HomeMy WebLinkAboutBuilding Permit 99-1094
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CONTR.
PERMIT NO. C) 9 - (0 9 <-[
o FOOTING 0 PLUMBING RI
o FOUNDATION 0 MECH RI
o FRAMING 0 WATER HOOKUP
o INSULATION ~ 0 SEWER HOOKUP
;cFINAL 0 PLUMBING FINAL
o SITE INSPECTI N 0 MECH FINAL
COMMENTS: eoV::- .
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CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEOULED
ADDRESS
3302.
OWNER cy,l,.., eb~.
PHONE NO.
~
~
\
'-
DATE TIME
'1'-'2.7-~ ~:t
..-....
I R...
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
~RK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT W~tr~ALL FOR REINSPECTION BEFORE COVERING
Inspector: V -r I Owner/Contr:
CALL 447-9850 tOR THE NEXT INSPECTION 24 HOURS IN ADVANCE..
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
INSNOTJ
16. PROJECT COSTNALUE
7~
a. PROPERTY AREA OR ACRES 190 PROPERTY DIMENSIONS 110. CULVERT SIZE 17~MPLETI5W DATE
Sq. Ft. Width Depth Yes No '-/' .....- b - 7 9-
I hereby certify that I ha~e fu . . had information on this application which is to the best of my knowledge true and correct. I also certify that I am the owner or aut~zed agent for
the above mentioned pro nd tha all construction will conform to all existing state and Jocallaws and WiJI proceed in accordance with submitted plans. I am aware that the
building o~ can rev k . parmi r just..Pfl~rthermore, I hereby agree that the city official ~dejJnee may enter upon the property to p8Jftrm ~eded ~ections.
X f/"),A. "'"Y. 'P~ t!:Ih r./'fJ ~-5 -7 9
I I 7 ignature . License No. Date .
DATE RFCEIVED
~/3/91.
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)
1:E3_ q9
2.SI~~tJ 2-
LOT
Sy ~ t; /t)c;12 e
3 "LOCK I
V~L-e- ADO/tJ.
h (Addr;:b
~(1 O.p" filqfJ()
(Address)
t)~LDO) - 1 (0 2. t;
(T.L No.)
3. LEGAL DESCRIPTION
,
f,fJ. ';
J
RIS...t:)
PID
2.5-111-
1103- ()
ADDITION
4. OWNEbG!J 1
5. ARCHITECT
(Na~
(Name)
6. BUILDER
(Name)
(Address)
(Tel. No.)
7. TYPE OF WORK
Fireplace 0
Alterations a
Septic 0
Addition 0
Deck 0
Finish Attic 0
Re-roofing IiiJ' Porch 0
Re-siding 0 Finish Basement 0
New Construction 0
Chimney 0 Misc.
1. White
2. Pink
3. Yellow
File
City
Applicant
Permit No. '10; - / tJ 91
BUILDING INFORMATION
11. SIZE OF STRUCTURE
(Height) (Width) (Depth)
12. NO. OF STORIES
13. TY~COIjBRUCTIO")
e 1<, tJI1 +-'--
14. UJOR AREA APPORTIONMENT USE
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS
SEATS
FOR ADMINISTRATIVE USE
MATERIAL FILED WITH APPLICATION
Amount Brought Forward .................. $
Park Support Fee ........................... $
SAC ......................................... 4:
Collective Street Fee ....................... 4:
Sewer Tap ................................... <t:
$
Pressure Reducer .......................... ~
Meter Horn ................ .... ............... 4:
WalerMeler ................................. 4'
Sewer & Water Connection Fee ...........01'
Water Tower Fee ........................... $
Water Tap ................................... $
Builder's Deposit ............................ $
Other ......................................... c;:
SETBACKS: Required
Actual
Side
Side
Front
Back
BUILDING DEPARTMENT VALUATION
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
PERMIT VALUATION
Z 5"1T"V . cIU
USE OF BUILDING
R6'S I"//-€-
TYPE OF CONSTRUCTION: I II III IV V
OccupancyGroup A B E F HIM R S U
City:
Division 1 2 3 4
Permit Fee ................................... $
7<1.1~
Plan Check Fee ......................... .... $
I. z.r
State Surcharge ............................. $
Penalty ....................................... $
Plumbing Permit Fee ....................... $
Mechanical Permit Fee ..................... ~
Sewer & Water Permit ...................... $
:: F~~~'rmit..tp....!y ..........I~~.~..~ttWhe~~ed~
By ~:;. Oat." tf
. I /
Certificate of Occupancy
SOIL TESTS
o ENERGY DATA
o
PILING LOGS 0 PERCOLATION TESTS 0
PLANS & SPECS 0
SURVEY CJ
SETS
COPIES
PLOT PLAN
o
Total Du. .............................. < 7 (eo. () 0
Paid -;1(,.0 0 R.ceip~1. 310 0(.8
Oat. <1/3/ qq By .flt:L-
This is to certify that the request in the above application and a~~~."t'..."ling documents is in accordance with the City Zoning Ordinance and may procee"'s requested. This document when
signed by the City Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before QC(:upancy, a Certificate of Occupancy must be issued.
Issued
24 hour notice for all inspections 447-9850
Special Conditions if any
City Planner
Date