HomeMy WebLinkAboutBuilding Permit 99-0741
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
DATE TIME
/tl -1;>"-:)9
A,r~
ADDRESS
/Lf'e??55 ~ ~
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING 0 PLUMBING RI
o FOUNDATION 0 MECH RI
o FRAMING 0 WATER HOOKUP
o INSULATION 0 SEWER HOOKUP
~ FINAL 0 PLUMBING FINAL
o SITE INSPECTION 0 MECH FINAL
COMMENTS: ~ JAc ~
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o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GA~~ ~R TST
~ ~
~
~/~
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-
~RK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
:S::~O:ECT ~. CALL FOR REINS:~::/::n::FORE COVERING
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE..
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
INSNOTl
~--_...._~--,~"_._---_.__._---_.
~~
DATE RECEIVED
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CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
(YlJ-:LCj
1p,-
I. White
2. Pink
3 Yellow
File
City
Applicant
1. DATE
Permit No.
q9-7t//
.
19. PROPERTY DIMENSIONS 110. CULVERT SIZE
Width Depth Yes No
is application which is to the best of my knowledge true and correct. I also certify that I am the owner or authorized agent for
o will~~~~rm to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the
. /'~ I hereby agree that the gOit:~;;fee may enter upon the property to perfh, Ir!f~ections.
J - License No. Date
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
b. /I- qq
I
'PUD
\'t25'J ~ N.r;
3. LEGAL DESCRIPTION
LOT
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L,;"fi'I
(AdJ'tJ55 !JIuzJtULt ;JG:- No)
3
PID
26-2/5- 0+2--0
BLOCK
POINr--t:;:
ADDITION
4. OWNE/..I.lJJvIta~
5. ARCHITECT (Name) ~
(Address)
(Tel. No.)
~~ (Nama) (AddreSS~ ){N(TeI.NO.)
7~Rq ~PI:::: ~/~~JRe_ro!~~h:
Alterations Ij Addition CI Finish Attic CI Re-siding Ij Finish Basement CI
New Construction CI
Chimney 0 Misc.
8. PROPERTY AREA OR ACRES
Sq. Ft.
BUILDING INFORMATION
11. SIZE OF STRUCTURE
(Height) (Width) (Depth)
12. NO. OF STORIES
13. TYrai/l~CTION
14. FLOOR AREA APPORTIONMENT USE
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTR
SEATS
16.PROJ~T!V~UE
17. COMPLFribN DATE
FOR ADMINISTRATIVE USE
MATERIAL FILED WITH APPLICATION
Back Side Side SOIL TESTS 0 ENERGY DATA 0
OFF STREET PARKING PIUNG LOGS 0 PERCOLATION TESTS 0
SPACES REO. PLANS & SPECS 0 SETS
SPACES ON PLAN SURVEY 0 COPIES
PERMIT VALUATION 2 ~_c/V PLOT PLAN 0
Amount Brought Forward .................. $
Park Support Fee ........................... $
SAC ........................._............... $
Collective Street Fee ....................... $
Sewer Tap ................................... $
$
SETBACKS: Required
Actual
Front
BUILDING DEPARTMENT VALUATION
USE OF BUILDING
R€.s /l/,e:~
TYPE OF CONSTRUCTION: I II III IV V
OccupancyGroup A B E F HIM R S U
City:
Division 1 2 3 4
7'-1-, '1<:
Permit Fee ................................... $
Plan Check Fee ............................. $
State Surcharge ............................. $
Penalty ....................................... $
1.2.<;;""
Pressure Reducer .......................... <r
Meter Horn ................................... $
Water Meter ................................. $
Sewer & WalerConnection Fee ........... $
Water Tower Fee ........................... $-
Water Tap ................................... $-
Builder's Deposit ............................ $
Other ..... ......................... ........... ~
Total Dua .................._........... $ lfa. CIZJ
Peld "'"17t . ro Rece'pt No .3 s-r I 0
tssued Date I. I C, / Cj q By j~
ThIS IS to certify that the request In the above application and accompanYl1lQ documents IS In accordance With the City ZOnlnglOrdlna~ce and fuay proceed J, 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.
Plumbing Permit Fee ....................... $
Mechanical Permit Fee ..................... $
Sewer & WaterPermlt ...................... $
This
By
uilding ;:.:,it 'k1 "tt.;'~
CnyPlanner
0."
Special Conditions if any
24 hour notice for all inspections 447.9850