HomeMy WebLinkAboutBuilding Permit 99-0742
CITY OF PRIOR LAKE
INSPECTION NOTICE
OA TE TIME
S!<HEDULI:D
ItJ-/~-'J9 A. /;_
OWNER
ADDRESS ,4f)9~ 17t/1L tJ(C~ to,
PHONE NO.
CONTR.
PERMIT NO. 99 - ? 'I Z.-
o FOOTING 0 PLUMBING RI
o FOUNDATION 0 MECH RI
o FRAMING @ 0 WATER HOOKUP
~INSULATION 0 SEWER HOOKUP
FINAL 0 PLUMBING FINAL
SITE INSPEC ION,;?? /0 MECH FINAL
COMMENTS: ."' v /
o
~~~~
I~,,-
--t~--- ~+_
."
o EXIGRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
0,
~ "'''''.a""" '''''''''
o CORRECT ACTION AND PROCEED
o CORRECT WOR'2tALL FOR REINSPECTION BEFORE COVERING
Inspector: ~ I . Owner/Contr:
.CALL 447-QS50 FOR THE NEXT INSPECTlr:>N 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTl
-...------- --. ~ . ---~-"- -_._~------_... - -_.._._---~-------..'"_.,-----
&~1
DATE RECEIVED
~//~h1'
. CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
1. White
2. Pink
3. Yellow
File
City
Applicant
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
"'OG\lo "Failfu\'ew ~()WL
3. LEGAL DESCRIPTION
Permit No. -.!l9 - 7 L.j~
1. DATE
~Illalqq
~/.5'O
BUILDING INFORMATION
", SIZE OF STRUCTURE
(Height) (Width) (Depth)
LOT
/~ BLOCK
~R//evleMI &'l?J'l77~
12, NO, OF STORIES
PID ZS" -L37..-00'1- Q
13. TYPE OF CONSTRUCTION
ADDITION
4, OWNER
"?-" \1
(Name)
l.td th,\t\e[\' ^
(Name) J
(Address)
3D Cf{ LJ
(Address)
F', (Tel, No,) ';J.'i1-JiJ-r' (14, FLOOR AREA APPORTIONMENT USE
CXI'{U\(W <ZdL. ,
(Tel. No,)
5. ARCHITECT
6. BUILDER (Name)
r<('~Use:r
(Address)
~
(Tel. No.) "
J' OV'd C( '\ lftl, 3 ~'-f ~
Ae-roofing L1<- Porch CJ
Re-siding 0 Finish Basement CJ
15, NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS
~ooG r'\cI}
7. TYPE OF WORK
New Construction 0
Fireplace 0
Alterations 0
Septic 0
Addition 0
"'-' Deck D
Finish Attic 0
SEATS
16, PROJECT COSTNALUE
Chimney 0 Misc.
B. PROPERTY AREA OR ACRES /9. PROPERTY DIMENSIONS 110. CULVERT SIZE
Sq. Ft. Width Depth Yes No
I hereby certify that I have furnished information on this application which is to the best of my knowledge true and correct. I also certify that r am the owner or authorized agent for
the above mentm'OnEid pro arty and that all construction will confonn to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the
building official can e ':! J"iS ll"'71t for juSf cau,,]urthermore. I hereby agree thaI the city official or e designee may enter upon Ihe property to pertorm nei;'",ections,
X ._~~;,.-. rv14An-- , (4 qc;
Signature '-- License No. Date /
17. COMPLETION DATE
SETBACKS: Required
Actual
FOR ADMINISTRATIVE USE
Front
Back
Side
Side
MATERIAL FILED WITH APPLICATION
SOIL TESTS 0 ENERGY DATA 0
PILING LOGS 0 PERCOLATION TESTS 0
BUILDING DEPARTMENT VALUATION
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
PERMIT VALUATION
PLANS & SPECS 0
SURVEY 0
SETS
COPIES
USEOFBUILDING ~;,,~ A-'/K'
2S7~1/U
PLOT PLAN
o
TYPE OF CONSTRUCTION: I " III IV V
Occupancy Group A B E F HIM R
Division 1 2 3 4
S U
City:
Amount Brought Forward .................. $
Park Support Fee ........................... $
SAC ......................................... $
Collective Street Fee ......... .............. $
Sewer Tap ................................... $
$
Permit Fee. .................................. $
74-.7S-
Plan Check Fee ............................. $
State Surcharge ............................. <I:
Penalty ....................................... $
/. "2-C;-
Plumbing Permit Fee ....................... $
Pressure Reducer .......................... $
Meter Horn ... .... .... ................. ....... $
Water Meter ................................. $
Sewer & Water Connection Fee ........... $
Water Tower Fee ........................... $
Mechanical Permit Fee ..................... $
Sewer & Water Permit .......................<1:
Water Tap ................................... $
Builder's Deposit ............................ $
Other ......................................... $
Total Due .............................. $
Paid '1(;- (/ ~ Receipt i'jo, 3S!;"' I II
Issued Date &//V/Ctq BY~' ,
, ,
This is to certify that the request in the above application and accompanying documents is in accordance with the City Zoning brdinance and may proceed a 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.
::Fir: c opermit~ .;.~.......:...;,~i~~.~~:ltWht.f?:1'11
By , te~ Dale t. /
I / /
Certificate of Occupancy
7t,.oO
City Planner
Date
Special Conditions if any
24 hour notice for all inspections 447.9850