HomeMy WebLinkAboutBuilding Permit 99-0882
CITY OF PRIOR LAKE
INSPECTION NOTICE
S[:HEDULED
OWNER
ADDRESS 2-83c" ~ Rd
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
...cv.NSULA TION
~ ~INAL
o SITE INSPECTION
COMMENTS: r<~
~
I'~
----
CONTR.
PERMIT NO.
DATE TIME
7- Zo-qq 1 !.. -
A=r
~'l- &'6'2..
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
P
~
7' J.~ 1L>
~
~\~
-
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
~RK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT ~K'lJLL FOR REINSPECTION BEFORE COVERING
Inspector: ,r\J FI. Owner/Contr:
- iI"
CALL 447-9860 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE,
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/
INSNOTl
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DAIf= ~:U:r.FIVFD.
CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
#76. 00
1. White
2. Pink
3. Yellow
File
City
Applicant
v/
(-/b .Q1
. DIRECTIONS
SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN
BEFORE PERMITIS ISSUED (Please Print or Type and sign at bottom)
2. SITE ADDRESS
? Q:::t,'=> tZE:.NTe;te.. ROA 0 5 vV
Permit No. qq-\'6d-
1. DATE
:r v \'1 '" 1<JCl"l
BUILDING INFORMATION
11. SIZE OF STRUCTURE
(Height) (Width) (Depth)
3. LEGAL DESCRIPTION
z..;.:s
,sP/cINc:!;
12. NO. OF STORIES
LOT
BLOCK 2. z..
/...A/<':..e;
PID ~-/3"3-0l'JF,-?L
ADDITION
13. TYPE OF CONSTRUCTION
4. OWNER (Name)
'Yo...4-ric..1<.. ~() 1Ie.r
5. ARCHITECT (Name)
(Address)
~3r. ~~R..'\:)
(Address)
(Tel. No.)
'1'( ()- rJ..;). (
(Tel. No.)
14. FLOOR AREA APPORTIONMENT USE
6. BUILDER
(Name)
(Address)
(Tel. No.)
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS
7. TYPE OF WORK
New Construction 0
Fireplace 0
Alterations 0
Septic 0
Addition 0
Deck 0
Finish Attic 0
Re-roofin~ Porch 0
Re-siding 0 Finish Basement 0
SEATS
16. PROJECT COSTNALUE
Chimney 0 Misc.
Is. 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 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
buiJdin~1 ca~oke 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 . Vr.lLv....t.,..t...., . "'f"u \-.., 1c..1~~'i
. Signature License No. 081e
17. COMPLETION DATE
SETBACKS: Required
Actual
Front
BUILDING DEPARTMENT VALUATION
USE OF BUILDING
if! €,S ;q / k?..
,
TYPE OF CONSTRUCTION: I II III IV V
Occupancy Group A B E F HIM R
Division 1 2 3 4
Permit Fee ................................... $
S U
City:
Amount Brought Forward .................. $
Park Support Fee ........................... $
SAC ......................................... $
Collective Street Fee ....................... $
Sewer Tap ................................... $
$
Pressure Reducer .......................... $
Meter Horn ........................ .... ....... $
Water Meter ................................. $
Sewer & Water Connection Fee ........... $
Plan Check Fee ............................. $
7 (-I- 1<::;
I.d")
State Surcharge ............................. $
Penahy ....................................... $
Plumbing Permit Fee ....................... $
Mechanical Permit Fee ..................... $
Sewer & Water Permit ...................... $
Gas Fireplace Permit ....................... $
This Application Becomes Your Building Permit When Approved.
By late
Water Tower Fee ........................... $
Water Tap ................................... II:
Builder's Deposit ............................ $
Other ......................................... $
Total DU<!p........................... $ .- !fJ;, ,00
Paid ----rc- ~ Receipt No. 3 10 ~
Urc:u )
Certificate of Occupancy
Issued
By
This Is to certify that the request in the above application and accompanying documents is in accordance with the City Zoning Ordinance and may proceed as requ~ed. 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.
Date -/-Il:,.C(y
CijyPlanner
Date
Special Conditions if any
24 hour notice for all inspections 447-9850
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