HomeMy WebLinkAboutBuilding 07-0925
:;- 0 ~ 0 oto 0 0 0 "'ll ~ > -0
z_
(fJ 0 :I: C ~~
"0 0 CIl -""" 0 C
Cll -_Z~OO z
8 n- o 0 :s: -4ZCIl co z m " mo
0 ;0 ;0 3: ~>C3:Z-l m " m 0."
\::l :-1 ;0 '" zr-!;zOz Z C/l ::!"'ll
t!'I m m CIl
0 CIl Z ~ ::!c>~c> 9 0"
>:l -4 > z-
t!'I > -4 -4 m 0 - zO
to 0 Cii CJ) o Z 0 0"
S -l " -4 Z
>:l ;0 (5 > (5 ::!!;
t!'I 0 r. 0 Z 0"
Z -4
~ ." 0 > 0 mm
0 > Z ~
<: ;0 r-
r- 0
~ -l " "'ll "'ll
~ :I: 0 " "
~ m ;0 0 0 000000
z ;0 0 0
~ m m m m 3l:"CIl:E3l:"
>< z m m mr-~>mr-
-4 0 0 OC -lOc
Z ~ CIl ::J:3: m::J:3: 0 C/l
~ ~ " "'ll
~ C/l m ,,~;o;o;o~ m 0 0
Q ~ "'ll :) 0 zZ::J:::J:-z " Z ::J:
::! m (1) -4 >c>oo c> ;: -l m
0 ~ (5 ::j ;n c
~ () r-"OO ;0
-l 0 Z -:;:l;:;:l; - Z C
(5 ?r Zcc r-
~ 01 ~"'ll"'ll 9 m
Z m C
C "
~ N 0
~
::J: ;0
m
~ 0 0 Dt"
c 0
" < 000000
CIl m
5! z ;0 c>""om t:) >
> z >~~o~ re iil
Il- 0 c> ~mmi:C>
~ < _"'ll"'ll"'ll~
~ > ~!;>!;o
z >ooz=i;
~ 0 _mm-l-
!" ;0";0 r- -t
-4-- r- i
CIlZ Z m
-4~ C>
::;- ~~ (') ~~oooo 'tl 0 )> -0
z_
CJl 0 ::I: ~ C ~~
" en -"TI"T1"T1 0 C
CD s:: --Z~oo Z
g 0 n- O d -Izen CO z m " mo
)> 0 ;0 ;lJ s:: ~)>e5:Z-l m " m 0"TI
I"" :-! ;0 " ~Zgz z (fl ::j'tl
t'l m en m 9 en
:>It! o )0- Z 'tl G')-IG') 0;0
-I -4 z-
t'l -t ~ z 5 zo
IC:l en en 0"
S "TI ::!.::or z
). ::!!;
:>It! 01 0 0
~ 0 z 0"
0 -4 mm
"TI ()
~ 0 )> -~
;0 I""
I""
~ -l "TI "
~ X 0 "
~ m ;0 C) 000000
Z ;0 ()
~ m m m 5:'tlen~5:'tl
X z m ml""~>ml""
-I 1:, oe -Ioe
:>It! en
:;; ~ z ~ 'tl ::I:~ m::I:~ 'tl 0 en
~ en m "TI~;o;O;lJ~ m 0 0
Q ~ 'tl :l 0 zZX::I:-Z " Z ::I:
::! m CD -I >G')OO G') 5: -I m
::t
~ 0 () 0 1"""TI00 ;0 =t ;n C
-I 0 Z -"" - z e
5 ~ zee I""
~ al ~'tl'tl 9 m
Z m C
~ "TI
N 0
....
~ X ;0
m
~ 0 0
e 0
;lJ < 000000
en m
:i! z ;lJ G')"TI"T1om
)> Z >;u;uo~
Ilo C G') ~mm~G')
~ < _'tl'tl'tl~
~ )> ~!;!;!;c
z >ooz:;;
""l 0 _mm-l_
~ !'" ;lJ"TI;lJ I"" -t
-1-- I"" Ii:
enz z m
-I~ G')
------ --~
r" QATE RECEIVED .. ,_ C~TY OF PRIOR LAKE
1\. .,~-_... '-BUILDING PERMIT,
, ,,' MP RARY dERTIFICATE OF
~ ~~ ~ _"\ '- ~ Z NING COMPLIANCE
'" f\"( ,'::J \,,) AND UTICI,TY CONNECTION PERMIT
1. White
2. Pink
3 Yellow
File
City
Applicant
Permit No.
