HomeMy WebLinkAboutBuilding Permit 99-0753
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
DATE TIME
I a. ,J.C{(
ADDRESS
S78'/ ~.5T. HE.
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATI~~Al
;l1 FINAL /"U g 0 l.[JI
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
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r a~ Ml6
99 - 7/:;3
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
4Pjl OJ(
~ORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector:
/ILIA
Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
INSNOTl
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
&~~
DATE RECEIVED
~/;7 )q?
DIRECTIONS
SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN
~RE PERMIT IS ISSUED (Please Print or Type and sign at bottom)
( ~E ADDRESS
snN
3. LEGAL DESCRIPTION
(/.?
Ale.
LOT
CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
1. White
2. Pink
3. Yellow
File
City
Applicant
Permit No.
qq - 753
I "rlAr ILn.",d
s+
/
1. DATE
~-J7-f?
Pi/O
BUILDING INFORMATION
11. SIZE OF STRUCl ~rl.~
(Height) (Width) (Depth)
12. NO. OF STORIES
PIO
25-23<:1'-00&.-1'2
13. TYPE OF CONSTRUCTION
ADDITION
L POWNER ,
A ra t!
5. ARCHITECT
S;l'1NO
qLOCK
I"O,NTG
577+
(Name)
8...
(Name)
"1"'" I
(Address)
S7~LI IJ E t..J.drH,rnl
(Address) .
(Address)
.:To rc4: '"
'. 14. FLOOR AREA APPORTIONMENT USE
(Tel. No.)
44<:;- 1'lL/t-
(Ter. No.)
(Tel. No.)
I 15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTR
DeckQ
qya -~737
Re-roofing,2f\ Porch Ll
Re-siding LJ Fin-ish Basement LJ
SEATR
16. PROJECT COSTNALUE
~ ^BUILDER (Name)
7~P~ I: WOR~ ~J irePlece Ll
New Construction LJ Alterations LJ
Chimney LJ Misc.
8. PROPERTY AREA OR ACRES 19. PROPERTY DIMENSIONS /10. CULVERT SIZE
Sq. Ft. Width Depth Yes No
I hereby certify that I have fumished information on this application which is to the besI of my knowledge true and correct. I also certify that I am the owner or authorized agent for
the above mentioned property and that aU COnstruction will conform to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the
building tn revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may enter upon the property to perform needed inspections.
X :4 ~i9Z~ -1~.~:~~"H L-q,,~?$ _
SETBACKS: Required
Actual
Front
BUILDING DEPARTMENT VALUATION
USE OF BUILDING
.e~s ..-r//C-
TYPE OF CONSTRUCTION: I II III IV V
Occupancy Group A B E F HIM R
Division 1 2 3 4
Permit Fee ................................... $
Plan Check Fee ............................. $
State Surcharge ............................. $
Penalty ...................... ......... .... .... $
Plumbing Permit Fee ....................... $
Mechanical Permit Fee ..................... $
Sewer & Water Permit ...................... $
Septic [']
Addition 0
Finish Attic 0
17. COMPLETION DATE
FOR ADMINISTRATIVE USE
Back
Side
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
PERMIT VALUATION
Side
MATERIAL FILED WITH APPLICATION
SOIL TESTS Ll ENERGY DATA Ll
PIUNG LOGS Ll PERCOLATION TESTS Ll
PLANS & SPECS Ll SETS
SURVEY Ll COPIES
PLOT PLAN Ll
.;25V() . vV
S U
City:
7J.j .15""
/.~r-
Gas Fireplace Permit ..................... $
TIll ~BUrrding Penn' Wh'l AIp"*~,,,
By, ' Dafe!d I 7/ 'L ~!
I ' I
Certificate of Occupancy
Amount Brought Forward .................. $
Park Support Fee ........................... It:
SAC ......................................... $
Collective Street Fee ....................... $
Sewer Tap ................................... $
.
Pressure Reducer .......................... $
Meter Horn ... .... .... ................. ....... $
Water Meter ................................. $
Sewer & Water Connection Fee ........... $
Water Tower Fee ........................... $
Water Tap ................................... $
Builder's Deposit ............................ $
Other ......................................... $
Tolal Due .............................. $
Paid '7". ~ Receipt No. ..3 S S 2. 3
Issued _ . ._.
. Date 11//7/0/0/ By ~ -
This is to certify that the request in the above application and accompanying documents ;s in accordance with the City Zoning Ordinance and!nay ,... ........"''''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.
city Planner
Dale
'7 c,. if'L..-J
24 hour notice for all inspections 447.9850
Special Conditions it any