HomeMy WebLinkAboutBuilding Permit 99-0494
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS / L( ~ f? ?
DATE TIME
10 -1<;"-19
Ar.r-;
OWNER
6te-~j.t2 4'j~ Tie-.
CONTR.
COMMENTS: ~
~ ~ ~ d~J
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING ~
o INSULATION
lJ'"FINAL
o SITE INSPECTI N
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
c
(~.;; n~~
19 - q''1 Lj
o EXIGRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
LRK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WOU. CALL FOR REINSPECTION BEFORE COVERING
Inspector: f4. . Owner/Contr:
J
CALL "7-9860 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCI;,
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH.. SAFETY!
INSNOTJ
.~.,-'--._--..,.__.-..-
New Construction CI
Chimney 0 Misc.
18. PROPERTY AREA OR ACRES \9. PROPERTY DIMENSIONS 1'0. CULVERT SIZE
Sq. Ft. Width Depth Yes No
I hereby certify that I have furnished 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 that all construction will conlann to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the
:U~kJi~Z;e~~;%~:m~re, I herebyagree1hat:1tBffoa~ ?~l?f3enteruponthepropertytope~/s79srs
Signature Licef1se No. Date
..I.~~X PR~O-?<"
t:: ~
U rn
DATE RECEIVED
=>/5/"'1
CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
r AND UTILITY CONNECTION PERMIT
DIRECTIONS
SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN
BEFORE PERMIT IS ISSUED (Please Print or Type and sign at bottom)
1?1tfR7S~~ :h,
1. DATE
5'/5'/99
3. LEGAL DESCRIPTION
LOT
/.eo
2-
PID 26-280,03e - 0
BLOCK
ADDITION
"'A',p.{~6 /{IU.-> 2 NO
14~ ~/.. /~'?7~,0~:;t:e'));)():?/5"9
5. ARCHITEC'r
(Address)
(Tel. No.)
(Name)
~m~
?'3i-t ~??.q, ;~;:7?cP /
Septic 0 Deck 0 Re-roofingp.(' Porch 0
Addition 0 Finish Attic 0 Re-siding 0 Finish Basement 0
7. TYPE OF WORK
Fireplace 0
Alterations 0
t. White
2. Pink
3. Yellow
File
City
Applicant
,
Permit No.
Q9'- 4-Cf<j
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
OCCUPANTS
SEATS
16'707S~
17.57)979~
FOR ADMINISTRATIVE USE
MATERIAL FILED WITH APPLICATION
.,ok Side Side SOIL TESTS 0 ENERGY DATA 0
OFF STREET PARKING PILING LOGS 0 PERCOLATION TESTS 0
SPACES REO. PLANS & SPECS 0 SETS
SPACES ON PLAN SURVEY 0 COPIES
PERMIT V ALUA TION 7 m,VL- PLOT PLAN 0
Amount Brought Forward .................. $
Park Support Fee ........................... $
SAC ......................................... $
Collective Street Fee ......... .............. $
Sewer Tap ................................... $
$
SETBACKS: Required
Actual
Front
BUILDING DEPARTMENT VALUATION
USE OF BUILDING
I2e /"I'lL
TYPE OF CONSTRUCTION: I II III IV V
Occupancy Group A B E F HIM R
Division 1 2 3 4
Permit Fee ................................... <::
S U
City:
7<-1. 7<i'
Plan Check Fee ............................. $
State Surcharge ............................. !I:
/.l--f'"
Penahy ....................................... <::
Plumbing Pennit Fee ....................... <t
Mechanical Pennit Fee ..................... $
Pressure Reducer .......................... $
MeterHom ................................... $
Water Meter ................................. $
Sewer & Water Connection Fee ........... $
Water Tower Fee ........................... $
Water Tap ................................... $
Builders Deposit ............................ $
Other ......................................... $
Total Due .............................. $ /~~OO
Paid 7 (po cO Receipt No. J, r'j '3 <;-
Issued ".
. Date >/, fer"} By 'L-
This is to certify that the request in the above application and accompanying documents is in accordance with the City Zoning Ordinance and may proceed as 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.
Sewer & Water Permit ...................... $
Gas Fireplace Permit ....................... $
This A~>>"n .Beco",.(. VMlluilding Permit Whi- AfiP/?2j'
By /~ .7~ Date 5) r,/
Certificate of Occupancy
24 hour notice for all inspections 447-9850
Special Conditions ~ any
CltyPlanner
Date