HomeMy WebLinkAboutBuilding Permit 87-246
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CITY OF PRIOR LAKE
mepartment of ~utlbing 3Jn~ptction
~inal Permitted 0 Conditional C.O. Expires
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This Certificate issued pursuant to the requirements of Section 307 of tbtVniform Building Code
certifying that at the time of issuance this structure was in compliance with'the variouS ordinances of the
City of Prior Lake regulating building construction or use. For the following:
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Use Classification- ,\, "'^ <: ". , '.-Go ,...--, , \ '}. ,.J {~~:oS:;> Bldg. Permit No. .: r ~v --\r', ::>
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Occupancy Type /c.~ -TYpe const~~...:..1(/ - Fire Zone r-J ,'t>:. Zoning District Ie --~
Legal Description (r::,,f -;: \ '~:;,I \ L ~,)- ,~. -'....~~~ E=' . \.:=-<:: -:+ I- .\-
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Owner of Bui1~ t--/r:;:> 'J ,,~ ,-~ \ L4.' --"C.C- '.1. Site Address '"
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Contractor'si~aine clA~S i>.....u! " --- ""'-~ c-J 7 1 /;) . -::
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POST IN A CONSPICUOUS PLACE
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DIRECTION ..
SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN
BEFORE PERMIT IS ISSUED (Plea'se Print or Type and sign at bottom
2. SITE ADDRESS \ .
FlreplaceD SeptlcD HeatlngD PlumblngD
New ConstructlonD AlteratlonsD AddltlonD Finish AWcD
Finish BasementD PorchD GarageD
8. PROPERTY AREA OR ACRES 9. PROPERTY DIMENSIONS
S , Ft. Width Depth Yes
15. NUMBER OF OCCUPANTS OR
SEATS
OCCUPANTS -z -.>
SEATS
18. ESTIMATED VALUE
Z ~
17. CO PLETION DATE
/Z~/-J
I hereby certify Ihatl have furnllhed Information on Ihll application which II 10 Ihe bell of my knowledGe lrue and correct. I allo certify Ihall am Ihe ower or aulhorlzed agenl
for Ihe above mentioned property and Ihal all conllructlon will conform 10 all exlltlng Ilale and locallawl and will proceed In accordance with lubmllled plan I, I am aware Ihal
Ihe building offl n revoke Ihll permit fo II c Ule, Furthermore, I hereby agreelhallhe city olllclal or a dealgnee may enler upon Ihe property to perform needed Inlpec.
tlonl.
X
/';. '3/.J -1;7
, Date
FOR ADMIN 1ST AliVE USE
SETBACKS: Required
Actual
Front
Back
Side
Slda
MATERIAL FILED WITH APPLICATION
SOIL TESTS D ENERGY DATA ~
PILING LOGS D PERCOLATION
..ri TEST
PLANS & SPECS l'" SETS
D
PROPOSED GRADE FOUNDATION
IN RELATION TO CURB OR CROWN
OF STREET J
/, j--- 1
USEOFBUILDING'/ ",,'. /.' .~,.J/"v
OFF STREET PARKING
SPACES REO,
SPACES ON PLAN
PERMIT VALUATION::: :,-r? I,..-C" .
,
SURVEY
D
COPIES
/-,
~--+-
'-
/ -:-'L PLOT PLAN
Amount Brought Forward. . . , . . . . . . . .. $/ ". ;- ". '-<t
Park Oed.,....,....,...,.......,...., $ ..11 ,>,"" ,',:,
Sac......,..,........,............... $ -:. ' '>c:', oc
Plumbing ..............,..,....,..... $
Sewer Tap. . . . . . . . . . , . . . . . . . , . . . . . . .. $ ,_
Sewer Hook-up......,.........,...... $ '= ..,-....,
Water Hook-up. . , . . . . . . . . . . . . . . . . . . .. $ hi;'7 (J~
Meter Horn. . .. . , . . . . , , . . . . . . . . . . . . . .. $
Water Meter. .. .. .. .. .. .. .. . ,'.. . .. , ",' $ "c <.J, (-po.
Check If JZfSewer & Water Connection Fee....,., $
Deferred JEWater Tower Fee.. . . . . .. . . . .. . . . .. . '. $
Water Tap. . , . , . . . . . , . . , . . . . . . . , . . . . .. $
City Fee. . . . . , . . . . . . . . . . . . . . . . . . . . , . . . $
Other, . . . . . . . . . . . . . . . . . . . . . . . . , . . . . .. $ , . .
1 ~ <l '" _ ...A 41_Jotal Due, .. , .. .. , .. .. .... .'.... (I J 99. !:t4!
~\(c)g.. <'O~70~ald "Y1'. Recel teno. () 0 ,.
'lk. {if v; (l. Date f ';L ~ '7 B
City:
TYPE OF CONSTRUCTION; I II III I y~
Occupancy Group A BEl t<iiM
Dlvlllon 1 ~
",' <: ;'
Permit Fee. .',.........,.,......,..,.. $(, ..
" )-
Plan Checking Fee. . . . . . . . . , . . . . . . . . .. $"'11 '", .
S S $ I'~
tate urcharge,...........,......,.. <>'.
Penalty. . . . . . . . . . . . . . , . , . . . . . . . . . . . " $
Septic System. . . . . . . . . , . . . . , . , . , . . . .. $
Other. . . . . . . . . . . . . , . . . . , . . . . . . . . , . . ,. $
Subtotal. . . . . . . . . . . . . . . . . . . . . .. $/.:s. '; 0- .
CD
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3,~
This Applle,atlon Becomes Your Building Permit When
APprov~' -r-, 3 tv..2.
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B~ '. ~=-- Date -- ( T
Certificate of Occupancy
Issued
.~.......j
CII
II In the above appllcatlo nd accompanying documenta II In accordance with the City Zoning Ordinance and may proceed al requellitd. Thll docu,
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ale Special Condlllonl If any I ,<..._
24 Hour notice for alllnlpectlonl
447-4230 9:00 a.m, . 10:00 a,m,
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