HomeMy WebLinkAboutBuilding Permit 99-0555
CITY OF PRIOR LAKE
INSPECTION NOTICE
DATE TIME
SCHEDULED
.
/N~-9'7
AX
ADDRESS
/~~!
/II~ .et.
OWNER
CONTR.
PERMIT NO. _ q q -..s::s- c::;
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
JBf FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
~~~
C~
~
o EXlGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o G~~~ AIR TST
,.)if r
~,
----.
~~/~
~RK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
:S::O:ECT ~: CALL FOR REINS:~::/::n::FORE COVERING
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYl
INSNOTl
~~
DATE RECEIVED
.s-//7/C?r
CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
1. White
2. Pink
3. Yellow
File
City
Applicant
Permit No.
qq -.555"
- DIRECTIONS
SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN
BEFORE PERMIT IS ISSUED (Please Print or Type and sign al bottom)
2. SITE ADDRESS
IY.;lY/ l\.J fflAU~,
1. DATE
5 -17~99
LOT
"2-
I
I
I
/y~ J<oqJ.14Yb-Y:~ I
(Address) (Tel. No.) ,I
.el
BUILDING INFORMATION
1,. SIZE OF STRUCTURE
(Height) (Width) (Depth)
f<r,A11
3. LEGAL DESCRIPTION
12. NO. OF STORIES
I 'L- BLOCK
BOJOlrJ-S L./77{
4. O~NER ,~)N~~~) J' r. _ J-..-
IrN~I2..
5. ARCHITECT I (Name)
PID -2.5-tz.4- 03/-0
ADDITION
13. TYPE OF CONSTRUCTION
14. FLOOR AREA APPORTIONMENT USE
6. BUILDER
(Name)
(Address)
(Tel. No.)
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANT"
~
SEATS
16. PROJECT COSTNALUE
7. TYPE OF WORK
New Construction 0
Fireplace 0
Alterations 0
Septic 0
Addition 0
Deck 0
Finish Attic 0
Re-roofing" Porch 0
Re-siding 0 Finish Basement 0
Chimney 0 Misc.
8. PROPERTY AREA OR ACRES /9, PROPERTY DIMENSIONS 10. CU~L~~~7 ;;L~
Sq. Ft. Width Depth Yes No
I hereby certify that I have fumished 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 mentioned property and that all construction will conform to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the
buil 'c; can r~v .. this . for ju use~rmore, I hereby agree that the cily off;clal or a deSlgn,ee may enter upon the property to perform needed Ins~~s.
X 5 - 17- '7''-1
T License No. Date .
),. COrJIPLETION DATE
-
FOR ADMINISTRATIVE USE
SETBACKS: Required
Actual
MATERIAL FILED WITH APPLlCA TlON
Front
Back
Side
Side
SOIL TESTS
o ENERGY DATA
D
BUILDING DEPARTMENT VALUATION
/2.6 S /'[/1'-
OFF STREET PARKING
SPACES REa.
SPACES ON PLAN
PERMIT VALUATION
PILING LOGS 0 PERCOLATION TESTS 0
USE OF BUILDING
PLANS & SPECS 0
SURVEY 0
SETS
COPIES
zm,a()
PLOT PLAN
D
TYPE OF CONSTRUCTION: I II III IV V
Occupancy Group A B E F HIM R S U
City:
Amount Brought Forward .................. $
Park Support Fee ........................... $
SAC ......................................... $-
Collective Street Fee ....................... $
Sewer Tap ....................................It
$
Divisicm 1 2 3 4
Permit Fee ............................... .... $
74. ,">
Plan Check Fee ........ ..................... $
State Surcharge ............................. $
Penalty ....................................... $
I. G,..'
Plumbing Permit Fee ....................... $
Pressure Reducer .......................... $
Meier Horn ................................... $
Water Meter ................................. $
Sewer & Water Connection Fee ........... $
WaterTowerFee ........................... It
Mechanical Permit Fee ..................... $
Sewer & Water Permit ...................... $
:~JJ~~~:;.~/7'1:r'J
I ~- I
Certificate of Occupancy
Water Tap ................................... $
Builder's Deposit ............................ It
Other ......................................... <I'
Total Due ......"""...."""".."" $ '-](,. UU
Paid "7,1' . (/\) Receipt No. :;;; ~I S'2-
Issued Date =::/n/Q'1 By 1J/1 ~ .
This is to certify that the request in the above application and accompanying documents is in accordance with the City Zoning 6~e and may proceed Is 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.
CRy Planner
Date
Special Conditions if any
24 hour notice for all inspections 447-9850