HomeMy WebLinkAboutBuilding Permit 99-0975
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE SCHEDULED It) - u/J'J A-V?
ADDRESS L/ ? r?'~ T~,. . ~J
OWNER CONTR.
PHONE NO. PERMIT NO. 99-97:5
COMMENTS:
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
K~
~'/~ ~jJ
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
7~
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
~ FINAL
o SITE INSPECTION
k>
d-.
n ~
~RK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspeelor: ~ _ . Owner/Contr:
/
CALL 447-9850 FOR THI': NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTJ
~~
QATF FF"FIVEQ CITY OF PRIOR LAKE
BUILDING PERMIT,
AUG - 9 !999 TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
1. White
2. Pink
3. Yellow
File
City
Applicant
Permit No. '1CJ - '1 ~
I DIRECTIONS
SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN
BEFORE PERMIT IS ISSUED (Please Print or Type and sign at bottom)
2S~E78ii 71leo/n.4 Ci/Zd€
3. LEGAL DESCRIPTION
{"
1. DATE
8-tJ-99
R- LSD.
BUILDING INFORMATION
1,. SIZE OF STRUCTURE
(Height) (Width) (Depth)
12. NO. OF STORIES
PID
2<=;-011-//1-0
13. TYPE OF CONSTRUCTION
LOT
BLOCK
PI1- loiL ~ "rH
(N(JLo/YJ
ADDITION
4mJ2/9
5. ARCHITECT
(Name)
(Address)
?'O, I~ MVt-~ AJlf>
11 (Address) \U.
.(./ t~ V'<\. r..... "la-..-.- V'
(Address)
"BUILDER
(Name)
SAme
7. TYPE OF WORK
Fireplace LI
Alterations (]
Septic (]
Addition (]
(Tei. No.)
14. FLOOR AREA APPORTIONMENT USE
(Tel. No.)
(Tel. No.)
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS
SEATS
Deck 0
Finish Attic 0
Re-roofin~ Porch 0
Re-siding 0 ")inish Basement 0
16. PROJECT COSTNALUE
New Construction 0
Chimney 0 Misc.
8. PROPERTY AREA OR ACRES 19. PROPERTY DIMEN-SIONS ~ CULVERT SIZE
Sq. Ft. Width Depth I Yes No
I hereby certify that I have fumlshed 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 aU existing state and local laws and will proceed in accordance with submitted plans. I am aware that the
b~ o~,i_~1 ~n revoke th~it for just cause. Furthermore, I hereby agree that the city official or a designee may enter upon the property to perform needed jn~ons.
X ~01tQ /")/CTYYl R..q - 99
Sign:ture Licen~ No. Da)9
17. COMPLETION DATE
SETBACKS: Required
Actual
FOR ADMINISTRATIVE USE
Pressure Reducer .......................... $
Meter Hom ....... .... ........................ $
Water Meter ................................. $
Sewer & Water Connection Fee ........... 4:
Water Tower Fee ........................... $
Water Tap ................................... $
Builder's Deposit ............................ 4:
Other ......................................... $
Total Due .............................. $
Paid Receipt No. JS?;U 7
Date8-'1-'ti 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 compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be issued.
Front
Back
Side
BUILDING DEPARTMENT VALUATION
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
USE OF BU~~
Rr:.S AI ~
PERMIT VALUATION
2.trco.oo
TYPE OF CONSTRUCTION: I II III IV V
Occupancy Group A B E F HIM 6i S U
Division02 3 4
Permil Fee ................................... $
City:
Plan Check Fee ............................. $
State Surcharge ............................. $
Penalty ....................................... $
Plumbing Permit Fee ....................... $
oJI",o
44'1- ~UJ
~"I01.S'2-
<1'-t 1 - V
Mechanical Permit Fee ..................... $
Sewer & Water Permit ...................... $
ulldlng ;;r;~ ~n~~~di 1
Issued
CijyPlanner
Dale
24 hour notice for all inspections 447.9850
Special Condijions if any
Side
MATERIAL FILED Willi APPLICATION
SOIL TESTS i:l ENERGY DATA i:l
PILING LOGS LJ PERCOLATION TESTS 0
PLANS & SPECS 0
SURVEY i:l
PLOT PLAN LJ
SETS
COPIES
Amount Brought Forward .................. 4:
Park Support Fee ........................... $
SAC ......................................... $
Collective Street Fee ....................... $
Sewer Tap ................................... $
.