HomeMy WebLinkAboutBuilding Permit 99-0899
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
/3:31" 0
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION ~
FINAL
,g SITE INSPECT
DATE
,
0,
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or:.
,
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-...
~
SCHEDULED
/O-J'l...I'J<J
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~
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PERMIT NO.
1'9-P9'J
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
COMMENTS: r ~
~~ --I~ ~
c7!J~ '~~
~RK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WO,' CALL FOR REINSPECTION BEFORE COVERING
Inspector: fr":r. Owner/Conlr:
~/
CALL 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/
INSNOTl
~~
DATE RECEIVED
VY"\ ~\'L
11 '"1(.. 60
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. $- gell
I DIRECTIONS
SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN
BEFORE PERMIT IS ISSUED (Please Print or Type and sign at bottom)
2. SITE ADD~ESS .
'~~(..,(l.., lr.~(\c",vq I\tk ~l. [
A (Tel. No.) ....., I
IA;Lb'\vtJ -1.\1)( '-ILl ,,-- ':,'Wy
(Ter. No.) I
I
(Address) (Ter. No.) "
v.~ \l-l~Ck~\J1 S:e_ro~~I\5V;~orc::~-'1l1t
Addition 0 Finish Attic 0 Rs-siding 0 Finish Basement 0 I
1
3. LEGAL DESCRIPTION
4- .BLOCK 3
ADDITION ---r1,cJ S / ~
. , .
14 OWNER ")~.f J~mLL..e <.h
5. ARCHITECT (Name)
LOT
6. BUILDER
(Name)
Cb.:\<;
7. TYPE OF WORK
New Construction LJ
~r<;
,
Ie...
Fireplace ~
Alterations 0
1. DATE
Ol/Jl5 / qq
BUILDING INFORMATION
11. SIZE OF ST MuGTURE
(Height) (Width)
(Depth)
PID
'2 C;--07 Z '03/./)
12. NO. OF STORIES
Mn
13. TYPE OF CONSTRUCTION
(Address)
"'~
(Address)
14. FLOOR AREA APPORTIONMENT USE
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANT~
SEATS
16. PROJ~:r COSTNOUE
17. COMPlET~E
Chimney D Misc.
8. PROPERTY AREA OR ACRES 19. PROPERTY 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 besI of my knowledge true and correct. I also certify that I am the owner or authorized agent for
th~ ~b~ve ~ ntioned prope~ and ~at a.1I construction will conform to all existing slate an~ 10~1 !aws and ~II p. roceed in accordance with submitted plans. I am aware that the
:U1ldlng 0 ~ke t~ld ,x~t cause. Furthermore, I hereby agree 1hl;eti ~~a~9- deSignee may enter upon the property to perform ne ed in actions.
-. Si,"",",. Y '<e.". No .
SETBACKS: Required
Actual
FOR ADMINISTRATIVE USE
Front
BUILDING DEPARTMENT VALUATION
I ,
.~ IA/,4!-
i
USE OF BUILDING
TYPE OF CONSTRUCTION: I II III IV V
OccupancyGroup A B E F HIM R S U
Division 1 2 3 4
Permit Fee ................................... $
Plan Check Fee ............................. $
State Surcharge ............................. $
Penalty......... ..... ......................... $
Plumbing Permit Fee ....................... $
Mechanical Permit Fee ...... ............. $
sewer&w~rp rm. ... .. ....
Gas Ftrepl e ermit ... ...
ThiS Appl
By_.
Certificate of Occupancy
\
Issued
C~y Planner
"0'
MATERIAL FILED WITH APPLICATION
SOIL TESTS D ENERGY DATA D
Side
Side
OFF STREET PARKING PILING LOGS 0 PERCOLATION TESTS 0
SPACES REO. PLANS & SPECS 0 SETS
SPACES ON PLAN SURVEY 0 COPIES
PERMIT V ALUA TION 2<;<::0. - PLOT PLAN 0
Ci1y:
Amount Brought Forward .................. $
Park Support Fee ........................... <I:
SAC ......................................... $
Collective Street Fee ....................... $
Sewer Tap ................................... $
/4.1\
(.-z....,-
~J/,1
$
Pressure Reducer .......................... $
Meter Horn ................ .... ............... <I:
Water Meter ................................. of:
Sewer & Water Connection Fee ........... $
WaterTowerFee ........................... ct:
Water Tap ................................... $
Builder's Deposit ............................ $
Other ......................................... $
Total Due .............................. ~ 1 b =
Paid ,0 - . Receipt No."3:t) t,!5c:-..
Date 7 {Z "IIf?
Date
Special Conditions if any
24 hour notice for all inspections 447-9850