HomeMy WebLinkAboutBuilding Permit 99-0069
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CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
.27_
"~
. 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_~ Fran~in Trail, Prinr
3. LEGAL DESCRIPTiON "
1. DATE
1/25/99
T.rlke. MN
R..~
LOT
1
'I. ;"02 S; -0613 -0
1
BLOCK
PID
ADDITION --.J3rnnKsvi 1 J P
4. OWNER (Name)
Fran otto
5. ARCHITECT (Name)
HillR-~if~h A~rlitinn
(Address) , (T~ ~o.)
~4-, r:=; ~t..u600 ~ ..._
1:::) - (Address) fIlA. (Tel. No.)
l c...'1IY\D~ : ",N ot::;s44 "2-
'(Address) (Tei. No.)
6. BUILDER (Name)
7. TYPE OF WORK
New Construction 0
Fireplace LI
Alterations~
Septic LI
Addition 0
Deck LI
Finish Attic 0
Re-roofing LI Porch LI
Re-siding 0 Finish Basement 0
ChimneyLl Misc. Window
8. PROPERTY AREA OR ACRES
Sq. Ft. 1 5,600
Rc'pl.J.cc~cnt
9. PROPERTY DIMENSIONS
Widtht;2'O Depth 130
10. CULVERT SIZE
Yes No _
1. White
2. Pink
3. Yellow
File
City
Applicant
Permit No. 41- a-A01
~
BUILDING INFORMATION
11. SIZE OF STRUCTURE
(Height) (Width) (Depth)
20 ?h An
12. NO. OF STORIES
1 1/2
13. TYPE OF CONSTRUCTION
wood frame
14. FLOOR AREA APPORTIONMENT USE
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS 7
SEATS
16. PROJECT COSTNALUE
3,500
17. COMPLETION DATE
8/98
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 ~an revoke t~ermitJPr18~us.l!' Furthermore I hereby agree that the city official or a designee may enter upon the property to perform needed inspections.
X Jr{A,., /?. C/ ~ nT.iller -I-;l(b-9l
I Signature License No. Date
FOR ADMINISTRATIVE USE
MATERIAL FILED WITH APPLICATION
r oCity: \\.). Amount Brought Forward .................. $
Park Support Fee ........................... $
\ SAC ......................................... $
Collective Street Fee ....................... $
;( dJ sef1f. ...................................:
rt\ , AtI )~ \";-ressure Reducer .......................... $'.
'--'\,.;"""" ~ ( Meter Hom ................................... $
~f:tP Water Meter ................................. $
~ 0 Sewer & Water Connection Fee ........... $
Water Tower Fee ........................... $
Water Tap ................................... $
Builder's Deposit ............................ $
Other ......................................... $
SETBACKS: Required
Actual
Front
Back
Side
Side
BUILDING DEPARTMENT VALUATION
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
USE OF BUI~NG
JUc; -
,lJ-jR ..
PERMIT VALUATION
21~'c9C7
TYPE OF CONSTRUCTION: I II III IV (9
OccupancyGroup A B E F ~ I M ~ S U
Division 1 2 f!.)4 , I
Permit Fee ................................... $ 7 "-t. 7 '"')
Plan Check Fee ............................. $
State Su rcharge ............................. $
Penalty ....................................... $
/.2~
Plumbing Permit Fee ....................... $
Mechanical Permit Fee ..................... $
Sewer & Water Permit ...................... $
ur Building Permit When t\Pp~~ed.
Date 1::'2. '1 -"Lcr
SOIL TESTS
LI ENERGY DATA
LI
PILING LOGS Ll PERCOLATION TESTS 0
PLANS & SPECS LI SETS
SURVEY
PLOT PLAN
o
COPIES
LI
Total Due .............................. $ '/{~'f!!-J
Paid i Co, -{ Receipt No. "34~~,
Issued 1 { ,
Date r "Z....1, ~1 By tl-D14-
This is to certify that the request in the above application and accompanying documents is in accordance with the City Zoning Ordinance and ay proceed as requested. This document when
signed by the City Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy. a Certificate of Occupancy must be issued.
City Planner
Date
Special Conditions ff any
24 hour notice for all inspections 447-4230