HomeMy WebLinkAboutBuilding Permit 99-1048
(J~~
71-:'\
-/
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS 318(" ~~
OWNER
CONTR.
PHONE NO.
PERMIT NO,
o FOOTING
o FOUNDATION
o FRAMING
B-INSULATION/.:'5J
"Jll FINAL "-!5/
o SITE INSPECTION
COMMENTS: ~+
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
R i-/J w
/
----
{ ('j~
'--
-
:
~J ~~E) TIME
f!:1t-Ar
'lQ-I04B
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
LRK 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 & SAFETYI
INSNOTl
-_..,-,,--------~._~----_..._-'"'_._..,.__.,.~--,. -.-...-.-----
8. PROPERTY AREA OR ACRES 19. PROPERTY DIMENSIONS 110. CULVERT SIZE
Sq. Ft. Width Depth Yes No
I hereby certify that 1 have furnished infonnation 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
above m~er~~rty and that all construction will conform to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the
X ildi Offici_~i~ust caUS.. Furth.rmore, I hereby agree that the city OlfiC~~~~ E\Y .nt.r upon the prop.rty to P.rto~,:~~~ions.
S",oalur" Lk"OO" No. Dot" ~
&~~
QATF RFr.FI\fFQ CITY OF PRIOR LAKE
BUILDING PERMIT,
TI:MPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
~
DIRECTIONS
SPACES NUMBERED 1 THRU 17 MUST BE FillED IN
BEFORE PERMIT 1$ ISSUED (Please Print or Type and sign at bottom)
1. DATE
~~clCJ- '\~
(2. \ SO
2.S1~r~ln ~'V..J\ \ ~ ~\Q. \JUJ
3. LEGAL DESCRIPTION
lOT ~ t BLOCK
ADDITION --iJ c(l;r/t\-..cJ~
:~,^-UC(~\k~ ~\~C~ U;:~~~~
5. ARCHITECT (Name) (Address) (Tel. No.)
PID
:2'5-141 -013-0
6. BUILDER
(Name)
(Address)
(T.1. No.)
\~ 8"\~ Si
'bS ~ -QD\\. ~
~\~~~"'\ ~\~
7. TYPE OF WORK Fireplace 0 Septic 0
New Construction 0 Alterations 0 Addition 0
Chimney 0 Misc.
Deck 0
Finish Attic LI
Re-roofin~ Porch 0
Re-siding 0 Finish Basement 0
1. White
2. Pink
3. Yellow
_File
City
Applicam
Permit No.
qr~/t)~
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
OCCUPANT~
SEATS
16, PffiI~CT COSTNAlllSo
~ JQ;)O -
17. COM~lETION DATE
FOR ADMINISTRATIVE USE
Amount Brought Forward .................. $
Pan< Support Fee .... ....................... $
SAC ......................................... $
Collective Street Fee ....................... $
Sewer Tap ................................... $
$
SETBACKS: Required
Actual
Baok
Side
Side
Front
- BUILDING DEPARTMENT VALUATION
I
/'rI/Z-
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
2.---:, (X). .....
USE OF BUILDING
~
PERMIT VALUATION
TYPE OF CONSTRUCTION: I II III IV V
Occupancy Group A B E F HIM R
Division 1 2 3 4
Permit Fee ................................... $
S U
1.4.,4"
City:
Plan Check Fee .... ......................... $
State Surcharge ............................. $
Penalty.............. ......................... 4:
\. :?~
Pressure Reducer .......................... !I:
Meter Horn ................ .... .... ........... $
Water Meter ................................. $
Sewer & Water Connection Fee ........... $
Water Tower Fee ........................... $
Water Tap ................................... $
Builder's Deposit ............................ 'f.
Other ......................................... $
Total Due .............................. $
Paid 3WOl'1 R.c.ipt No.
Dal. qh:s /q-.;
This is to certify that the request in the above application and accompanying documents is in accordance with the City Zoning Ordinan~ 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.
Plumbing Pennit Fee ....................... It,
This
~
........-
~/
;1~i~..~.:IIWh~J,edl
Dte~
By
Certificate of Occupancy
Issued
MATERIAL FilED WITH APPLICATION
SOIL TESTS Cl ENERGY DATA Cl
PILING LOGS Cl PERCOLATION TESTS Cl
PLANS & SPECS Cl SETS
SURVEY Cl COPIES
PLOT PLAN Cl
7(0 00
3W/'1
By (2t'lf
24 hour notice for all inspections 447.9850
Special Conditions ~ any
City Planner
Date
-r"