HomeMy WebLinkAboutBuilding Permit 99-0194
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
DATE TIME
s/c,/q"l
/:(5
OWNER
/03qq FRANKLIN (k..
ADDRESS
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FRAMING
o INSULATION
~ p{ FINAL If! 00':
o FOUNDATION
o DEMOLITION
o FIRE PREVo
o PLUMBING RI
o MECHANICAL
o WATER HOOKUP
o SEWER HOOKUP
o SEPTIC INSTALL
o PLUMBING FINAL
o SITE INSPECTION
COMMENTS:
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-
~WORKSATlSFACTORY,PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CA\SLOR REINSPECTION BEFORE COVERING
Inspector: ~ I Owner/Contr:
-' .
qQ- /q4-
o EXC/GRAD/FILLING
o LKSHORElWETLAND
o COMPLAINT
o SEPTIC FINAL
o FIREPLACE
o
CALL 447-4230 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE..
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYl
..J2ATE R~
'C r--\ I
.<oj .
CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
...
. DIRECTIONS
SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN
BEFORE PERMIT IS ISSUED (Please Print or Type and-sign at bottom)
?L~P~~
LOT _ ( BLOCK ' .
ADDITION 6\'LtJ j{ S V ~ lle I-A Ii r:)
1. DATE
3Jt<3/99
t21
'Ie- - 01 (;-0/0 -c)
PID d .J
'Z' tz3 II 1.,J .
1ll'.L-\.Yl
4mR V (Na,me)
/I~~
5"':" AR HffECT (Nand)
/6311 ~~e;~11. 'lA.
'~:~
..J (Tel. No.)
7ttO~C;5/
(Tel. No.)
6. B~.II;PLDEE~R '. /I I / (NNaal/>, ~ l-/ s.~dc;eSS)...L..,t.. J;? (6/ :1-)Tel. No.)
~~. 1"3~~Uifi?VT1. if5=-7~r/
7. TYPE OF WORK
New Construction 0
Fireplace 0
Alterations 0
Septic 0
Addition 0
Deck 0
Finish Attic 0
Re.roofin~ Porch 0
Re-siding 0 Finish Basement 0
Chimney 0 Misc.
8. PROPERTY AREA OR ACRES
Sq. Ft.
9. PROPERTY DIMENSIONS
Width Depth
1 O. CULVERT SIZE
Yes No
1. White
2. Pink
3. Yellow
File
City
Applicant
99-- l'1tt
Permit No. ')J:tP~
BUILDING INFORMATION
11. SIZE OF STRUCTURE
(Height) (Width) (Depth)
12. NO. OF STORIES
13. TYPE OF CONSTRUCTION
14. FLOOR AREA APPORTIONMENT USE
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS
SEATS
16. PROJECT COSTNALUE
17. COMPLETION DATE
I hereby certify that I have furnished 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
:uildin . ial can ,;evoke t p. rmit for'u cau~. u~rmore, I hereby agree th2e;tbff'iI;:/i)e:!)3 may enter upon the property to pe~"I3.37qc9ns.
LICense No. . Date '
FOR ADMINISTRATIVE USE
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 ... .... ..... ......................... $
.............................. $
Receipt No. 3413 C)cf
SETBACKS: Required
Actual
Front
Back
Side
Side
BUILDING DEPARTMENT VALUATION
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
PERMIT VALUATION..2 S"go , C9CJ
USE OF BUILDINGO_
fIVI- c:.. .
,
fI/R-
TYPE OF CONSTRUCTION: I II III IV tV!')
Occupancy Group A B E F HIM '-1t S U
Division 1 2 ~ 4
Permit Fee ................................... $ 7(/,7<;'
City:
Plan Check Fee ............................. $
State Surcharge ............................. $
"2-cL
,. ")
Penalty ....................................... $
Plumbing Permit Fee ....................... $
Mechanical Permit Fee ..................... $
Sewer & Water Permit ...................... $
.:.~~:,;.~~~ 7
Issued
Pai
MATERIAL FILED WITH APPLICATION
SOIL TESTS 0 ENERGY DATA 0
PILING LOGS 0 PERCOLATION TESTS 0
PLANS & SPECS 0 SETS
SURVEY
PLOT PLAN
o
COPIES
o
By
This is to certify that the request in the above application and accompanying documents is in accordance with t City Zoning Ordinance and may proceed as requested. This document when
signed by the City Planner constitutes a temporary Certificate of Zoning compliance and allows construction commence. Before occupancy, a Certificate of Occupancy must be issued.
City Planner
Date / Special Conditions ff any
24 hour notice for all ~pections 447-9850