HomeMy WebLinkAboutBuilding Permit 99-0386
ADDRESS
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TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCI:!FDULEl>
3 ~61)
OWNER
CONTR.
PHONE NO.
PERMIT NO.
QCf - 38'='
o FOOTING
o FRAMING (f)
o INSULATION
~FINAL I!.ODI/'
o FOUNDATION
o DEMOLITION
o FIRE PREVo
COMMENTS: ~. ~ ' ~
d~ .'
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 LKSHORENVETLAND
o COMPLAINT
o SEPTIC FINAL
o FIREPLACE
o
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el'WORK SATISFACTORY. PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT Wn Cf)L FOR REINSPECTION BEFORE COVERING
Inspector: ,~~ . Owner/Contr:
V
CALL 447-4230 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.,
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
~
QATE R~
CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
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2, Pink
3, Yellow
File
City
Applicant
APR l 9 1999
. DIRECTIONS
SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN
BEFORE PERMIT IS ISSUED (Please Print or Type and sign at bottom)
Permit No. ~ r 38'0
1, DATE
2. SITE ADDRESS
I 5~:;l1
C,' .-
~-/1
~lSO
BUILDING INFORMATION
11. SIZE OF STRUCTURE
(Height) (Width) (Depth)
/11,'~11
11 BLOCK 2-
M,fc/Ae! ( Pond
4'12)~ J<./Jr;_
(NamE,' RIGHT-W \~(AdAer>OFING
6. BUILDER (NamAl 1 200 E. 7 !1tftreslt r e e t
K:/G#"T~ Bloomington, MN 55425
"'/ ((;'1""'lrF'')Of'\_~''''
, Fireplac\J~' r, ! septiC ri - UOl:fcfh
Alterations 0 AdditionLl' Fihisll ~'l"" u
3. LEGAL DESCRIPTION
LOT
PID;S -155~ {J ~/--D
12. NO, OF STORIES
ADDITION
13, TYPE OF CONSTRUCTION
(Address)
(Tel. No.)
14. FLOOR AREA APPORTIONMENT USE
5. ARCHITECT
(Tel. No.)
(Tel. No,)
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS
7, TYPE OF WORK
.-
SEATS
19.,PjlOJECT COSTNALUE
~/ 5<700. VU
17. COMPLETION DATE
New Construction 0
Cllimney 0 Misc.
8. PROPERTY AREA OR ACRES
Sq. Ft.
lRe-roofing..,..,- Porcll 0
n,,- iding 0 Finisll Basement 0
9. PROPERTY DIMENSIONS
10, CULVERT SIZE
III ve fumislled information on tllis application wllicll is to tile best of my knowledge true and correct. I also certify tllat I am tile owner or autllor/zed agent for
tile above ti property and at all truction will conform to all existing state and local laws and will proceed in accordance witll submitted plans, I am aware tllat tile
I . revolie"ttf' pe . ~:..-.." ~rtllermore, Illereby agree tllat tile city official or a designee may enter upon tile property to perform needed in~~tions,
X _ -J 1_/ ~ ~" ~rJC) '3~~" . ~ -/7
/ ~ License No, Date
Widtll
Deptll
Yes
No
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
.
U> K/ <<-
jI
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
PERMIT VALUATION
PLANS & SPECS 0
SURVEY 0
SETS
COPIES
z.. S""1rD , ru
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 I '-'-:z~
Permit Fee ................................... $
City:
Amount Brougllt Forward .................. $
Park Support Fee ........................... $
SAC ......................................... $
Collective Street Fee ....................... $
Sewer Tap ................................... $
$
Plan Clleck Fee ............................. $
State Surcllarge ............................. $
Penalty....................................... $
l. Z-~
Plumbing Permit Fee ....................... $
Mecllanical Permit Fee ..................... $
Pressure Reducer .......................... $
Meter Hom ................................... $
Water Meter ................................. $
Sewer & Water Connection Fee ........... $
Water Tower Fee ........................... $
Sewer & Water Permit ...................... $
Gas Fireplace Permit ....................... $
WaterTap ................................... $
Builder's Deposit ............................ $
Otller ......................................... $
Total Due .............................. $ 7 (P. cro
Paid I (p " m Receipt No. .3 5V 4 ~
Date 4-- If a I ~ "1 By /yfk---'
This is to certify tIlat tile request in the above application and accompanying documents is in accordance witll the City Zoningb;dina~ce and may proceed as rJ!uested. 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.
Tllis Application Becomes Your Building Permit Wilen Approved.
By Date
Certificate of Occupancy
Issued
City Planner
Date
Special Conditions ij any
241lour notice for all inspections 447-9850