HomeMy WebLinkAboutBuilding Permit 99-0539
CITY OF PRIOR LAKE
INSPECTION NOTICE
DATE TIME
SCHEDULED
/o-u-99
A-I.'""
ADDRESS
</!a2o
~~~,
OWNER
CONTR.
PERMIT NO. 19 - .53 ;7
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
llr'FINAL
/0- SITE INSPECTION
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 GASLINE AIR TST
;a- ~
~ '
-
-~ -51
-,-./
COMMENTS:
/ uzJ/ d,
,,-.- .-
( ('7/ ~
'---
--
/
~RK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WO~ALL FOR REINSPECTION BEFORE COVERING
Inspector: V r t Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ".I)VAI\I~S
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/
INSNOTI
.._,.._---_._._----_.~"-_._-"---..,-,-----,-,_.__.__..- .. - -._.__._.._-_._--_.._--~_.,_.-
~~
DAn:: Rj:~~lV.EQ.
CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
5"/13 11q
I DIRECTIONS
SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN
BEFORE PERMIT IS ISSUeD (Please Print or Type and sign at bottom)
12. SITE ADDRE~
f4 (0 B)O () IJ"J,o -h. ~ { .
3. LEGAL DESCRIPTIO~
LOT 7 - f)/J( l>
1. DATE
BLOCK
5- 13 -- ~ 7
t2'
PID J:i -rol - 0 s-&-- /
ADDITION
4. OWNER (Name)
'^^ \r-~"pr (-<(Fe'S
1. White
2. Pink
3. Yellow
File
City
Applicant
Permit No. qq -53>1
BUILDING INFORMATION
11. SIZE OF STRUCTURE
(Height) (Width) (DeptH)
12. NO. OF STORIES
f
13. TYPE OF CONSTRUCTION
(Address)
(Tel. No.) 14. FLOOR AREA APPORTIONMENT USE
(P/Z LfIfD 737if
5. ARCHITECT
(Name)
(Address)
(Tel. No.)
6. BUILDER (Name)
Cvs\<?"'1 LOf\CC p45
(Address) n r, (Tell01 07
1..5a5 E. Cl~ ff l'P {91? 7
.!?,vms-vI/l{' {\I1rJ5S:? 617 '11'-f '"5
7. TYPE OF WORK
New Construction 0
Fireplace (]
Alterations 0
Septic 0
Addition CJ
Deck 0
Finish Attic 0
Re-roofin~ Porch 0
Re'sidin~ Finish Basement 0
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS
SEATS
16. PjlqJECT F~STNALUE
""(Oud
17. COMPLETION DATE
/4 c{ap
Chimney 0 Misc.
la. PROPERlY AREA OR ACRES 19. PROPERlY DIMENSIONS 110. CULVERT SIZE
Sq. Ft. Width Depth Yes No
1 hereby certify that I have fumished information on this applicati which is to the best of my knowledge true and correct. I also certify that I am the owner rJ authorized agent for
the above mentione~prope and that all con ction will to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the
building offic~~revo Hfl~~. tor' use. ore, I hereby agree that the city official or a deSignee'l~nter upon the property to perfo..!!Jl needed inspections.
X '_ ."1 . ~ y _ 2.0 14 2 L.[ / .:>~/~~9-7_
~ ~ ignat re 'UcenseNo. Date
FOR ADMINISTRATIVE USE
Amount Brought Forward .................. $
Park Support Fee ........................... $
SAC ......................................... $
Collective Street Fee ....................... ,'f.
Sewer Tap ................................... $
$
Pressure Reducer .......................... $
Meter Horn ................................... $
Water Meter ................................. $
Sewer & Water Connection Fee ........... $
WaterTowerFee ........................... $
Water Tap ................................... $
Builders.Deposit ............................ If:
Other ......................................... $
Total Due .D.......................... $ -/& ,W
Paid 1/0 P Receipt No. ~~ '5 II I
Issued .
Date '5--f~..qtj By (~ d
ThIS IS to certify that the request In the above application and a~w" 't'''" '1 mg documents IS In accordance WIth the City Zoning Ordinance and may proceed as r~ested 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.
SETBACKS: Required
Actual
Baok
Side
Side
Front
BUILDING DEPARTMENT VALUATION
b.s RIlL
I
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
PERMIT VALUATION
d5CO .0()
USE OF BUILDING
TYPE OF CONSTRUCTION: I II III IV V
OccupancyGroup A B E F HIM R S U
Division 1 2 34 1'-1,75"
Permit Fee .................. ......... .... .... q:
( - .).~
City:
Plan Check Fee ............................. ct
State Surcharge ............................. <I:
Penalty ....................................... ot
Plumbing Permit Fee ....................... cr::
Mechanical Pennit Fee ..................... cr::
Sewer & Water Permit ...................... $
Gas Fireplace Permit ....................... $
This Application Becomes Your Building Permit When Approved.
~ D~
CertIficate of Occupancy
MATERIAL FILED WITH APPLICATION
SOIL TESTS Lt ENERGY DATA Lt
PILING LOGS 0
DLANS & SPECS 0
SURVEY Lt
PERCOLATION TESTS 0
SETS
COPIES
PLOT PLAN
Lt
24 hour notice for all inspections 447~9850
Special Condilions ff any
City Planner
Date