HomeMy WebLinkAboutBuilding Permit 99-0740
o EXIGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
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CITY OF PRIOR LAKE
INSPECTION NOTICE
SC'1EDUt:ED
ADDRESS
..3~20
/s'l :!:!- .)/.
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
;!FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
I? o-rrI
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DATE TIME
/,tJ- L2-~? 4. T:
q9 -CJ7<(O
/
~RK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
67.
Inspector:
Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE,
INSNOTJ
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
---.-...-'-----------..----- -~-~-------------._,~-_._----,--
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QATF RFr.FJ~
CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
1. White
2. Pink
3 Yellow
File
City
Applicant
{,pvf;1
Permit No.
99-74-0
DIRECTIONS
SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN
BEFORE PERMIT IS ISSUED (Please Print or Type and sign at bottom)
12. SITE ADDRESS 30:z-o 15tff11 st- N. vi.
3. LEGAL DESCRIPTION
1. DATE
0JII/tlq
6/s:f)
BUILDING INFORMATION
11. SIZE OF STRUCTURE
(Height) (Width) (Depth)
12. NO. OF STORIES
LOT L't€:TGS /11/ I?OI//JO S" BLOCK
PID -Zj5- 93t/-- OZ,+-(J
14 OW-'fom t>J.,eSi 0
15. ARCHITECT (Name)
6. BUILDER (Name)
~C &Iff fnc
(Address) ...lA/'\
::>,bZO 'fJt1 It S+ N, W .
(Tel. No.)
'8' 11./'+0:2
13. TYPE OF CONSTRUCTION
,,_,~~ r
+=-<. . r-
14. FLOOR AREA APPORTIONMENT USE
ADDITION
(Address)
(Tel. No.)
I
(AddreSS)~ j1JW (Tel. No,) I
!JtJDD !Jffl Art l (lIStpft
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS
7. TYPE OF WORK
New Construction 0
(l;(replace Ll
Alterations 0
Septic 0
Addition 0
Deck 0
Finish Attic 0
Re-roofi~ Porch 0
Re-slding 0 Finish Basement 0
SEATS
Chimney 0: Misc.
18. PROPERTY AREA OR ACRES 19. PROPERTY DIMENSIONS 110. CULVERT SIZE
Sq. Ft. Width Depth Yes No
I hereby certify that I have~u ished 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 pro 1 t II onstruction 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 p rm' f r j st ca . Furthermore, I hereby agree that the city official or a designee may enter upon the property to perform needed inspections.
X ~oWI(p3qb8' b.l/.qq
I l License No. Date
16. PRpJj;l<T COSTN~UE
WtJq. "I(j
17. COMPLETION DATE
. -
- -
FOR ADMINISTRATIVE USE
SETBACKS: Required
Actual
Front
Bad<
Side
Side
MATERIAL FILED WITH APPLICATION
SOIL TESTS 0 ENERGY DATA 0
PILING LOGS 0 PERCOLATION TESTS a
BUILDING DEPARTMENT VALUATION
USE OF BUILDING
.e€5S #//2...
OFF STREET PARKING
SPACES REQ.
SPACES ON PLAN
PERMIT VALUATION
PLANS & SPECS 0
SURVEY 0
SETS
COPIES
;? ':;-rrD. CJn
PLOT PLAN
o
TYPE OF CONSTRUCTION: I II III IV V
Occupancy Group A B E F HIM R
Division 1 2 3 4
Permit Fee .................. ......... .... .... $
S U
City.
Amount Brought Forward .................. ~
Park Support Fee ........................... ct:
SAC ......................................... $
Collective Street Fee ....................... $
Sewer Tap ................................... $
$
,+., S'
Plan Check Fee ............................. $
State Surcharge ............................. $
1.2-~
Penalty ............................... .... .... $
Plumbing Permit Fee ....................... $
Pressure Reducer .......................... $
Meter Hom ................................... $
Water Meter ................................. $
Sewer & Water Connection Fee ........... $
WaterTowerFee ........................... <l:'
Mechanical Permit Fee ..................... $
Sewer & Water Permit ...................... $
Water Tap ................................... $
Builder's Deposit ............................ <I:
Other ......................................... <l:'
Total Due .............................. < 7ft,. () U
Paid 7ft,.au ReceipWo. '35 S I 0
Issued
This is to certity that the request in the above applk:ation and accompanying documents is in accordance with the C~:~oni~rJ~'~i~~:a: may P'~d j' ~s 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.
City Planner
Date
Special Conditions if any
24 hour notice for aU inspections 447-9850