HomeMy WebLinkAboutBuilding Permit 99-0691
DATE TIME
CITY OF PRIOR LAKE ~~lrCft I~:ru
INSPECTION NOTICE SCHEDULED
ADDRESS 3&:>1 s.~T/t.....
I
'\-
OWNER CONTR.
PHONE NO. PERMIT NO. ctG - (~l11
o FOOTING
o FOUNDATION
o FRAMING
.D..)I'ISULATION
~ ~~NAL
o SITE INSPECTION
COMMENTS: e.." c:::
f(.t..-.f-1'4 (., ~ '
1'J7~ ~ ~ ~_..- ~,...d'-'-
~.-:r- JA-1-- ~ +0 ~<><-.
J?-j- ~; ~ ~
/ I' ~ .:t/1" \
,,- ~/
---
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
-
I
JWORK SATISFACTORY. PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: ~~ Owner/Contr:
gALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE,
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
INSNOTI
--~-----------~._-_.
__~___.._.__ __ ...______._.__.______._.._u..
~~
DA TF RECEIVED
CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
.
AND UTILITY CONNECTION PERMIT
/(;.O(J
3/~?
1. White
2. Pink
3. Yellow
v
~/'1 /,e;
File
City
Applicant
Permit No.
CJtJ,(p q /
I 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
31(// S"t:tt....,.. Tr. Pr,",1..4k< 11'"
3. LEGAL DESCRIPTION
1. DATE
~
5".16-9.,
j-~-~71. b.sD
BUILDING INFORMATION
11. SIZE OF STRUCTURE
(Height~.a&... (Width)
....1III:1Wl...
12. NO. OF STORIES
,
(Depth)
LOT t'l1'!:11PJ /11/ Ol!1V111b( BLOCK
PID .25~ /0,"- 010 - 0
ADDITION
4. OWNER (Name)
O.t II... Cd d-i/l... f",.
5. ARCHITECT (Name)
(Address)
))0/ J..t.It""'''rA Tr.
(Address)
(Tel. No.)
6n ~t;-,-}t,,()
(Tel. No.)
13. TYPE OF CONSTRUCTION
!?., - r(n'''''j,~
14. FLOOR AREA APPORTIONMENT USE
6. BUILDER
(Name)
(Tel. No.)
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS
,4-.. ~.I,...,.
7. TYPE OF WORK
(Address)
/2. ~'1) AI;'"I/...+ 4.,. S.
,...~d.'i.t (;,,,fr.dq'J B........,..'IIJ'1N .(".n~? (IIJ) '1(J)_ 6'1S-9
Fireplace 0 Septic 0 Deck 0 Re.roofln~ Porch 0
Alterations 0 Addition 0 Finish Attic 0 Re-siding CJ Finish Basement 0
SEATS
New Construction 0
~
Chimney 0 Misc. _ L
8 PROPERTY AREAftr .C~ 19. PROPERTY DIMENSIONS 10 CULVERT SILt:. I
Sq Ft lI'\ Width Depth Yes No
I hereby certify that I have !u hed Information on this application whIch IS to the best of my knowledge true and correct I also certify that I am the owner or authonzed agent for
the above mentioned property d that all construction will conform to all eXlstmg state and local laws and will proceed In accordance WIth submitted plans I am aware that the
building official can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may enter upon the property to perform needed Inspections.
X ~ ~ .l<> I 6, )4'J S--H-P,
- Signature Ucense No. Dale
16. PROJECT C~ALUE 00'
.__~ ~za1-
II. L;UMr'U::. nON DATE
FOR ADMINISTRATIVE USE
SETBACKS: Required
Actual
Front
Bad<
Side
Side
MATERIAL FILED WITH APPLICATION
SOIL TESTS Ll ENERGY DATA Ll
PILING LOGS 0 PERCOLATION TESTS (J
USE OF BUILDING
/?-~,.. ",/,A:.-
,
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
PERMITVAI.UATlON e.~.,-u
PLANS & SPECS (J
SURVEY 0
SETS
COPIES
BUILDING DEPARTMENT VALUATION
PLOT PLAN
Ll
TYPE OF CONSTRUCTION: I II III IV V
Occupancy Group A B E F H r M R
Division 1 2 3 4
S U
City:
Amount Brought Forward .................. $-
Park Support Fee ........................... It
SAC ......................................... ,t
Collective Street Fee ....................... <t
Sewer Tap ................................... cr
$
Permit Fee ................................... $
"1 c.{. 1f-
Plan Check Fee ............................. $
State Surcharge ............................. $
Penalty ....................................... $
f.-z...s
Plumbing Permit Fee ....................... 'I:
Pressure Reducer .......................... $
Meter Hom .................... .... ........... $
Water Meter ................................. $
Sewer & Water Connection Fee ........... $
Water Tower Fee ........................... $-
Water Tap ................................... ft
Mechanical Permit Fee ..................... $
Sewer & Water Permit ...................... $
;;:~tIM~i~~i:t;nw;;1rfr:1
cet::.o~::a~trA
Builder's Deposit ............................ $
Other ......................................... $
Total Due .............................. $ /(0. c;rv
Paid --; {p, 6 V Receipt ~o. .s.. <1-( '---
Date h /7/ 01 By I/dtL--
This is to certify that the request in the above application and accompanying documents is in accordance with the City Zoning Ordin~nce and may proceed/h 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
CityPJanner
Dale
Special Conditions if any
24 hour notice for all inspections 447-9850