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Home My WebLink AboutBuilding Permit 88-0255 :;- 0 0 0 0 000000 "U 0 )> -0 z_ In 0 :I: :E c ~~ "0 0 0 ~ en."z"''''''' 0 C ~ CD 0 0 3: ::jzen~OO z z ;:u 0 Sl m mO )> ~ ;:u ;:u ;:u 3: ~)>c3:iS m ;:u m 0." r- ;:u ;:u " zr-~zcz Z en :::!"U m m m en r- 0 0 en ~ :jG')~G') 9 O;:u ~ t ~ ~ )0- z z- ~ )0- ~ -t m 0 - zO t<::) ~ (jj en o Z 0 I 0 ~ Z 0;:U S CD ." CD ;:u ~ )> 0 :::!!; ~ en ." 0 0 ~ 0 Z ~ Z 0" ." 0 )> 0 \ mm ~ 0 )> Z ;:u ;:u , .:< \JJ , c ~ -4 "U "'0 :I: ." ~ ~ m 0 ;:u ;:u '" . UJ ~ ;:u 0 0 .000000 t'!l z ;:u 0 0 ~ ~ m m m m "'Oen~3:"'O >< Z m m "\ m' m )> m ' -4 C C tOC=:-<OC ~ z 0 en :I:3:mm:I:3: "U 0 en ;;; "'0 ~ ~ en :IE m ' .,,!!!;:u;:u;:u!!! m 0 0 0 c ~ "U :J 0 -Z:I::I:-Z ;:u Z :I: ::! m CD ~ ~G)oo G) i: .... m 0 ~ (5 ,.,,00 ;:u ::j ;U ~ c ~ () .... 0 Z -"" - z c: 0 ~ zcc , ~ l:ll ~ " \ ~"'O"'O 9 ~ m z m C ~ ." 'lJ ~ N 0 .,.. ~ :I: ;:u m ~ 0 0 ~\ c: 0 ;:u < 000000 i0\J r en m ~ z ;:u G)"'''' om I c z ll/l )> )> >;;O;;OO~ -i Ro G) enmm3:G) ~ m C ~ ;; c"'O"'O"'O~ ;;; ~~~!;c Z )o-ooz=T; '""l 0 _mm~_ ~ !11 ;:u"';:u , -i ~-- , i enz z m ~~ G) CITY OF PRIOR LAKE BUILDING PERMIT, TEMPORARY CERTIFICATE OF ZONING COMPLIANCE (~ ,~ ,. _ AND UTILITY CONNECTION PERMIT Permit No.i(6::"-;:> ..:~~,~ "'V' ~ ' ( (-. / '.,.,-. 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 Ll330DjJ.r;orA 6r 3, LEGAL DESCRIPTION SECTION LOT ADDITION Ph It l> 4, OWNER VVA-DF 5, ARCHITECT ,A eRrs (Name) A ii.I,So 1'.( (Name) ~----_.._.._------., 1, White - City 2. Yellow - ASsessor 3. Pink - Applicant 1, DATE <]'- 7 - F8 BUILDING INFORMATION 11. SIZE OF STRUCTURE (Height) (Width) (Depth) ,>'-/<./' /D (B 12. NO. OF STORIES I 13. TYPE OF CONSTRUCTION Fr:E - i:.,iS. 14. FLOOR AREA APPORTIONMENT USE / BLOCK) ,-s.y PARCEL NUMBER ;: 5, [_>08 {d- (Address) (Tel. No.) 4330 i7~l(c''''~5r'. (Address) (Tel. No.) .. ...,-.....".,,~,._-._.._..,- Back Side 6, BUILDER (Name) (Address) (Tel. No.) BiJILDc;z.S c( AEf""IDDEL~'-~ ],/) ,kENNIl=>FN ('>'?"')t~ ~'::7-5'-{1-'o1 7. TYPE OF WORK FireplaceD SeptlcD HeatlngD PlumbingD ReroofingD New Construction 0 Alterations D Addition 0 Finish Attic D Residing D Finish BasementD Porch'St GarageD ChlmneyD Misc, 8, PROPERTY AREA 2~;~xM~ 9. PROPERTY DIMENSIONS 10, CULVERT SIZE Sq, Ft. __) Ie.: r7i.' Width" Depth Yes No 15, NUMBER OF OCCUPANTS OR SEATS OCCUPANTS SEATS 16. ESTIMATED VALUE :f$ I Z 6 co 17. COMPLETION DATE 7" - !? - ); I hereby certify that I have furnished Informetlon on this application which Is to the best of my knowledge true and correct. I al80 certify that I am the owner or