HomeMy WebLinkAboutBuilding Permit 99-0879
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
//'1;;6 ~Ad. Z!
OWNER
PHONE NO.
CONTR.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION ,t1A)
:BI FINAL ~\LV
o SITE INSPECTf'ON
PERMIT NO.
COMMENTS:
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEweR HOOKUP
o PLUMBING FINAL
o MECH FINAL
o~r
(~
-
OA TE TIME
9-7-1'i
J7- :51r _
o EXtGRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
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-
-
-
-
-
~RK ~ATlSFACTORY. ;OCEED
~:RRECT ACTION AND PROCEED
o CORRECT WORK. CALL FOR REINSPECTION BEFORE COVERING
Inspector:
/NA
Owner/Contr:
-
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODe REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTJ
&~1
;l;ftE~
CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
DIRECTIONS
SPACES NUMBERED 1 THRU 17 MUST BE ALLED IN
BEFORE PERMIT IS ISSUED (Please Print or Type and sign at bottom)
2. SITE ADDRESS I r; ~ 1--b
1. DATE
r/Lj-?q
3. LEGAL DESCRIPTION
JCJ
I?LJ / fY k~ {;y..' I
-/
PID Zf:-0I7-tJ73-0
)U.S'O
(Name)
(Tel. No.)
~~-'d-I7~
(T.1. No.)
(Address)
6. BUILDER
(Name)
(Address)
I 'L'UI7
/V,'c.ollLl- Ave. f.
(Tel. No.)
7()J-CQ.>f1
,41!t.P/;/~41l1l;jPJ' c,,J:
7. TYPE OF WORK "'/ireplace 0 Septic 0
New Construction 0 Alterations 0 Addition 0
Decktl
Finish Attic LI
Re-roofin~ Porch 0
Re-slding 0 Finish Basement 0
'"")6<rf
-
1. White
2. Pink
3. Yellow
File
City
Applicant
Permit No.
9'7 -/37CJ
,
BUILDING INFORMATION
11. SIZE OF STRUCTURE
(Height) (WIdth) (Depth)
12. NO. OF STORIES
13. TYPE OF CONSTffJCTION
,{Jrpqrf!
14. FLOOR AREA APPORTIONMENT USE
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS
SEATS
~ROJECT COSTNALUE
# "'7.0190-
17. ~()MPLETION DATE
Chimney 0 Misc.
8. PROPERTY AREA OR ACRES 19. PROPERTY DIMENSIONS 110. CULVERT SIZE
Sq. Ft. J / 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 property and that all construction will conform to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the
building 9~1 can re~his 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 ~-c-- ~ SkJnature --z-O/hC?-S ~:NO. 7-/t:-t;1
Amount Brought Forward .................. $
Park Support Fee .... .... ................... $
SAC ......................................... $
Collective Street Fee ....................... $
Sewer Tap ................................... $
$
FOR ADMINISTRATIVE USE
SETBACKS: Required
Actual
Front
Back
Side
Side
BUILDING DEPARTMENT VALUATION
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
PERMIT VALUATION
ZrdV_~
USE OF BUILDING
.Je.€J ff / .c-
TYPE OF CONSTRUCTION: I II 1II IV V
Occupancy Group A B E F HIM R S U
City:
Division 1 2 3 4
Permit Fee .................. ......... .... .... $
7</.. '1-----
Plan Check Fee ............................. $
State Surcharge ............................. $
/.'l..-(
Penalty ....................................... g:
MATERIAL FILED WITH APPLICATION
SOIL TESTS
('] ENERGY DATA
(']
PILING LOGS 0 PERCOLATION TESTS 0
PLANS & SPECS 0
SURVEY 0
SETS
COPIES
PLOT PLAN
(']
Plumbing Permit Fee ....................... $
Pressure Reducer .......................... $
Meter Horn ........................ .... ....... $
Water Meter ................................. $
Sewer & Water Connection Fee ........... $
Water Tower Fee ........................... $
Water Tap ................................... $
Builder's Deposit ............................ $
Other ......................................... $
Total Due .............................. $
Pa;d 1~. ~ (/ Receipt ~~ J j 6 &l.-
Date '/"('1'1 By;ff1..
This is to certify that the request in the above application and accompanying documents is in accordance with the City Zoning 'Ordinance a~d may proceed ls1equested. 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.
Mechanical Pennit Fee ..................... $
Sewer & Water Permit ...................... $
~:: :kj~ tfilifk........~.:~~;~i~~.;.~itWhen ~
By riltJBet~ Date I
- I
Certificate of Occupancy
Issued
City Planner
Date
Special Conditions if any
24 hour notice for all inspections 447.9850
7 ~ .(Il)