HomeMy WebLinkAboutBuilding Permit 99-0808
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCH~DULED"
(~.. 0-19
OWNER
/s~ 67 fJ0..J6~D Ct. s;:-
CONTR.
ADDRESS
PHONE NO.
PERMIT NO.
79 - !1ol?
o FOOTING 0 PLUMBING RI
o FOUNDATION 0 MECH RI
o FRAMING 0 WATER HOOKUP
o INSULATION .. I1A"'I 0 SEWER HOOKUP
~FINAL ~ S~ 0 PLUMBING FINAL
o SITE INSPECTION 0 MECH FINAL
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
COMMENTS:
fJK
~ f.il
')4RK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: ~\... Owner/Contr:
9ALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYl
INSNOTl
Q1
S~1
DATE RECEIVED
tf;/z.-q /91
CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
I. White
2. Pink
3. Yellow
File
City
Applicant
Permit No. Cj t:J '8t)~
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
/~,J.,~:) /"?"f:. A~.-L_ C/ .V F
3. LEGAL DESCRIPTION /
LOT I 2.. BLOCK Z- PID ;>!!=; -083 - ()S7-0
O,<jk ,e./ oG F: r:T.
1. DATE
(, - J-<j -'11'
BUILDING INFORMA nON
11. SIZE OF STRUCTURE
(Height) (Width)
(0"'"'1
12. NO. OF STORIES
5. ARCHITECT
L/ :Name)
~~ /?<<< c.i.
(Name)
2NP
(Address) /
/C,).c.) /?Jf.l- R. 4f..L-
(Address)
13. TYPE OF CONSTRUCTION
ADDITION
4. OWNER
(Tel. No.) , 14. FLOOR AREA APPORTIONMENT USE
lU1" r 'I~
(Tel. No.)
6. BUILDER
(Name)
(Address)
J t/51.~ N"j 3f')..?fF
v~/:b j /J1.Jt/
e-~ Porch 0
Re-Sidi~lnISh Basement 0
15. NUMBER OF OCCUPANTS OR SEATS
.-::--'l~>11I-e..m>t?jJe.1.~ I(lt; JIg/it>.
7. TYPE OF WORK Fireplace LI se~c tJ Deck 0
New Construction 0 Alterations 0 Addition c] Finish Attic LI
Chimney C] Misc.
OCCUPANTS
SEATS
16. PROJECT COSTNALUE
8. PROPERTY AREA OR ACRES 19. PROPERTY DIMENSIONS 110. CULVERT SIZE
Sq. Ft. 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 erty and that all ruction will conform to all existing state and locallaw~a will proceed in accordance with submitted plans. I am aware that the
building official ca evo this permit fo se. Furthermore, I hereby agree JbjIffhe city official a esignee may enter upon the property to perform needed inspections.
"..0'/// J ..D /?y .t - ~_q - 9~;
license No. Date
17. COMPLETION DATE
FOR ADMINISTRATIVE USE
SETBACKS: Required
Actual
Front
Back
Side
Side
MATERIAL FILED WITH APPLICATION
SOIL TESTS C] ENERGY DATA C]
PILING LOGS LJ PERCOLATION TESTS LJ
BUILDING DEPARTMENT VALUATION
USE OF BUILDING
Res 1/~
OFF STREET PARKING
SPACES REQ.
SPACES ON PLAN
PERMIT VALUATION 2C-VV _ crV
PLANS & SPECS C]
SURVEY C]
SETS
COPIES
PLOT PLAN
LJ
TYPE OF CONSTRUCTION: I II III IV V
OccupancyGroup A B E F HIM R S U
Division 1 2 3 4 74.7S
Permit Fee ...................... ............. $
City:
Amount Brought Forward .................. $
Park Support Fee ........................... $
SAC ......................................... $
Collective Street Fee ............. .... ...... $
Sewer Tap ................................... $
$
Plan Check Fee ............................. $
State Surcharge ............................. $
Penalty ...................... ......... ........ $
I.vr
Plumbing Permit Fee ....................... $
Pressure Reducer .......................... $
MeterHom ................................... $
Water Meter ................................. $
Sewer & Water Connection Fee ........... $
Water Tower Fee ........................... $
Mechanical Pennit Fee ..................... $
Sewer & Water Pennlt ...................... $
:';:21r[n/fi'~~~.t h APpral"d:e;
By 'J::ZPlfJJf1J';ju~ Date '11'.,-;
I
Certificate of Occupancy
Water Tap ................................... $
Builder's Deposit ............................ $
Other ......................................... $
Total Due .............................. $ '"7(,.0 0
Paid 7 ~ . tf1) Receipt No. .?..i r-s.,t
Issued
This is to cer1i1y Ihatlhe request in Iha above application and accompanying documents is in accordance "'Ih the c~:;on~~~i~(.:d:Y pr~d as~ This document wilen
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
Date
Special Conditions ~ any
24 hour notice for all inspections 447.9850