HomeMy WebLinkAboutBuilding Permit 99-0708
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
S733
OWNER
PHONE NO.
o FOOTING
o FOUNOA TION
o FRAMING
o INSULAT~O~ mi'I
;gf FINAL ..~C \Q/
o SITE INSPECTION
COMMENTS:
SCHEotlJ,.Eo
,~ <;t
CONTR.
PERMIT NO.
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
O'h.
~P>
DATE TIME
fa - 3- ~ ~
79. 703
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
~ORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector:
1f..A
Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANC~
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/
_~uuu_.~_~_.~~___~ ,-
INSNOTJ
8~;
DATE RECEIVED
616]!ll
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. qCt -70~
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
&:}733
3. LEGAL DESCRIPTION
-~()
C~ro5S and"<< sf.
'~A: 1-1Cf
PU.D
BUILDING INFORMATION
". SIZE OF STRUCTURE
(Height) (Width) (Depth)
12. NO. OF STORIES
LOT
BLOCK
3
ADDITION
4. OWNER
Tim
t!AR DI /II AL-
l) (Name)
cend-l- "
(Name)
PID ?~. ?qq~/. t'J
.eI04;& 1ST ADDN.
(Address)
'5"7~3 t!.rCfbSCl".cI..a. ~
13, TYPE OF CONSTRUCTION
5. ARCHITECT
(Address)
(Tel. No.)
l./1.f5 - 3b5D
(Tel. No.)
14. FLOOR AREA APPORTIONMENT USE
6. ""'Lfn L (Name)
~Om-Vtu'1t>r
7.Gf2!.~gK lLb lQ;;;ac~d-. SePti~{!/OJ)a~IFud 8~~~iPr ({1~:;,IJD/;
New Construction 0 Alterations a Addition 0 Finish Anie 0 Re-siding [j Finish Basement Cl 16. PROJECT COSTN~E
Chimn.yCl Misc. 57,Qo
8. PROPERTY AREA OR ACRES 19. PROPERTY DIMENSIONS 110. CULVERT SIZE 17. COMPLETION DATE
Sq. Ft. Width Depth Yes No to - I CJ ~.CJ ~
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 confonn to all existing state and local Jaws and will proceed in accordance with submitted plans. I am aware that the
uil' officia n revoke this pennit f r just cause. Furthermore, I hereby agree that the: Oqffi 3ignee may enter upon the property to perform ne :; i spections.
(Address)
(Tel. No.)
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANT~
SEATS
License No.
FOR ADMINISTRATIVE USE
Front
Back
Side
Side
MATERIAL FILED WITH APPLICATION
SOIL TESTS CI ENERGY DATA CI
PILING LOGS CI PERCOLA nON TESTS CI
PLANS & SPECS CI SETS
SURVEY CI COPIES
PLOT PLAN CI
SETBACKS: Required
Actual
BUILDING DEPARTMENT VALUATION
USE OF BUILDING Q;c" itl f.(
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
PERMIT VALUATION
~'co
TYPE OF CONSTRUCTION: I II III IV V
Occupancy Group A B E F HIM R S U
Division 1 2 3 4 ~ll.-.c
PennitFee ................................... $~
t. d-.<)
City:
Amount Brought Forward .................. $
Pari< Support Fee ............. .... .... ...... $
SAC ......'................................,. $
CollectiveStreel Fee ....................... $
Sewer Tap ................................... $
$
Plan Check Fee ............................. ~
State Surcharge ............................. 4:
Penalty....................................... <t
Plumbing Permi! Fee ....................... $
Mechanical Pennit Fee ......... ............ It
Pressure Reducer .......................... $
Meter Horn ................................... $
Water Meter ................................. $
Sewer & Water Connection Fee ........... $
WaterTowerFee ........................... $
Sewer & Water Penni! ...................... $
Certificate of Occupancy
Water Tap ................................... $
Builder's Deposit ............................ $
Other ......................................... $
Total Due ..:0............'........... $ -((o.CO
paid~ .c;.... Receipt NO,~S1.J )."1
Date fo-l6--Lf..P1 By (JiJ.tJ
This is to certify that the request in the above application and accompanying documents is in accordance with the City Zoning Ordinance and may proceed as req~ted. 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.
i1ding Permit Wh7App~ed.
Date k, 10 '11
,
Th~
By
Issued
City Planner
Date
Special Conditions if any
24 hour notice for all inspections 447-9850
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