HomeMy WebLinkAboutBuilding Permit 99-0994
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CONTR.
PERMIT NO, <19 - 9'J 'l
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
.
ADDRE$S /5.;2 7/
OWNER
PHONE NO,
o FOOTING 0 PLUMBING RI
o FOUNDATION 0 MECH RI
o FRAMING 0 WATER HOOKUP
o INSULATION 0 SEWER HOOKUP
piNAL 0 PLUMBING FINAL
o SITE INSPECTION 0 MECH FINAL
COMMENTS: 4 L ~
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DATE
ItJ -1'9 -'I' A. ('1-.
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GA~IR TST
J4 ;
~
~ -Ai1~
(
---
~
--
~RK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT W~, CALL FOR REINSPECTION BEFORE COVERING
Inspector: m. Owner/Contr:
/ -
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
INSNOTI
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/
Amount Brought Forward .................. $
Park Support Fee ............. .............. $
SAC ......................................... $
Collective Street Fee ....................... $
Sewer Tap ................................... $
$
&~1
DATE RECEIVED
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CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
DIRECTIONS
SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN
BEFORE PERMIT IS ISSUED (Please Print or Type and sign at bottom)
1';/~I/q7
Ie/50
2. SITE ADDRESS
15~d~ W ~''''_~ r (' ';'rr l~
3. LEGAL DESCRIPTION (J
LOT -3 BLOCK I
1'1191a7/11 SON S pr
PID ~5 -0'73 - ll03-0
ADDITION
4'm~l(
5. ARCHITECT (Name)
(Address) 1._II..:':.eI.No.) ~-
ISj1J PA-w7j""'1C.1 W,'u>. 511l'3.(~
~ (Tel. No.)
AL~e~t
::::T1\r .
7. TYPE OF WORK
Fireplace 0
Alterations a
(Address)
I \"I'1la.rc.!ncWS-lr1oJ
/3f)I,.,)IQlAf'd
Septic 0 Deck 0 Re-roofing~ Porch 0
Addition 0 Finish Attic 0 Re.siding a Finish Basement 0
(Tel. No.) 707-
o I (X::)
FOR ADMINISTRATIVE USE
SETBACKS: Required
Actual
Front
Back
Side
Side
BUILDING DEPARTMENT VALUATION
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
PERMIT VALUATION
7~r'7fV _ u
USE OF BUILDING
-ee.s 4/..e:..
TYPE OF CONSTRUCTION: I II III IV V
Occupancy Group A B E F HIM R
Division 1 2 3 4
Permit Fee .................. ......... .... .... $
City:
S U
74.1S"--
Plan Check Fee ............................. ,<;;
State Surcharge ............................. .01:
Penahy ....................................... $
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1. While
2. Pink
3 Yellow
File
City
Applicant
Permit No.
99 -Ii?';
BUILDING INFORMATION
". SIZE OF STRUCTURE
(Height) (Width) (Depth)
12. NO. OF STORIES {)()~
13. TYP1RFC~STRUCTIO~-..
I<e--~ ~I .~<JI.~5
14. FLOOR AREA APPORTIONMENT USE
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS
SEATS
MATERIAL FILED WITH APPLICATION
SOIL TESTS 0 ENERGY DATA 0
PILING lOGS 0 PERCOLATION TESTS 0
PLANS & SPECS 0 SETS
SURVEY 0 COPIES
PLOT PLAN 0
Plumbing Permit Fee ....................... <t
Mechanical Permit Fee ..................... ~
Pressure Reducer .......................... $
Meter Hom ............ .... .... ............... $
Water Meter ................................. $
Sewer & Water Connection Fee ........... $
Water Tower Fee ........................... $
Water Tap ................................... $
Builder's Deposit ............................ $
Other ......................................... $
Total Due .............................. $
7f1 .",.....
Date t/,'/(; q By
This is to certify that the reQuest in the above application and accompanying documents is in accordance with the City Zoning Ordnance and may proce
signed by the City Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certific
Sewer & Water Permit ...................... $
Paid
Issued
CityPfanner
Da"
Special Conditions if any
24 hour notice for aU inspections 447-9850
Receipt No.
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5. c:;-(' '::>-</
requested. This document when
of Occupancy must be issued.