HomeMy WebLinkAboutBuilding Permit 99-0932
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
DATE TIME
/0 -/,?'- 9'1
Au r-
ADDRESS
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OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING 0 PLUMBING RI
o FOUNDATION 0 MECH RI
o FRAMING 0 WATER HOOKUP
DINSULATION t7."i\ 0 SEWER HOOKUP
'l8:[FINAL ((f{) 0 PLUMBING FINAL
/0 -SITE INSPECTION 0 MECH FINAL
COMMENTS: 1~
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...........
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99-rc3Z-
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o EXlGRADfFlLLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAj~IN~ AIR TST
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~RK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
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Inspector:
Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE,
/
INSNOTJ
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
Chimney 0 Misc.
18. PROPERTY AREA OR ACRES /9, PROPERTY DIMENSIONS 110. CULVERT SIZE
Sq. Ft. L G Width Depth Yes No
J hereby certify that I have furnished information on this application which is to the best 01 my knowledge true and correct. I also certify that I am the owner or authorized agent for
the above mention rty and I construction will conform to all existing state and local laws and will proceed in accordance with submitted plans. I B;Jfware that the
building official fa e this B it just cause. Furthermore, I hereby agree that the city official or jt}:I,.gneellljly enter upon the property to perform n~ede pections.
X ,,------- . ""\ (7 I . Y; II j
License No. Date
DATE RECEIVED
l/ /z-/99 -
CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
;t/r7
I 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
II \I "2.. '-\
s L~..
'PlI.o
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3. LEGAL DESCRIPTION
LOT
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S~ ,pr
("" (Name) J
:'v~ 111 ~ ~ r
(Name)
4-
4-~
PID Z<:>-Z/.s-- /$tis--O
BLOCK
ADDITION
14. OWNER
15. ARCHITECT
6. BUILDER
(Address)
. u 1'1..~1
(Address)
(Tel. No.)
~40H LN ~'O3 576;'
(Tel. No.)
(Name)
U..0"" f-rkr1o'
(Address)
( 1"2..57"1
O~(frl\ {ltt, ,Il
Septic LI DEkk LI
Addition D Finish Attic CI
9. "> I~
bNlJ-
(Tel. No.)
, (''-
~l'LS ;1:/'1
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7. TYPE OF WORK
New Construction LI
Fireplace 0
Alterations LI
Re-roofing ~ Porch LI
Re-siding LI Finish Basement LI
1. White
2. Pink
3. Yellow
File
City
Applicant
Permit No.
99 -932-
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. COMPU:TION DATE
/
SETBACK'S: Required
Actual
FOR ADMINISTRATIVE USE
MATERIAL FILED WITH APPLlCA nON
Amount Brought Forward .................. $
Park Support Fee ........................... $
SAC ......................................... $
Collective Street Fee ....................... $
Sewer Tap ................................... $
$
Pressure Reducer .......................... $
Meter Hom... .... .... ........................ $
Water Meter ................................. $
Sewer & Water Connection Fee ........... $
WaterTowerFee ........................... $
Front
"ok
Side
Side
BUILDING DEPARTMENT VALUATION
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
PERMIT V ALUA liON
z. 5??J _ dO
USE OF BUILDING
/2e.s A--/~_
,
TYPE OF CONSTRUCTION: I II III IV V
OccupancyGroup A B E F HIM R S U
City:
DMsion 1 2 3 4
Permit Fee ................................... $
'-TJ. 7 r
Plan Check Fee ............................. $
State Surcharge ............................. $
Penalty ....................................... $
Plumbing Permit Fee ....................... $
Mechanical Permit Fee ..................... $
/.Z-.-r
Sewer & Water Permit.. ................... $
SOIL TESTS
LI ENERGY DATA
o
PILING LOGS 0 PERCOLATION TESTS 0
PLANS & SPECS LI
SURVEY 0
SETS
COPIES
PLOT PLAN
o
Water Tap ................................... $
IngDPae,rrTle it wtriPP,roj;!'f Builder's Deposit ............................ $
~ other......................................... $/ _
Total Due .............................. $ " . (J 0
Paid 7~.{)c) Receipt No, 35'S 2-/
Issued ,
Date K/2. /9'9
This is to certify that the request in the above application and accompanying documents is in accordance with the City Zoni~g Ord'nc~ a~d may pr
signed by the City Planner constitutes a tef1l)Orary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certifiea
City Planner
0."
Special Conditions n any
24 hour notice for alt inspections 447-9850