HomeMy WebLinkAboutBuilding Permit 98-1230 ,DC�Y?` � C L.t��� t�� � L ��V-�Z� ���
F PR/p �
�o R� DATE ec� e�vE' CITY OF PRIOR LAKE A�� �
� ._., 1. White File
= �� BUILDING PERMIT 2 ' �'°�` �"y
U m � � � � ` _ " 3. Yellow Applicant
TEMPORARY CERTIFICATE OF G�t�'' �J ��"-�
ZONING COMPLIANCE � '� O
AND UTILITY CONNECTION PERMI� Permit No. � t� `/
DIRECTIONS
SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN /?
BEFORE PERMIT IS ISSUED (Please Print or Type and sign at bottom) O—�— `� � BUILDING INFORMATION
2. SITE ADD��SS �/S� 11. SIZE OF STRUCTURE
�` �'�`� ��j'�3 /�i,r��" �D/�✓T C'i.�C�' �S'�� � (Height) (Width) (Depth)
3. LEGAL DESCRIPTION 12. NO.OF STORIES
LOT �"`�-� C�_.►BLOCK R L�� I PID � J`�`'� —/ �� V
13. TYPE OF CONSTRUCTION
ADDITION
�; (Name) (Address) „� 14. FLOOR AREA APPORTIONMENT USE
,S�l/�7r/ � , �c�-Soo� /'��r 73 �iX����" � 3L � �
5. ARCHITECT (Name) (Address) (Tel. No.)
(Name) (Address) '*� t�r 15. NUMBER OF OCCUPANTS OR SEATS
lli/� a � OCCUPANTS
7'�"' �
�;,� Fireplace D Septic O Deck O Re-roofi P c
SEATS
New Constru�cYion Alterations O Addition O Finish Attic O Re-siding o h�ent O 16. PROJECT COSTNALUE
Chimney O Misc.
8. PROPERTY AREA OR ACRES 9. PROPE IMENSIONS 10. �RT � 17. COMPLETION DATE
Sq. Ft. Width Depth Ye o
I hereby cert'rfy U►at I have fumished infortnation on this application which is t es of edge tru . I also certify that I am the owner or authorized agent for
the above mendoned pro and that all construction will confortn to all e e and local laws and will eed in accordance with submitted plans. I am aware ihat the
building official can rev ' st cause. Furthermore, eby a e th t die city official or a sig e may enter upon the property to perfortn needed insDectig�s,,,
�G��
X License No. p'
FOR DMINISTRA VE USE
SETBACKS: Required _ MATERIAL FILED WITH APPLICATION
Actual SOIL TESTS O ENERGY DATA O
Front Badc Side
BUILDING DEPARTMENT VALUATION OFF STREET'pA PILING LOGS D PERCOLATION TESTS O
�0 _ SPACES �. PLANS & SPECS O SETS
USE OF BUILDING /� �
SPACE8flN PLAN SURVEY O COPIES
PERW�!'F'�ALUATI N PLOT PLAN O
TYPE OF CONSTRUCTION: I 11 III IV V ount Brou ht Forward $
Occupancy Group A B E F H I M R S U C �' 9 �
oi vision 1 2 3 a Park Support Fee ........................... $
Permit Fee ................................... $ . � ��
SAC ......................................... $
Plan Chedc Fee $ ' ���9N�ve Stree e ....................... $
............................. f + � � �ewer Tap ..... ....................... $
. . .. $
State Surcharge ............................. $
PenaRy....................................... $ ��P ure Reducer ........................ $
Plumbing Pertnk Fee ....................... $ � Meter Hom ................................... $
Mechanical Permit Fee $ ✓ Water Meter ................................. $
..................... e r& Water Conn F
........... $
Sewer & Water Permit ...................... $ �
Water er ...... . ................. $
Ges Freplace Permit ....................... $ Wate�p�.. ...... $
This ApplicaUon Becomes Your Building PermR When Approved. ild s Deposit ............................ $
By Date her ......................................... $
Cert'rficate of Occupancy Total Due .............................. $ �
aid Receipt No.
Issued
Date By
This is to certify ihat ihe request in the above applicatlon and accompanying dawments is in acoordance wifh the City Zoning Ordin nce and may proceed as . This document wh�
signed by the Cily Planner cbnstitutes a temporary CertiBcate of Zoning compliance and allows constructlon to commence. Before occupancy, a Certlflcate of ncy must be issued.
Cfty Plarxier Date Special CondRions 'rf any
24 hour notice for afl inspections 447-9850 � �� l�
a
ae.,.r:rnr : :.c'=.iE.ki'�''�`'�"' . - ��+��..,f��".p��:;f"#'c,:, *�*":` :a,;,T:;+,.n+,e;,,� .,�. ,;�;�`,. „„�,,� -"',�,,�;�.'�`�.,�,..,..ew.-..-o.fnr•_ , &.�,,,.. ..�. • r, •- .
� �
�
�
� ��
� � � � . •
� � � .
S � y,
� � °�. � �C
�� ,✓' "* 9
, i
�� ',,, �» .
� � �,
!
�
�
,��
♦