HomeMy WebLinkAboutBuilding Permit 99-0743
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS ~II
OWNER
PHONE NO.
o FOOTING
o FRAMING
~SULATION
FINAL
o FOUNDA liON
o DEMOLITION
o FIRE PREVo
COMMENTS, ~
DATE TIME
SCHEIlUlED
'--30 -'lq
CJ:So
ISD#.
Sf-
CONTR.
PERMIT NO.
qq-N3
o PLUMBING RI
o MECHANICAL
o WAfER HOOKUP
o SEWER HOOKUP
o SEPTIC INSTALL
o PLUMBING FINAL
o SITE INSPECTION
~
v
o EXCfGRAD/FILLlNG
o LKSHORElWETLAND
o COMPLAINT
o SEPTIC FINAL
o FIREPLACE
o
~1'-~
r- ~a::f7, -~A ~-.,
.
~ 7-!/..e
LRK SATISFACTORY, PROCEEO
o CORRECT ACTION AND PROCEED
o CORRECT 7'\fyALL FOR REINSPECTION BEFORE COVERING
Inspector: ~ l Owner/Contr:
CALL 447-4230 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.,
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
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~7/;J;1
76.00
CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
.) 'l-TI
I. White
2. Pink
3. Yellow
File
City
Applicant
Permit No.
q9- 743
DIRECTIONS
SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN
BEFORE PERMIT IS ISSUED (Please Print or Type and sign at bottom)
2. SITE ADORESS
51111 IS-O~~i".
3. LEGAL DESCRIPTION
1. DATE
b -\\-qq
BUILDING INFORMATION
11. SIZE OF STRUCTURE
(Height) (Width) (Depth)
ADDITION
BLOCK
.-SIt71N 4;,e./
s-
12. NO. OF STORIES
LOT
7
PID 2.",;"-11.5"- tJ7l-C
4. OWNER (Name)
~lltt'\j <;,-t I'll: k.
5. ARCHITECT <Name)
(Address)
51011 15"O"i1'\St.
(Tel. No.)
44.,-itq~L/
13. TYPE OF CON~RUCTION
re root'
14. FLOOR AREA APPORTIONMENT USE
,t.J'j
(Address)
(Tel. No.)
6. BUILDER (Name) ,
~l'4\et~ LiJ./\ g \4.~ \"'~~
CO (\;\(,M +Drs
7. TYPE OF WORK Fireplace 0
New Construction (] Alterations 0
(Address)
'Id-O-'il ~~(.. \l\\e:\" Av. 'i.
~utl\"V\\ \e 1\1\1\.55337
Septic 0 ' Deck 0
Addition 0 Finish Attic 0
(Tel. No.)
&12-701-bQS'f
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS
Ae-roofing" Porch [j
Re-siding 0 Finish Basement 0
SEATS
Chimney 0 Misc.
8. PROPERTY AREA OR ACRES 19. PROPERTY DIMENSIONS 110. CULVERT SIZE
Sq. Ft. L.G 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 confonn to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the
building officiaJ..9-n revo~ke j'iS pennit for just cause. Furthennore, I hereby agree that the city official or a designee may enter upon the property to perfonn needed inspections.
X A--V5It- -LO/^q~~:J b'-/tf:-qq
, Signature License No. Date
16)'ROJECT COSTNALUE
.?'" 5';-z.OOJUl.
17. COMPLETION DATE
FOR ADMINISTRATIVE USE
SETBACKS: Required
Actual
Front
Back
Side
Side
MATERIAL FILED WITH APPLICATION
SOIL TESTS 0 ENERGY DATA 0
USE OF BUILDING
e~s A/A::-
I OFF STREET PARKING PILING LOGS " PERCOLATION TESTS "
SPACES REQ. PLANS & SPECS " SETS
SPACES ON PLAN SURVEY " COPIES
PERMIT VALUATION ..:Jm. vV PLOT PLAN "
BUILDING DEPARTMENT VALUATION
TYPE OF CONSTRUCTION: I II III IV V
Occupancy Group A B E F HIM R S U
Division 1 234 14~7r
Permit Fee ................................... $
City:
Amount Brought Forward .................. $
Park Support Fee .... .... ................... $
SAC ......................................... $
Collective Street Fee ....................... $
Sewer Tap ................................... $
$
Plan Check Fee ............................. <I:.
State Surcharge ............................. or
Penalty ....................................... <I:.
( . "2. c;-
Plumbing Permit Fee ....................... $
Pressure Reducer .......................... $
Meter Horn ................................... $
Water Meter ................................. $
Sewer & Water Connection Fee ........... $
WaterTowerFee ........................... $
Mechanical Pennit Fee ..................... $
Sewer & WaterPennit ...................... $
:: ;ZJ::f.~.:i1r;.~;I~i~~i:t;h wt"17ttf)
~/--4.N\ I I
Certificate of Qccupatu:y
Water Tap ................................... $
Builder's Deposit ............................ $
Other ......................................... $
Total Dua .............................. $
'1 ~ pO Receipt No. 3 C'>/ 'Z....
Date 1tJ/,c./qf.t BY~
This is to certify that the request in the above application and accompanying documents is in accordance with the City Zoning 6rdinan~e and may proceed a(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.
",/t.,..CfV
Issued
Paid
C~yPlanner
Date
Special Conditions ~ any
24 hour notice for all inspections 447.9850