HomeMy WebLinkAboutBuilding Permit 07-0941
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Q.ATE Rl;,CEIVFD
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CITY OF PRIOR LAKE \UX1 ~
BUILDING PERMIT.
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTlON PERMIT Permit No.
I. While
~. Pink
) Yelln'"
rilt
Cily
"pr1iC&1l1
07.0CJ4-!
OIRECTlONS
SPACES NVMBEREO 1 THRU 17 MUST BI! l'1\.\.EO IN
BEFOl>.f I"ERMIT 1$ ISSUED (Pi.... p,;nl Of Tyl)Q and ..i9" al DClliom)
2. SITe AOOI'lESS
/(;;,/4-1- &s.sAI\./bR4 r!.-/R
3. LEGAl. OESCRIP1'10N
1.0A~
q/;)V/07
S.~.
BUilDING INFORMATION
11. SIZE OF STRUCTURE
(I<ot~l (WldIhl (OOll"')
12. NO. OF STORIES
LOT
BLOCK
PIO
13. TYpe 0' CONSffiVCTlON
ADDITION
4. OWNER
{
S. APCHmCT
(Name)
(Aoor&&&)
(Tel. No.)
C/ .56. CfS2:-2-
(Tel. NO.)
14. FLOOR AREA APPORTIONMENT USE
U-90
6. BUILDER (Name) (MOfO$S) (Tltt. No.) .
4~feA.tJ .6(.tIL..O(~Q- C!..o~)1~4C!.faRS 9-51---7CJ'7'-69::;::'9
~9hO v<<tJ/C/. c- R<J $urre 100 Eu~~r/!cL.E /114 S'S-~ ~
7. TYPE OF WORK Ar.place n s.ptiC C1 Deel<'" l.roO in Porch"
New ConslllJCllon 0 AlllralioN " Addlrlon 0 Finlsn Allie Cl ng 0 nl." katm.nl 0
Chlmtllly 0 Misc.
8. PROPERTY AREA OR ACRES
Sa. Ft.
1.5. NUMBER OF OCCUPANTS OR SeA TS
OCCUP.l.NTS
9. PROPERTY DIMENSIONS
Width D.p\h
10. CULVERT size
s!;ATS
16. PRn,lECT COSTNALUE
000...00
17. COMPL.ETION DATE
Yu
No
I hereby ~r\lfy \IlI11 nave IvmlahlKllnlormaOOt1 on Ihis applicarlon which 1$ to thl besl ot my knOWledge INI .nO com,C!. l/ll:;o ceroty \IlI11 ;1m the owner 0< ~ulhori~Pd a~t lor
lhe aoove m.,,~ property and \hat aU cona\f\JC\iOl\ will conlo 10 allaxlsUng 5flJII and locel '-ws and will PllXle<lln .ecorOa~ wtth .ubmin&d DIMS. I am awa'~ \ha\ the
building 0 can "woke \hls lor JUSt caUtl. FUr1t\ermora hereby agr.. Ihal thl city 0111(;1;)/ or s dlSlQnee may enttr UDOIllhe property 10 per10nTl no ed In. tio"-'.
X ' ~~
\......... No. 0.
FOR ADMINISTRATIVE USE
Front
BVIl-DING DEPARTMENT VA\.VATlON
&,elc
:lI<Ie
MATERIAL FlLEO WITH APPUCATION
S:dl SOIL. TESTS 0 ENERGY OArA CJ
PIUNG LOGS 0 PERCOLATION TESTS 0
PlAN.c; .. $"ECS 0 SETS
SURVEY " COPIES
PLOT PL-'N n
SETBACKS: Requlr9d
Actual
USE OF 6UILDING
OFF STI'\eeT PARKING
SPACES ~EO.
SPACES ON PLAN
PE~"'lT V AlUA TlON
TYPE OF COHS'mUCTlO~ I n III IV V
OooupIncy Croup A e E " HIM ~ S u
~ 1 Z 3.
P'rmlt Fea ................................... ,
CI!y:
Amount Brought FofW;ltd .................. S
Plril Support Fee .....................,..... S
SAC ......................................... $
Colleclive SIroel F.. ....................... $
Sewe<Tall ................................... S
S
PfIluure Reducer .......................... S
MeterHom ................................... $
WattrUel_ ................................. S
S.wtr" Waler COr\neclion Fee ........... S
Waler T-.r Fee ........................... $
Plan Child( Fe. ............................. $
SIlI18 Surcharge ............................. S
Penally ....................................... S
Plumbing Perm~ Foe ....................... $
Mecl\anlcal "ermll Foe ..................... S
s._ & Water Perm_ ...................... S
Issued
Paid TOIllI~(o...:.cnJ......... .
Da.. {O. By
ThIS 1$ 10 ce<tlly \IlI1 he '-<l~ In \he N>ove epplleallOn af'Id ea:ompanytng clocll"*lls Is In acc:o<oance ...Ih the CIty Zonng QItllnenal and y proccod.
sign~ tly th8 CIty PI""'.... oon$lltUleS a ~ Cer1lro\ll 01 Zonltlg ~.1\Ce and alows ~Slrucllon 10 ~ Belore OCC\C)IIncy. a ce<1Ilcale
walorTap ................................... S
BuIlder'. o..po$~ ......................... . S
Olhet ....................................... S
..S
No.
Gas F1~Iac:. Permit ....................... S
This ~Uon Btcam.. YOIX 8ul\dlng p,mlII When ~ro-.ed.
By Dele
Certllleale of Oceupancy
Cty PWnet
00..
So.clal Condlllo<>ll """
.,. .....,. _,.... 1",..1 \nlInIl/:l1Clf\S "7-9l1~