HomeMy WebLinkAboutBuilding Permit 99-0229
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
DATE TIME
id - <6-<f1
ADDRESS
/'1703 /-.. /J /J /J
U ~ (l.J.., s_
OWNER
CONTR.
PHONE NO.
PERMIT NO.
D FOOTING D PLUMBING RI
o FOUNDATION 0 MECH RI
o FRAMING D WATER HOOKUP
.E)NSULATION _ . /7df"1D SEWER HOOKUP
~FINAL AQ ~V 0 PLUMBING FINAL
o SITE INSPECTION 0 MECH FINAL
COMMENTS:
01(
k $4
79-~~ ?
,
D EXIGRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
~ORK SATISFACTORY, PROCEED
D CORRECT ACTION AND PROCEED
D CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector:
Il#~
Owner/Contr:
CALL 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.,
INSNOTl
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
St
-*'-'.'-.'_.'~".~.~.""~- .--'--....-..----.~.-~-,-.,",~ ..,._----'f'-'"-
DATE RECEIVED
CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
MAR 2 91999'
, DIRECTIONS
SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN
BEFORE PERMIT IS ISSUED (Please Print or Type and sign at bOllom)
1. DATE
LOT
a.zLJ.i9
S. !( (5 D
BLOCK L .. PID ~5- I'S" - () 10-0
&QC L-1 ;)~ J-iokLt/1
2,SI14;OE~ ~l.2.rda..L<z.. ~
3, LEGAL DESCRIPTION
--S
{jn t( (CUrtJ
4. OWNER (Name) (Address)
TOM ~ J &..t1 0"'3> ..d l.tnd~~ Aut:.. S
ADDITION
~1'.2~lPO
(Tel. No.)
5. ARCHITECT
(Name)
(Address)
6. BUILDER
Horizon Exteriors
1333 Larc Industrial Blvd.
Burnsville MN 55337
(612) 890-3900
(Name)
(Address
7. TYPE OF WORK
New Construction 0
Chimney 0 Misc.
B. PROPERTY AREA OR ACRES
Sq.Ft.
Fireplace 0
Alterations LI
Septic 0
Addition 0
Deck 0
Finish Allic 0
Re-roofing 0 Porch 0
Re-sidingX Finish Basement 0
9. PROPERTY DIMENSIONS
Width Depth
10. CULVERT SIZE
Yes No
JJllt ~ tto
I. White
2. Pink
3. Yellow
File
City
Applicant
Permit No.
qq -22 q
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 COSTN~
15,~ .
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
bUilding~an re;,oke this permit for just cause. Furthermore, I hereby agree that the city official or a de~nee may enter upon the property to perform needed inspections.
x~?:'~ ~ 2--'''''1z..L9~ ~.2'-1."~
~, Signature ---:::::> License No. Date
FOR ADMINISTRATIVE USE
Amount Brought Forward .................. $
Park Support Fee ........................... $
SAC ......................................... $
Collective Street Fee ....................... $
Sewer Tap ................................... $
$
SETBACKS: Required
Actual
Front
Back
Side
Side
BUILDING DEPARTMENT VALUATION
Kas IH~
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
PERMIT VALUATION
USE OF BUILDING
TYPE OF CONSTRUCTION: I II III IV V
OccupancyGroup A B E F HIM R S U
Permit Fee ..........~~.~~~...1...~...~..~... $ iLf I (5
I. :}S-
City:
Plan Check Fee ............................. $
State Surcharge............................. $
Penalty ....................................... $
Plumbing Permit Fee ....................... $
Mechanical Permit Fee ..................... $
MATERIAL FILED WITH APPLICATION
SOIL TESTS 0 ENERGY DATA 0
PILING LOGS 0 PERCOLATION TESTS 0
PLANS & SPECS 0
SURVEY 0
SETS
COPIES
PLOT PLAN
o
Pressure Reducer .......................... $
Meter Hom ................................... $
Water Meter ................................. $
Sewer & Water Connection Fee ........... $
Water Tower Fee ........................... $
WaterTap ................................... $
Builder's Deposit ............................ $
Other ......................................... $ 7
Total Due .............................. $ ~ .m
Paid ,e" .CD Receipt No. ~L{~2?
Issued Date31z q I qCj By ( 1 [( W
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 reqU~ed. This document when
signed by the City Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Cert~icate of Occupancy must be issued.
Sewer & Water Permit ...................... $
Gas Fireplace Permit ....................... $
This Application Becomes Your Building Permit When Approved.
By Date
Certificate of Occupancy
City Planner
Date
24 hour notice for all inspections 447-9850
Special Conditions n any