HomeMy WebLinkAboutBuilding Permit 99-0909
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDU~D
DATE TIME
lo-u-9''J.
A,T;
ADDRESS
5.;<.8'~
~f.l<-, ~?d,
J
CONTR.
OWNER
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
XFINAL
/ D~SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
If'~"",
o
&, .
99- 9 CJ7
o EXIGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
Y /2."7'
-
~ t" 7 P f JJrLl'
'-'- -
~ ---"''1
----
.-
/
~RK SATISFACTORY. PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WO~ CALL FOR REINSPECTION BEFORE COVERING
Inspector: ~ , Owner/Contr.
/
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
INSNOTl
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
30d6:.TERECEIVED .. PRIOR LAKE
"7/Z."7/9'1 : BUILDING PERMIT,
. TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
1. White
2. Pink
3. Yellow
File
Cily
Applicant
Permit No.
99-CJo9
DIRECTIONS
SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN
BEFORE PERMIT IS ISSUED (Please Print or Type and sign at bottom)
2. S.!!F A9!lRESS /) ^ d A,,-, ve
;:',:).>(::1. LUn '/- l....V
3. LEGAL DESCRIPTION
1. DATE
-(r-f) '\ \
1 {,9.4 fen
I I
BUILDING INFORMATION
11. SIZE OF STRUCTURE
(Height) (Width) (Depth)
12. NO. OF STORIES
LOT
BLOCK
.N157l5S //1/
(N,L
. 00f'."S
(Name)
BovA./DS
13. TYPE OF;r'STRUCTION
f<('/:(J, ,
/)~ J:SSS)~j} rviu (i A 'IrJ,JT' IT:} r~-D(" :;0.. FLOOR AREA APPORTIONMENT USE
. . . (Address) - I - (Tel. No.) I
PID
7 5 ~CJ.3t,- Ob 7~O
ADDITION
4. OWNER
...l.fMjD
5. ARCHITECT
6. ""'LDER (Na~e)
t/mtN{!J.n l3ilJld/0]
(' p (l-h:.~J:ifl.r"
7. TYPE OF WORK Fireplace Ll
New Construction 0 Alterations 0
(Address) C. I:;.'('el. No.)
J/).).'I7IJt(/)/le+ Al<?.'S- u 7 Dl . &/iyq
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANT~
Septic 0
Addition Ll
DeckLl
Finish Attic Ll
Re-roofinqXJ Porch 0
Re-siding Ll Finish Basement 0
SEATS
Chimney 0 Misc.
\8. PROPERTY AREA OR ACRES 19. PROPERTY DIMENSIONS \10. CULVERT SIZE
Sq. Ft.l-/, 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 abov 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
bulldi fficial can revok t p it for just cause. Furthermore, I hereby agree that the city official or a designee may enter upon the property to pert07 needed inspections.
X - ~ - ..}f"l/v,Q3 ~~ "",""No . ~ A,,~qq
..)6. PROJEC~STNALUE
,. ,z~-
17. COMPLETION DATE
FOR ADMINISTRATIVE USE
Front
Back
Side
Side
MATERIAL FILED WITH APPLICATION
SOIL TESTS 0 ENERGY DATA 0
PILING LOGS 0 PERCOLATION TESTS 0
SETBACKS: Required
Actual
USE OF BUILDING
Je..E.S' 41L
.
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
PERMIT V ALUA TION
PLANS & SPECS 0
SURVEY 0
SETS
COPIES
BUILDING DEPARTMENT VALUATION
z.. ruv _ v>J
PLOT PLAN
o
TYPE OF CONSTRUCTION: I II III IV V
Occupancy Group A B E F HIM R S U
City:
Amount Brought Forward .................. $
Park Support Fee ........................... It
SAC ......................................... <1'.
Collective Street Fee ....................... $
Sewer Tap ................................... $
$
Pressure Reducer .......................... $
MeterHom ................................... $
Water Meter ................................. $
Sewer & Water Connection Fee ........... $
Water Tower Fee ........................... <1'.
Water Tap ................................... $
Builder's Deposit ............................ $
Division 1 2 3 4
Permit Fee ................................... $
1<1.75
Plan Checl< Fee ............................. ~
/.?,...J
State Surcharge ............................. $
Penalty ....................................... $
Plumbing Permit Fee ....................... $
Mechanical Pennit Fee ..................... $
Sewer & WaterPennit ...................... $
Th~
By
Other ......................................... $-
Total Due ............................... '-J{" VV
Pa,d 7/'. tfV Rece.pl ~" .3 6' 8 CJ1.)
Issued Date 7 k ~I '1 q By ~
ThIS IS to certify that the request In the above application and accompanying documents IS In accordance with the City ZOning Ordloa ce and may proceed ls 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.
City Planner
Date
Special Conditions ~ any
24 hour notice for all inspections 447-9850