HomeMy WebLinkAboutBuilding Permit 99-0441
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
/5005
9~9'~
SK-VLINb
SCHEDULED
/.J.r.
OWNER
CONTR.
PHONE NO.
PERMIT NO.
Cf1-cNl
o PLUMBING RI 0 EXIGRADIFILLlNG
o MECH RI 0 COMPLAINT
o WATER HOOKUP 0 FIREPLACE RI
o SEWER HOOKUP 0 FIREPLACE FINAL
o PLUMBING FINAL ~ 0 GASLINE AIR TST
o MECH FINAL ~)( I'<!.oCJF F/iVl'f<-
COMMENTS: ~ ~ ~ f-cru.. '61 "'-' "7~?
~ ,':,., ()~..
~ "'~-a.. ftd.)"
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
~:;-- ~
{~'V~ -,I~
,-
,/
/
~ORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WO~ CALL FOR REINSPECTION BEFORE COVERING
Inspector: r J )1 Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/
INSNOTI
5~~
DATE RECEIVED
CITY OF PRIOR LAKE
BUILDING PERMIT,
. TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
APk L 7 )999
DIREC"nONS
SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN
BEFORE PERMIT IS ISSUEO (Pleas. Ponl or Type .nd sign .1 bottom)
2. SITE ADDRESS C' \(. . I t ~ '^ '\ I "\
l~l.o5 ~, ~ ~ IV U--..J
3. LEGAL DESCRIPTION
I~
,,(jj] ..lfu, 1tl
4.0~ L\\)9 ~
URCHITECT (Name) If:j
~
~ ii-lICM
KiSt>
~-tlj3- 05l-()
LOT
BLOCK L3
\Ii tL0 to!' Md..n...
PID
ADomON
~UI~ER ~ama)
o if. 'w
7. TYPE OF WORK ~ Fireplace 0
New Construction 0 Alterations 0
/stt:S S~~;::tnJtJ
(Addr.ss) V (Tal. No.)
.. ...1" .~4il I .,.....-tII0.
.-4lro f~~ i~gaI.513-1P\(p
Re.rooflng. Porch 0
Re-siding 0 I ~inish Basement 0
Septic 0
Addition 0
Deck 0
Finish Attic 0
1. White
2. Pmk
3. Yellow
File
c;ly
Applicant
Penn it No.
1C? -lfl-l/
BUILDING INFORMATION
11. SIZE OF STRUCTURE
(Ho;glrtl (Wodth)
(Oeplh)
12. NO. OF STORIES
>TYPE~F CONSTRUCJION~
IQ.C~L 1K11~J ~ \
14. FLOOR....REA APPORTIONMENT usl!J
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANT~
SEATS
16. ~rOJECT COSTNALUE
4(o;>l)
17. COMPLEtiON DAlE
Chimney 0 Misc.
8. PROPERTY AREA OR ACRES 19. PROPERTY DIMENSIONS 110. CULVERT SIZE
Sq. Ft. Width Depth Yes No
I heA~t I have furnished I .. .:.. _ ,on this ~lcation which is to the best of my knowledge true and correct. I also certify that I am the owner or authortzed agent for
the oed prope~a ~t II co~ction I confoon to all existing state and local laws and will proceed in accordance with submitted plans. I am aware 1hat the
bui 0 .. can Jl;ok.e this nnit fo just . "~ rmore, I hereby agree that the j,r CJ1!kjJJ.E,t designee may enter upon the property to pe~, needed i~.
X ... ...~ fAi .?ll 0-0' ""1-1- Z 7 1'1~
- . Signature .:..J License No.' Dale
AmountBroughtForward .................. $
Park Support Fee ........................... $
SAC ......................................... $
Collective Street Fee ....................... $
Sewer Tap ................................... $
License Check Fee ......................... $
Pressure Reducer .......................... $
MeterHom................................... $
Water Meter ................................. $
Sewer & Water Connection Fee ........... $
Water Tower Fee ........................... $
Water Tap ................................... $
Builder's Deposit ............................ $
Other ......................................... $
FOR ADMINISTRATIVE USE
SETBACKS: Required
Actual
Fronl
B.",
s~o
s~o
BUILDING DEPARTMENT VALUATION
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
PERMIT VALUATION
USE OF BUILDING
~j\ /hQ
TYPE OF CONSTRUCTION: I II III IV V
OccupancyGroup A B E F H IRS U
Division 1 2 3 4
City,
Pennit Fee ................................... $
Plan Checking Fee ......................... $
State Surcharge ............................. It
Penalty ....................................... $
Sepl~ Syslem ............................... $
1L1 ' l'5
I' J.<;
Other ......................................... $
Subtotal............................... ot
This Application Becomes Your Building Pennit When Approved.
Date
By
MATERIAL FILED WITH APPUCA TlON
SOIL TESTS 0 ENERGY DATA 0
PILING LOGS 0 PERCOLATION TESTS CI
PLANS & SPECS 0
SURVEY 0
SETS
COPIES
PLOT PLAN
Cl
Occ TotaIDu...............................$ -Ib ,00
Certificate of upancy 1/ "'0 -;7c-f"';.C..:i I
PaldlO -u Race;pl No. '")Jl J I
Issued Date Lj -'27 .(je, Bv (\. fu ~
This is to certiIy that the request in the above application and accompanying documents is in accordance with the City Zoning Ordinance and may proceed as ~~. This document when
sigled by the City Planner constitutes a temporary Certificate of Zoning compliance and allows construction to ~..... .... .~... Before occ\4l8ncv, a Certificate of Occupancy must be issued.
24 hour notice for all inspections 447-4230
Special Conditions W any
CilyPlanner
Dat8