authorized agent for the above mentioned property and that all construction will conform to all exl8t1ng state and local laws and will proceed In accordance with submitted plans. I am aware that the building Ollmcial . n revo, ke this permit for just cause. Furthermore, I hereby egree that the city offlclel or a d, eSlgne. e mey enter upon the property to perform needed Inspec- tions. ~' i! ' X ,f?- ~..<:> ~ '7 - 7 ~ 8[< Signature Date SETBACKS: Required Actual Front PROPOSED GRADE FOUNDATION IN RELATION TO CURB OR CROWN OF STREET (~ USE OF BUILDING \ Ui"<-L. . ,.lc\..c\. . :)f:::...- . <., '- ,"'.. '- . _ __~_,~( l':W"~--.i TYPE OF CONSTRUCTION; 1111111 Y ') Occupancy Group A BEl H~ M Division 1 2(3\4 Permit Fee, , . . , , , , . , , , . , . , , , , . , . , . , .. $ Plan Checking Fee, , . , , , , , , . , . , . , , , , . . $ State Surcharge, . , . , . , , , , . , . , . , . , , . ,. $ Penalty . , . , . , , . , . , . , . . , . , . , . , . . . , , . ,. $ Septic System, , . , , , , , , . , . , . , . , , , , . , -. $ Other, , . , , , . , . , . , , , , . , . , , . , . , . , . , . . ,. $ Subtotal, , , , , . , , . , . , . . , . , . , . , ., $/ s:..') FOR ADMINISTRATIVE USE OFF STREET PARKING SPACES REa. SPACES ON PLAN (~ SURVEY PERMIT VALUATION r: (") c',("', PLOT PLAN Amount Brought Forward, . . . , . , . . . , ., $/-:::" Park Oed . , . , , . . , . . . , , , , . . . . , , , , . , . , ., $ Sac., ,..... ,. ,. ,... ,... ,.,.'"., ,.,., $ Plumbing ,.....,.,.,.,.,.,.".....,., $ Sewer Tap......,.",....,...""..., $ Sewer Hook-up, . , . , . , . , . . . , . . . . , . , . ,. $ Water Hook-up, . , , , .. .. .. .. .. .. .. , ... $ Meter Horn, . . . . . . , . . . , . , . . . . , , . , . . . ., $ Water Meter. . , . , . , . , . , . . . , . . , . . , . . . ., $ Check if [J Sewer & Water Connection Fee. . . . . .. $ Deferred [J Water Tower Fee, . . . . . . , . , . . , . . , . , . ., $ Water Tap, . . . . . , . . . . . . , . . . , . , . , . , . . ,. $ City Fee, . . . . . , . . . , . , , , . , . . . , . , . , . . , . , $ Other. , . . . . , . , . . . . . . . . . , . . . , , , . , . . , ., $ Total Due. . . . , . . . . . , . , . . , . , . , .. $ / .~..). :s::~ Paid 'J./.j-tJ Recel t no. 1. Date q '.1.3 '" City: (0C . _ o (. \...3C .:: "'--I~, .: ~ ,-,"",-, -q ,-"..=,(~ atlon Becomes Your Building Permit When '~"'~') (';. L.' ?l Date (- (- ) " By Certificate of Occupancy Issued MATERIAL FILED WITH APPLICATION Side SOl L TESTS PILING LOGS D ENERGY DATA D D D PERCOLATION TEST SETS COPIES CL D PLANS & SPECS ~ eit -'l '. 24 Hour notice for ell Inspectiona 447-4230 9:00 a.m. - 10:00 a,m.