HomeMy WebLinkAboutBUILDING 01-0133
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
DATE TillE
5.7.ot
/
/I.ooSq MndTGIoG6 (!AIL-
ADDRESS
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH R1"
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
01. 0133
o EXIGRADlFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
.0 G~L1NE AIR TST
tv:::"5 J 0' ~r 6,
I I , v
~'-os~
DIJ PI" or I ()
7716 PI 06
j/vAe...r/vITV
I
o WORK SATISFACTORY. PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector:
Owner/Contr: .
,CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS A.RE FOR YOUR PERSONAL HEALTH & SAFETY!
/NSNOTI
04/09/99 FRI 09:45 FAX 6124474245
CITY OF PRIOR LAKE
~002
DATE RECEIVED
3-/-0/
CITY OF PRIOR LAKE
BUilDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
I. Wbite
1 Pink
3. YcUow
Fil"
City
AppliC'IIll
Permit No.
0/- 0/33
. DIRECTIONS
SPACES MUMee"ED 1 THRU 17 MUST BE FILLED IN
BE~ORE PERMIT IS IssueD l'let>>e Pnnl or Type &q<l 51gn It bOLIOm)
2. SITE ADDRESS
:JfpOrcJ C~~/I.:d~ ~ ~;It. S C
3 LEQAl. DeSCRIPTION
LOT 4- . BLOCK Z
PR-/OIC ~F'..5
1. DATE
:I.~ -;2 ~,.t) /
BUILDING INFORMATION
1\. SIZE OF STAVCTVRE
(H8ig11l) (WIGIhI (~)
12. NO. OF STORIES
ADtlmON
.PIO 25-00Q-(X)C:;'O
2ND RODAl '
13, TVPE OF CONSTRUCTION
(Name) (Alldress)
.:::r,.~ :S"",/ /(," s-ci CA-t,,~4..'4Jr
(Name) (MOrm) II'
JINo~a\IJl BEIIOD~G.INC.
(ttI4'atb Avenue Soutf!ldms)
~, MiDne80ta 55843
~11
> :r. TYf"E. OF WORK ~~ a Deck 1:1 Re-roofIng 1:1 Porctl 1:1
NewCOI1&lrucllonl:l A. '-x.r.n'!J FlnilinA\tlcO Al,eldln9~ FlnlsnBasemwntO 115. PROJel..1 <.'....STNALUe
Chlmneyl:l MIec. W,~f)tJS ~,("1,t.,L~ O~ (~ t r;g
8. PROPERTY AREA OR ACRES 9, "I.....' /O,..1Y OlMl!NsfONS '0. CULVERT SIze 1'l. e,;J~LETION DATE
Sq. Ft. /J Width Daptl Yes No 7 -,2. Y - CJ I
I n'reby~1 hew .shed Informetion on lhiS appIlclllon MUch it to 1M l)8Sl 01 my lcnowl~ tnJ, and __.. ... I :iISO centfy tmil I 1m the owner or ,l/lhOliZad BgIII1l tor
1h8 ebo.... P ~ "'1I~n I .." JCtlan willCO/'llOrm 10 aU ;.."./ '.. sl8leand 1~llaW$ and will proc;..d in,... :. nCII wiII'l sullmil!lld plllrn1. 111m aWl"' ltIattllu
bUl101nv U) ;"; ,.)Ifj . P,,""ermore, I hIIreby agreo lIlat ltIe QIty olIic'" or a dlIaiQl'lM may elllllr upon ltIe PfOIl8rtV to IlIIrform needed ir-;p8Ctionr.
X V V / Ziti 0/ 29/ to 2' - l. f.JJ -a:J /
. Sipl8IIl<e UcenH No. 011II
4. OWNER
)( ;(' oee
5. ARCHITECT
(T'1. NO.li't' L
~;c. StE +€~7~ $"1/7
(Till. No.)
14. FlOOR AREA APPORTIONMENT USE
O. SUILDER
(Tel, No.)
15, NUMBER OF OCCUPANTS OR SEATS
)(
OCCUPANTS
SEATS
FOA ADMINISTRATIVE USE
FIOnI
ll8Ck
SlcI8
$ode
MATEAtAL FILED WITH APPLICATION
SOIL TESTS 0 ENEMY DATA 0
Sf:T1lACKI: A41qulred
Actual
BUILDING OEPAFlTMliNT VAlUATION
OFf S'mEET PARKING
SpACES PlSO.
SPACES ON PLAN
PERMIT VAlUATION
PII.ING LOGS C PERCOLATION TESTS 0
USE OF BUILDIN6
PLANS & SPECS 0 SETS
SURVEY 0 cOPies
PLOT PlAN
o
TYPE OF co. I,,) ',JCTION: I II III IV V
OccUl)a/lCY Grouo A B E F HIM PI S U
Perm~ FeI ..........~::...'...~...~..~... s 7 L/. 7~-
City
Amount Sroug/1t Forward .................. S
Pal'l< suppon Fee ........................... S
SAC ......................................... $
ConOClive Street Fee ....................... $
SlIWtlr Tap ..........._.. ..................... S
S
Pl85SlIreR.lluc.r ..........................5
Met.rHOt'l\................................... S.
Water Meter ........................... -....- 5
S_t&Wat...Conn~donF_ ........... $
Pllln CtlIK:Il FII8 m.......................... S
S1a1e Sun:h8tg8 ............................. .,'
/. z. S-
PenaK)" ..... .................................. $,
Plumbing Permit FII8 ........................ ~
MeC:IlIOil:a1 P8""bFe. ..................... S
6ewGr& WeterPermll ..................,... $
WlIterTowerFII8 ........................... S
GaaR ,_"" Pennb ....................... $ WllerTap ................................... $
ilIIs,... ., "an Bec:of'Ilfi your PuIIding PlIIn1lt WllII1 AJlpQved. Buildsfs 0lIp0sIl ............................ $
By Dale OIh9r ......................................... S
Cenltlclte 01 0CQlpa!l<:y T01lII Cue .............................. $ "7 ~# t:.if.L
luuld Paid 7~. 0 () Aecelp1 N9. 3 905 C:7
Dale 3-1- 0/ By ~
n... ii III clII'lIfy 1hIt1h81l1q1J111t III lI1elbovv appIIcatJon iIIld a.......... /Ing docuIn8nlS I$It1 aC(;Ol'dance wt\h 1heQ,y zonlllg 0I0Inanc;e end may. .., I j" fIJO,uf1lIfltG. TI1" <lOC\lment wnen
Slgnedby till ClIy Planner ..',. ,JIII& a Iflmpolllly Cenilicalll oIZOI'ling ..,..t,.nQIland 811owSeonstnJction (g .. ,:IC8. llelore occupancy. I C., , .,,, oIOccu~ mus1tll1lSSUllCl
C1ll'P",",
Dale
5PKIlII CQI'Ili\Ian!: . atly
24 hourl'lOliCe for 1_1rw" ..1., i 447.9850