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HomeMy WebLinkAboutBuilding Permit 99-0739 DATE TIME CITY OF PRIOR LAKE 7-r~9 A-r INSPECTION NOTICE SCHEDULED ADDRESS 2501 s:yu ~ I2.d OWNER CONTR. PHONE NO. PERMIT NO. qC;- 73q o FOOTING 0 PLUMBING RI o FRAMING 0 MECHANICAL ~SULATION 0 WATER HOOKUP FINAL 0 SEWER HOOKUP FOUNDATION 0 SEPTIC INSTALL o DEMOLITION 0 PLUMBING FINAL o FIRE PREV. I- r 0 SITE INSPECTION COMMENTS: !2or,r,hJ K.~ IA ()~ o EXC/GRAD/FILLING o LKSHORENVETLAND o COMPLAINT o SEPTIC FINAL o FIREPLACE o fl..CJ ~. ( ('VF- r I~ ----- -. ~ ~ ') ~ -' ~RK SATISFACTORY, PROCEED o CORRECT ACTION AND PROCEED o CORRECT WtF\.. RK.: C~LL FOR REINSPECTlON BEFORE COVERING Inspector: \vj't OwnerlContr: CALL 447-4230 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY! s~~ . DATE Rf!:CEIVFD CITY OF PRIOR LAKE BUILDING PERMIT, TEMPORARY CERTIFICATE OF ZONING COMPLIANCE AND UTILITY CONNECTION PERMIT rir//c./91 - 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 250' sw SPRIN6r Ll'lkt;" Ro 3. LEGAL DESCRIPTION 1. White 2. Pink 3. Yellow File City Applicanl 1. DATE Permit No. Cjq-737 (p - It, - '19 /CIS!:) LOT I BLOCK 1?1" I ,-.A?...A/ U"f B~rtt:!-r( (Tel. No.) 1.11. ..... 5"- ..,""-/. (Tel. No.) PID 25 -f3/- ()Of-O ADDITION 4. OWNER PIlTrY (Name) Po.... 00'1 (Address) ~~AlQ.I..AIt.C (Address) ZSOI SLJ ~D 5. ARCHITECT (Name) 6. BUILDER (Neme) S/9N/XO ~l-'7Q.VIC~J I!Ifi#O J''''N'iU'1 7. TYPE OF WORK New Construction 0 (Address) 3/1)1 /'&' H. J1" C I'~ cA- L f4.-/C.r #"'I1H Fireplace CJ Septic CJ Deck 0 Alterations 0 Addition 0 Finish Attic 0 Re.roofingJr" Porch 0 Re-siding 0 Finish Basement 0 (Tel. No.) .'z >/I,It>- 70' ~ BUILDING INFORMATION 1,. SIZE OF STRUCTURE (Height) (Width) (Depth) 12. NO. OF STORIES 13. TYPE OF CONSTRUCTION 14. FLOOR AREA APPORTIONMENT USE lS. NUMBER OF OCCUPANTS OR SEATS OCCUPANT~ SEATS 16. PROJECT COSTNALUE Chimney 0 Misc. 8. PROPERTY AREA OR ACRES 19. PROPERTY DIMENSIONS 110. CULVERT SIZE Sq. Ft. 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 aU 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 revoke this permit for just cause. Furthermore, J hereby agree that the city official or a designee may enter upon the property to perlorm needed inspections. X~~E.~ Q.... ,",001"2.1 <.0-1"'-')<; Signature a- License No. Date 17. COMPLETION DATE FOR ADMINISTRATIVE USE MATERIAL FILED WITH APPLICATION Amount Brought Forward .................. $ Park Support Fee ........................... $ SAC ......................................... $: Collective Street Fee .......................!I'. Sewer Tap ................................... <I: Pressure Reducer .......................... $ Meier Hom ................................... $ Water Meter ................................. It Sewer & Water Connection Fee ........... It WaterTowerFee ........................... Ci:: SETBACKS: Required Actual Front Back Side Sicle BUILDING DEPARTMENT VALUATION OFF STREET PARKING SPACES REO. SPACES ON PLAN USE OF BUILDING pF~ ~~ PERMIT VALUATION ;lmJfl- TYPE OF CONSTRUCTION: I II III IV V Occupancy Group A B E F HIM R S U City: Division 1 2 3 4 Permit Fee .................. ......... .... .... $ 74- '/~ Plan Check Fee ............................. $ State Surcharge ............................. $ Penalty ....................................... $ Plumbing Permit Fee ....................... $ I.<.-r Mechanical Permit Fee ..................... $ Sewer & Water Permit ...................... $ :fllJll~;:t;"707'o/!jr Certificate of Occupa4 SOIL TESTS LJ ENERGY DATA ,., PILING LOGS CJ PERCOLATION TESTS [J PLANS & SPECS ,., SURVEY CJ SETS COPIES PLOT PLAN o $ Water Tap ................................... ,ot Builder's Deposit ............................ $ Other ......................................... $ Total Due .............................. $ Peld 'J'h . ao Rece,pt No :5 S" r 0 q Issued # Date {,,f,(P/ Q'1 By A:L6l / ThIS IS to certify that the request In the above application and accompanYing documents IS In accordance With the CIty zonln6~ may pr~s requested ThiS document when signed by the City Planner constitutes a temporary Certificate of Zomng compliance and allows construction 10 commence. Before occupancy, a Certificate of OcCIJpancy must be ISSUed. City Planner Date Special Conditions n any 24 hour notice for all inspections 447.9850 '--'--------- '7h. dU