HomeMy WebLinkAboutBuilding Permit 99-0929
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS 4.\1l Cc.:t-u; S-
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
,~NSULATION /."'))
),! ~INAL (!?!:/
o SITE INSPECTION
COMMENTS: ~
~
~~"
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o.lr:",
~
TIME
.4rr
9'1~ qz..'j
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
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,.....J ~'Ild
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---/
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~ORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WO!/,,' CALL FOR REINSPECTION BEFORE COVERING
Inspector: 6O:r 1 Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE..
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTl
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~~
DATE RECEIVED
7/~~
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.
99 -q2-9
I DIRECTIONS
SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN
BEFORE PERMIT IS ISSUED (Please Print or Type and sign at bottom)
';po /71
2. SITE ADDRESS
4 1/(
CA TCS
S\'.
~ZS.D
BUILDING INFORMATION
11. SIZE OF STRUCTURE
(Height) (Width) (Depth)
3. LEGAL DESCRIPTION
lOT
\
ClLOCK
LAI~<;' We- eS,-
(Name) (Address)
--r. /(etf"\ '1/7/ u.+~S
(Name) (Address)
PID
1.') \8~Olso
12. NO. OF STORIES
ADDITlON
4. OWNER
()a..J
13. TYPE OF CONSTRUCTION
~t. .s.~
(Tel. No.)
"/~. '1'1)- .JYSJ.
(Tel. Nu.)
14. FLOOR AREA APPORTIONMENT USE
5. ARCHITECT
6. BUILDER
(Name)
(Address)
(Tel. No.)
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANT~
7. TYPE OF WORK
New Construction CI
Fireplace 0
Alterations CI
Septic 0
Addition 0
Deck 0
Finish Attic 0
Rs-roofing ~ Porch 0
Rs-sidlng 0 \niSh Basement 0
SEATS
16. PROJECT COSTNAlUE
Chimney CI 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 best 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 slate and local laws and will proceed in accordance with submitted plans. I am aware that the
building official can r"e t~permit for just cause. Furthermore, I hereby agree that the city official or a designee may enter upon the property to perform needed inspections.
X /M<< k'\ 7-3o--<T~
~ Signature- license No. Date'
17. COMPLETION DATE
FOR ADMINISTRATIVE USE
- SETBACKS: Required
Actual
Front
Back
Side
Side
MATERIAL ALED WITH APPLICATION
SOIL TESTS LI ENERGY DATA LI
PILING LOGS 0 PERCOLATION TESTS D
BUILDING DEPARTMENT VALUATION
USE OF BUILDING
-ees ..,./~
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
PERMIT VALUATION
PLANS & SPECS CI
SURVEY 0
SETS
COPIES
2. rlf7J _ vL-.
PLOT PLAN
LI
TYPE OF CONSTRUCTION: I II III IV
Occupancy Group A B E F HIM
Division 1 2 3 4
Permit Fee ................................... $
V
R S U
City:
Amount Brought Forward .................. ~
Park Support Fee ........................... 0;-
SAC ......................................... $
Collective Street Fee ....................... $
Sewer Tap ................................... $
$
I. ~_ I )"
Plan Check Fee ............................. $
State Surcharge ............................. $
Penalty ....................................... $
Plumbing Permit Fee ....................... $
~.
I. ....,>
Pressure Reducer
.
Mechanical Permit Fee ..................... $
Meter Horn ................................... $
Water Meter ................................. $
Sewer & Water Connection Fee ........... $
WaterTowerFee ........................... $
Water Tap ................................... 4:
Builder's Deposit ............................ $
Other ......................................... or
Sewer & Water Permit ...................... $
:- ::;.fii'~;;.:.~1
Certificate of Occupa/cy
Total Due .............................. $ ...., h _ ...
Paid /~.crl/ Rece!ltt'P.Io.N. .36'6/"7
~~ - I
Dale -7/"&)k;&1 By _
This is to certify that the request in the above application and &...........,' ,.....:u.) ing documents is in accordance with the City Zoni~O~ may pr~ ~uested. This document whe~
signed by the City Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificatl( of Occupancy must be issued.
City Planner
Date
Special Conditions if any
24 hour notice for all inspections 447-9850
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