HomeMy WebLinkAboutBuilding Permit 99-0354
CITY OF PRIOR LAKE
INSPECTtON NOTICE
DATE TIME
SCHEDULED
A -lL. ~"
\ l : )6
ADDR!.SS l 52.04
Cb.k.- p~~ G.A
CONTR.
OWNER
PHONE NO.
PERMIT NO.
fiC1 - 35'1
o EXC/GRAD/FILLlNG
o LKSHOREnNETLAND
o COMPLAINT
o SEPTIC FINAL
o FIREPLACE
o
o FOOTING 0 PLUMBING RI
o FRAMING 0 MECHANICAL
tf 0 INSULATION 0 WATER HOOKUP
~INAL 0 SEWER HOOKUP
o FOUNDATION 0 SEPTIC INSTALL
o DEMOLITION 0 PLUMBING FINAL
o FIRE PREV. 0 SITE INSPECTION
COMMENTS: ~t-- ~
rv.~ cPv>1.~
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o CORRECT ACTION AND PROCEED
:::TWOR~I RaNS"COON ::::~NG
CALL 447-4230 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE..
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
OJ/17/99 WED 17:27 FAX 6124474245
CITY OF' PRIOR LAKE
D~TEReCE!IVED CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
'D1~eCnONS 1. DATE
SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN '/ /. /.
BeFORE PERMIT IS ISSUED (Plea.e Print or Type and $Ign al bollom) ~ / I ~ /9 7
2. SITE ADDRESS fJ t::tSD
~ij ~11r19K ;3i2. 6.E:f7?ID/< iJ:Jf~ 1i1lU .:56811-
3. LEGAL DESCRIPTION
LOT J 0 BLOCK / PIO 2'S--083~o/ 0-0
ADDmON OA-JC- R/~6 rCT AVPA/
4. OWNER (~",e) (Addre..) (Tel. No.) ~
l3Rl1llJns~.(. ...~IlBRi /6~o'l OJ/f../!tdpl( (!,'e (1/J1/..L!i.1..?-5S~
S. ARCHITECT (Neme) (Address) (Tel. No.)
S. BUIl.DEFI
(Name)
(Address) . J
/00" "me JllCJdtlE"u..o
'Rd (.Ii '!'v;n:/)~ Ertt- 9'/5
Sepllc a DlICk 1:3 Re-~fin9 po' PorelllJ
Addition a Finish Allie 1:3 Re.siding CI Finish Basemenl CJ
(Tel. No.)
IPI~
L!.11!,7i"d tc/OSIRue.7!oJU
7. TYpe OF WORK Fireplace CJ
New ConstrucUon 1:3 '''te/'Btions CJ
Chimney 1:3 Misc.
8. PROPERTY AREA OR ACRES
Sq.FI.
9. PROPERTY DIMENSIONS
Wldlh Deplh
10. CULVERT SI2:E
Yes No
Vtf7 - 4/l. 3 Z> 141001
V t9b
'1 (p..
rr.- Whil"---~
'tPink Cily
3. Yellow ^ppliC&llI
Permit No.5!9-3s4-
BUILDING INFORMATION
11. S14& OF STRUCTURE
(HelghlJ (Widlhl (Deplhl
12. NO. OF STORIES I
13. TYPE OF CONSTRUCTION
14. FLOOR AREA APPORTIONMENT use
15. NUMBeR OF OCCUPANTS OR SEATS
OCCUPANTS
SEATS
16. PROJECT COSTNALUE
17_ COMPLETION DATE
I hareby ce"'fy Ihat I have fumlslllKllnfonnallon on thiS application which is 10 lhe besl 01 my knowledgelrue and correct. I also celtlfy thaI I am the owner or eUlhorb:ed agBntlor
lhe above mentioned property and that all con&trvction wiD conform 10 all existing slale and IOcallaw$ and will proceed In accoroanee with submined plans. I am aware thellhe
buikf~al revoke I Is p II lor l~u$O. Furthermore. I hereby agree thaI the elly official or a designee may enter upon lhe property to perlorm .!'~ed l~ectJons.
X A _JY~./ ~{)I t,t) 7/1 ~/ /2-/99
Sign........ a UCenle No. Dei.
FOR ADMINISTRATIVE USE
MATERIAL FILED WITH APPLICATION
lack SIde SidA SOIL T!:STS 0 ENEFlOY DATA I:)
OFF STREET PARKING PILING LOGS 0 PEFtCOLATION TESTS 0
SPACES REQ. PlANS & spees a SeTS
SPAOES ON PLAN SUF\Vev 0 COPIES
PERMIT VALUATION d S(j?) .6D PLOT PI.AN 1:3
Amounl Brought Forward ...............ou S
Park Support Fee ........................... S
SAC ......................................... $
COlIllClve Slreet Fee ........m............ S
SewerTep ................................... $
$
Pressure Reducer .......................... S
Meter Horn ................................... $
WaterMBter ................................. $
Sewtlr & WeIer Connection Foo ........... $
Water Tower Fee ........................... S
WaterTap ................................... S
Builder's OepoBit .... n __..... n __........... $
Other ..............n......................... S
Pak1 To?&e ...ilbn......--.~;~,~;~O~ 3 ~~01 0
Olle 41t4-/q0 By 1d
This is to cenlIy lhat lI1a I8qUltIlln Ihe I~ 8P1l41c8l1on and accompanying doeumems is in Sccordal1Cll wlll1 Ihe City 20nlng ClrCllnako Md'may " ...,., . al ....ed. This document whGn
signed by tha CIty Planner consdtules a ., , ., . IY Cer1ifical8 of Zoning compieOOlllllld allow$ constr\lCtIon 10 commence. aefore occupency. e Ceniflcale of Occupancy must be issued.
SETBACKS; RequirBd
Actual
Frant
eUILDING DEPARTMENT VALUATION
USE OF BUILDING e e:Jh/.I?'
TYPE OF CONSTRUCTION: I II III IV V
Occupancy Group A 8. e F HIM R
OMIion 1 2 J 4
POfmit Fee ........................n_________ $
s U
Clly:
'it! 7\
PllIn Ctlec:I< Poo ............................. $
Slate Surcharge ............................. S
penally .............. ....... .................. $
PIUmlllng Po""" Fee ....................___ S
Mechanical Permit Fee ..................... S
/. z.S-
S4_" Wa.e' Permit ...................... $
GII Fireplace Permit __..................... S
Thla Appllcallon Ilec:omes Your BUilding Pannit When Approved.
By OllIe
Cllltlflcate of OccupeIlC)'
IQuad
CilyPmnn.r
.--.. .... -'$~I CoMtUonl H any
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