HomeMy WebLinkAboutBuilding Permit 00-0585
DATE RECEIVED CITY OF PRIOR LAKE
/ ,/ BUILDING PERMIT,
'7 J<3, 00 TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
1. White
2, Pink
3, Yellow
File
City
Applicant
'} .../'
If/I ':;)
Permit No.~S
, 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
~qa3
3. LEGAL DESCRIPTION
LOT \ ~ BLOCK
~n fJr- ~{n Jo/'\'\
. ~J. (Addr~:sf) II ... l-S +-
fJlIA,WA. (gq1-"> _~I
(Add ess) .
ADDITION
1. DATE
ry Ita/o-o
BUILDING INFORMATION
11. SIZE OF STRUCTURE
(Height) (WIdth) (Depth)
t-H II ~A4-
~~o*
12. NO. OF STORIES
PID a.s- - 0 I'1~O\ -1)
13. TYPE OF CONSTRUCTION
(Tel. No.)
1/'11- 'I1tJ1
(Tel. No.)
14. FLOOR AREA APPORTIONMENT USE
J~fd
7. TYPE OF WORK Fireplace 0
New Construction 0 Alterations 0
Chimney 0 Misc.
8. PROPERTY AREA OR ACRES
Sq. Ft.
6. BUILDER
(Name)
(Address)
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS
(Tel. No.)
~)'r5r1tAS+
~~~:~g 0 Porch 0 .
Re'si~ Finish Basement 0
'f'f1- YbV I
SEATS
16. PROJECT COSTNALUE
Septic 0
Addition 0
Deck 0
Finish Attic 0
9. PROPERTY DIMENSIONS
Width Depth
10. CULVERT SIZE
Yes No
17. COMPLETION DATE
I hereby certify that I have fumished information on this application which is to the best of my knowledge true and correct. I also certify that I am the owner or authorized agent for
the above mentioned property and that all struction will conform to all existing state and local laws and will proceed in accordance with submitted plans. I am a are that the
:uilding officiaJ lIthi pe r j Furthermore, I hereby agree that the Ci'Jfff2.~ i designee may enter upon the property to perto n ~ i pections.
License No.
SETBACKS: Required
Actual
BUILDING DEPARTMENT VAll
USE OF BUILDING
~TRATIVE USE
CLOSE FILE
10/28/03 MP
MATERIAL FILED WITH APPLICATION
SOIL TESTS 0 ENERGY DATA 0
PILING LOGS 0 PERCOLATION TESTS 0
PLANS & SPECS Ll SETS
Side
n.D~ AJ~
SURVEY
PLOT PLAN
o COPIES
o
SPACES ON PLAN
PERMIT VALUATION
TYPE OF CONSTRUCTION: I II III IV V
Occupancy Group A B E F HIM R S U
Division 1 2 3 4
City:
Amount Brought Forward, .................. $
Park Support Fee ........................... $
SAC ......................................... $
Collective Street Fee ....................... $
Sewer Tap ................................... $
$
'1L.{ ,1 S-
Permit Fee ................................... $
Plan Check Fee ............................. $
State Surcharge ............................. $
, .as
Penalty ....................................... $
Plumbing Permit Fee ....................... $
Pressure Reducer .......................... $
Meter Horn ................................... $
Water Meter ................................. $
Sewer & Water Connection Fee ........... $
Water Tower Fee ........................... $
Mechanical Permit Fee ..................... $
Sewer & Water Permit ...................... $
Gas Fireplace Permit ......................11$ .
," /1
ThiS~PPIi e me~" BUildi:' p.';e.rmtt.. ,"Wf Approved.
By '"'. . I Dale . '
" ,>'/<~
Certifice e 0 Occupancy .
Water Tap ................................... $
Builder's Deposit ............................ $
Other ......................................... $
d Total Due .............................. $ ~ b . ifU
Paid '7 L, . dD Receipt No. 2> 7 ~ 7 '1
Issued
Date ~J lrile(/) By (~
This is to certify that the request in the above application and accompanying documents is in accordance with the City Zoning ~d- may proceed as uested. This document when
signed by the City Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of upancy must be issued.
City Planner
Date
Special Conditions n any
24 hour notice for all inspections (952) 447.9850