HomeMy WebLinkAboutBuilding Permit 99-0509
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDUL.ED
(o-u-'19 A.'1/
ADDRESS
.tj~5S
-;::;~ ,g,
OWNER
CONTR.
PHONE NO.
PERMIT NO.
99- Sd'j'
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
~FINAL
o SITE INSPECTION
COMMENTS:
o PLUMBING RI 0 EX/GRAD/FILLING
o MECH RI 0 COMPLAINT
o WATER HOOKUP 0 FIREPLACE RI
o SEWER HOOKUP 0 FIREPLACE FINAL
o PLUMBING FINAL 0 GASLlNE AIR TST
o MECH FINAL )( ~
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~RK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WO,' CALL FOR REINSPECTION BEFORE COVERING
Inspector: ID. Owner/Contr:
- /
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE,
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
INSNOTI
Amount Brought FOlWard .................. $
Par1c;SupportFee ........................... $
SAC ......................................... $
Collective Street Fee ............. .... ...... $
Sewer Tap ................................... $
$
Pressure Reducer .......................... $
Meter Horn ................ ................... $
Water Meter ................................. $
Sewer & Water Connection Fee ........... $
Water Tower Fee ........................... $
Water Tap ................................... $
Builder's Deposit ............................ $
Other ......................................... $
Total Due .............................. $ 7".00
7'-.0 () Receipt NO.~S7(' G-
Date 5"/""-/91 By JIt
This is to certify that the request in the above application and accompanying documents is in accordance with the City Zoning Ordina.:.ce and may proceed" 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.
~~
.QA TF Rr::r.r::J\{fQ
5""1%.-19'
CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
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)
2. SITE ADDRESS
4&E
3. LEGAL DESCRIPTION
f5
1. DATE
5/12/<19
B-z-
LOT
PU=A~ srR.-.
3
PIO zs-ooz-- 07.,-0
P;LOCK
ADDITION
eA-r6S nOON.
4. OWNER (Name)
-rf J2..12-V ~ U D-\ J r::t.11lA
5. ARCHiTECT ~ame) . - 1
(Address) I O,~
~q.:;At~~.
(Tel. No,)
447 . g-331
(Address)
(Tel. No.)
6. BUILDER (Name) (Address) (Tel. No.)
M,,~. ~~. ~.E (~CO~. -:t:rvc-. (p /z -7/7' :)3]..1-
~~ rj~9 ~-~4 (~Ct:!: PDIJd.:jJ~--\
7.TYPEOFWO K Fireplaceo.~o Deck 0 R:ro.J,in~ Porch 0
New Construction CJ Alterations 0 Addition (] Finish Attic 0 Re-siding 0 Finish Basement 0
Chimney [j Misc.
8. PROPERTY AREA OR ACRES
Sq. Ft.
/
./
FOR ADMINISTRATIVE USE
Front
Back
Side
Side
BUILDING DEPARTMENT VALUATION
OFF STREET PARKING
SPACES REa.
SPACES ON PLAN
PERMIT VALUATION
Z S<n> . CfO
USEOFBUILDING ~E:511Je...-
TYPE OF CONSTRUcnON: I II III IV V
OccupancyGroup A B E F HIM A S U
City:
Division 1 2 3 4
Permit Fee ................................... $
7<1.7~
Plan Check Fee ............................. $
State Surcharge ............................. $
Penalty ....................................... $
Plumbing Permit Fee ....................... $
/.7..-1""
Mechanical Permit Fee ..................... $
Sewer & Water Permit ...................... It:
~~: ;.y;~:~ .C;;;i~i~~.~~:it Wh~ f<;p':ovjiba
By~1espv... Date !!'f~
.. fOccu'
Certificate 0 pancy
Issued
Paid
City Planner
Date
Special Condilions W any
24 hour notice for all inspections 447.9850
1. White
2. Pink
3. Yellow
File
City
Applicant
Permit No.
CJc; - SOq
BUILDING INFORMATION
11. SIZE OF STRUCTURE
(Height) (Width) (Depth)
12. NO. OF STORIES
13. TYPE OF CONSTRUCTION
t 4. FLOOR AREA APPORTIONMENT USE
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS
SEATS
16. PROJECT COSTNALUE
17. COMPLETION DATE
MATERIAL FILED WtTH APPLICATION
SOIL TESTS LJ ENERGY DATA LJ
PILING LOGS LJ PERCOLATION TESTS LJ
PLANS & SPECS LJ SETS
SURVEY LJ COPIES
PLOT PLAN LJ