HomeMy WebLinkAboutBuilding Permit 99-1085
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE SCHEOULSD /(J-I5 -'!"J A,I
.
ADDRESS IF; IJZI fJ1~ ~,
OWNER CONTR.
PHONE NO. PERMIT NO. 6J9-/e8'C;
o FOOTING o PLUMBING RI o EX/GRAD/FILLING
o FOUNDATION o MECH RI o COMPLAINT
o FRAMING o WATER HOOKUP o FIREPLACE RI
o INSULATIO~ o SEWER HOOKUP o FIREPLACE FINAL
FINAL o PLUMBING FINAL o GASLlNE AIR TST
I} SITE INSPEC ON o MECH FINAL 0
COMMENTS: ;? frt!1 '
. - u
<<~~
~...-
/' /""( 'O-lf'~
\..
......,
~~
---
.~
..}
_..-/
~
/
~ORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK~ALL FOR REINSPECTION BEFORE COVERING
Inspector: I Owner/Contr:
v
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE..
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
I/VSl'iOTl
-----~_.. . .--.----"..--- -..-.-..-..--.--....-.--------.....-..--.--.---.....-.-..-..
DATE RECEIVED
(j / / /'11.
CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
1. White
2. Pink
3. Yellow
File
City
Applicanl
Permit No.
tf9 -j I) f1.'e)"
- DIRECTIONS
SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN
BEFORE PERMIT 1$ ISSUED (Please Print or Type and sign at bottom)
2. SITE ADDRESS
I ~f)~ I M(J..,(V/ to(/ h D
1. DATE
q -I -~1
~/S.o
BUILDING INFORMA nON
11. SIZE OF STRUCTURE
(Hoigl1t) (Width) (Depth)
3. LEGAL DESCRIPTION
q
12. NO. OF STORIES
LOT
~LOCK
PID 7.&:; -t?5 / - t) 09 - 0
ADDITION
Ir"D,oP<;'
RA-'W
f
(Address)
Sc.<rn e.
13. lYPE OF CONSTRUCTION
4. OWNER V (Namo) +-
fV\lpe l (/ I -.z
5. ARCHITECT
(Name) (Address)
!lI!JLA ROOFING & REMODELING, INC.
II10U ~\j]!;LlSIU~~.
S'\'. t.OUlB PARK, MN 55416
In #0001050
(Ter. No.)
C'" Ii) 1- 4f'7- ~l~
(6/.2) rs:::;L3'olf.{
(Tel. No.)
14. FLOOR AREA APPORTIONMENT USE
6. BUILDER
(Name)
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS
'7. TYPE OF WORK Fireplace CI Septic CI . Ol:lck cr '.. Re-roofingA Porch CI *' "ft"t".... '
New Construction LI Attera~?S CI Addition 0 Finish Attic 0 Re-siding 0 Finish Basement 0 ~ 16. PROJECT COSTNALUE
ChimneyD Misc. f~i\.ol'l- D"el1oc/:- /fo"'se ;J....5iJ-~C 5 /' r II YJ()dp, I
B. PROPERlY AREA em ACRES 19. PROPERrYDlMENSIONS 110. CULVERT SIZE
Sq. Ft. Width Depth Yes No
I hereby certify that I 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 to aU existing state and local laws and will proceed in accordance with submitted plans. I am aware that the
building }lff.tciaJ,f'!.n revoke ~is permit for jus use. Furthermore, I hereby agree that the city official or a designee may enter upon the property to perform needed inspections.
X U~IJ, 10S-0 q-I-9?
C/ s
SEATS
17. COMPLETION DATE
License No.
0.10
FOR ADMINISTRATIVE USE
SETBACKS: Required
Actual
Front
..ok
Side
Side
MATERIAL FILED WITH APPLICA nON
SOIL TESTS 0 ENERGY DATA (J
PILING LOGS 0 PERCOLATION TESTS 0
PLANS & SPECS 0 SETS
SURVEY 0 COPIES
PLOT PLAN 0
BUILDING DEPARTMENT VALUATION
USE OF BUILDING
-eG,S '-V/L
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
PERMIT VALUATION
'2. r7IV _ cr>.../
TYPE OF CONSTRUCTION: I II III IV V
OccupancyGroup A B E F HIM A S U
City:
Amount Brought Forward .................. $
Park Support Fee ........................... $
SAC ......................................... $
Collective Street Fee ................"..". $
Sewer Tap ................................... $
$
Division 1 2 3 4
Permit Fee ................................... 't
74 7';-
Plan Check Fee ............................. 4::
State Surcharge ............................. !I:
/.'2:. r
Penalty ....................................... t
Pressure Reducer .......................... $
Meter Hom ................................... $
Water Meter ................................. $
Sewer & Water Connection Fee ........... $
Plumbing Permit Fee ....................... $
Mechanical Permit Fee ..................... 4::
Sewer & Water Permit ...................... $
Gas Fireplace Permit ....................... $
Th~ .,J(,2.Ldo-~T~. ~"'Idlng Pennit Wh~n pr;1l'vedn
By ~ 'rP{' Delo ., I/~ '7
, ,
Certificate of Occupancy
Water Tower Fee ........................... $
Water Tap ................................... $
Builder's Deposit ............................ $
Other ......................................... $
Total Due ...................".."..... $
7t;.00
Date 4 ~ /9tf' By /fj.('1
This is to certify that the request in the above a~lication and accompanying documents is in accordance with the City Zoning Ordinance and may pr~~uested. This document wilen
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.
Paid
Receipt N!J.
7~ .00
3(,0 s- I
Issued
CiIy Planner
Dale
Special Conditions n any
24 hour notice for all inspections 447-9850