HomeMy WebLinkAboutBuilding Permit 99-0716
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
33/L-/ r(~ >4/-.
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
;g FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
If o-rl .;,
(fr~
--
~
Y-Yt ~
."~,,,... -
DATE TIME
/rJ -22-- ." A . 7'.
9'j-,//(p
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
P ~
~RK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WO~ CALL FOR REINSPECTION BEFORE COVERING
Inspector: f:?!;- . Owner/Contr:
CAll447_9~~~ ~OR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTl
',-- - -.-.------ .._---,-- -._---
T
6~\
QAIf RFr.FI"FQ
CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
'3t..,11
1. White
2. Pink
3. Yellow
File
City
Applicant
76.IJO
Permit No.
1'9-'1/t:
I DIRECTIONS
SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN
BEFORE PERMIT IS ISSUED (Please Print or Type and sign at bottom)
12.SITEA~D3E~S'f k-<...f .f-f. S.W.
3. LEGAL DESCRIPTION
1". o. L::.r 7 BLOCK
r (2..( Q:/L W"110
1. DATE
6-/0-99
/L/<SD
BUILDING INFORMATION
11. SIZE OF STRUCTURE
(Height) (Width) (Depth)
12. NO. OF STORIES
LOT
PID
2.<::- 10"3.0<)7..0
4. OWNER
Co//.t....
5. ARCHITECT
(Name)
f<Nr.ro,">
(Name)
lJl'f
(Address)
k~..j-
(Address)
S:I-. S. /01.
(Tel. No.)
60 :l.l6- S/7't
(Tel. No.)
13. TYPE OF CONSTRUCTION
fl.t roo"
14. FLOOR AREA APPORTIONMENT USE
ADDITION
6. BUILDER
(Name)
(Address)
(Tel. No.)
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS
A"",:,,,,, $u/i.t:^'J (o",;ir.tt.,J JU<O N:<,I/..j ,A.v, S. 6/J 7()1- 6'1 S''J
7. TYPE OF WORK Fireplace 0 Septic 0 Deck 0 Re-roofingf:lt' Porch 0
New Construction 0 Alterations 0 Addition 0 Finish Attic 0 Re-siding 0 Finish Basement 0
Chimney 0 Misc.
18. PROPERTY AREA OR ACRES 19. PROPERTY DIMENSIONS 110. CULVERT SIZE
Sq. Ft. "'2- ~ Width Depth Yes No
I hereby certify that I have fumished 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 official can re.vokeJbi&permit~u;.t.cause. Furthermore, I hereby agree that the city official or a designee may enter upon the property to perform needed inspections.
X c.---- ___ ::L::.-? ~ -L.014~C,3-<f1 ,; -/ 0 - 919
Signature License No. - Date
SEATS
1~~:;r~OSTNALUE
17. COMPLETION DATE
FOR ADMINISTRATIVE USE
Front
Back
Side
Side
MATERIAL FILED WITH APPLICATION
SOIL TESTS 0 ENERGY DATA 0
SETBACKS: Required
Actual
USE OF BUILDING
/Us
I
A-/,'L
/
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
PILING LOGS Cl
PLANS & SPECS 0
SURVEY Cl
PERCOLATION TESTS 0
SETS
COPIES
BUILDING DEPARTMENT VALUATION
PERMIT VALUATION
z...;- CO
PLOT PLAN
Cl
TYPE OF CONSTRUCTION: I II III IV V
Occupancy Group A 8 E F HIM R
Division 1 2 3 4
Permit Fee ................................... $
S U
City:
Amount Brought Forward .................. $
Park Support Fee ........................... II:
SAC ......................................... $
Collective Street Fee ....................... II:
Sewer Tap ................................... It.
$
-r f,,~
Plan Check Fee ..................... ........ $
State Surcharge ............................. $
Penalty .......................... ............. $
I, z...(
Certificate of Occupancy
Total Due .............................. $ ., ",.t.S'O
Paid R 1,C,.<>t.1 Receipt No. 3<::>4 '3<:0
Issued I I
Date (P I" rq4 By /l/.J /:.+
This is to certify that the request in the above application and accompanying documents is in accordance with the City Zoning Ordinanc~ and may proceed as 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.
j I
When~il#,
Pressure Reducer .......................... 'l:
Meter Horn ................................... It
Water Meter ................................. $
Sewer & Water Connection Fee ........... $
WaterTowerFee ........................... $
Water Tap ................................... $
Builder's Deposit ............................ $
Other ......................................... $
Plumbing Permit Fee ....................... $
Mechanical Permit Fee ..................... $
Gas Flrepla
This Appli
By_.
City Planner
Dale
Special Conditions if any
24 hour notice for all inspections 447-9850
---..- .T---.-..'....-.-.....-......-