HomeMy WebLinkAboutBuilding Permit 99-0938
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
~-50-'J<}
A.T:
ADDRESS I (P '3 f 3
Ft2..ANf"-. L-I N TIC,
OWNER
CONTR.
9'1-'73f'
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING tr.J\
o INSULATIONllJY
~ 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 GASLINE AIR TST
o
COMMENTS:
?:; ~
(J~_k/1J
WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
n """'" ~OA" "" ~"~,,n'" ""'~ """""
Inspector: . OWner/Contr:
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
INSNOTJ
-~,------_.-
CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTIOt>LPERMIT
nA TE RE"(~EIVED
8/z-/91
DIRECTIONS
SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN
BEF ISSUED (Please Print or Type and sign at bottom)
1. White
2. Pink
3. Yellow
File
City
Applicant
Permit No.
qq- 936
SA:
BUILDING INFORMATION
11. SIZE OF STRUCTURE
(Height) (Width) (Depth)
12. NO. OF STORIES
3. LEG
LOT
1.5-/'77- 001-0
~A~ON.
13. TYPE OF CONSTRUCTION
(Address)
Fireplace 0
New Construction Q Alterations a
Chimney 0 Misc.
a. PROPERTY AREA OR ACRES
Sq.Ft.
Septic 0
Addition 0
Deck Q
Finish Attic a
Ae-roofin
Re-siding 0
14. FLOOR AREA APPORTIONMENT USE
(Tel. No.)
(Tel. No.)
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS
Porch []
Finish Basement []
SEATS
16. PROJECT COSTNALUE
9. PROPERTY DIMENSIONS
Width Depth
Yes No
10. CULVERT SIZE
17. COMPLETION DATE
I h.r.by certily that 1 have fumish.d Information on this application which is to the best of my knowl.dge true and correct. I also c.rtlly the' I am the owner or euthoriz.d ag.nt for
the above m tion.d prop.rty and , all construcl1 conform to all eXisting stat. and local laws end Will proc.ed In accordanca Wlth submitted plens I em eware th.t the
vok is p use. Furthermor., I h.r.by agree that the city official or e d.Slgn.e may .nter upon the property to~;}.\':
~^"'/;\i
Ucensa No a
FOR ADMINISTRATIVE USE
N O"l"C;', V Ot(]
p~ \~ i1 ~tO 1. ~::::i~:pSt.r~~~.~~.~..............'...'.'.'...'.'.'.'.'.'.'.........:
-s\.l~ST\TViC ;G,~
Fe"" FC12- i'l' .(.,:Ft Pr.ssur. Reduc.r .......................... $
vJ \rH T\-f\5 D~ Met.rHom................................... $
{, tWaterMeter ................................. $
Sewer & Water Connection Fee ........... $
Water Tower Fee ........................... $
Water Tap ................................... $
Builder's Deposit ............................ $
Other ......................................... $
Total Due .............................. $
Paid D~ \) Receipt No.
Dete l.( , By
This is to certify that the request in the above application and accompanying documents is in accordance with the City Zoning Ordinance and may proceed as requested. This document when
signed by the City Planner constitutes a temporary Certificate of Zoning complianca end ellows construction to commenc.. Before occupancy, a Certificate of Occupancy must be issued.
SETBACKS: Required
Actual
Front
Back
Side
BUILDING DEPARTMENT V ALUA lION
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
PERMIT VALUATION
USE OF BUILDING
,ees 4f.r.:>
TYPE OF CONSTRUCTION, I " 111 IV V
Occupancy Group A B E F HIM R S U
PennitFee ..........~i~:~~.~..~...~..~...~... $ -74 IS
City'
Plan Check Fee ............................. $
State Surcharge ............................. $
Penalty ....................................... $
I. z. r
Plumbing Pennit Fee ....................... $
Mechanical Penni! Fee ..................... $
,,\"("'g8
ThIs Appll
By
Certificate of Occupancy
Issued
C~y Planner
Data
24 hoUr notice for all inspections 447-9850
-".._-_._-,---~-"._--,..--_.
~_.~-_._-~~-,.-
Side
MATERIAL FILED WITH APPLICATION
SOIL TESTS [] ENERGY DATA []
PILING LOGS [] PERCOLATION TESTS []
1..5O:J .~
PLANS & SPECS 0
SURVEY C"l
PLOT PLAN []
SETS
COPIES
Amount Brought Forward .................. $
Park Support Fee ........................... $
SAC ......................................... $
$
7&.V ()
Special Condilions K any