HomeMy WebLinkAboutBuilding Permit 99-0556
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED'
;-Z5-19
M
ADDRESS L/: q lfq
ACMWt; ~r
OWNER
CONTR.
PHONE NO.
PERMIT NO.
q,/_ G'~,"
o FOOTING
o FRAMING
O...)NSULATIONf"\.
% FINAL ~
o FOUNDATION
o DEMOLITION
o FIRE PREVo
o PLUMBING RI
o MECHANICAL
o WATER HOOKUP
o SEWER HOOKUP
o SEPTIC INSTALL
o PLUMBING FINAL
o SITE INSPECTION
o EXC/GRAD/FILLlNG
o LKSHOREIWETLAND
o COMPLAINT
o SEPTIC FINAL
o FIREPLACE
o
\ \,\;
~~
_J ./
h \,.( \
/
/
o ORRECT ACTI . J PROCE D
o CORRECT WORK AL t FOR INSPECTION BEFORE COVERING
Inspector: Owner/Contr:
CALL J7-423o.FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE R~MENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
".OW,,* ~;-mLIe.fci, m A"
1$, AACHITECT tN.me)
.;U~C.ERD ./;Na:" /J ..J m~~~cv- J;"'lfrau;;.tt~77
l.--(;)f) Qm(~ fl.{JQ!l1. f( CiYJS'(. IZ /fl'l/! C-
7. TYPSOF.WORK Flrep~CII0 Septic!) OeckO Fle-roaling)l( POfl::hO
N,w ..... '-"' ",:)ltC Alteratklns 0 Ac:ld'llton" Finish AUla'" Re-lktIng n F'fnltn euemontn
ChlmntyO Mlle. ~__'_,_ ,__, .'.0.'__.'___'
I e. Pfl\OPEATY AREA OR ACRES 19. f)F=!OPEATV C>>MEN$IONS 1'0. cut VERT SIZE
Sq. Ft. . Widlh OOOlh Yn No
\ "'-~by ctrtIty DiM I "'*1tW fuml.!tled informotlon en 1hlS aPPliaatlon which Is to lite bM'lf oi my knowlodg. 1m. ancj t:a~. I 1110 eIM1fy thai ram Itl. 0lM'\0I' Of ilUthorlZed agMlt 101
tn. ~QVti m..,~lo PmDOf1y and hel all aoneuuelion will conform to tk _:lei,ring Slale 8nd 1ocollllWI .nd ~ ptQC&ed in .l;OOt4l1tlctlwftn IUbmitted pllln5. lam =WlIre that tne
building ofC\Qral reYOlCe this ror jl.1st caUH. I='UI'II'l*fmOrw,' n.r.by a910llhlll the Cily.qllclllllUf a d"i.net may ,"'lIIr upon me pfClpllrty 10 P.rfD~ldacllntpOdicx\t.
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, . natur. I.IC*lIKl No. ~
13:1~ FAX 612447424~
CITY OF PRIOR LAKE
DATl= 1=lJ:~IfIVJ=D
CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
I DIRECTIONS 1.0ATE
SPACt!S NUMBERED 1 THRU 17 MUST Be I'1llED IN C./(/ q Q
BEFORE PERIIII'T 15 ISSUED (Pleaa. """lor TY"Und ~g" at bottom) :J -I' 7 / { {
li.SITEACCRESSllO/;O . _ / S' c
7 7 I 7 HI/1m:JBrIf' . {:... ,l(z..
PIC Cl5-{)O/-676'-O
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3. LiiGAL OI!!~~~IPTJON
LOT :5
19LOCI<
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ACCITION
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fr.!. No.1
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III 001
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2. PinK
3. Yell.,.
PIIa
Cily
A"pl....
permI1tfo.- 5'sb
BUilDING ItlFORMA TlON
11. SIZE OF STRUCTURE
(Helgt\tl {Width) CDeo\tt)
12. NO. OF STORIES
I
13. TYPE OF CONSTRUCTION
1-4. FI..OOA AR!:A APF'O~TIONMeNT USE
15. NUMBSI OF OCCUPANT$ OR SEATS
OCCUPANTS
S.EATS
1B. PROJECT C9~~!
5.:J'7'..~Ff)j)
17. (;OM~ION.AATE
:J~/7- '19
FOR ADMINISTRATlVI! USE
~BI'Clu;ntFc.rv..rd .................. S
Park l!lupport,.... ......._............_...... ..
SN:; ......................................... S
COHlICfiveSlrHtFilw .........................
$1lW8rTIIP ....................h.........~... $
,
pr..ure RQducer .......................... S
M_.r Horn ................................... S
Wa1erMQt... ..u............................. $
Se\llrMt&WIIterConnectianFee ........... f
WsterTl1W'ItF.o ....................._..... $
WltetT." ........................n......... .
Buildft('I08PC:ll~11 ............_............... S_
Othllr ...............__...........n........... f
ToIa' Ouo .............................. S ,Ii .00
laauacl . Paid "7"'.0 0 R_'No.35/~e;
Oal. S:1t? /Qq u~
T"'- '- to Gllrtlflt INt the NQIIIJSt In Ih. IbcwtI appueotionan" Ar..eornpanying documentS IS In aClxm!llU'I(:. w(1h 111(1 CiIV Zanlng ~lWv,I fMY proco ,*,,"'Ihfd. Yhlt ~I whQn
~'l.lId by 1M CIty Pt.nn. eonltJtul*8 a '-~ CtlrtifiCll' 01 ZeninA (:~ianQe and t.1IcwI COIIttructJDn 10 c:ornrrwnca. ~. OCCllJf;lIncy. . CertIfl of OCCupancy mutl. W iuued.
I
I SETBACKS: Raqulred
AClUIII
....,
BUIt,CING O\!PARTMENT VALU.&T10N
oac'
"'..
SiJd.-
OFF STRI!!"T PARKING
USEOFBU~~NG ~~ ~______
SPACes REO.
SPADeS ON PUlN _..
""~MITVAt.UATiON /2 &-r.I,lYV
TVP!.OF .................JC"hQNI I II III IV V
ecoupancyGraup A B.E F HI" A
ClMIlr:lato t :z :I 4
PlM'mitFo. ................................... ,
PIoI'IChKk"" ..............................
S\.taSu~nal"iill.._.......................... S.
s U
C;tyl
""cI.7~
I.~S-
Pena1ry ..................n_.....U........... $
.PluMtlin; Pennll F_ _...................... $_
. MlChlrncal P8m11\,.08 ..................... ,.
Sewer&. Werer Permit ...................... s:
................... $
p"""" WjJrf ,~iInt
0010 ~t-f.-p.1---
cnyP/llm1t
$pec~" CeruIIOo", "lint
Cn'"
2C hoLu' notice for ",lnspectlons 4417-9850
1M TE"'IAL ~ILED Win! APPllCA nON
SOIL TllSTS 0 ENERGY llAT^ 0
PIUNG l..OOS 0
PI.ANS' SPECS 0
SURVEY n
I>lOTPLAN 0
PE!I=tCOLATlON TEST$ 0
seTS
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