HomeMy WebLinkAboutBuilding Permit 99-0211
CITY OF PRIOR LAKE
INSPECTION NOTICE
DATE TIME
SCHEDULE1>
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A,T;
ADDRESS /~III
/(J.:::L~- '17
--m~~ AtH I
OWNER
PHONE NO.
CONTR.
PERMIT NO. 99 - e.-/ I
o FOOTING 0 PLUMBING RI
o FOUNDATION 0 MECH RI
o FRAMING 0 WATER HOOKUP
o INSULA TI~ 0 SEWER HOOKUP
~ FINAL (-pv 0 PLUMBING FINAL
o SITE INS...~I" HON 0 MECH FINAL
COMMENTS: ~.~
- 0'- -.
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASYNE A.IR TST
~~
~ J.ar..LJ
1V
, "
~
, --
./
~K SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT W~ CALL FOR REINSPECTION BEFORE COVERING
Inspector: /;7 -J-r Owner/Contr:
/
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTI
1. DATE
3))5 )qq
2. SITE ADDRESS n I I
ILl III Yl'l Pt1r:hD ~v<- l\l. E- (,<JS~
3. LEGAL DES~IPTION PIa beNt Lor 7: f3 ~ bUL CbV!.......Lf _
LOT :::l S BLOCK PID ~S 1'd-':::J - rxJ0 -0
ADDITION S 40Lf ~Cf7 b\J W d-Ll~. 4/ W J:l6. 3$ /.JW (2.3. Llt1 fJz3S J 13. TYPE OF CONSTRUCTION
16~ROJE~T C?STN~LUE
....tp/~.Ip.I~ -
17.'COMPLE'TION DATE
f.../ / J..~ Ie; q
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'l am the ow'ner or authorized agent for
the above mention Pro~ 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
building 9flipial ca vok is permit for just cause. Furthermore, I hereby agree that the city official or a designee may enter upon the property to perform needed inf!,ections.
X (A . --<------~ ::lc.) \ <:, q V'IO ":l) 2....LriS- eCf
...... { / Signature License No. I Datl.
DATE RECEIVED CITY OF PRIOR LAKE
BUILDING PERMIT,
*R 't. 5 1939 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)
4. OWNER (Name)
Lo-u OVV\ {' ( ^l; I ~V\
5. ARCHITECT (Name)
(Address)
(Tel. No.)
L/Y5-YYs~
(Tel. No.)
(Address)
6. BUILDER
(Name)
(Address)
(Tel. No.)
/ /q 1'1 Lo.v'-ThC'v-~-\....\c:>.l ~h)cl
)-1 ~t::l /Vll.f .' ( "'.' -^ ~....Jl-. ~""L-.... '- ~l or~ - 0 I 0(:)
7. TYPE OF WORK Fireplace 0 Septic 0 Deck 0 Re-roofing.([ Porch 0
New Construction 0 Alterations 0 Addition 0 Finish Attic 0 Re.sidingJt. Finish Basement 0
Chimney 0 Misc. (iv-^-....\...o ,,,.\t::.r.,,,- d.L:,,-v"'oC)_J2~-<-
8. PROPERTY AREA OR ACRES 9. PROPERTY DIMENSIONS
Sq. Ft. Width Depth
10. CULVERT SIZE
Yes
No
1. White
2. Pink
3. Yellow
File
City
Applicant
Permit No.
qq-:dtt
BUILDING INFORMATION
11. SIZE OF STRUCTURE
(Height) (Width)
(Depth)
12. NO. OF STORIES
14. FLOOR AREA APPORTIONMENT USE
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS
SEATS
FOR ADMINISTRATIVE USE
MATERIAL FILED WITH APPLICATION
Amount Brought Forward .................. $
Park Support Fee ........................... $
SAC .........................................~,
Collective Street Fee ....................... $
Sewer Tap ...................................!t,
$
SETBACKS: Required
Actual
Side
Front
Back
Side
BUILDING DEPARTMENT VALUATION
~SE OF BUILDING 0.s If f rL
OFF STREET PARKING
SPACES REO.
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 (t.f, Ie::;
Permit Fee ................................... $
( . dE;
City:
Plan Check Fee ............................. $
State Surcharge ............................. $
Penalty ....................................... $
Plumbing Permit Fee ....................... $
Mechanical Permit Fee ..................... $
SOIL TESTS
o ENERGY DATA
o
PILING LOGS 0
PLANS & SPECS 0
SURVEY 0
PERCOLATION TESTS 0
SETS
COPIES
PLOT PLAN
o
Pressure Reducer .......................... $
Meter Hom ...... ............................. $
Water Meter ................................. $
Sewer & Water Connection Fee ........... $
Water Tower Fee ........................... $
Water Tap ................................... $
Builder's Deposit ............................ $
Other ......................................... $
Total Due .............................. $
Paid /l., -eO
Date -3'-25-'1-1 By ~
This is to certify that the request in the above application and accompanying documents is in accordance with the City Zoning Ordinance and may proceed as rectested. 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 Occupancy must be issued.
Sewer & Water Permit ...................... $
Gas Fireplace Permit ....................... $
This Application Becomes Your Building Permit When Approved.
By Date
Cert~icate of Occupancy
Issued
Receipt No.
- J~ <CO
3C(~jro
24 hour notice for all inspections 447-9850
Special Conditions ~ any
City Planner
Date