HomeMy WebLinkAboutBuilding Permit 99-0744
DATE
~
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
40bD
SgHE[:" ~ED ib;1'~h:; t+" T.
E/1 U c..L.r1 /12E:
OWNER
CONTR.
PHONE NO.
PERMIT NO.
qq-7#
o FOOTING
o FRAMING @
o INSULATION "-
FINAL ;eO(),t:== ,...".
X~OUNOATION
o DEMOLITION
o FIRE PREV,
COMMENTS:
o PLUMBING RI
o MECHANICAL
o WATER HOOKUP
o SEWER HOOKUP
o SEPTIC INSTALL
o PLUMBING FINAL
o SITE INSPECTION
'A'~~/
Tl..t..f'L 1.AJ-7,
V
o EXCIGRADIFILLlNG
o LKSHORElWETLAND
o COMPLAINT
o SEPTIC FINAL
o FIREPLACE
o
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t':- /7- 97
/
sf WORK SATISFACTORY, PROCEED
o CORRECT~CTIO D PROCEED
o CORRECT . CA L FOR REINSPECTlON BEFORE COVERING
Inspector: . \ Owner/Contr:
CALL 447U2~O FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
~~
DATE RECEIVED
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CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
L White
2. Pink
3. Yellow
File
City
Applicant
Permit No.
c; 9 -7#-
DIRECTIONS
SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN
BEFORE PERMIT IS ISSUED (Please Print or Type and sign at bottom)
1. DATE
/-/6-79
LOT
BLOCK
l/tJ/rP
S-
&-r
Pus!:>
BUILDING INFORMATION
11. SIZE OF STRUCTURE
(Height) (Width) (Oepth)
2. SITEejZl,-fj
c.au
3. LEGAL DESCRIPTION
q
hi / N' 0 So.A/G,
12. NO. OF STORIES
PID
2-5- 23~- oz..r-o
ADDITION
13. TYPE OF CONSTRUCTION
4. OWNE~ I? 1!me)
5. ARCHITECT (Name)
C (AddreSs)j
J4:A/ 1M If' /~IL
(Address)
(i~~
~~
14. FLOOR AREA APPORTIONMENT USE
6. BUILif ~;:mel J.v.-17rht~ ~ess)
'7:"1c{5 D"1:(<"rl'1- -~r '5 S-
7. TYPE OF WORK Fireplace CJ Septic 0 Deck 0
New Construction CJ Alterations D Addition CJ Finish Attic CJ
I
.1
(Tel. No.)
I.[tf"7 0~O
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS
Chimney 0 Misc.
8. PROPERTY AREA OR ACRES
Sq. Ft.
SEfTS
16'b~A,LUk
17. C~LETION DATE
~- ;20 - 7?
tion 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
and th construction will conform 10 all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the
o.'u urthe.mo.e. I he.eby ag.ee that the city official m a designee may ente. upon the pmperty to perlZ'~/ C~~
License No Date
Re-roofing Ib--" Porch (]
Ae-siding 0 Finish Basement 0
/9. PROPERTY DIMENSIONS
Width Depth
11 O. CULVERT SIZE
Yes No
x
FOR ADMINISTRATIVE USE
SETBACKS: Required
Actual
Front
Back
Side
Side
MATERIAL FILED WITH APPLICATION
SOIL TESTS 0 ENERGY DATA 0
PILING LOGS 0 PERCOLATION TESTS D
- BUILDING DEPARTMENT VALUATION
USE OF BUILDING
/ZES ,q /.e.
/
OFF STREET PARKING
SPACES REQ.
SPACES ON PLAN
PERMIT VALUATION
PLANS & SPECS 0
SURVEY 0
SETS
COPIES
;;l nJ(). at)
PLOT PLAN
o
TYPE OF CONSTRUCTION: I II 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 .......,................... 't
SAC ."...........,.,.,........,..........". If:
Collective Street Fee ....................,.. $
Sewer Tap ....".,..........,.,.,.....,.,.,., <l::
$
Permit Fee ........,.".,.................,.,. $
14-,1~
Plan Check Fee ,............,.,.,.",....... $
State Surcharge ..,.,.................,...,.. $
Penalty ........,.,..,.,...................,.., $
Plumbing Permit Fee ..............,...,.... $
I. -z.-S-
Mechanical Permit Fee ..................... $
Pressure Reducer .......................,.. $
Meter Hom .........",.........,., ,.., .....,. $
Water Meter ........,.,..........."......... $
Sewer & Water Connection Fee ..,.,.,.,.. $
Water Tower Fee ...........,............... $
Sewer & Water Permit ....................., $
Water Tap ...,.......,.,...,.,.....,.,...,... $
Builder's Deposit ............................ $
Other ,.".......,...,..........,.,.,.......,., <t.
Total Due .............................. $~...,~. r/l)
Paid '10. I/D Receipt No. .3S~- / 3
Date {,//C/t;q By -14a ~
This is to certify that the request in the above application and accompanying documents is in accordance with the City Zoning Ordirfance a'nd may proceed tt!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.
uilding Permit t;7/J.fJproj!; 1
Date / t.
, f
Thi
By
Certificate of Occupancy
Issued
City Planner
Date
Special Conditions if any
24 hour notice for all inspections 447-9850