HomeMy WebLinkAboutBuilding Permit #99-0397
DATE TIME
CITY OF P,RIOR LAKE
INSPECTION NOTICE
SCHEDULED
1/)/~fe/4( kT.
I .
ADDRESS
/L.( /L/5
~O~ AI_
t!
CONTR.
OWNER
PHONE NO.
PERMIT NO.
9'1-'397
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
,. FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS: 12-1 / ~
r-
~ 'f}0
~WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: ~ Owner/Contr:
rTT
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE,
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INS/'IOTl
lo~re~IeBIVd. (Tel. No.)
"ElDIJmm . I'n/J. S5Lf:ar 8'1/p-f{JlJb
, .
Septic LJ Deck CJ Re-roofingJlt Porch CJ
Addition" Finish Attic" Re"idinq)f Finish ea,ement" 16. PR~~?2'tr~
/g. PROPERTY DIMENSIONS 1m CULVERT SIZE 17. COMPLETION~TE
Width Depth !ves No l'i';",j~-7<j
application which is to the best of my knowledge true and correct. I also certify that I am the owner or authorized agent for
. I conform to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the
ore, I hereby agree that th;j'bj~ :~l)" may enter upon the property to perto'fl1Jv~ons.
- License No. Dafs
s~~
DA TF RECEIVED
CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
APR , 9~
I DIRECTIONS
SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN
BEFORE PERMIT IS ISSUED (Please Print or Type and sign at bottom)
1. DATE
tf-IJ.-91
2. SIJ~ ~DDRESS 'I) lA
Y J L..JS" flUTAt(")
V
~+. AJ e.
~::l.
3. LEGAL DESCRIPTION
A-
PID 3:=".,.17-4. -nM- 0
4-TH- AODN.
LOT
BLOCK
Enll 01 1\.\ c:. Vl A rJ 0i2...
,
ADDITION
J
rs &-J. N,f
(Tel. No.)
t/7-SJS2
5. ARCHITECT
(Name)
(Address)
(Tel. No.)
6fbpE6vN r;e:
7. TYPE OF WORK
New Construction 0
Fireplace LJ
Alterations LJ
Chimney 0 Misc.
8. PROPERTY AREA OR ACRES
Sq. Ft.
I hereby certify th~ave fumished informatio n t .
the above mentio property and that ru
:uilding officialc hf~r' .
r Signature
.1 L
).v .2.
t.. I_~./~/ 3.
1.,
).
Permit NO..m .
White
Pink
Yellow
File
City
Apq,licant
3qL
BUILDING INFORMA nON
1,. SIZE OF STRUCTURE
(Height) (Width) (Depth)
12. NO. OF STORIES
h, '" TYPfF CON;>.TR~r;;t e
lte.,~ 1 Jte J...
14. FLOOR AREA APPORTIONMENT USE
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS
SEATS
FOR ADMINISTRATIVE USE
Amount Brought Forward .................. $
Park Support Fee ........................... $-
SAC ......................................... or
Collective Street Fee ....................... q:
Sewer Tap ................................... t
$
Pressure Reducer .......................... $
Meter Horn ................................... $
Water Meter ................................. $
Sewer & Water Connection Fee ........... $
Water Tower Fee ........................... $
Water Tap ................................... $
Builder's Deposit ............................ $
Other ......................................... $
Total Due .............................. $ ~r;,. (J 0
Paid 7(,.00 ReceiPt~~.BS057
Date +/, q / q '1 By UlfL-.- '
This is to certify that the request in the above application and accompanying documents is in accordance with the City Zoning Ordlnake and may proceed a~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.
I
I SETBACKS: Required
Actual
F~'
BUILDING DEPARTMENT VALUATION
Back
Side
Side
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
PERMIT VALUATION ---.2Sl5(). dD
USE OF BUILDING
QSs A/fiL-
/
TYPE OF CONSTRUCTION: I II III IV V
Occupancy Group A B E F HIM R S U
Permit Fee ..........~~~~~~...1...~...~..~... $~ 4 .~
City:
Plan Check Fee ......................... .... $
State Surcharge ............................. $
Penalty ....................................... $
Plumbing Permit Fee ....................... $
'.2.5'
Mechanical Permit Fee ..................... $
Sewer & Water Permit ...................... $
Gas Fireplace Permit ....................... $
This Application Becomes Your Building Permit When Approved.
By D&e
Certificate of Occupancy
Issued
CityPlann6l'
Dar.
Special Conditions if any
24 hour notice for all inspections 447.9850
MATERIAL FILED WITH APPLICATION
SOIL TESTS CJ ENERGY DATA 0
PILING LOGS " PERCOLATION TESTS "
PLANS & SPECS 0
SURVEY CJ
SETS
COPIES
PLOT PLAN "