HomeMy WebLinkAboutBuilding Permit 99-0459
CITY OF PRIOR LAKE
INSPECTION NOTICE SCHEDULJ:D
;1 (J' "
ADDRESS 67c:3~ ~
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING 0 PLUMBING RI
o FOUNDATION 0 MECH RI
o FRAMING tP 0 WATER HOOKUP
o INSULATION 0 SEWER HOOKUP
IV FINAL 0 PLUMBING FINAL
/Q SITE INSPEC 0 MECH FINAL
COMMENTS: ~" p-
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K" I .
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DATE TIME
J-).. <1-99
.ii.
A,f:
'7'3-L/59
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
/
/'
~ORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WO~ALL FOR REINSPECTION BEFORE COVERING
Inspector: m ( Owner/Contr:
CALL 4<lT-9860 ?OR THE NEXT INSPECTION 24 HOURS IN ADVANCE..
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
/NSNOTl
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~1
DATE RECEIVED-
CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
4-j~Wl
:TIONS
.;E$ NUMBERED 1 THRU 17 MUST BE FILLED IN
BEFORE PERMIT IS ISSUED (Please Print or Type and sign at bottom)
~. srrS?E3sS-
1. DATE
'-f~2&' .97
~ ~ PLlD
3. LEGAL DESCRIPTION
II
Cecf(]lfl! ioQ:)d
2-
.$A-No PT 5n1'
F/q(<: ~d'?5-
CFcf4/lVOdf) (Te't';b3 -'75:6 3
(Te' No.)
LOT
BLOCK
PID Z..- - z..3"l- a ~ 1-0
ADDITION
14. OWNER~ etf'ame)
15. ARCHITECT (Name)
6.BUILDER /(a.vtJ.{a"!.aplbhCru"r
(Address)
43'S;
pc-
DMklJTI- 5Tf,C1TiY7_N If CJ
h'I .-v
Septic 0 Deck 0
A..9tdition 0 l"inish Attic 0
t/ ra VlOa i-
Rs-roofing ~ Porch 0
Ae-siding 0 Finish Basement 0
1. White
2. Pink
3 Yellow
File
City
Applicant
Permit No. ~ q - Y-SCf
BUILDING INFORMATION
11. SIZE OF STRUCTURE
(Haight) (Width)
(Depth)
12. NO. OF STORIES
13. TYPE OF CONSTRUCTION
14. FLOOR AREA APPORTIONMENT USE
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANT~
SEATS
16. PROJECT COSTNALUE
17. COMPLEflON DATE
19. PROPERTY DIMENSIONS 110. CULVERT SIZE
Width Depth Yes No
annalien on this application which is to the best of my knowledge tllJ8 and correct. I also certify that I am the owner or authorized agent for
I construction will conform to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the
JU . Furthermore, I hereby agree t::2oi~7~..6 may enter upon the property to perform.dj~z ~~?9
license No. Date
Amount Brought Forward .................. $
Park Support Fee ........................... $
SAC ......................................... $
Collective Street Fee ....................... $
Sewer Tap ................................... $
$
Pressure Reducer .......................... $
Meter Ham .................... .... .... ....... $
Water Meter ................................. $
Sewer & Water Connection Fee ........... $
Water Tower Fee ........................... $
Water Tap ................................... $
Builder's Deposit ............................ $
Other ......................................... $
FOR ADMINISTRATIVE USE
SETBACKS: Required
Actual
Front
Baok
Side
Side
BUILDING DEPARTMENT VALUATION
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
PERMIT VALUATION
USE OF BUILDING
~
Ale..
I
TYPE OF CONSTRUCTION: I II III IV V
Occupancy Group A B E F HIM R
Division 1 2 3 4
S U
City:
Permit Fee ................................... $
-t4.1~
Plan Check Fee ............................. $
State Surcharge ............................. ct
Penalty ....................................... $
Plumbing Permit Fee ....................... $
1.'2.->
Mechanical Permit Fee ..................... ~
Sewer & Water Permit ...................... $
Gas Fireplace Permit ....................... $
This Application Becomes Your Building Permit When Approved.
By Date
I MATERIAL FILED WITH APPLICATION
SOIL TESTS 0 ENERGY DATA 0
PILING LOGS 0 PERCOLATION TESTS 0
PLANS & SPECS 0
SURVEY 0
SETS
COPIES
PLOT PLAN
o
flcate of Occupancy Total Due .............................. $ -,,, . 0 V
d Paid "Tf' cru Receipt No 3 S", (I I
Date L1./VO/t;'j By AM-
ThIS IS to certify that the request In the above application and accompanyulQ documents IS In accordance With the City ZOning ilrdlnaJe and may proceed as'Fequested 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 Conditions ff any
24 hour notice for all inspections 447-9850