HomeMy WebLinkAboutBuilding Permit 99-0537
CITY OF PRIOR LAKE
INSPECTION NOTICE
DATE
~/U jq1
TIME
SCHEDULED
/1.(,
ADDRESS
c2{p 71
-
SI'IIIiTE:e-
OWNER
CONTR.
PHONE NO.
PERMIT NO.
q q - 53 7
o FOOTING 0 PLUMBING RI 0 EXCIGRAOIF1LLlNG
o FRAMING @ 0 MECHANICAL 0 LKSHOREIWETLAND
o INSULA liON :/);. 0 WATER HOOKUP 0 COMPLAINT
~ FINAL T , 0 SEWER HOOKUP 0 SEPTIC FINAL
o FOUNDATION 0 SEPTIC INSTALL 0 FIREPLACE
o DEMOLITION 0 PLUMBING FINAL xf py)r; HAJ4-l--
o FIRE PREVo 0 SITE INSPECTION ( -
COMMENTS: ~A/V) (l ~
r ' , .....J -LA
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~
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~K SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WOf1'\L'f'JR REINSPECTION BEFORE COVERING
Inspector: _ N r I OWner/Contr:
CALL 447-4230 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.,
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
"
(Address)
AM,tle',,- 'i5CJ8 L~.j4/~ 4.1< S
7. TYPE OF WORK Fireplace 0 Septic a Deck 0 Re-rOOfin~ Porch 0
New Construction 0 Alterations 0 Addition 0 Finish Attic D Ae-siding 0 Finish Basement 0 16. P]OJECT COSTNALUE c::s l)
Ch;mney 0 M;sc. :t> 5"3 0 D -
. , .
8. PROPERTY AREA OR ACRES 19. PROPERTY DIMENSIONS 110. CULVERT SIZE 17. COMjE1ION D?TE
Sq. Ft. W;dth Depth Yes No 5 2. 0 / 11
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 mentione 5pe t 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 offic. rev pe It for just cause. Furthermore, I hereby agree that the city official or a designee may enter upon the property to perform n eded i actions.
X ~ / 42.014/410 SIl
#' nature License No. Da
DA TF RFr:FIVr;D
CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
5-13-1'1
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
2 In'" I Sa.. ",.J-~~ \1' \ .
I LOA; /'1/'11.
3. LEGAL DESCR~TION
LOT '1
ADDITIONS/, IJ ~
PtD $ -d. 7/. (Jot; -0
Vr '/ ft2qe.
:m;
/
~q1k~
(Address)
'2.(,71 S...d(( -rr'
(Tel. No,)
"'45- /.00"3
4, OWNER
I ..../:....,
5. ARCHITECT
(~ame)
l)."'jl....s
(Name)
(Address)
(Tel. No.)
(Name)
((<.'4' 0 0-"
(Tel. No,)
(,t2-'t!ff-
'\$440
6 g' 'll8[R
FOR ADMINISTRATIVE USE
SETBACKS: Required
Actual
Front
.,ok
Side
Side
BUILDING DEPARTMENT'1:LUATION
USE OF BUILDING ds Ifll<
OFF STREET PARKING
SPACES REO,
SPACES ON PLAN
PERMIT VALUATION ;)5[)() .['f(j
TYPE OF CONSTRUCTION: I II III IV V
Occupancy Group A B E F HIM R
Division , 2 3 4
Permit Fee ................................... $
1. White
2, Pink
3. Yellow
File
City
Applicant
Permit No.
t(t(^537
BUILDING INFORMATION
11. SIZE OF STRUCTURE
(Heighl) (Width) (Depth)
12. NO. OF STORIES
2
13. TYPE OF CONSTRUCTION
--
14. Fl:OOR AREA APPORTIONMENT USE
1> 2. ,'"2 dc>
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANT. 'Z.
SEATS
MATERIAL FILED WITH APPLICATION
SOIL TESTS 0 ENERGY DATA 0
PILING LOGS 0 PERCOLATION TESTS 0
PLANS & SPECS 0 SETS
SURVEY 0 COPIES
PLOT PLAN 0
S U
1'-/. 7~
I'd.::;
Amount Brought Forward .................. ~
Park Support Fee ........................... $
SAC ......................................... $
Collective Street Fee ....................... $
Sewer Tap ................................... $
$
City:
Plan Check Fee ............................. It
State Surcharge ............................. 'I::
Penalty ....................................... $
Plumbing Permit Fee ....................... $
Pressure Reducer .......................... ,0;:
Meter Ham ................................... $
Water Meter ................................. $
Sewer & Water Connection Fee ........... $
Sewer & Water Permit ...................... It WaterTowerFee ........................... $
TGha'SsFire, cenPermlt '-el.Y...o.........x.,'A.,ri,!,...~~...etw.henApproved, Water Tap ................................... $
, of/tI3'fJ.~. Builders Deposit ............................ $
B~ ! ~~. iP~ Other ......................................... $
CertltlcateofOccupancy Paid T07~e7'2.:...........~~~~,~;~o$ -jZJj-((r~
Issued
Date 5"- /3 --it 7 By ()
ThiS IS to certify that the request In the above application and accompanYing documents Is In accordance with the City Zomng Ordinance and may proceed as rei(~sted. 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.
Mechanical Permit Fee ..................... $
24 hour notice for all inspections 447-9850
Special Conditions n any
City Planner
Date