07~ (j!]25'
2 SITE ADDRESS
('; " ' ( E
\.. J ( . ....
1 DATE
0.- :'j7 "''}'7
I 1,"1\ 7./
1\/
BUILDING INFORMATION
11. SIZE OF STRUCTURE
(H~i(i'\) (Widlh) l(1eplh)
DIRECTIONS \._.-..-----..-..--. -.__.. ___"'_
SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN
BEFORE PERMIT IS ISSUED (Please Print or Type and sign atlJoltom)
3 LEGAL DESCRIPTION
12. NO. or ST0l11ES
LOT BLOCK
PID
13 TYPE OF CONSTRUCTION
ADDITION
5. ARCHITECT
I
."~ _ ..(Address)
:''', 7/ I . -1'.c
(Address)
1". (~'e. No)
. I' ''> '...J
J,J 1.../1 K... t "
(Tel No.)
14. FLOOR AREA APPORTIONMENT USE
6. BUILDER
(Name)
(Address)
(Tel No.)
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS
7. TYPE OF WORK
New Construction (1
Fireplace (1
Alterations (1
Septic (1 Deck (1
Addition (1 Finish Attic (1
Re.roofingm Porch (1
Re.siding (1 Finish Basement (1
SEATS
Chimney 0 Misc. _ _
8. PROPERTY AREA OR ACRES
Sq. Ft
9. PROPERTY DIMENSIONS
Depth
10. CULVERT SIZE
16. PRQa<!E1T. C(~S;!:.o/ALLlE 17
r II './JJ:)-:-
17. COMPLETION DATE
Yes
No
FOR ADMINISTRATIVE USE
SETBACKS: Required
Actual
MA TERIAL FILED WITH APPLICATION
Front
Back
Side
Side
SOIL TESTS
PILING LOGS
o ENERGY DATA
o
BUILDING DEPARTMENT VALUATION
O:F STREET PARKING
SPACES REO
o
PERCOLATION TESTS 0
PLANS & SPECS 0 SETS
USE OF BUILDING
SPACES ON PLAN
SURVEY
PLOT PLAN
o COPIES
PERMIT VALUATION
o
TYPE OF CONSTRUCTION: I II III IV
Occupancy Group A B E F HIM
Division 1 2 3 4
Perrlllt Fee...................... ............. $
V
R S U
City:
Amount Brought Forward .................. $__________
Park Support Fee ........................... $____________
SAC ......................................... $
Plan Check Fee ............................. $
Collective Street Fee ....................... $____ _ _ _.__. ____
Sewer Tap .............................. ..... $~____.___.._.._
State Surcharge ....................,........ $___..._..__.....____
$
Penally ................,.........,.;.......... $....i.......-..__..----..--
.. 'I .
PI b' P 't F i I $ ,.. /
um tng ermt ee ....j..,:.-....[..:;......j.,..ti:T+:j.-...--..
. . . 1'1. Ii ":</f/l
Mechanical Permit Fee .."r.....,..k.,..".!- ~~_J.f.::'..__________...
- '... ..) ) ,:.
Sewer & Water Permit ....... ....... i.(;. r". $~..{____.__~
Pressure Reducer .......................... $
Meter Horn............ ................ ....... $
Water Meter ................................. $
Gas Fireplace Permit .... ....... .... ........ $__..__.____
Sewer & Water Connection Fee ........... $_.__._~
Water Tower Fee ........................... $______.....___..
Water Tap ................................... $___.___
Builder's Deposit ............................ $___.____
Other ................... ..... ........... ...... $--=11-:-0-(;1'-
TotaWue .............................. $__--'-l.L..:_ _
Paid / (, t L/ Receipt No: " /") L (. { /
This Application Becomes Your Building Permit When Approved.
By.. Dale __.._.__._..____....
Certificate of Occupancy
Issued
Dale (.
. ,: /1
By
This is to certify Ihat the request in the above application and accompanying documenls is in accordance with the City Zoning Ordinance and may proceed requested. This ci(;;;ument when
signed by the City Planner constitutes a temporary Certilicale 01 Zoning compliance and allows construction to commence. Before occupancy, a Certificat of Occupancy must be Issued.
City Planner
O<lle
Special Condilions if any
24 hour notice for all inspections 447.9850