HomeMy WebLinkAboutBuilding Permit 99-0298
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
OWNER
PHONE NO.
o FOOTING
o FRAMING
~ 0 INSULATION ,..
FINAL /f!.IJc_
~ FOUNDATION
o DEMOLITION
o FIRE PREVo
COMMENTS:
r
\
\l1Vl
DATE TIME
e;)3./qr:;
/5~ 9/ Jr;/V / c,C (!,.I.If:.." S E;;
'SCHEDULED
CONTR.
PERMIT NO.
qCi- 2-98
o PLUMBING RI
o MECHANICAL
o WATER HOOKUP
o SEWER HOOKUP
o SEPTIC INSTALL
o PLUMBING FINAL
o SITE INSPECTION
o EXC/GRAD/FILLING
o LKSHORElWETLAND
o COMPLAINT
o SEPTIC FINAL
o FIREPLACE
o
Cp'~fl~.
Jf\l,
V
~RK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, ~ALL 'OR REINSPECTION BEFORE COVERING
Inspector: -:-}! - \\ I Owner/Contr:
CALL 447-4230 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
rI.T.
QATE RECEIV~'2 CITY OF PRIOR LAKE
,BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
I. White
2. Pink
3. Yellow
File
City
Applicant
Permit No.
qq- 2-18
1. DATE
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
./St, 9 /
3. LEGAL DESCRIPTION
{,
LOT
ADDITION
/II.
~- 11 - 99
{(f
BUILDING INFORMATION
11. SIZE OF STRUCTURE
(Height) (Width) (Depth)
,.~ H I-()~- ~''''~ j, S ~
.3
BLOCK
Pie/oJ€!-
4. OWNER (Name) rJI. J ~
~ --A {,Uk. ^lll7-
5. ARCHITECT (Name)
6. BUILDER
(Name)
7. TYPE OF !;R-ft Fireplace 0
New Construction 0 Alterations 0
Chimney 0 Misc.
8. PROPERTY AREA OR ACRES
Sq.Ft.
12. NO. OF STORIES
PID
/ rr ~D[)Ai.
25 ~e66 - {)/"l- - 0
13. TYPE OF CONSTRUCTION
(Address) (Tel. No.) 14. FLOOR AREA APPORTIONMENT USE
/;;te.9'1 Sa,...fu.. CJ:::J'C L/t/7-2ZZl-
(Address) (Tel. No.)
(Address)
(Tel. No.)
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS
Septic 0
Addition 0
Deck 0
Finish Attic 0
Re.roofing ~ Porch 0
Re-siding 0 Finish Basement 0
SEATS
. 16,."ROJECT COSTNALUE
9. PROPERTY DIMENSIONS
Width Depth
10. CULVERT SIZE
Yes No
17. COMPLETION DATE
Front
USE OF BUILDING
BUILDING DEPARTMENT VALUATION
..qe-s A-/ /i!-
TYPE OF CONSTRUCTION: I II III IV V
Occupancy Group A B E F HIM R
Division 1 2 3 4
Permit Fee ................................... $
Plan Check Fee ............................. $
State Surcharge ............................. $
Penalty ....................................... $
Plumbing Permit Fee ....................... $
Mechanical Permit Fee ..................... $
Sewer & Water Pennit ...................... $
Gas Fireplace Pennit ....................... $
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 confonn to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the
buildina Official~. v~.;: for just cause. Furthermore. I hereby agree that the city official or a designee may enter upon the property to perform needed inspections.
X~ ,)jl)';/f '. 4..9'-99
-.--7 Signature License No. Date
FOR ADMINISTRATIVE USE
Back
Side
Side
MATERIAL FILED WITH APPLICATION
SOIL TESTS 0 ENERGY DATA 0
SETBACKS: Required
Actual
OFF STREET PARKING PILING LOGS 0 PERCOLATION TESTS 0
SPACES REO. PLANS & SPECS 0 SETS
SPACES ON PLAN SURVEY 0 COPIES
PERMIT VALUATION ;l~ PLOT PLAN 0
S U
City:
Amount Brought Forward .................. $
Park Support Fee ........................... $
SAC ......................................... $
Collective Street Fee ....................... $
Sewer Tap ................................... $
$
74.~
/. 2.- r
Pressure Reducer .......................... $
Meter Hom ................................... $
Water Meter................................. $
Sewer & Water Connection Fee ........... $
Water Tower Fee ........................... $
Water Tap ................................... $
Builder's Deposit ............................ $
Other ......................................... $
Total Due.............................. $
Paid -7'. . 0 0 Receipt No. '$4- g g /
Issued Date 'iliI9'1 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 r~ested. 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.
This Application Becomes Your Building Pennit When Approved.
By Date
Certificate of Occupancy
City Planner
7 C:-. rJV
Date
Special Conditions ~ any
24 hour notice for all inspections 447-9850