HomeMy WebLinkAboutBuilding Permit 00-0897
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
3q 36 riuqL,
I
~
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULA~
tJ'FINAL
1J SITE IN
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
1 DA'}oe -
~6 -e~7
o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
Cl
(~~ l If>. ,JOe. -\. :,^-Q.C--t\.V;~/
-. .
l( f., IfJD
.~~.la~ ~ (\~th."\.;-I'M -
/')w ~ t l.t t~l"u.Ad
.
o WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRE~ALL FOR REINSPECTION BEFORE COVERING
Inspector: Vi~ Owner!Contr:
.cALL ~o FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH &: SAFETY!
INSNOTI
~,
pATE R~ CITY OF PRIOR LAKE
10 . Vi . 0 0 BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
2.SITEADDRESS 3'-130
~
1. White
2. Pink
3. Yellow
DIRECTIONS
SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN
BEFORE PERMIT IS ISSUED (Please Print or Type and sign at bottom)
1. DATE
leJ. (P' oU
~S77I L- CU K- (!.,,(,b
(Depth)
3. LEGAL DESCRIPTION
9
ADDITION /SL-/ttll/O V / E:lA.I
~.:c.~ \j~ ~\<\~dreSS)
5. ARCHITECT (Name) ~ . (Address)
12. NO. OF STORIES
LOT
. BLOCK
s-
PID
~//f
~-
2-5-252-- 631-0
13. TYPE OF CONSTRUCTION
9s ;+- q40'~ tclot\.,
(Tel. No.)
14. FLOOR AREA APPORTIONMENT USE
6. BUILDER
(Name)
(Address)
(Tel. No.)
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS
7. TYPE OF WORK
New Construction 0
Fireplace 0
Alterations 0
Septic 0
Addition 0
Dec~.
Finish Attit 0 -
Re-roofing 0 Porch 0
Re-siding 0 Finish Basement 0
SEATS
16. PROJECT COSTNALUE
Chimney 0 Misc.
8. PROPERTY AREA OR ACRES
Sq.Ft.
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 construction will conform to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the
~Uil1g ff~cia a e ke i p . for just e. Furthermore, I hereby a~ree that the city official or a designee may enter upon the property to nO e ed ins ections
License No.
FOR ADMINISTRATIVE USE
Front
Back
Side
Side
MATERIAL FILED WITH APPLICATION
SOIL TESTS 0 ENERGY DATA 0
PILING LOGS 0 PERCOLATION TESTS 0
SETBACKS: Required
Actual
BUILDING DEPARTMENT VALUATION
USE OF BUILDING
.Ef!!.G-S n/Ii!::.-
,
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
PERMIT VALUATION
PLANS & SPECS 0
SURVEY 0
SETS
COPIES
20D ()
PLOT PLAN
o
Issued
Amount Brought Forward .................. $
Park Support Fee ........................... $
SAC ......................................... $
Collective Street Fee ....................... $
Sewer Tap ................................... $
$.
Pressure Reducer .......................... $
Meter Horn ................................... $
Water Meter ................................. $
Sewer & Water Connection Fee ........... $
Water Tower Fee ........................... $
Water Tap ................ ............ ....... $
Builder's Deposit ............................ $
Other ......................................... $
Total Due .............................. $_/0:3. V-
Paid / tJ3 .,1 ReceipW!9- .;31!3~
Date /0' (p.O (/
This is to certify that the request in the above application and accompanying documents is in accordance with the City Zoning Ordinance and may pr
signed by the City Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy. a Certifica
City:
TYPE OF CONSTRUCTION: I II III IV V
Occupancy Group A B E F HIM R S U
Division 1 2 3 4
Plan Check Fee ............................. $
02. z.~
q.o.4-~
Permit Fee ................................... $
State Surcharge ............................. $
1.00
Penalty ....................................... $
Plumbing Permit Fee ....................... $
Mechanical Permit Fee ..................... $
Sewer & Water Permit ...................... $
~:i: ::~~:::JJ1?" ....... 'r' ~~;I~i~~.~e~it When Approved.
By 1I1'JfIf't Date /0- fI- eX>
Certificate of octupa c~ - .
City Planner
Date
Special Conditions ~ any
24 hour notice for all inspections (952) 447-9850
..
~
PRIOR LAKE DEPARTMENT OF
. . BUILDING AND INSPECTION
INSPECTION
RECORD
SITE ADDRESS &30 M-Y~ {!.-I,eM...E:-
TYPE OF WORK D [;(!K-
USE OF BUILDING ./ZES AI IZ--
PERMIT NO. 00- 09>Qr · DATE ISSUED /fJ' (" . O()
BUILDER 'fVC-;'Gt-I771;::tA!.
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
FOOTING I f?;;' /tlI11P31 J
. I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
__ I I J
L FINAL -.--J
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS 447-9850
INSPECTOR
DATE
',,-
10 .
.- .. .. '