HomeMy WebLinkAboutBuilding Permit #99-0300
CITY OF PRIOR LAKE
INSPECTION NOTICE
DATE TIME
SCHEDULED /0 '2.. 'Z...-'1
A.'"
ADDRESS
~()'f.~ ~~,
; 0
CONTR.
OWNER
PHONE NO.
PERMIT NO.
o FOOTING 0 PLUMBING RI
o FOUNDATION 0 MECH RI
o FRAMING 0 WATER HOOKUP
o INSULATION 0 SEWER HOOKUP
)!r FINAL 0 PLUMBING FINAL
o SITE INSPECTION 0 MECH FINAL
COMMENTS: ~ t.-<J ~
I
9J-30()
o EXIGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
~ GA~ AIR TST
c~ ,'~~
~
~ORK SATISFACTORY. PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WO". CALL FOR REINSPECTION BEFORE COVERING
Inspector: 0+ ' Owner/Contr:
I
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
INSNOTI
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYl
DATE RECEIVED 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)
1. DATE
1-b~9'f
2. SITE ADDRESS ", j IJ I
~<60J.f S'.of,'~C LoU- f<P
3. LEGAL DESCRIPTION U J
LOT i 2.. . II ' f- ~L'I{&LOCK '<.. <Y
. ,; I C
-P((o(" L/o,? r:J~
PID -I 9 <-i 3:3 (J C':J +t\
ADDITION
4. OWNER I ~ (Na;pj) /.
II1cW~ IVe_~oM.
5. ARCHITECT (Name)
Ii
6. BUILDER (Name)
If
(Address) '. I
:J ~ DJ.LStu; /,.,.f. L~u...,
~ '-'
I (
(Address)
~
(Tel. No.)
4~/J ~'1.<2'<;~
(Tel. No.)
It
(Tel. No.)
I (
,.
7. TYPE OF WORK
New Construction 0
Deck 0
Finish Attic 0
Re-roofin~ Porch 0
Re-siding 0 Finish Basement 0
Fireplace 0
Alterations 0
Septic 0
Addition 0
1. White
2. Pink
3. Yellow
File
City
Applicant
Permit No. CfT- ~
BUILDING INFORMATION
11. SIZE OF STRUCTURE
(Heinr (j~t~)c; 4~) ~ ·
12. NO. OF SlORIES
13. TYPE OF CONSTRUCTION
\AI I:cd..
14. FLOOR AREA APPORTIONMENT USE
Q::3~
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS
SEATS
Chimney 0 Misc.
8. PROPERTY AREA OR ACRES
Sq. Ft. I'J., ;:;-50
I hereby certify that I have fumi
the above mentioned pro
building official can revo
X
16. PROJ~~9.ST~klJE
:U.-fOO-
9. . PR.~ RTY DIMENSIONS 17. COMPLETION DA~
ftt'i~~t~ Depth l'iz.. Yes '5- 3d - 'f 9
n 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
truction will conform to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the
use. Furthe~.:.". ~~ ,~.at the city official or a designee may enter upon the property to perform needed inspections.
------ "1- (, - 'l)
Ucense No. Date
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 ......................................... $
paid(Jtf;e ...................~~~.~i~;~O~ 3Qexo -Z-
Date' l./ - (~- CZ 9 By
This is to certify that the request in the above application and accompanying documents is in accordance with the City Zoning Ordinance and ma~ proceed as requested. This document when
signed by the City Planner const~utes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy. a Certificate of Occupancy must be issued.
10. CULVERT SIZE
6P
FOR ADMINISTRATIVE USE
SETBACKS: Required
Actual
Front
Back
Side
Side
BUILDING DEPARTMENT VALUATION
OFF STREET PARKING
J
USEOFBUIWING.& ~
TYPE OF CONSTRUCTION: I IT III IV a
Occupancy Group A B E F ~ -t!P S U
Permit Fee ..........~~~~~~...1...~...~..~... $ ) .t/. 75'
[
,.25
,
SPACES REO.
SPACES ON PLAN
PERMIT VALUATION
?~c:;C:)~ ~
City:
Plan Check Fee ............................. $
State Surcharge ............................. $
Penalty ....................................... :1'.
Plumbing Permit Fee ....................... $
Mechanical Permit Fee ..................... $
. .~~......~~~~.e:it Vj~en ~pro~.{
B. . ~ Date ~~~-~
,~/
C ificate of Occupan<iJ
Issued
City Planner
Date
MATERIAL FILED WITH APPLICATION
SOIL TESTS 0 ENERGY DATA 0
PILING LOGS 0 PERCOLATION TESTS 0
PLANS & SPECS 0 SETS
SURVEY 0 COPIES
PLOT PLAN 0
~~.
24 hour notice for all inspections 447-9850
Special Conditions ~ any