HomeMy WebLinkAboutBuilding Permit 99-0602
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
OWNER
PHONE NO.
o FOOTING
o FRAMING
o INSULA rlON
tc FINAL
o FOUNDATION
o DEMOLITION
o FIRE PREVo
~OMMENTS:
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DATE TIME
SCHEDULED
t./l.Ih<J ~; DO
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CONTR,
PERMIT NO,
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q9 -mOL
o PLUlIalNG RI 0 EXC/GRAO/FlLLlNG
o lIECHANICAL 0 LKSHORElWETLANO
o WATER HOOKUP 0 COMPLAINT
o SEWER HOOKUP 0 SEPTIC FINAL
o SEPTIC INSTALL 0 FIREPLACE . I
o PLUlIalNGFINAL \or' ;'OF F(N"-'-.
IJ 0 SITE INSPECTION /"- _
t:'..h2:;i ~~~ ('.on. "dk
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;~K SATISFACTORY. PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT 7:J~fL FOR REINSPECTlON aEFORE COVERING
Inspector: ~ _ OWner/Contr _
CALL 447-4230 FOR THE NEXT INSPECTION 24 HOQRS IN ADVANC~
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CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
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DATE RECEIVED
5/2-4/19
WlL CtlrA d~u..b.. $119 CO
CITY OF PRIOR LAKE t.fu)l ~ L I. White File
, BUILDING PERMIT r-t. htSjU"..a7., 2. Pink City
TEMPORARY CERTIFICATE OF rJu4VL /-M-'/.., 3. Yel:, \ ~'~t
ZONING COMPLIANCE h'J"1
AND UTILITY CONNECTION PERMIT Permit No. qCJ -foO~
DIRECTIONS
SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN
BEFORE PERMIT IS ISSUED (Please Print or Type and sign at bottom)
1.CATE
2. SITE ADDRESS D ~ _ .
E 2/ B DUJ LVI.I'U-Lt 0.€l
3. LEGAL DESCRIPTION
1<-/'50
BUILDING INFORMATION
11. SIZE OF STRUCTURE
(Height) (Width) (Depth)
12. NO. OF STORIES
LOT 1'1GTB>. ........ dO,:/1II0.>BLOCK
/Vo/z:THWoOO
(Nam.) (Addr.ss) iI. _ ./'1' No,)(/::lr Z
m f}eCli E: SJInt..L:r .321 B B tl tfU1Ut Wo -5#1
(Name) (Address) (Tel. No.)
PID
Z.5-N-I- 00<1-2,
13. TYPE OF CONSTRUCTION
ADDITION
4, OVjNER
.J Il-m e.5.
5. ARCHITECT
14. FLOOR AREA APPORTIONMENT USE
New Construction L1
/) ~r~ _ ""
//5r;9 ~IA'<-
8urnsIAi,e; rn~.!6337
Re-rOofing~ Porch CJ
Re-siding 0 Finish Basement CJ
(T.I, No,l/
V7r2.
iJtJ5/oo{o
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS
SEATS
16, PROJECT COSTNALUE
6, BUILDER (Name)
Ad~el!wli3
7. TYPE OF WORK
Fireplace a
Alterations 0
Septic [j
Addition 0
DeckCl
Finish Attic a
Chimney 0 Misc.
B. PROPERTY AREA OR ACRES 19. PROPERTY DIMENSIONS 110. CULVERT SIZE
Sq. Ft. Width Depth Yes No
I hereby certify, at 1 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 m tioned property~n at all construction will conform to all existing state and local laws and will proceed in accordance with submitted plans. 1 am aware that the
building off al can revoke this p it for jUSj cause. Furthe~re, I hereby agree that the city official or a d~s)1~ee may enter upon the property to perform needed inspections.
X. W-{u.J ,/'';~~ /ol.?q/<IV $//$ ,qq
I) / ~atuie - ~ LicenMNo. Date .
17. COMPLETION DATE
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FOR ADMINISTRATIVE USE
Front
Back
Side
Side
I MATERIAL FILED WITH APPLICATION
SOIL TESTS Ll ENERGY DATA Ll
PILING LOGS 0 PERCOLATION TESTS 0
SETBACKS: Required
Actual
BUILDING DEPARTMENT VALUATION
USE OF BUILDING
P&~ -"'/L
OFF STREET PARKING
SPACES REO,
SPACES ON PLAN
PERMIT VALUATION
PLANS & SPECS 0
SURVEY 0
SETS
COPIES
;z..bcnJ , (TV
PLOT PLAN
Ll
TYPE OF CONSTIlUCTlON: I II III IV V
Occupancy Group A B E F HIM R S U
Division 1 2 3 4
P.rmit F.. .....,............................. < '74. 7<;'
City:
Amount Brought Forward .................. $
Park Support Fee ........................... :t
SAC ......................................... $
Collective Street Fee .... .............. ..... $
Sewer Tap ................................... $
$
Plan Check Fee ............................. $
State Surcharge ............................. $
Penalty ....................................... !l;
/,-Z->'
Plumbing Pennit Fee ....................... If:
Mechanical Permit Fee ..................... ~
Pressure Reducer .......................... <I:
Meter Horn ................................... $
Water Meter ................................. $
Gas Fireplace Pennlt.. ................... $
.s ,J,J ""Ud;ng P.rm" WhfAPPI"~'
Y"l7J!A ~ Date 5: Z-'1/~
f , '
Certificate of Occupancy
Sewer & Water Connection Fee ........... $
WaterTowerFee ........................... $
Water Tap ................................... $ L\.1 ,,\\11\
:::~r~.~.~~~~t,::::::::::::::::::::::::::::: ~dU'
Total Due .............................. $
Pa;d S/7(P ,CIV R.C.iPtNO.3/532....f:I
Issued
Dat. 5/2.,4./ q q By JItI-----
This is to certify that the request In the above application and accompanying documents is in accordance with the City Zoning Ordinan& and may proceed a:lrequested. 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.
Sewer & Water Permit ...................... $
City Planner
Date
Special Conditions d any
24 hour notice for all inspections 447.9850