HomeMy WebLinkAboutBuilding Permit 99-0464
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEOULEO
s/tpjqc;
.
/:30
ADDRESS
4zS7 CHi:;:.'=' I ;.JUT
OWNER
CONTR.
PHONE NO.
PERMIT NO.
qq - L/-b t/-
o FOOTING
o FRAMING
~ 0 INSULATION
1 '\ ~INAL eoo,:'
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 EXC/GRAD/FILLlNG
o LKSHORENYETLAND
o COMPLAINT
o SEPTIC FINAL
o FIREPLACE
o
r-:OMMENTS;
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l
/""",~.~Ld-e _
100 IL( tfJ1\j
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~
~ WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR,1EINSPECTION BEFORE COVERING
Inspector: ~ , t\ I Owner/Contr:
CALL 4474230 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE..
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
QATF RFC':FIVEQ
CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
APR 211m
DIRECTIONS
SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN
BEFORE PERMIT IS ISSUED (Please Print or Type and sign at bottom)
'2'~~S7~oet.?lP
1~1/9<j
~,
:(5 ~yx:J . Dlf I -0
3. LEGAL DESCRIPTlON
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( an\u.0!-
4~.~A~:::""J' ~!257~~~e
5. ARCHffE~ ,.n......~:::~J (Address)
LOT
_ BLOCK
H111~
{,
~''4 AJcL~~'
PID
ADDITION
(Tel. No.)
ti~ '#If) -8b$lD
... (Tel. No.)
(Address) (Tel. No.)
i3i'6 ~~~~/-<)'IYJ-7cP.fj
6. BUILDER
7. TYPE OF WORK
New Construction CJ
Fireplace 0
Alterations 0
Septic 0
Addition 0
Deck 0
Finish Attic 0
Re-roofing~ Porch 0
Re-siding 0 Finish Basement 0
t. White
2. Pink
3. Yellow
File
City
Applicant
Permit NO.q( -L(&L(
BUILDING INFORMATION
11 . SIZE OF STRUCTURE
(Height) (Width) (Depth)
12. NO. OF STORIES
13. TYPE OF CONSTRUCTION
14. FLOOR AREA APPORTIONMENT USE
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANT~
SEAT~
16. PROJECT COSTNAI.UE
Chimney 0 Misc.
. B. PROPERTY AREA OR ACRES \9. PROPERTY DIMENSIONS 110. CULVERT SIZE
Sq. Ft. Width Depth Yes No
I hereby certify that 1 have fumished infonnation 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 at all construction will confonn to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the
~uHdin offic' n ravo,," this pe t r just ca e. ~re, I hereby agree that th:5~;i7 R9ige:;ay enter upon the property to perti"~9P~Oq'
llcenseNo. Date/ti.J /
17. COMPLETION DATE
FOR ADMINISTRATIVE USE
SETBACKS: Required
Actual
Baok
Side
Side
Front
BUILDING DEPARTMENT VALUATION
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
PERMIT VALUATION
;xc::co .ro
USE OF BUILDING
faS tilL
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
TYPE OF CONSTRUCTION: I II III IV V
OccupancyGroup A B E F HIM R S U
Division 1 2 3 4 I~_ 7S
Permit Fee ................................... $
/..:~5
Amount Brought Forward ..................!t,
Park Support Fee ........................... $
SAC ......................................... $
Collective Street Fee ..... .... .... .... ...... $
Sewer Tap ................................... $
$
Pressure Reducer .......................... $
Meter Horn ................................... $
Water Meter ................................. <I:
Sewer & Water Connection Fee ........... <I:
Water Tower Fee ........................... $
City;
Plan Check Fee ............................. $
State Surcharge ............................. $
Penalty ....................................... ~
Plumbing Pennit Fee ....................... $
Mechanical Pennit Fee ..................... $
Sewer & Water Pennlt ...................... $
Gas Fireplace PelTTlit ....................... $ Water Tap ................................... It
~:ish~~{ia~~g ~::""tf~~p~~ ~~~:;r~.~~~~s~~.:::::::::::::::::::::::::::: :
::~~tBofOccupancy ::~: T:(~.~...........::;~I~;~o$ cW.I~
This IS to certity !hat !he request In !he above appl~a'on and accompanYing documents IS In accordance with !he City ZOning Ordinance and may proceed as requestJ ~ 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.
24 hour notice tor all inspections 447.9850
Spacial Condrtions 1I any
Date
CilyPlanner