HomeMy WebLinkAboutVoided Permit #98-0273
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CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
[NRE~ j
SPACES NUMBERED 1 THRU 17 Mlk. I 11:I'; ..".Li:D IN
BEFORE PERMIT IS ISSUED (Please Print or TyPe and sign at bottom)
2. SITE ADDRESS
3 o~o FCtt'r \l1~W RoG.c\ Pr-ln,- L,CA ke,
3. LEGAl DESCRIPTION
7.J-)(
1. WhIte
2.-PlDk
3. Yellow
File
City
AppllClllt
1. DATE
4.J'6-q~
ZON~I S!])
Permit No. BP 1/,;).73
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BUILDING INFORMATION
11. SIZE OF STRUCTURE
(Height) (WIdth) (Oeplh)
12. NO. OF STORIES
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PID .45.~,. ~ it ()
13. TYPE OF CONSTRUCTION
9. PROPERTY DIMENSIONS
WIdth Depth
14. FLOOR AREA APPORTIONMENT USE
lI..,k.... ~f.l 917 -'12{::5
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS
SEATS
16. PROJECT COSTNALUE
17. COM~~~ D~
t..j - I - CJq
- 1 O. CULVERT SIZE
Yes No
I hereby certify that I have furrished Infonnatlon on this appI:....:... which is to the best of my knowtedge true and colT8Cl. I also certify that I am the owner 0( authorized agent for
the above mentioned property and that all constnJctIon wi. conform to all existing state and local laws and will proceed In accordance with submtlled plans. I am aware that the
bulldlng~rm~ Just cause. Furth, . . '. I hereby agree that the city otlIclaI or a designee may enter upon the property to perfonn needecllnspectlons.
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SETBACKS: Required
Actual
FOR ADMINISTRATIVE USE
Amount Brought Forward ........ .......... $
Park Support Fee ........................... $
SAC ......................................... $
Collector Slreel Fee ....................... $
Sewer Tap .................................... ~
Ucense Check Fee .......................... t--..
Pressure Reducer .....,.................... $
\ .
MeterHom ................\.........~........ $
Water Meter .......................;......... $
Sewer & Water Connection Fee ........... $
Water Tower Fee ................. .......... $
Water Tap ................................... $
Builder's Deposit ............................ $
Other ...................... ........ ........... $
Total Due .............................. $ I. "33. f/L
Paid ~I fol,~. 't1, Receipt No. ~3 ~
Date 7' q.;,f/ By \
~' to fhat the request In the above appe..: . and a.._".....nylng documents is in accordance with the CIty Zoning Ordin8nce Jnd may proceed as
"Jf ~ _Constitutes a L . .." J CertIflca~Z 1~compllance and allows construclion to commence. Before occupancy. a Certillca18 of
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ciy PIImer . Dale Special CandIlIons ~ any
l, 24 hour notice for all insp~".:..... 447-4230
Front
Side
Back
BUILDING DEPARTh1ENT VALUATION
OFF STREET PARKING
SPACES REO.
SP~'PlAN
PERMIT VALUATION 100 I eo 0 ~
USEOFIILDI~1 ~
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TYPE OF CONSlRUCTION: I II III IV (...:Jj
OccupancyGroup A 8 E F HIM ~ S U
".,.. Feo ..........:=...:..:.~,~:.{ ~e '1. :2 S- ~~ ~
Plan Checking Fee ..............,.......... $ G,. ,2- \. ~ ~
.....................'7L............ Sio . 60 .~. lJ( Il.'! j
P~ ....EL.j.~:...~1J",.5f)f-'). L, 0., 00 q) t1..f'-,XJ
Septic S~em .1:I.e.qf:..:t:23..... $ LJ (). ro ~ ~ , V~
Other .........re...~t~...);,']3.... $ Ua. aD- , (\ &\
, .J3 --97 ' II\.
Subtotal ..;............................ $ J,..; .
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Certlficate of o\:cupancy
Issued
City:
.,,\
IIIII II,
Side
MATERIAL FILED WITH APPUCATlON
SOIL TESTS CJ ENERGY DATA CJ
PILING LOGS CJ PERCOLATION TESTS CJ
PLANS & SPECS l!Y' SETS
SURVEY -0- COPIES
PLOT PLAN CJ
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Th.~~when
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