C?9-//4z..-
1. DATE
9- /7-9q
BUILDING INFORMATION
11. SIZE OF STRUCTURE
(Height) (Width) (Depth)
/1,'0
12-1
12. NO, OF STORIES
r....
(Tel. No.)
~r)-J{i.{o -38'-l7
rPf /-,,, (Tel. No.)
U' ~-~q -J(Pl/L/
5. ARCHITECT
(Address)
6, BUILDER
(Name)
(Address)
7, TYPE OF WORK
New Construction 0
Septic 0
Addition 0
Deck
Finish Attic 0
Re-roofing 0 Porch 0
Re-siding 0 Finish Basement 0
SEATS
16. PROJECT COSTNALUE
Fireplace 0
Alterations 0
Chimney 0 Misc.
8, PROPERTY AREA OR ACRES
Sq. Ft
9. PROPERTY DIMENSIONS
Width Depth
10, CULVERT SIZE
Yes No
14, FLOOR AREA APPORTIONMENT USE
(Tel. No,)
15, NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS
17. COMPLETION DATE
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 offi ' I can re ke thi permit for just cause, Furthermore. I hereby agree that the city official or a designee may enter upon the property to perfo~ needed inspections.
X - . ,-/7-99
Signature License No, Date
FOR ADMINISTRATIVE USE
MATERIAL FILED WITH APPLICATION
SETBACKS: Required
Actual
Front
Back
Side
BUILDING DEPARTMENT VALUATION
OFF STREET PARKING
SPACES REO,
SPACES ON PLAN
PERMIT VALUATION 3,fYY"J,OO
USE OF BUILDING
~es A/ K-
,
TYPE OF CONSTRUCTION: I II III IV V
Occupancy Group A B E F HIM R S U
City:
Division 1 2 3 4
Permit Fee................................... $
7'1.7S-
&{ e si
{ ,SO
Plan Check Fee ............................. $
State Surcharge ............................. $
Penalty....................................... $
6,,/41
q:~
Plumbing Permit Fee ....................... $
Mechanical Permit Fee ..................... $
Sewer & Water Permit ...................... $
Thi
By
our Building permitqhen Approved.
Date - '20 .t:f9
Certificate of Occupancy
Issued
Side
SOIL TESTS
o
o ENERGY DATA
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 ........... $
Water Tower Fee ........................... $
Water Tap ................................... $
Builder's Deposit ............................ $
Other ......................................... $
Total Due.............................. $
Paid
Date
9CJ - /IL/L-
The Center or Ihe Lake Country
White - Building
Canary - Engineering
Pink - Planning
NAME OF APPLICANT
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
7-/~ e-kr//VSOfJ
,? ~7/q1
/
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/7296 110/<./2 ON 7/c /11 L-
Accepted
Accepted With Corrections
~
Denied ~
Reviewed B~~
Comments:
\. ~ +~ t)Q.ck K---cO. ~
Date: q -20-97
"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- Ce-nter of the- Llkt 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:
Denied
V
Ql~ JU(XIJ Date:
SL:tbtJ0 ~-O/G
Accepted With Corrections
Accepted
Reviewed By:
tf' aJ 7'9
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."
'.
PRIOR LAKE
INSPECTION
RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
~
SITE ADDRESS J --,~ 9.0 \4 or-I 'ZOl/\ \ l' ,
TYPE OF WORK ~~tU ~c\,'tJ\A
USE OF BUILDING ~c(c-
PERMIT NO. 44 - ~ \ 'i c... DATE ISSUED Cj'"Z 0 - 'l '1
BUILDER' 1- Vy~
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR DATE
I FOOTING 3-t'i/'dt- Ie: ~ I ~-~/-~9
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
I~ I I
FINAL
for all inspections
FOR ALL INSPECT ONS 447-9850