HomeMy WebLinkAboutBuilding Permit 99-0493
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
.~ 9.30
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION Ii\)
)sf FINAL A.;;..I 'tLI
o SITE INSPEc-.'ION
COMMENTS:
DATE TIME
SCHEDULIiD /J-3- ~~
~~~J;
CONTR.
PERMIT NO.
19-1..j9.:)
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
()k
/~ {Jo
~ORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector:
/I'--tZ
Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE,
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/
INSNOTJ
8~1
5/C;-/9,?
CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
1. White
2. Pink
3. Yellow
File
City
Applicant
,QATI= RFf':FIVFrJ
Permit No.
9tl~493
DIRECTIONS
SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN
BEFORE PERMIT IS ISSUED (Please Print or Type and sign at bottom)
.
-~
5D75/99
BUILDING INFORMATION
. 11. SIZE OF STRUCTURE
(Height) (Width) (Depth)
2'5930~/~ t!/1"
3. LEGAL DESCRIPTION
"
LOT
/5
12. NO. OF STORIES
BLOCK
C!4't1e {/ IN rl L Ie I 0 t!i€
4~N"&.I.A 5'930(~~~OWt1~76',1
5. ARCHITECT (Name) ~ (Address) "' (Tel. No.) I
.1
I
PID 25 - ~q'l-O,6-0
/U /lODN.
13. TYPE OF CONSTRUCTION
ADDITION
14. FLOOR AREA APPORTIONMENT USE
~~ ~~~~?Je
(Tel. No.)
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANT~
o/~~-7 ff/
7. TYPE OF WORK
New Construction 0
Fireplace 0
Alterations 0
Septic 0
Addition 0
Deck 0
Finish Attic 0
Re.roofing~ Porch 0
Ae-siding 0 ~inish Basement 0
SEAT..
Chimney 0 Misc.
8. PROPERlY AREA OR ACRES 19. PROPERlY DIMENSIONS 1'0. CULVERT SIZE
Sq. FI. Width Depth Yes 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 above mentioned property and that all construction will conform to all existing state and local laws and will proceed in accordance with submitted plans, I am aware that the
building 0 ' 'al can revoke thi~r? for Lus~ CjJse.~ermore, I hereby agree that the city official or a designee may enter upon the property to perform. n~e~ injlj.f;tions.
X . ~ 2otJ7R99-? 5/:-1/'1'9
.- Signature License No. . [fate ~
'VRf)bTog~~UJ
15J?91::?9~
1
I SETBACKS: Required
Actual
Front
BUilDING DEPARTMENT VALUATION
FOR ADMINISTRATIVE USE
MATERIAL FILED WITH APPLICATION
Back
Side
Side
SOIL TESTS
o ENERGY DATA
CJ
;ze- S ,qj~
OFF STREET PARKING
SPACES REQ.
SPACES ON PLAN
PERMIT VALUATION
PILING lOGS 0 PERCOLATION TESTS 0
USE OF BUILDING
PLANS & SPECS 0
SURVEY 0
SETS
COPIES
:::2m~~
PLOT PLAN
CJ
TYPE OF CONSTRUCTION: I II III IV V
OccupancyGroup A B E F HIM R S U
City:
Amount Brought Forward .................. 4:
Park Support Fee ........................... $
SAC ......................................... $
Collective Street Fee ....................... $
Sewer Tap ................................... $
$
Division 1 2 :3 4
Permit Fee .................. ......... .... .... $
Plan Check Fee ............................. $
State Surcharge ............................. $
Penalty....................................... $
7t.f.1~
J. Z.s-
Plumbing Permit Fee ....................... $
Mechanical Permit Fee ..................... $
Pressure Reducer .......................... $
MeIer Horn ... ........ ................. ....... $
WalerMeler ................................. $
Sewer & Water Connection Fee ........... ~
WaterTowerFee ........................... ~
Sewer & Water Permit ...................... $
~:: ::;;;:~ .(,~~:~~:I~i~~.~~:it Whenj\p.P~ved
By J{])];,T 'f4/'L. Date n fje;q
ce~ifical~ of Oc~an: - . .
Water Tap ................................... $
Builder's Deposit ............................ $
Other ......................................... $
Total Due .............................. $ 7C,. 0 ()
Paid 1(,.00 Receipt No. 35/3"/
Issued .
This is to certity that the request in the above appl~ation and accompanying documents is in accordance with the c~:;oni~ ~"::~:e ~nd may P'::'d f::::.d. This document whe~
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.
CityPJanner
Date
Special Conditions if any
24 hour notice for all inspections 447-9850