HomeMy WebLinkAboutBuilding Permit 99-0925
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
DATE TIME
1J.-~99
ADDRESS
3'151 W.Jt..,., ~/~ sN
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
COMMENTS:
t"~
CONTR.
PERMIT NO.
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
oY
f:J{,
'19- ?J. S
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST ..1i)
';cf S~I(J/
~ORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector:
/T'-tZ
Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTl
+. 15
$~1
DATE RFCEIVED
CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
1;~e;19"
s '-' A::'I'.>DI
I
I
(Tel. No.) I
('l}/ q'l) -/~ ~tf I
del No.) I
~f\ ISCf-I4/ft
~7'f l'9f'oLLo ~r. LiIV>L/fAc<;.-rr-o/CI'
Rs-roofing C. Porch 0
Re-Sidi;e. Finish Basement 0
1. White
2. Pink
3. Yellow
File
City
Applicant
"7/Z-<9f9 _
. DIRECTIUI\l~
SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN
BEFORE PERMIT IS ISSUED (Please Print or Tvpe and sign at bottom)
2: SITE ADDRESS
Permit No.
99' - 9zs
'3t.J5"'"'j Wp ht.v
3. LEGAL DESCRIPTION
BUILDING INFORMATION
11. SIZE OF STr"\~C7uRE
(Heigtlt) (Width)
(Depth)
~aLi--,
'Io--a.. I
LOT
12. NO. OF STORIES
ADDITION
. BLOCK
NFTFT / IV
8ot/NOS'
PID 25-/nt.- 1'117-0
13. TYPE OF CONSTRUCTION
4. OWNER (Name) (Address)
8/// n.L.t>h",.-~<,... -/litdlJlI'I
5. ARCHITECT (Name) (Address)
14. FLOOR AREA APPORTIONMENT USE
8. BUILDER
(Name)
(Address)
15. NUMBER OF O"':<"':Ut'ANTS OR SEATS
OCCUPANTS
SEATS
18. PROJECT COSTNALUE
6J5IoM ~(erS
7, TYPE OFWORK
New Construction LJ
Fireplace LJ
Alterations LJ
SeptiCLJ
Addition LJ
DeckLJ
Finish Attic LJ
Chimney LJ Misc.
8. PROPERTY AREA OR ACRES /9. PROPERTY DIMENSIONS /10. CULVERT SIZE
Sq. Ft. Width Depth Yes No
I hereby certify that I have furnished infomlation on this application which Is to the besl 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. r am aware that the
building official can r.~s P..aust caus.. Furth.rmor.. I h.r.by agree that the city official or a d.slgn.. may .nt.r upon the property to pertorm needed inspections.
X ~/';~ . 27-~-I"
!1gnature license No. Date
17. COMPLETION DATE
SETBACKS: Required
Actual
FOR ADMINISTRATIVE USE
MATERIAL HLED WITH APPLICATION
SOIL TESTS 0 ENERGY DATA 0
PILING LOGS LJ PERCOLATION TESTS LJ
Front
Back
Side
Side
BUILDING DEPARTMENT VALUATION
USE OF BUILDING
.ee.s
..q. / ,...
OFF STREET PARKING
SPACES REa.
SPACES ON PLAN
PERMIT VALUATION
PLANS & SPECS LJ
SURVEY 0
SETS
COPIES
TYPE OF CONSTRUCTION: I II III IV V
Occupancy Group A B E F HIM R S U
.::l.~.C"V
PLOT PLAN
o
City:
Amount Brought Forward .................. $
Park Support Fee ........................... $
SAC ......................................... $
CoUectiveStreetFee ........................$
Sewer Tap ................................... $'
$
Division 1 2 3 4
Permit Fee ................................... $
7'1. 7'5
Plan Check Fee ........ ..................... $
State Surcharge ............................. $
Penalty ....................................... $
Plumbing Permit Fee ....................... $
Mechanical Permit Fee ..................... $
I.-z....r
e :".~ I~~';'" .....i~~.~.e:itWhenAPProv.~
t.' Date "1 / z..q /'1" J
I. I /.
Certificate of Occupancy
Pressure Reducer .......................... $
Meter Horn ................................... $
Water Meter ................................. $
Sewer & Water Connection Fee ........... $
WaterTowerFee ........................... $
Water Tap ................................... $
Builder's Deposit ............................ $
Other ......................................... $
Sewer & Water Permit ...................... $
Issued
/0. cJ 0
Tolal Due .............................. $
Paid7f9 .0 U R.ceiptl'Pi .3 sYI3
Date 7/z,.r. 9 By ~ ~
''''1 certify that the request in the above application and accompanying documents is in accordance with the City Zoninr/ Ordin ce an may proceed ~ requested. This document wilen
""l City Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy. a Certificate of Occupancy must be issued.
CityPlannsf
Dale
Special Conditions if any
24 hour notice for all inspections 447~9850
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