HomeMy WebLinkAboutBuilding Permit 99-0671
DATE TIME
CITY OF PRIOR LAKE 7-l{) .q:; -4
INSPECTION NOTICE SCHEDULED
ADDRESS I&Sqq fizANILL//II ~
OWNER CONTR.
PHONE NO. PERMIT NO. C '11-61/ ~
o FOOTING
o FOUNDATION
o FRAMING @
;fESULATIO
FINAL
o SITE INSPECTION
COMMENTS: r2av1.;/l (?~~
./><-a ~~.---..J
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXlGRAO/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
----- - . -
(~100L ~~ ~ ')
"-~ , ~
---- -
L'K SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT \IIj ,~, CALL FOR REINSPECTION BEFORE COVERING
Inspector: h .~ , Owner/Contr:
CALL 447- '860 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
INSNOTl
DATE RECEIVED
~/2--/9r
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. qCl-t? / J
DIRECTIONS
SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN
BEFORE PERMIT IS ISSUED (Please Print or Type and sign at bottom)
2. SITE ADDRESS
/(;59'1 F,€/J/IIKt....J/V 77ZrJ/L-
1. DATE
j-d'6-9'9
/2./
BUILDING INFORMATION
11. SIZE OF STRUCTURE
(Height) (Width) (Depth)
3. LEGAL DESCRIPTION
12. NO. OF STORIES
LOT
/ BLOCK /
PP /0t2.. SOl/77f
PID ,/5-0/7- 00/-0
13. TYPE OF CONSTRUCTION
ADDITION
4. OWNER (Name) (Address)
~7Nt:..6E/I../ H1IN6S
5. ARCHITECT
(Name)
(Address)
(Tel. No.)
vl'2-'-l1f.'7-$Co'R"L/
(Tel. No.)
14. FLOOR AREA APPORTIONMENT USE
6. BUILDER
(Name)
(Address)
(Tel. No.)
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS
7. TYPE OF WORK
New Construction 0
Chimney 0 Mis""
8. PROPERTY AREA OR ACRES
Sq. Ft.
Fireplace D
Alterations 0
Septic 0
Addition 0
Deck 0
Finish Attic 0
Re-roofin!JK Porch 0
Re-siding 0 Finish Basement 0
SEATS
16. PROJECT COSTNALUE
19. PROPERTY DIMENSIONS
Width Depth
11 O. CULVERT SIZE
Yes No
17. COMPLETION DATE
I hereby certify that I 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 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
building . isl can revoke this permit f 'ust se. Furthermore, I hereby agree. that the city official or a designee may enter upon !h~roperty to perform needed inspections.
X --1f -c::.:JO-<-J.&!-IO,g-C;7Y 5-:2.R-99
License No. Date
FOR AOMINISTRATIVE USE
SETBACKS: Required
Actual
Front
Back
Side
Side
MATERIAL FILED WITH APPLICATION
SOIL TESTS 0 ENERGY DATA 0
PILING LOGS 0 PERCOLATION TESTS 0
PLANS & SPECS 0 SETS
SURVEY 0 COPIES
PLOT PLAN 0
BUILDING DEPARTMENT VALUATION
USE OF BUILDING
.ICES 1'1/~
OFF STREET PARKING
SPACES REO.
SPACES ON PtAN
PERMIT VALUATION
257J() ,UV
TYPE OF CONSTRUCTION: I II III IV V
Occupancy Group A B E F H r M R S U
Ci1y:
Amount Brought Forward .................. </:'
Park Support Fee ........................... ~
SAC .........................................It
Collective Street Fee ....................... ~
Sewer Tap ................................... ~
~
Division 1 2 3 4
Permit Fee ................................... $
74.75
Plan Check Fee ............................. $
State Surcharge ............................. $
Penalty ....................................... $
! 2-5
Plumbing Permit Fee ....................... $
Mechanical Permit Fee ..................... $
Pressure Reducer .......................... .;:
Meter Hom ........................ .... ....... ~
Water Meter ................................. $
Sewer & Water Connection Fee ........... ~
Water Tower Fee ........................... $
Sewer & Water Permit ...................... $
Gas Fireplace Permit ....................... $
Thl~S . Ii YOJIiFJ1OildingpermiIWhfz.""/~l"
By "lJlA...-' Date h,
,
Certificate of Occupa cy
Water Tap ................................... <I:
Builder's Deposit ............................ $
Other ......................................... .;:
Total Due .............................. L2f~ 00
Paid 7'. t1 (I Receipl No. 3S'3B"
,-I'ift By A:Jt.
This Is to certify that the request in the above application and accompanying documents Is in accordance with the City Zonin Ordinanc~ and may proceed U 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.
Issued
Date
City Planner
Date
Special Condilions n any
24 hour notice for all inspections 447-9850