HomeMy WebLinkAboutBuilding Permit 99-0828
CITY OF PRIOR LAKE
INSPECTION NOTICE
DATE TIME
SCHElULED
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ADDRESS .t=) 2..~C I <'oCJti- .\/:
OWNER ~l101LE ~<>"''jt... CONT~.
PHONE NO.
PERMIT NO.
q9- 8..2) 5?'
o FOOTING
o FOUNDATION
o FRAMING
o INSULATIO~
. FINAL -rCJ:{/
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXlGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
COMMENTS: ~_
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LK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WO~ CALL FOR REINSPECTION BEFORE COVERING
Inspector: r} .} , Owner/Contr:
J
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE..
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
INSNOTl
--'-_.~-------_._~-,--_.__._~--
~1
DATE RECEIVED
"1/ (p /cp;
CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
DIRECTIONS
SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN
BEFORE PERMIT IS ISSUED (Please Print or Type and sign at bottom)
1':;:6 -91'
.5E ~{
2. SITE ADDRESS C--?"\
..;-,;t 0 u
5T
/ b 0 J-j,
3. LEGAL DESCRIPTION
PID :?5-q3~ - O~-5-0
W7~S8CJ
sdtb )4~;::h 5TS.!.
(Tel. No.)
LOT
ADDITION
BLOCK
I'7b It::>
IN /J'dIJ/VI?S
1>M..,6,,);';;;/1
(Address)
4. OWNE~/.h #/,;e)
5. ARC/TEeT (Name)
6 BUILDEI(~re)
~f,(/...P:.'7') tl/~-2? ~a
i )1./5 4"Ko?'"//, s;r~c
7. TYPE OF WORK
New Construction LJ
Fireplace 0
Alterations 0
Septic 0
Addition 0
Deck 0
Finish Attic 0
Re-roofing a---Porch 0
Re-siding 0 Finish Basement 0
1. White
2. Pink
3. Yellow
File
City
Applicant
Permit No.
qf..fz.1
BUILDING INFORMATION
1'. SIZE OF STRUCTURE
(Height) (Width) (Depth)
12. NO. OF STORIES
/
13. TY~F CONSTRUCTn
/1. t" t2 00 J
14. FLOOR AREA APPORTIONMENT USE
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS
SEATS
16. PROJECT COSTNALUE
Chimney 0 Misc.
8. PROPERTY AREA OR ACRES 19. PROPERTY DIMENSIONS 110. CULVERT SIZE
Sq. Ft. ~ /J Depth Yes No
I hereby certify that I have furnished Inf atio 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 mentiored p and ns tion will co to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the
:Uilding official can re is perm- for'u se. ore, I hereby agroo that the city offl~al or a designee may enler upon the property to p? n7..~n~7"
Signa r License No. Dale
17. COMPLETION DATE
FOR ADMINISTRATIVE USE
OFF STREET PARKING PILING LOGS l'l PERCOLATION TESTS l'l
SPACES REO. PLANS & SPECS 0 SETS
SPACES ON PLAN SURVEY l'l COPIES
PERMIT VALUATION Z. <;If?). VI.) PLOT PLAN l'l
Amount Brought Forward .................. ct
Park Support Fee ........................... of.
SAC ......................................... cr
Collective Street Fee ....................... ct
Sewer Tap ................................... $
$
SETBACKS: Required
Actual
Back
Side
Side
Front
BUILDING DEPARTMENT VALUATION
USE OF BUILDING
/26.$ A'/ IL
TYPE OF CONSTRUCTION: I II III IV V
Occupancy Group A B E F HIM R S U
Permit Fee ..........~i~~:~~...l...~..~..~... $ "11.1J
City:
Plan Check Fee ............................. ~,
State Surcharge ............................. $
Penalty ....................................... $
Plumbing Permit Fee ....................... $
Mechanical Permit Fee ..................... $
j.-z.-r
MATERIAL FILED WITH APPLICATION
SOIL TESTS 0 ENERGY DATA 0
Pressure Reducer .......................... ~.
Meter Horn ........................ ........... It:
Water Meter ................................. <1'.
Sewer & Water Connection Fee ........... ct
WaterTowerFee ........................... It
Water Tap ...................................~,
Sewer & Water Permit ...................... $
~;:;;tlI;t~#ji;;I~i~~i:;il w-rI'ttY1'"1
'17/ I I
Certificate of Occ./panc.y
Builder's Deposit ............................ If:
Other ......................................... $
Total Due .............................. $
Paid '1 h. . V v Receipt No.
Dale -11 ~ /fj'i
7(,. trV
3Sf.>/3
BY~
This is to certify that the request in the above application and accompanying documents is in accordance with the City zonind Ordinance and may pr~equested. This document when
signed by the City Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy. a CertH~l{~f Occupancy must be issued.
Issued
24 hour notice for all inspections 447-9850
Special Conditions ~ any
City Planner
Date