HomeMy WebLinkAboutBuilding Permit 99-0857
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
k FINAL
/0 SITE INSPECTION
COMMENTS:
L/L//z
DATE TIME
SCHEDULED. Id-Z~-?? .447
~ A/;
CONTR.
PERMIT NO. 99 - fl<'C:::'7
o PLUMBING RI 0 EX/GRAD/FilLING
o MECH RI 0 COMPLAINT
o WATER HOOKUP 0 FIREPLACE RI
o SEWER HOOKUP 0 FIREPLACE FINAL
o PLUMBING FINAL 0 GAllI-lNE AIR TST
o MECH FINAL Ie /,4,-,r7
K tf-tr'/ K) ~ I'
o
C~"~--;
--
-
~RK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
:S:::O:ECT W061AlL FOR REINS~:~::::n::FORE COVERING
CAll 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/
INSNOTl
DATE RECEIVED
-?/4/9( .
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.
q 9-g'SJ
r 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
1-/. L/ 1::1 f) LJ Yh' J A ST SF
1. DATE
1/9'/ fy
BUILDING INFORMATION
11. SIZE OF STRUCTURE
(Height) (Width) (Depth)
3. LEGAL DESCRIPTION
4
12. NO. OF STORIES
LOT BLOCK
ADDITION :P-e I {) II!- /ld-26r ;' ""
4. OWNER ___ (Name) /J . (Address)
~S.-4 ,13".1-.. 77l'E~F J?
5. ARCHITECT (Name) (Address)
PID ....zs: - tJ 08 .... no~ -()
13. TYPE OF CONSTRUCTION
(Tel. No.)
"14. I-LUOR AREA APPORTIONMENT USE
(Tel. No,)
6. BUILDER
(Name)
(Address)
(Tel. No.)
I 15. NUMBER OF OCCUPANTS OR SEATS
St!..tJTT Ktf~rT
7. TYPE OF WORK Fireplace 0 Septic 0 Deck 0
New Construction 0 Alte~ns o. __Addition 0 Finish Attic 0
Ch;mney LI M;sc. ,r r d Ll ;C / II ( 'f
.. / 1..
8. PROPERTY AREA OR ACRES 19. PROPEFMV DIMENSIONS /10. CULVERT SIZE
Sq. Ft. Width Depth Yes No
I hereby certify that I have furnished 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 conform to all existing state and local Jaws and will proceed in accordance with submitted plans. I am aware that the
building offic~can rewke th~ permit !.W19st CCljsej Furthermore, I hereby agree that the city official or a designee may enter upon the property to pertorm needed inspections.
X ,-~~./..htZ.-v . 7. /,7', /4Y'
Signature License No. Da19 /;
.tj-/.I! J).4.}(O T4S-T
OCCUPANTS
Re-roofing 0 Porch 0
Re-siding 0 Finish Basement 0
SEATS
16. PROJECT COSTNALUE
17. COMPLETION DATE
SETBACKS: Required
Actual
FOR ADMINISTRATIVE USE
Front
Back
Side
Side
MATERIAL FILED WITH APPLICATION
SOIL TESTS 0 ENERGY DATA 0
PILING LOGS LI PERCOLATION TESTS LI
BUILDING DEPARTMENT VALUATION
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
PERMIT VALUATION
PLANS & SPECS 0
SURVEY LJ
SETS
COPIES
USE OF BUILDING ~ S *'/L.
2 S""15V , cTV
PLOT PLAN
LI
TYPE OF CONSTRUCTION, I II III IV V
Occupancy Group A B E F H J M R
Division 1 2 3 4
S U
CHy,
Amount Brought Forward .................. $
Park Support Fee .... ....................... $
SAC ......................................... $
Collective Street Fee ....................... $
Sewer Tap ................................... $
$
Permit Fee ................................... $
74 -1f--
Plan Check Fee ............................. $
Pressure Reducer .......................... $
Meter Horn ... .... .... ................. ....... $
WalerMeter ................................. $
Sewer & WalerConnection Fee ........... $
WaterTowerFee ........................... $
Water Tap ................................... $
Builder's Deposit ............................ $
Other ......................................... $
Total Due .............................. $ 7{" () U
Pa;d 7(,. G/lJ Rece;pt No ;sr(, e./..:r
Issued I
Date ?h,/9~ By 4.k'
This is to certify that the request in the above application and accompanying documents is in accordance with the City Zonirfg Ordinance and may proceed al"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.
State Surcharge ............................. $
Penalty.......................... ............. $
Plumbing Permit Fee ....................... 'I:
Mechanical Permit Fee ..................... $
I. -z r
Sewer & Water Permit ...................... $
CijyPlanner
Date
Special Conditions if any
24 hour notice for all inspections 447~9850