HomeMy WebLinkAboutBuilding Permit 99-0487
COMMENTS:
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~ORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector:
/Y\..A. Owner/Cantr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTI
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DIRECTIONS 1.0ATE
SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN 05-C6-QQ
BEFORE PERMIT IS ISSUED (Please Prlnl or Type and sign at bottom) BUILDING INFORMATION
2. SITE ADDRESS - (o()(p '2> \ P\n~ IZI >..0 11. SIZE OF STRUCTURE
S\{U-'( ~..(:, (Height) (Width) (Depth)
3. LEGAL DESCRIPTION 12. NO. OF STORIES
LOT BLOCK PID ~-/ZIo - ()Os- 0
6('~ 13. TYPE OF CONSTRUCTION
ADDITION OrlIG
:
4. OWNER t \ (Nametto.. (, ~~ess\f' .,A.. ~>t(0 . (Tel. NO.) 14. FLOOR AREA APPORTIONMENT USE
, ...J^ . .I'\I~' =-.f\"':'-
5. ARCHITECT (Name) \J (Address) (Tal. No.)
6. BUILDER (Name) (AddresS) (Tel. No.) 15. NUMBER OF OCCUPANTS OR SEATS
toA~L ~~, IN.. 181..\4 \'5~ s-v.l L\L\\-1.-42..-4 OCCUPANTS
7. TYPE OF WORK Fireplace ('J SepticCl Deck 0 Re-rootin~. porch LJ SEATS
New construction LJ Alterations LJ Addition LJ Finish Attic LJ Re-sid\ng LJ Finish Basement 0 16. PROJECT COST N ALUE
Chimney 0 Misc.
B. PROPER1Y AREA OR ACRES 9. PROPER1Y DIMENSIONS 10. CULVERT SIZE 17. COMPLETION DATE
SQ.Ft. Width Depth \ Yes No
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. C., '^ . _^ _ 2no~')2 (0" rFr "". '1')
~ U s""",,lIi' L<"" No. 03"
FOR ADMINISTRATIVE USE
SETBACKS: Required MATERIAL FILED WITH APPLICATION
Actual SOIL TESTS 0 ENERGY DATA 0
Front Back Side Side
BUILDING DEPARTMENT V ALUA TION OFF STREET PARKING PILING LOGS 0 PERCOLATION TESTS 0
FYIie- ~ SP ACES REO. PLANS & SPECS 0 SETS
USE OF BUILDING J2e:? SURVEY 0 COPIES
, SPACES ON PLAN
PERMIT V ALUA TION ;2-~'vV PLOT PLAN 0
1YPE OF CONSTRUCTION: I II 1\1 IV V Amount Brought Forward .................. $
Occupancy GroUp A B E F H I M R S U City:
Division 1 2 3 4 1c./.7S Park Support Fee ........................... $
Pennit Fee ................................... $ SAC .........................................$
PlanChec\<.Fee ............................. $ collective Street Fee ....................... $
I:Z\ Sewer Tap ................................... $
State surcharge ............................. $ $
penalty....................................... $ Pressure Reducer .......................... $
Plumbing Pennit Fee ....................... $ Meter Horn ... .... .... ........................ $
Mechanical pennit Fee ..................... $ Water Meter ................................. $
Sewer & Water Connection Fee ........... $
Q/loTF.. RI='r.I='IVED.
0/5/cq
CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
1. White
2. pink
3 YelloW
File
City
A.pplicant
~
~~
Permit No.
qq- 461
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Water Tower Fee ........................... $
Water Tap ................................... $
Builder's Deposit ............................ $
Other ......................................... $
!;ewer & WaterPennlt ...................... $
Total Due .............................. $ ,1,.00
Paid 71.. co R.colptNO. 35'/1"-
oat. <;,/>/11 By ~
J10 abOVe application and accompanying doCum.nts is in accordanc. wttl1 thO City Zoning Ordinance and may proc..d as requ.sted. This dOCum.nt wIl.
,utes a temporary Certiflcat. 01 Zoning complianoe and alloWS construction to comm.nce. Before occupancy. a Certl1~ate of OCCUpancy must be issued.
special conditions ~ any
Dale
24 hoUr notice tor all inspections 447-9850
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