HomeMy WebLinkAboutBuilding Permit 99-0326
DATE TIME
CITY OF PRIOR LAKE /d.~d."~
INSPECTION NOTICE SCHEDULED
..
ADDRESS SS{! ~ oS]:
OWNER CONTR.
PHONE NO. PERMIT NO. ? 7-J~t
o FOOTING o PLUMBING RI o EXIGRAD/FILLING
o FOUNDATION o MECH RI o COMPLAINT
o FRAMING o WATER HOOKUP o FIREPLACE RI
o INSULATION (4) o SEWER HOOKUP o FIREPLACE FINAL
If FINAL ~ o PLUMBING FINAL o GASLINE AIR TST
o SITE INSPEC ION o MECH FINAL 0
COMMENTS:
Ao-w ~I IT" ~
()jf
. I
r:A~ M
~
V WORK SATISFACTORY, PROCEED
IO~CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector:
~ _ Owner/Contr:
CALL 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.,
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
/NSNOT/
DATE RECEIVED
CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
:::tr /7 ;J- t.j
1. White
2. Pink
3. Yellow
File
City
Applicant
4-l('2--( q cr
Permit No. q q - 32- (p
DIRECTIONS
SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN
1. DATE
BEFORE PERMIT IS ISSUED (Please Print or Type and sign at bottom)
2. SITE ADDRESS ~ ..5 h I
Lf-IO
BUILDING INFORMATION
11. SIZE OF STRUCTURE
(Height) (Width) (Depth)
LOT
ADDITION
10
Sf\ND
(~CfrWtrP~1 ~
3
!::.) I tf ADON ,
A.J[
3. LEGAL DESCRIPTION
12. NO, OF STORIES
BLOCK
PID _ 2..5 - 2..?:PI - 04-4-- 0
4. OWNER
<:: I (Name)
<.-J'/ f2 (I .f
5. ARCHITECT (Name) -
af\~
(Address)
(Tel. No.)
13.7tzE ~S~CTION
14. FLOOR AREA APPORTIONMENT USE
l--' ( .
--.""'.,,. iAtltll'llS!)''''
(Tel. No.)
6, BUILDER
(Name) R+GH T 'N ~XdrBP 0 F 1-t4 C
1200 E. 79th Street
Bloominqton, MN 55425 ./
ireplace q 6 1 ~~9 '::t_ ()l?"f~ R, -roofingY" Porch 0
Altei Itions 0 \ AddifloA'tt"' 'f'inish" A1tlc i:5 Re-sid 19 0 Finish Basement 0
r '._..~"~.",,..~_ _..._",,___
(Tel. No.)
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS
Chimney 0 Misc.
8. PROPERTY AREA OR ACRES
Sq.Ft.
9. PROPERTY DIMENSIONS
Width Depth
10. CULVERT SIZE
Yes No
SEATS
16. PROJECT COSTNALUE
'i5 3 :z.
17. COMPLETION DATE
7, TYPE OF WORK
New Construction 0
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 p party 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 official re e this~ermit for' \ ~se. Furthermore, I hereby agree that the city official or a designee may enter upon the property to perform needed inspections.
X ~.. Ocao 3'7'"~~ '1- /C/ - 9' 7
......., /' --Signature - license No. Date
FOR ADMINISTRATIVE USE
SETBACKS: Required
Actual
Front
Back
Side
Side
MATERIAL FILED WITH APPLICATION
SOIL TESTS 0 ENERGY DATA 0
PILING LOGS 0 PERCOLATION TESTS 0
BUILDING DEPARTMENT VALUATION
USE OF BUILDING
t2..e'S:
1
A:/ e..-
I
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
PERMIT VALUATION
PLANS & SPECS 0
SETS
COPIES
SURVEY 0
7_S-01J~cro
PLOT PLAN
o
TYPE OF CONSTRUCTION: I II III IV V
Occupancy Group A B E F HIM R S U
Division 1 2 3 4
Permit Fee ................................... ~ /4- .'75
City:
Amount Brought Forward .................. $
Park Support Fee ........................... $
SAC ......................................... $
Collective Street Fee ....................... $
Sewer Tap ................................... $
$
Plan Check Fee ............................. $
State Surcharge ............................. $
Penalty ....................................... $
Plumbing Permit Fee ....................... :t.
1.2~
Mechanical Permit Fee ..................... $
Pressure Reducer .......................... $
Meter Hom ................................... $
Water Meter ................................. $
Sewer & Water Connection Fee ........... $
Water Tower Fee ........................... $
Sewer & Water Permit ...................... :t
Gas Fireplace Pemlit ....................... :t
Water Tap ................................... $
Builder's Deposit ............................ $
Other ......................................... $
Total Due.............................. $
Paid 7C,.0 0
Date 4/(zJq~ By ~
This is to certify that the request in the above application and accompanying documents is in accordance with the City Zoning Ordina~ce and may proceed as r/?quested. 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,
Receipt No.
7C,.o'O
~4L70 0
This Application Becomes Your Building Permit When Approved.
By Date
Certificate of Occupancy
Issued
City Planner
Date
Special Conditions ff any
24 hour notice for all inspections 447-9850