HomeMy WebLinkAboutBuilding Permit 99-1029
CITY OF PRIOR LAKE
INSPECTION NOTICE
DATE TIME
ADDRESS
L/7' 3~
SCHEDUL'iD /()-,3z-~2 A,r-.
OWNER
~-&.
CONTR.
PHONE NO.
PERMIT NO.
~9-/02'7
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
JCr FINAL
/6 SITE INSPECTION
o PLUMBING RI 0 EXlGRAD/FILLING
o MECH RI 0 COMPLAINT
o WATER HOOKUP 0 FIREPLACE RI
o SEWER HOOKUP 0 FIREPLACE FINAL
o PLUMBING FINAL 0 GASLINE AIR TST
o MECH FINAL ~ ~
~~h_~
rA7~~~"
'- r. - ~_____
COMMENTS:
-
~RK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WOR)fALL FOR REINSPECTION BEFORE COVERING
Inspector. I/'J-- . Owner/Contr
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCg,
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTJ
. .-----'.-----...----.--------
~~
a~;?~; .
CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
I DIRECTIONS
SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN
BEFORE PERMIT IS ISSUED (Please Print or Type and sign at bottom)
12, SITE A9DRESS
4l93~ v/l-l4:'Jm sr
1. DATE
f'-/?-tff
P/ZIoYZ / k ~2-
3. LEGAL DESCRIPTION
LOT
PID?~-OOI- 09/- 0
BLOCK
~r7/~
/#vI?
8I1u/1/0S'
(Address) {) (Tel. NO.~U7'
#~ ~sr ffi">(20t! "/?4
(Address) (Tel. No.)
ADDITION
140WNER ~d:le) ;.ll/e
15. ARCHITECT
6, BUILDER
(Name)
(Address)
(Name)
(Tel. No.)
7. TYPE OF WORK
New Construction r:r
Re.roofing}l( Porch 0
Ae-siding 0 Finish Basement 0
Septic 0
Addition LJ
Deck 0
Finish Attic CI
Fireplace 0
Alterations LI
I. White
2. Pink
3. Yellow
File
City
Applicanl
Permit No. 9 if - IO;;...fj
BUILDING INFORMATION
11, SIZE OF STRUCTURE
(Height) (Width) (Depth)
12. NO. OF STORIES
13. TYPE OF CONSTRUCTION
14, FLOOR AREA APPORTIONMENT USE
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS
SEATS
16, PROJECT COSTNALUE
Chimney CI Misc.
lB. PROPERTY AREA OR ACRES 19. PROPERTY DIMENSIONS 110. CULVERT SIZE
Sq. Ft. Width Depth Yes No
I hereby certify that r have fumished 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 10 all existing state and local laws and will proceed in accordance with submitted plans. I am aware thai the
building official Jf'!}revoke this e . for just use. Furthermore, I hereby agree that the city official or a designee may enter upon the property to perform needed inspections.
X ?,/~ P_/9-97
/ - ~nature License No.
FOR ADMINISTRATIVE USE
SETBACKS: Required
Actual
Front
Back
Side
Side
BUILDING DEPARTMENT VALUATION
OFF STREET PARKING
SPACES REO,
SPACES ON PLAN
PERMIT VALUATION z..~-(7'-
USE OF BUILDING
e.&S A/ tL-
,
TYPE OF CONSTRUCTION: I II III IV V
Occupancy Group A B E F HIM R S U
17. COMPLETION DATE
Date
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
Division 1 2 3 4
Permit Fee ............................... .... $
Plan Check Fee ............................. $
State Surcharge ............................. $
Penalty ....................................... $
Amount Brought Forward .................. $
Park Support Fee .... ....................... $
SAC ,...........,...........,..............., $
Collective Street Fee ....................... 1\'.
Sewer Tap ................................... $-
.
City:
7tf. ? S
I. "2..S
Plumbing Permit Fee ....................... $
Mechanical Permit Fee ..................... $
Pressure Reducer .......................... $
Meter Horn ....... ..................... ....... $
Water Meter ................................. $
Sewer & Water Connection Fee ........... $
WaterTowerFee ...........................0;:
Sewer & Water Permit ...................... $
~~;;;~'1fi'fftr1
c.rtf~~ujancy , I
Water Tap ................................... $
Builder's Deposit ............................ $
Other ......................................... $
Total Due .............................. $
Pa,d '1r;.O Rece~PtN ~.5Br~
I~ 'j I
Date q By JJJ __
ThIS IS to certify that the request In the above application and accompanYing documents IS In accordance WIth the City ZOning OrdInance an may proceed 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.
City Planner
Dale
-J/, .00
24 hour notice for aU inspections 447-9850
Special Conditions ~ any