HomeMy WebLinkAboutBuilding Permit 99-0683
CITY OF PRIOR 'AKE
INSPECTION NOtiCe-- .
. .
SCHEDULED
ADDRESS J (, Z '3 G, Le...Ic.....s:dc.
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FRAMING ~
~SULATION ^
FINAL
o FOUNOA TIO
o DEMOLITION
o FIRE PREVo
COMMENTS: q~
4r?",- ~
o PLUMBING RI
o MECHANICAL
o WATER HOOKUP
o SEWER HOOKUP
o SEPTIC INSTALL
o PLUMBING FINAL
o SITE INSPECTION
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DATE TIME
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A-T
'1 "I-t.8'3
o EXC/GRAD/FILLlNG
o LKSHOREIWETLAND
o COMPLAINT
o SEPTIC FINAL
o FI~LA1
o . t"" .
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LK SATISFACTORY. PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT!lO K. CA FOR REINSPECTlON BEFORE COVERING
Inspector: . Owner/Contr:
CALL 447 23~ FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
~1
DATE RECEIVED
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CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
I. White
2. Pink
3. Yellow
File
City
Applicant
Permit No.
99-(,i~
DIRECTIONS
SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN
BEFORE PERMIT 1$ ISSUED (Please Print or Type and sign at bottom)
1(;71/99,
2. SITE ADDRESS r.
t c,'d7, VI
C-a Ii e<;Je
4tle S ~.
..e/so
BUILDING INFORMATION
11. SIZE OF STRUCTURE
(Height) (Width) (Depth)
3. LEGAL DESCRIPTION
LOT
12. NO. OF STORIES
BLOCK
PID z'!; ~09~ - 01<1-0
ADDITION
4. OWNER
",-A-Ices/oE
fJ1:!Y\"!4- e- \
13. TYPE OF CONSTRUCTION
5. ARCHITECT
(Name)
L (Address)
or,' f\<;p(
(Address)
6. BUILDER (Name) (Address) (Tel. No.(p<;1-7 ~ '5 ~UMBER OF OCCUPANTS OR SEATS
7,~~~Mi;~~9.~:i~j f1~! ~~M'~S~~}~S- :~:::ANTS
New Construction CI Alterations 0 Addition 0 Finish Attic 0 Re-siding 0 Finish Basement CI 16. PROJECT COSTNALUE
Chimney 0 Mise
8. PROPERTY AREA OR ACRES 19. PROPERTY DIMENSIONS 110. CULVERT SIZE
Sq. FI. Width Depth Yes No
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 prope and that all con~t ction fnform to all existing state and local laws and will proceed in accordance with submined plans. I am aware that the
buildi 9 offi,. t n rev ke IS p~it !p>>ust caLF'1- Fu ore, I hereby agree that the C}' y..offJi:~or a design~ay enter upon the property to perform nejded. i~ections.
X ~Jt W U'. "A-r) '7 ,")l!:>. " I'",/t://G Q
. Signature - . - - License No. I f ~tB" / .
17. COMPLETION DATE
FOR ADMINISTRATIVE USE
SETBACKS: Required
Actual
MATERIAL FILED WITH APPLICATION
Front
Back
Side
Side
SOIL TESTS
Cl ENERGY DATA
Cl
Ler A/L
OFF STREET PARKING
SPACES REQ.
SPACES ON PLAN
PERMIT VALUATION 2 m _ .........
PILING LOGS 0 PERCOLATION TESTS 0
BUILDING DEPARTMENT VALUATION
USE OF BUILDING
PLANS & SPECS 0
SURVEY a
SETS
COPIES
PLOT PLAN
Cl
TYPE OF CONSTRUCTION: I II III IV V
OccupancyGroup A B E F HIM R
Division 1 2 3 4
S U
City:
Amount Brought Forward .................. $
Park Support Fee ........................... $
SAC ......................................... $
Collective Street Fee ....................... $
Sewer Tap ................................... $
$
Permit Fee ................................... $
74."7r-
Plan Check Fee ............................. ~
State Surcharge ........ ......... ............ $
I. -z-r
Penalty ....................................... <t.
Plumbing Permit Fee ....................... $
Pressure Reducer .......................... $
Meter Horn .................... .... ........... $
Water Meter ................................. $
Sewer & Water Connection Fee ........... $
WaterTowerFee ........................... $
Mechanical Permit Fee ..................... $
Sewer & Water Permit ...................... $
~~?iJ;;~:Jiiir~i;~i:t;itW,ettllt'1
II ' /
Certificate of Occu~ncy
Water Tap ................................... $
Builder's Deposit ............................ $
Other ......................................... $
Total Due .............................. $
Paid "1 (" ().J Receipt NQ. 3 r /fO 0
- / / DJ
Date" 'f 'it:} By /"'.
This is to certify that the request in the above application and accompanying documents is in accordance with the City Zoni~g OrdiJance a~d may proceed aVrequested. 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.
7(,' eo
CityPJanner
Dale
Special Conditions if any
24 hour notice for alt inspections 447~9850