HomeMy WebLinkAboutBuilding Permit 99-0914
I
CITY OF PRIOR LAKE
INSPECTION NOTICE
DATE
I
TIME (
SCHEDULED
q -l7- ~'j /...1';
ADDRESS I Sf I 0
OWNER 3"\ b crt-
PHONE NO.
Mr. o"?':T-J J-.)<',o i-J \ S'L~~. l2dl
CONTR.
PERMIT NO.
qCj- Gf/ Lf
o FOOTING
o FOUNDATION
o FRAMING tHJ
tl_ INSULATION
~FINAL
o SITE INSPECTION
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: _ (2,,6~
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, (Yt!-r;--
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iRK SATISFACTORY. PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT W'ffK. CALL FOR REINSPECTION BEFORE COVERING
Inspector: ~ Owner/Contr:
I (
CALL 447-9860 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYl
INSNOTl
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CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
1. White
2. Pink
3. Yellow
File
City
Applicant
Permit No.----.2...9- q It/'
I DIRECTIONS
SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN
BEFOR~ PERMIT IS ISSUED (Please Print or Type and sign at bottom)
I,2:SfTE ADD~ J
r" IS- /10
I~
7~<jf'79
:kkdJ }lei'
PID~5-93S-()Z3-0 I
.
BUILDING INFORMATION
11. SIZE OF STRUCTURE
(Height) (Width) (Depth)
/h;/L.iJ/J e:'~....
3. LEGAL DESCRIPTION
12. NO. OF STORIES
BLOCK
/'1e-res //\/ BOt/NOS
( ~_. OWNEB./ J (N.f.?")
1- /,(/I?J/iYe.
Is, ARC--=: (Name)
~BUILDE~~?
LOT
13. TYPE OF CONSTRUCTION
AD~TION
,f ()' t;'r
L/Lj /~6o)~)L'
(Tel. No.)
14. FLOOR AREA APPORTIONMENT USE
(Address)
~ _A.,..;ess) V3 vC .o~~NO)::,f' 5..f
tmtJl-O t!L/;227ft;
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS
SEATS
16. PROJECT COSTNALUE
,...,-vPEOF~
~ructjono
ChImney 0 MiS/"
B. PROPERTY AREA OR ACRES
Sq. Ft.
Rs-roofing It :- .....:-ch 0
Rs-siding 0 Finish Basement 0
Fireplace 0
Alterations 0
Septic 0
Addition 0
Deck 0
Finish Anic D
19. PROPERTY DIMENSIONS 110. CULVERT SIZE
Width Depth Yes No
'_ . 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
ction will conform to all existing stale and local laws and will proceed in accordance with submitted plans. I am aware that the
:- ~.:::1rinore, I hereby agree t~th;;ity OffiCi~ -I7S~~ enter upon the property to pe0,::r~~?r
-- / ~ License No. ~ Dale
17. COMPLETION DATE
I hereby certify that I have furniShed~infO ..~..,~'..
the above mentioned property and all
pOfflc;al ca'Y1t.ke this P~" ov< '"
/1"'7...- si'g'i'lature
FOR ADMINISTRATIVE USE
SETBACKS: Required
Actual
MATERIAL FILED WITH APPLICATION
SOIL TESTS 0 ENERGY DATA 0
PILING LOGS LI PERCOLATION TESTS 0
Front
Bad<
Side
Side
BUILDING DEPARTMENT VALUATION
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
PERMIT VALUATION
PLANS & SPECS 0
SETS
COPIES
I?'~<: AlAe..
USE OF BUILDING
SURVEY [j
2. 5l57J . CJ7.)
PLOT PLAN
o
TYPE OF CONSTRUCTION: I II III IV V
Occupancy Group A B E F HIM A S U
Amount Brought Forward .................. $
Park Support Fee ........................... $
SAC ......................................... $
Collective Street Fee ....................... $
Sewer Tap ................................... $
City:
Division 1 2 3 4
Permit Fee .................. ......... .... .... $
Plan Check Fee ............................. $
State Surcharge ............................. $
7~.7r
/. "2.-r
$
Penalty ....................................... $
Pressure Reducer .......................... $
Meier Hom ... .... .... ................. ....... $
Water Meter ................................. $
Sewer & Water Connection Fee ........... $
WaterTowerFee ........................... $
Plumbing Permit Fee ....................... :t
Mechanical Permit Fee ..................... $
Sewer & Water Permit ...................... $
Water Tap ................................... $
Builder's Deposit ............................ $
Other ......................................... $
Total Due .............................. $ ~(.,. 0 a
Pa;d -;&. d () Rece;pt No. :3 5 r 03
Date ,/ U;!Q1 BY.fJt.-.
This is to certify that the request in the above application and accompanying documents is in accordance with the City Zoning brdinan~e and may proceenls requested. This document when
signed by the City Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certifica7e""o, Occupancy must be issued.
IIdlng Perm;t Whl,AfJPro1~i
Date 7 z0
I I
This
By
Issued
C~y Planner
Date
Special Conditions ~ any
24 hour notice for all inspections 447.9850