HomeMy WebLinkAboutBuilding Permit 99-0979
CITY OF PRIOR LAKE
INSPECTION NOTICE SCHEDULED 9--;}.4Jf9
ADDRESS /L/ In q"; /YJb1aLJ : I ~
,
OWNER CONTR.
DATE TIME
401:
PHONE NO.
PERMIT NO.
19-97/
o FOOTING
o FOUNDATION
o FRAMING @)
~ .INSULATION
EFINAL
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 GASLlNE AIR TST
o
COMMENTS:
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L SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: ~ ' Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE..
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTl
OATF 1=1I:::r:!:W~D.
8/rO/QQ
CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
I. White
2. Pink
3. Yellow
File
City
Applicant
, OIRECTlONS
SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN
BEFORE PERMIT IS ISSUED (Please Print or Type and sign at bottom)
Permit No. 99 .. 979
1. DATE
6~ER (Ni:~~ ~A/;r (t;~f
7. TYP~ I'ire$race 0 Septic 0 Deck 0
New Construction 0 Alterations 0 Addition 0 Finish Attic 0
Df!4/-tI- ';:';2
l!l/7-2yy?;
Ae-roofing c.-- Porch'L1
Re-siding 0 Finish Basement 0
~. /lJ- 9(
. ,etSO I
I
I
I
I
1_
15. NUMBER OF OCCUPANTS OR SEATS
BUILDING INFORMATION
11. SIZE OF STt<u(;TURE
(Height) (Width)
(Depth)
2. SITfl6lJ t/
5E
3. LEGAL DESCRIPTION
LOT
ADDITION
/2-
I:lLOCK
12. NO. OF STORI~
1~EOFCONST~ION
'C' ~ r---
14: FLOOR AREA APPORTIONMENT USE
4.0WNEU1 (Namo)
{) /JUrI to
.
5. ARCHITECT (Name)
OCCUPANTR
SEATF:
Chimney 0 Misc.
8 PROPERTY AREA OR ACRES /9 PROPERTY DIMENSIONS /1 0 CULVERT SIZE I 17. 5P~PLETION DATE
Sq. Ft W,dth Depth Yes No I <<" - Is-. 9 f
I hereby certify that I hav~fuml ed InformatIon on this application which IS to the besl of my knowledge true and correct I also certIfy that I am the owner or authonzed agent for
the above m~ntl ad prope nd that all construction win conform to all eXlstmg state and local laws and will proceed In accordance WIth submitted plans I am aware that the
bUIlding OffiCI revo pe~ Just cause Furthermore, I hereby agree that the CIty offiCial or a deSignee may enter upon the property to perl.2,tJp needed In~lons
X J X/1~ . ,pI" [,"4> .<;''''''/0 ''7' /'
F'9nalure License No. Dale
16. PROJECT COSTNALUE
SETBACKS: Required
Actual
I
FOR ADMINISTRATIVE USE
Front
Back
Side
::iide
MATERIAL FILED WITH APPLlCA nON
SOIL TESTS 0 ENERGY DATA 0
PILING LOGS Cl PERCOLATION TESTS Cl
BUILDING DEPARTMENT VALUATION
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
PERMIT VALUATION
PLANS & SPECS Cl
SURVEY 0
SETS
COPIES
USE OF BUILDING
R:e:5 o/;C.....
TYPE OF CONSTRUCTION: I II III IV V
Occupancy Group A B E F HIM R
Division 1 2 3 4
Permit Fee ................................... $
Plan Check Fee ............................. $
State Surcharge ............................. $
Penalty...................... ................. $
2 S"CJV _ uv
PLOT PLAN
o
S U
747)'
City:
Amount Brought Forward .................. $
Park Support Fee ........................... $
SAC ......................................... $
Collective Street Fee ......... .... .... ...... $
Sewer Tap ................................... $
$
t.2..r
Plumbing Permit Fee ....................... $
Mechanical Permit Fee ..... ............. ... ,'I:
Pressure Reducer .......................... $
Meter Horn ................ .... ............... $
Water Meter ................................. $
Sewer & Water Connection Fee ........... $
WaterTowerFee ........................... $
Sewer & Water Permit ...................... $
Water Tap ................................... $
Builder's Deposit ............................ $
Other ......................................... $
7':>'07/
Total Due .............................. $
Paid "7 (v (I7J Receipt N~. l> 5 'iJ '7
Date 6//0/'1'1 By L~ .
This is to certify that the request in the above application and accompanying documents is in accordance with the City Zoning Ordirfance and may proceed a~uested. ~___
signed by the City Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificat~ Ckcupancy must be issued.
;:: :;il :rnL.l;}i.~,~~.~~:it WJl?c!ApprJ,2f/a
By fI~ i '7flP(7" Date _>1/1 0/' ,
Certificate of occupar4 7 I
Issued
CilyPlanner
Dale
Speclal Conditions if any
24 hour notice for all inspections 447.9850