HomeMy WebLinkAboutBuilding Permit 99-0417
CITY OF PRIOR LAKE
INSPECTION NOTICE
DATE TIME
/:/5
ADDRESS
/ LlBSI
OWNER
CONTR.
PHONE NO.
PERMIT NO.
q 9 - ~/7
o FOOTING
o FRAMING
C.~NSULATlON
~' FINAL te.()(Jp
o FOUNDATION
o DEMOLITION
o FIRE PREV.
o PLUMBING RI
o MECHANICAL
o WATER HOOKUP
o SEWER HOOKUP
o SEPTIC INSTALL
o PLUMBING FINAL
o SITe INSPECTION
o EXCIGRAOlFllLING
o LKSHORENYETLAND
o COMPLAINT
o SEPTIC FINAL
o FIREPLACE
o
COMMENTS:
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V WORK SATISFACTORY, PROCEED
~ ~ORRECT ACTION AND PROCEED
o CORRECT WORK, CAL~OR REINSPECTION BEFORE COVERING
Inspector: -\. f Owner/Contr:
-J
CAll 447-4230 FOR THE NEXT INSPECTION 24 HOllRlIlN A.DVA.NC::S
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
New Construction LI
Chimney 0 Misc.
8. PROPERTY AREA OR ACRES 19. PROPERTY DIMENSIONS rro:- CULVERT SIZE
Sq. Ft. Width Depth I Yes No
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 property 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
:Uil . lcial can rm :hi'41t~rthermore, I hereby agree that the city official or a designee may enter upon the property to p2[ct'he?ns~4
- ~ License No. ( Dati 7l"
S~%
.QATF RFt:FIVF;n
CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
APR ! 3 1999
DIRECTIONS
SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN
BEFORE PERMIT IS ISSUED (Please Print or Type and sign at bottom)
jO?b3/t'1
2r!l?~1 cc;1/1 reAl: SE. J pl(!tf/!!~ MAI.~i37i--1
3 LEGAL DESCRIPTION / R. / S D
LOT BLOCK PID ~~30-0M~(")
I
4~OMfi1E5 1M. IRu rll ;tjAd7J7/}J oAf &1), (-l!)1~<{,r7 7--1
5. ARCHITECT (Namer v (Address) (Tel. No.)
I
ADDITION
6. BUILDER
(Name)
(Address)
(Tel. No.)
<1EP~.~PAJt//TI(E ~tJF/A;6
7. TYPE OF WORK
Fireplace 0
Alterations 0
Septic 0
Addition 0
Deck 0
Finish Attic 0
fie.roofln~ Porch 0
Re-siding 0 Finish Basement 0
I. While
2. Pink
3 Yellow
File
City
Applicant
Permit No. 1't -41'1
BUILDING INFORMATION
11. SIZE OF STRUCTURE
(Height) (Width) (Depth)
12. NO. OF STORIES
13. TYPE OF CONSTRUCTION
~ - R-Oc:.:F
14. FLOOR AREA APPORTIONMENT USE
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS
SEATF
16. PROJECT COSTNALUE
17. COMPLETION DATE
FOR ADMINISTRATIVE USE
MATERIAL FILED WITH APPLICATION
Amount Brought Forward .................. $
Park Support Fee .... ................. ...... $
SAC ......................................... $
Collective Street Fee ... ...... .............. $
Sewer Tap ................................... <t
$
SETBACKS: Required
Actual
Front
Back
Side
Side
BUILDING DEPARTMENT VALUATION
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
USE1t~ING If L
. 5;
TYPE OF CONSVlUCTION: I II III IV <!;U
Occupancy Group A B E F HIM c:3
Division 1 2V
Permit Fee .............. ..................... $
PERMIT VALUATION
2. <:;"1)0. CS1"'J
S U
City:
7'1. ,'5
Plan Check Fee .... ......................... $
State Surcharge ............................. $
Penalty ....................................... $
I . '2.<:'
SOIL TESTS
o ENERGY DATA
o
PILING LOGS 0 PERCOLATION TESTS 0
PLANS & SPECS 0 SETS
SURVEY
PLOT PLAN
o COPIES
o
Plumbing Permit Fee ....................... $
Mechanical Permit Fee ..................... $
Pressure Reducer .......................... or
Meter Hom ... ................. ........ ....... <t
Water Meter ................................. <t
Sewer & Water Connection Fee ........... $
WalerTower Fee ........................... <I:
Water Tap ................................... ct
Builder's Deposit ............................ $
Other ......................................... $
Total Due .............................. $ '/0.() 0
ReceiPY'\~, 35"0, 2-
By fib
Sewer & Water Permit ...................... $
~:sgCti:::~~~;.~~~.;~~;I~i~~.~.e:tt W?J'.~. ,.rv:t
By Date - ,..,..,-,
.. I
Certificate of Occupancy
Issued
Paid
Date 4-21-9\
This is to certify that the request in the above application and accompanying documents is in accordance with the City Zoning Ordinance and may proceed as requested. 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.
City Planner
Date
Special Condilions W any
24 hour notice for all inspections 447-9850