HomeMy WebLinkAboutBuilding Permit 99-0714
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
~8/0
DATE TIME
SCHEDUL~D ~~~~
DF.;N~SE Sf.
OWNER
CONTR.
PHONE NO.
PERMIT NO.
CJ<j'-7/t./
o FOOTING
o FRAMING
o INSULATION
o FINAL
o FOUNDA rlON
o DEMOLITION
o FIRE PREVo
COMMENTS:
14>
.f'e -~
~,..)
l'l~
o PLUMBING RI
o MECHANICAL
o WATER HOOKUP
o SEWER HOOKUP
o SEPTIC INSTALL
o PLUMBING FINAL
o SITE INSPECTION
o EXC/GRAD/FILLlNG
o LKSHORElWETLAND
o COMPLAINT
o SEPTIC FINAL
e,FIREPLACE
('" S/J)/N1
(1_'T,_.p.. o. -:tL--
......
~.
LRK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT jS(j\MLL FOR REINSPECTlON BEFORE COVERING
Inspector: ,t;).11~ Owner/Contr:
CALL 447-4230 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.,
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
T
8~\
DATE ReCEIVED CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
1. White
2. Pink
3. Yellow
File
City
Applicant
t/
q-q-714
Permit No.
DIRECTIONS 1. DATE
SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN r ,
BEFORE PERMIT IS ISSUED (Please Print or Type and sign at botlom) (I*J II q q BUILDING INFORMATION
12.StTlY.OORESS /\ <' ,1,,\ r f1)fA.(L I ~L.e ,^",A\ ~3""'" ".SIZEOFSTRUCTURE (Deplh)
<.:.lrt t') f Jf>A"Jf'S.t? ,,~r. VIJ. r:: . "' L/l' H..(r\. ,,,. /V jJ (Co' (He'ghl) (W'dth)
I<-\SP
PID tLS-qXi'o'f /. 0
3, LEGAL DESCRIPTION
12. NO. OF STORIES
LOT
~1
BLOCK
50
13. TYPE OF CONSTRUCTION
ADDlTlON
4. OWNER
BIName) 8 ,.j,Ad~res, s)
. OThn ^ ') y, (J?L.d(<.H'i
(Name) ./ (Address)
~~5
(Tel. No.)
L.!Lf)--?'J S'-~
(Tel. No,)
14. FLOOR AREA APPORTIONMENT USE
15. ARCHITECT
6, BUILDER
(Name)
(Address)
(Tel. No,)
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS
7, TYPE OF WORK
Fireplace 0
Alterations 0
Septic 0
Addition 0
Oeck 0
Finish Attic 0
Ae-roofing 0 Porch CI
Re-SidinK. Finish Basement 0
SEATS
New Construction CI
Chimney 0 Misc.
18. PROPERTY AREA OR ACRES 19. PROPERTY DIMENSIONS \10. CULVERT SIZE
SQ. Ft. Width Depth Yes No
I hereby certify that I have furnished infonnation 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 d that all struction will arm to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the
:uilding offic' revOkA I' rrnit for' sl u rth e, I hereby ree that the cl1y official or a designee may enler upon the property 10 pertorrn ?;7)iT1OOs.
~~~ ~ q
16. PROJECT COSTNALUE
17. COMPLETION DATE
FOR ADMINISTRATIVE USE
SETBACKS: Required
Actual
MATERIAL FILED WITH APPLICATION
Front
Back
Side
Side
SOIL TESTS
tl ENERGY DATA
tl
PILING LOGS a PERCOLATION TESTS a
BUILDING DEPARTMENT VALUATION
USE OF BUILDING ~ l2l' -<; fr./IL-
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
PERMIT VALUATION
PLANS & SPECS 0
SURVEY tl
SETS
COPIES
"2.')"CO.
.....,
PLOT PLAN
tl
TYPE OF CONSTRUCTION: I II III IV V
Occupancy Group A B E F HIM R
Division 1 2 3 4
Permit Fee ................................... <t
S U
City:
Amount Brought Forward .................. $
Park Support Fee ........................... $
SAC ......................................... $
Collective Street Fee ....................... <t
Sewer Tap ................................... $
$
14-."1-)
Plan Check Fee ............................. <I:
r
(. 'l.")
State Surcharge ............................. $
Penalty ....................................... $
Plumbing Permit Fee ....................... $
Mechanical Permit Fee ..................... It
~.
Totel Due .............................. $ ,e, ,CJ..;;;
Paid "l (., . GoD Reoeipt No, 354:' 3
l~~ {'
, Da1e (/2 II (1t; By f.J.J 11 .
This is to certify that the request in the above application and accompanying documents is in accordance with the City Zoning Ordinan~ and may proce~ as request~. 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.
..,......$ ~
, ing pe:n" When ~rf,t!,Qi
I r
Pressure Reducer .......................... $
Meter Hom ................................... $
Water Meter ................................. $
Sewer & Water Connection Fee ........... $
Water Tower Fee ........................... $
Water Tap ................................... $
Builder's Deposit ............................ $
Other ...................... .... ............... $
City Planner
Dale
Spedal Condrtions d any
24 hour notice for all inspections 447-9850
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