HomeMy WebLinkAboutBuilding Permit 99-0547
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
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CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
)It' /" cJ
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
J.!" FINAL
o SITE INSPECTION
COMMENTS:
DATE TIME
SCHEDULED
/~,t2r9? A.f.
I~{) t!:- k,
CONTR.
PERMIT NO.
'1 9 - 5 </7
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
~/2.,.r:J
~
~RK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
~I
Inspector:
OWner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE..
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
-_.._"-'-_.~--
INSNOTl
'6. PRPJioCoOt)UE
. l
19. PROPERTY DIMENSIONS 110. CUl.VEAT SIZE 17. COMPLETION DATE
W,dth Depth VIIS NO 5". W . 9'9
lu hiitdi lro.formation on this ap~lcarkln whltt'l ts to the Ctil of my knowte<:lge IT1.I8 tinei' correa. 10\1:00 C&HUfy lNill i'lm (hi!! owner Of RUI~riud ilI94h"lllor
and \hat aU eonalnJC'lOn will conform 10 sllnlsUng S~le a.na ~l ~Mi and wiN proc.eeclln 8CCOn:sance wtth submille<l glans. I am :~t\ellhe
_~~$e. Furthermore. I her~ agrselhal t"eczo/(~ 9~~enl8ruoon the property IO~rfoW~i~
SlgrIII'..... ...... - Lw..s.NO. f Oz.. 7
AmoUl\18rovght Forwill'd .................. S
Perle Suppo., Fee ............___......~..... S
SAC ..........................................
CoNective Glrocl Fee ....-.............. .... $
SewerTap .........._...........n........... $
S
Pres&ur. AeduclM' .......n................. S
MeterHom ................................... S
Wal.rMeter ......n___...................... S
S&wer&WaletCOl'\l'IeclionFee ........... $
Wa\erTowtrFee ........................... $
Water Tap ..........._....................... $
eu""'....O'posll: ...............n........... S
Oll'l., ......................................... S
~/(.,vv
Total Due .............nn............. S
Pol. .7C,.crv _No. ~~r7"
DolO s-!r<fltic, By.f#-
l'hIIb to cenIfy Ihaf" "'Cluest in Ih8 above .~ and . . documenls Is In au:or~nce ~th ... Cll)' Zclnhg ..... . _ and mlI:y procc&d-' r'Iiq'U8:ItOd. Thil doc::ume,., wh8n
5ignIGOVrt'l8C1ty P\arm..COf'tSttlAesa, OtrVbwol Zonitlg.. ..J. ~. and abM$ conlllrudloo to .. .c, BefDl'll OCCl.Ollncv. aCenlf\ca.oI~fh.lStbe"_.
~~
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()"TF R~CflV(:n
CITY OF PRIOR LAKE
BUilDING PERMIT.
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
o~qk
---"
I DIRECllONS
SPACES NUMBERED 1 THRU 17 MUST BE FILl-EO IN
BEFORe. P'ERMIT IS ISSUEO (~".UI Pl'lrw 0' T)'~ and _It;g" :ill Dcllioml
12. srrE AllDRESS t1dlD I Lff)fb. Sf- N ~
3. LEGAl. DESCRIPTION
lOT h~ ,Ar6'pvOO,.)BlOCK
I '.DA5-Jt{.q1
fff
PIO c1'5 ...Lj;)"'l- rYJ(o -3
ADomON
tW70 [~Dm sf N~
tf1to: /J6::2~
'PV:;:ER (Name)
L..i.IrP){\ ffll;~-vt"
~ 5. ARCHITECT -vv:ame) (.A.ddress)
6. BVlLl)ER (Name) (Address)
~ l?f)tf1 Nu:AJ/1ef Ave 5 1bvvrV'60/(l-, MN
(Tel. NO.)
(Tel. No.)
1D1'~151
7. TYPE OF WORK
New Consll\lCllon 0
ChltMey 0 MIsr
8. PROPERTY AREA OR ACRES
5Q.Ft
SepliC 0
AdCSirlonO
Deeter)
FintsnAll'c(l
r
As-roollng ~ POrch 0
A~ng 0 Rnlah ~8em81'1t 0
Areplace n
.AlleraUOns 0
.
o
FOR ADMINISTRATIVE USE
SETBACKS: Required
Aeluol
Sid,
f....
9lm.OING De:P~ATMENT VAt.VA TION
.W<
....
use: Ofl 8UILDING:
P'r-:0 Af L..
OFF smeer PARKINQ
SPACES J\l;EO.
SPACES ON PLAN
PER...rrVALUAllON ~,..-,v, crt./
TYPE OF CQN$"I'1\UCTlOJt: I n III IV v
"""","ncyC_ A e E F HI'" R S U
P.""" Fe. ..........~..:...~..~..~... $. 7 <-( . 7 r
'&en ChIICk Fee ............................. S
C1V
$11.18 Surct1arge ............................. S
f. Z.r
Pens1ly ....................................... S
PIvmblr'9P8rrnIlFN ....................... $
Mechlnlcal Permll Foe ..................... S
$ewer II Water Permit ...................... S
By
CetlJfIeateof
ISSued
9~1D
L While
1. Pink
~ Yell()W
f'j~
CilY
^Pf'lieaJllgif
Permit No. !l2.. ~ 5 t../ 1
BUILDI,.,a INFORMATION
". SIZE OF STRUCTURE
(1-1.1 (Wldml (OeplPll
12. NO. OF STORIES
'.$'E2~rz;;;~ON
14. FLOOR AREA APPORTIONMENT USE
15. NUMBER OF OCCUPANTS OR SEATS
OCCUP ANTR
SEATS
MATERIAL ALED WITH APPUCATlON
SOIt. TESTS 0 ENERGY DATA 0
PIUNG LOGS 0 PERCOLATION TESTS 0
PlAN.~" SPECS 0
SURVEY 0;
PLOT Pl.AN n
SETS
COPIES
"._,..~W.I~klnS 4"7-M~
$oK.. CondlllD"lll"f
c,,_
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