HomeMy WebLinkAboutBuilding Permit 99-1075
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
'7-27-9'j
A.:I,
ADDRESS
1 ~ 0 1:3 Q J?~p.j DA.K.S 112....
OWNER Mu el kE:0
CONTR.
PHONE NO.
PERMIT NO.
Cj'9 - (075
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION 6)
)lie FINAL l.(lS/
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EX/GRAD/FilLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS liNE AIR TST
o
COMMENTS: ~()F".
(-A 6.,.
71_
~
"-
&~
(l~f2-O
...........
-;2~
-
LK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT Wr::.. CAll FOR REINSPECTION BEFORE COVERING
Inspector: V,f- ( Owner/Contr:
CAll 447-9BSb FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
lNSNOTl
". -. ....".-..--.--.------..-.--------..--."i-
iATS
rQ/5S~---
1<. qLET).ON DATE
~/- 99
I hereby certify that I have fumished 'nformation on this appllcaMn 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 prope at all construction will confto all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the
building OfficiJ.l-e9 revoke ~i~s~t cause, F ore, I hereby agree that the city official or a designee may enter upon the property to perform needed inspections.
X /J~A_ >>..~
J.! ,.-,___/ Signature . License No. -- Dale
DAlC ClcrCIVC.Q
8/2.0/91.
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)
I ;g-A.T30 .~
M4'1 J RISD
2 SITE ADDjS;;- tJ /3
3, LEGAL DESCRIPTION
(:).1J,(leAJ (Jqtf....~
BLOCK
PID 2.6 -/25- ()zt-Q
LOT
2-(
~R'.bFll/ OAKS
J ~ (Nam.) rJ A 11 (Addrass)
LU/2/lV ,yutO/~ J4-N3
(Name)
Trr p.."t ,
ADDITION
4. OWNER
5. ARCHITECT
(Address)
(Tel. No.)
~/!I!;CW ~f4
(Tel. No.)
(Tel. No.)
till? 2'1~/Z
6.BUILDER A~il ~Jl()g~r~
tI~~ ~'gl;~ ~ ?~
7, TYPE OF WORK Fireplace [j Septic 0 Deck 0 Re-roofingp-- Porch 0
New Construction [j Alterations [j Addition 0 Finish Attic 0 As-siding 0 Finish Basement 0
Chimney 0 Misc,
Is. PROPERTY AREA OR ACRES
Sq.Ft.
\9. PROPERTY DIMENSIONS
Width Depth
l' o. CULVERT SIZE
Yes No
1. White
2. Pink
3. Yellow
File
City
Applicant
Permit No.
qq- /()7~
BUILDING INFORMATION
". SIZE OF STRUCTURE
(Height) (Width) (Depth)
12. NO. OF STORIES I
13. TY~CONSTR!JCWN
d.d4J..Y
14. FLOOR AREA APP!lflTlONMENT USE
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANT~
FOR ADMINISTRATIVE USE
Amount Brought Forward .................. $
Park Support Fee ........................... $
SAC ......................................... $
Collective Street Fee ....................... $
Sewer Tap ................................... ~
$
Pressure Reducer .......................... $
Meter Hom .................... .... ........... $
Water Meter ................................. $
Sewer & Water Connection Fee ........... $
WaterTowerFee ........................... $
Water Tap ................................... $
Builder's Deposit ............................ ~
Other ......................................... $
Total Du. .............................. $ 7(,. () ()
Paid 7(,.0 y R.ce;PINJ;/;,U 04-3
Date &ho/ C; 0 BY...r/J..C/'-
This is to certify that the request in the above application and accompanying documents is in accordance with the City zonimj Ordinance an6 may proceed alequasted. 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.
SETBACKS: Required
Actual
Back
Side
Side
Front
BUILDING DEPARTMENT VALUATION
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
PERMIT VALUATION
.::::::~ 0 U JY"V
USE OF BUILDING
KC3 4/L
TYPE OF CONSTRUCTION: I II III IV V
Occupancy Group A 8 E F HIM R
Division 1 2 3 4
Permit Fee .................. ............. .... $
City:
S U
74 1 r
Plan Check Fee ............................. $
State Surcharge ............................. $
j.2..f
Penalty ....................................... !t
Plumbing PelTTlit Fee ....................... $
Mechanical Permit Fee ..................... $
Sewer & Water PermIt ...................... $
~:sFir~la a :'~~/fJl/n"'" ...~~.;.:ttWhell<Abprovkh
By t' Dal. '6/"2,{'J( <{ 7
. { I I
Certificate of Occupancy
Issued
MATERIAL FILED WITH APPLICA nON
SOIL TESTS 0 ENERGY DATA 0
PILING LOGS 0 PERCOLATION TESTS 0
PLANS & SPECS 0 SETS
SURVEY 0 COPIES
PLOT PLAN 0
24 hour notice for all "."..."'.....:..."s 447-9850
Spacial Condrtions if any
City Planner
Date