HomeMy WebLinkAboutBuilding Permit 99-0926
DATE TIME
CITY OF PRIOR LAKE ~-l~ Ai
INSPECTION NOTICE SCHEDULED
34"'0 SrrlUL .-.-. "
ADDRESS IlL-.
OWNER CONTR.
PHONE NO. PERMIT NO. ~ - C,ZG:.
o FOOTING
o FOUNDATION
o FRAMING
.o.)NSULAT~
pi!- FINAL
o SITE INS ON
COMMENTS:~F
~~-,!:1- ,~
~ (f./8Ul
~
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
~<J' <U
~ ']
~
/
~ORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WJ~K, CALL FOR REINSPECTION BEFORE COVERING
Inspector: Pi, Owner/Conlr:
CALL 447-9860 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE..
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/
INS/lfOrl
---_.._-~-'_.._._------,---_._------_._---
Chimney 0 Mise
8. PROPERTY AREA OR ACRES 19. PROPERTY DIMENSIONS 110. 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 mention rope 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
building official c rev is permit for just cause. Furthermore, I hereby agree that the city official or a designee may enter upon the property to perform os ed Inspections.
"1 ~ \ L1 c.. 1. Cl '9
~' ~""-'LicenseNo.
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QATF OFC'OFIVel CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
. ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
I ~D:E'7D_ i'1
DIRECTIONS
SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN
BEFORE PERMIT IS ISSUED (Please Print or Type and sign at bottom)
2. SITE ADDRESS
~LI '" 0
svJ
3. LEGAL DESCRIPTION
5'"'rrv c:.€-
~\OCK 3
f--\- \ \-\-o;
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L::: <: ~ I 7-
LOT
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PID
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A.,":>t:>N.
ADDITION :S<.o /'l'5e'r
::.:r.e,~
5. ARCHITECT
(Tel. No.)
&\~ q\.h) 1ft 13
(Name) (Address)
-ro D\\of: b....-V'I
(Name) - (Address)
(Tel. No.)
(Name)
l"'il SENEX!l:f!.NO')'>"I~i~'
0___ .r- EA~' f'l'1~ SSI2-"2..-
\c. ~v'-""i c..sl - ~1-o \33-
Deck 0 Re-roofing~ Porch 0
Finish Attic 0 Ae-siding 0 I Finish Basement 0
(Address)
6. BUILDER
--
\ 0111<-
7. TYPE OF WORK
New Construction 0
Fireplace 0
Alterations 0
Septic 0
Addition 0
x
\~
1. White
2. Pink
3. Yellow
File
City
Applicant
Permit No.
~q-qZ~
BUILDING INFORMATION
11. SIZE OF STRUCTURE
(Height) (Width) (Depth)
12. NO. OF STORIES
13. TYPE OF CONSTRUCTION
14. FLOOR AREA APPORTIONMENT USE
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS
SEATS
16. PROJECT COSTNALUE
17. COMPLETION DATE
FOR ADMINISTRATIVE USE
Amount Brought Forward .................. $
Park Support Fee ........................... $
SAC ......................................... $
Collective Street Fee ....................... ~
Sewer Tap ................................... $
$
Pressure Reducer .......................... $
Meter Horn ................................... $
Water Meter ................................. $
Sewer & Water Connection Fee ........... $
WaterTowerFee ........................... $
Water Tap ................................... $
Builder's Deposit ............................ $
Other ......................................... $
Total Due .............................. $ /56 ."'1 c:::.-
Paid 1 "f 0 .-;1-:;- Receipt No. :S~ r fa '
Date 1 k, I..,~ By rz-.Dlr\.
This is to certify that the request in the above awlication and accompanying documents is in accordance with the City Zoning Ordinance aAd may proceed as 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.
SETBACKS: Required
Actual
Side
Side
Front
Back
BUILDING DEPARTMENT VALUATION
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
PERMIT VALUATION
~'50o ."'0
USE OF BUILDING
[2-E-S
A /,'L.
I
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:
\.4,1~
Plan Check Fee ............................. $
State Surcharge ............................. $
Penalty ....................................... $
\. 2.-')
-"1 f.""
Plumbing Permit Fee ....................... $
Mechanical Permit Fee ..................... $
t . '
Sewer& e r eT' ~...~.. ....... $
Gas A I IT In .. . ............. $ I I
:" A lcati I I ;, ~n~""it Whe"1+~r,j (q:;
~ \ [II
Certificate of Occupancy
Issued
City Planner
Date
Special Conditions ~ any
24 hour notice for all inspections 447-9850
MATERIAL FILED WITH APPLICATION
SOIL TESTS L1 ENERGY DATA L1
PILING LOGS L1 PERCOLATION TESTS L1
PLANS & SPECS 0
SURVEY 0
SETS
COPIES
PLOT PLAN
L1