HomeMy WebLinkAboutBuilding Permit 99-0444
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
,2' FINAL
o SITE INSPECTION
COMMENTS:
SCHEDULED
$93/
J;b.4' .
DATE TIME
I"-C?-~ A_ T;
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U
'19 - f"'j/r
o EXIGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
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,
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INSNOTl
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~ORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WOR~ALL FOR REINSPECTION BEFORE COVERING
Inspector: f9::r- , Owner/Contr:
CONTR.
PERMIT NO.
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
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CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE..
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/
_.~'_._...._...__.._.__._-_..__.- .._-_._-,._.._---~_.
New Construction LJ
Chimney 0 Misc.
/a. PROPERTY AREA OR ACRES /9, PROPERTY DIMENSIONS /10, CULVERT SIZE
Sq. Ft. Width Depth Yas 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 abo~e m lioned property and that all construction will conform to all existing state and local Jaws and will proceed in accordance with submitted plans. I am aware thaI the
building 0 . I CiP-'7'e this pennil for j.ll"P'use. Furthennore, I hereby agree fhat the city official or a designee may enter upon Ihe property 10 pertorm ~eded rpections.
X - "7 ~ . ':' r 2-7 qq
- Signatur; License No_ . Dafe
&~\
DATE RECEIVED
4-/Z--,f&l1
CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
1. DATE
-
/r..
4-17-'11
RISD
LOT
ADDITION -.C -- . e. -.)
PID z..s - 10'2..-00(., - 0
BLOCK
,I /.. r-
HfI!'l~,,"T.s
-:7 (Address)
1-1. !..:;J cJ:>.5-=.
(Address)
(Tel. No.)
4. OW~ (Name}
/'\ le ~ 4.--ref
5. ARCHITECT (Name)
(Tel. No.)
6. BUILDER
(Name)
(Address)
(Tel. No.)
7. TYPE OF WORK
.. {
Re-roofing'tJ Porch 0
Re-siding 0 pinish Basement 0
Fireplace 0
AlteratiOn~
Septic 0
Addition 0
Deck 0
Finish Attic 0
1. White
2. Pink
3 Yellow
File
City
Applicant
permitNO.~
BUILDING INFDRMATION
11. SIZE OF STRUCTURE
(Height) (Width) (Depth)
12. NO. OF STORiES
t9 A.r=
13. ~OF CONSTRUCTION
!-'Y'....I"l..~
14. FLOOR AREA APPORTIONMENT USE
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS
SEATS
16. PROJECT COSTNALUE
17. COMPLETION DATE
Amount Brought Forward .................. $
Park Support Fee ........................... ~
SAC ......................................... $
CoUectiveStreet Fee ....................... $
Sewer Tap ................................... $
s
Pressure Reducer .......................... $
Meter Hom ................ .... ............... $
Water Meter ................................. $
Sewer & Water Connection Fee ........... $
WaterTowerFee ........................... $
Water Tap ................................... $
Builder's Deposit ............................ $
Other ......................................... $
Total Due .............................. $
Paid 7".0 0
Date 4-/ lr1/q<j By ~
This is to certify Ihatlhe request in the above application and accompanying documents is in accordance with the City Zoning 6rdinan~e and may proceed .A 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.
I
I SETBACKS: Required
Actual
Front
BUILDING DEPARTMENT VALUATION
USE OF BUiLDING
1PF:5 k/~
I
TYPE OF CONSTRUCTION: I II III IV V
Occupancy Group A B E F HIM R S U
City:
Division 1 2 3 4
Permit Fee .................. ......... .... .... $
,4-.,5
Plan Check Fee ............................. $
State Surcharge ............................. $
Penalty ....................................... $
Plumbing Permit Fee ....................... $
1.1..<""
Mechanical Permit Fee ..................... of:
Sewer & Water Permit ...................... $
Gas Fireplace Permit ....................... $
This Application Becomes Your Building Pennit When Approved.
By Date
Certificate of Occupancy
Issued
City Planner
Date
Special Conditions ffany
24 hour notice for all inspections 447-9850
Receipt No.
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