HomeMy WebLinkAboutBuilding Permit 99-1011
CITY OF PRIOR LAKE
INSPECTION NOTICE
.,
'SCHEDULED
ADDRESS
57103
DATE TIME
8fe/1~ If. r:
1:5/ KCVf rv 000'
o EXlGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
,JllJ!!ASLINE AIR TS_T
- .1( / ;..... (l~.
/~::;11.. ) )
~
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
~FINAL ;e:.OO,e=
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
~
~
~
'99-/0/ (
/
/'
~ORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT ,,~. CALL FOR REINSPECTION BEFORE COVERING
Inspector: J?J--I . OwnerlContr:
CALL "'7-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.,
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
INSNOTl
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-'------.....--.- .' -_."~---_.._._---,~--~._--
CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
.QA11=RF=t":I=I\.II=Q...
Mta.
DIRECTIONS
SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN
BEFORE PERMIT IS ISSUED (Please Print or Type and sign at bottom)
12, SITE ADDRESS f)'
Fil(03 r~If't.h wrv')d Ave)
3. LEGAL DESCRIPTION
1. White
2. Pink
3. Yellow
File
City
Applicant
Permit No.
BP ~9- lOll
1. DATE
8-IIo.QQ
I ZONING
PU$P
BUILDING INFORMATION
11, SIZE OF STRUCTURE
(Height) (Width) (Depth)
LOT
c,
PID Z 5 - LOS- -o,S-co-o
12. NO. OF STORIES
BLOCK 5
54f'.Jotf POIN-rG
4. OWNER ,Name) (Addre~ ' (Te~o.)
mo.(~ A-t\<'\Y)$:.()() Fnls>3 l"'llrrhwoCYlltvp, '14t/-7q3~
5, ARCHITECT
ADDITION
(Name)
(Address)
13, TY~OF~N;EUCTlON
14. FLOOR AREA APPORTIONMENT USE
(Tel,No,)
1G!LDk+ l~me) 1(~.'1C JWKD 23rzJ~";j"1T&~~ 5S7_~~l'5~~~~~~~~~CCUPANTSORSEATS
7, TYP~OFWORK.Lf Flrepleceol 0SeptiCc, Deck 0 Re-rooiinllPo Porch 0 SEATS
New Construction 0 Alterations 0 Addition D Finish Attic 0 Ae.siding 0 Finish Basement D 16. PROJECT COSTN ALUE
Chimney 0 Mise, 31 0 I 0
la, PROPERTY AREA OR ACRES 19' PROPERTY DIMENSIONS 110, CULVERT SIZE 17, COMPlETION OATE
Sq, FI. Width Depth Ves No q - ito-q q
I hereby certify that I have furnished Information on this applicatIon which is to the best of my knowledge true and correct. I also certify that I am the owner or authortzed agent for
the above mentioned property and that all construction will conform to all exlstlng state and local laws and will proceed in accordance with submitted plans. I am aware that the
bulldin . ial can rev ke this rmit for just cause. Furthermore, I hereby agree thaI the city official or a designee may enter upon the property to per1o"Jl...nepded inspections.
X ' ,. /1./ ,=<qqq, ~1131q9
Signature license No. Date
MATERIAL FILED WITH APPLICATION
FOR ADMINISTRATIVE USE
SETBACKS: Required
Actual
Front
..,k
Side
BUILDING DEPARTMENT VALUATION
1<5 ~!z.
I
OFF STREET PARKING
SPACES REO,
SPACES ON PLAN
PERMIT VALUATION
USE OF BUILDING
Side
SOIL TESTS 0 ENERGY DATA
o
PILING LOGS 0
PLANS & SPECS 0
SURVEY 0
PERCOLATION TESTS 0
SETS
COPIES
2.-500. ~
o
TYPE OF CONSTRUCTION: I II III IV V
Occupancy Group A B E F HIM R S U
Division 1 2 3 4
City:
PennitFee ................................... $
'i4, 7<:;
Plan Checking Fee ......................... $
State Surcharge ............................. $
Penalty ....................................... $
Septic System ............................... $
Other ......................................... $
1,Z...5
Subtotal............................... $
17(,,0'"
This APP.w-tion B~mesJo~dlng Pennil When Approved.
By _ ~-w~, -ri'.u.U Date ,f-j(., ~ '1'
Certificate of Occupancy
Issued
PLOT PLAN
Amount Brought Forward .................. $
Park Support Fee ........................... $
SAC ......................................... $
Collector Street Fee ....................... $
Sewer Tap ................................... $
License Check Fee ......................... $
Pressure Reducer .......................... $
Meter Horn ................................... $
Water Meter ................................. $
Sewer & Water Connection Fee ........... $
WaterTowerFee ........................... $
Water Tap ................................... $
Builder's Deposit ............................ $
Other ......................................... $
Total Due .............................. $ "7 {. .0-0
Paid RecelDt No.
Date
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.
CIlyPlanner
Oate
24 hour notice for all Inspections 447-4230
Special CorKlitions n any