HomeMy WebLinkAboutBuilding Permit 99-1053
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_,/' CITY OF PRIOR LAKE
INSPECTION NOTICE
DATE TIME
SCHEDULED
Cj-Z'")-~~ A.:t-
ADDRESS
1'-f r'n 49
('-, { ~e10 PALE:
OWNER LLl1LZ" ,'..J
PHONE NO.
CONTR.
PERMIT NO. Lf<=1- /053
o FOOTING
o FOUNDATION
o FRAMING
o INSULATIONrpJ
5 FINAL
o SITE INSPEC
~P.
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-
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXIGRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
COMMENTS:
/
/
~RK SATISFACTORY. PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT W~. CALL FOR REINSPECTION BEFORE COVERING
Inspector: ill ( Owner/Contr:
I
CALL 447,9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
INSNOTl
~~
QAIf ~Fr.F:WFD.
CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
L White
2. Pink
3. Yellow
File
City
Applicant
AUG .t , 1999 .
Permit No. CJ9 -I tJ'::J '5
. DIRECTIONS
SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN
BEFORE PERMIT IS ISSUED (Please Print or Type and sign at bottom)
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"LOCK 3 PID /.#)-/.7/,,-1')/7- 0
/l.I/'\ /.} '/J/l ~ -::> NO 13.TYPEOFCO~l}l!JCTION
ADDITION ()rJ.t:LO"VI > r;)6rT~/'~ 7~,;f' c> f-r
14 Othh.. l Jt;ftt.(,:;me) L t{ Ie ti (j I .<Jddr"JI-/ 6 ~9 &k61t1"t ;'el.;t.}.,W7-t31 31, 14 FLOOR AREA APPORTIONMENT USE
15, ARCHITECT (Name) (Address) (Tel. No.) ,l
6. BUILD~nfV' Z;,Ao~ &;,~dd~V CW~1Y JI~7~29S0
f(& (;'7'" ,PL nr'
2. SITE ADD,2; (, t./ 9
3. LEGAL DESCRIPTION
C:7
At/G. 5.1::.-.
R./.5LJ
BUILDING INFORMATION
1,. SIZE OF STRUCTURE
(Height) (Width)
(Depth)
LOT
12. NO. OF STORIES/
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS
7, TYPE OF WORK
Fireplace Q
Alterations Q
SepticQ
Addition CJ
Deck 0
Re-roofin~ Porch 0
Re-siding 0 Finish Basement 0
SEATS
New Construction LI
Chimney 0 Misc.
Ie. PROPERTY AREA OR ACRES 19. PROPERTY DIMENSIONS /10, CULVERT SIZE
Sq. Ft. Width Depth Yes No
I hereby certify that I~ave f ed 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 pro at all construe' conform to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the
building offi~n re i rmit for ju se. Furthermore, I hereby agree that the city offi~al J/ a designee may enter upon the property to periorm ~W inspections.
X r /v.. , /On Td Y" ~'?- 9=7
I Signature . License No. V - Date - /"
Finish Attic 0
16. PROJECT COSTNALUE
17~M~ET~ ~E
~ ~~S ~ 7'7'
FOR ADMINISTRATIVE USE
SETBACKS: Required
Actual
Front
Back
Side
Side
MATERIAL FILED WITH APPLlCATlON
SOIL TESTS 0 ENERGY DATA 0
PiliNG LOGS Ll PERCOLATION TESTS Ll
PLANS & SPECS 0 SETS
BUILDING DEPARTMENT VALUATION
USE OF BUILDING
R",...
/4 II?
I
TYPE OF CONSTRUCTION: I II III IV f::!.Q
Occupancy Group A B E F HIM ~S U
Division 1 2 6> 4
PelTTlit Fee ................................... $ 7 </. 7 )-
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
PERMrTVALUATION
2. Sc.V. Cl ~
SURVEY
PLOT PLAN
Ll
COPIES
Ll
City:
Amount Brought Forward .................. $
Park Support Fee ........................... $
SAC ......................................... $
Collective Street Fee ....................... $
Sewer Tap ................................... $
$
Plan Check Fee ............................, $
State Surcharge ............................. $
Penalty ....................................... $
Plumbing Permit Fee ....................... $
~
I . 2--.,
Mechanical Permit Fee ..................... $
Pressure Reducer .......................... $
Meter Hom ........................ .... ....... $
Water Meter ................................. $
Sewer & Water Connection Fee ....,...... $
Water Tower Fee ..............,............ $
Water Tap ................................... $
Sewer & Water Permit ...................... $
:: Z~~r'!~~:.~~~.:~~;,~i~~.;e:it ~..n ~l[Oved_ 91.
By J;J::IPO Date -f:o ( '-!
Certificate of Occupancy
Builder's Deposit ............................ $
Other ..........,.............................. $
Total Due .............................. $
Paid Receipt No.
Date ~ -7 t( - '7'7 BY;.dJ
,
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.
7C-,.() 0
L020
Issued
City Planner
Date
Special Conditions if any
24 hour notice for aU inspections 447-9850