HomeMy WebLinkAboutBuilding Permit 99-1095
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE SCHEDU~,"'D (o.zz-~9 A. y--,
.
ADDRESS L..j$0~ Z-;~ t~l
0'
OWNER CONTR.
PHONE NO. PERMIT NO. 9q -/() 9S
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
)il:FINAL
o SITE INSPECTION
COMMENTS:
o PLUMBING RI 0 EX/GRAD/FILLING
o MECH RI 0 COMPLAINT
o WATER HOOKUP 0 FIREPLACE RI
o SEWER HOOKUP 0 FIREPLACE FINAL
o PLUMBING FINAL 0 GASJ"INE AIR TST
o MECH FINAL ;r ~
~ bO d~ '
p
/?Cdf~
~-
....~
~ "'
~
ri'ORK SATISFACTORY. PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WOR.2l. 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 & SAFETY!
INSNOTI
~~
DAn; RF=r:F=I~
9/3/'11'
CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
I. White
2. Pink
3. Yellow
File
City
Applicant
DIRECTIONS
SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN
BEFORE PERMIT IS ISSUED (Please Print or Type and sign at bottom)
2. SITE ADDRESS
i./nl.t. 0'lf,aSSV O~.
3. LEGAL DESCRIPTION
Permit No.
QQ-/095
1. DATE
9/3/1 <j
BUILDING INFORMATION
11. SIZE OF STti~07URE
(Heiglll) (Width) (Depth)
I<.
LOT
3
BLOCK
(
12. NO. OF STORIES
ADDITION
4. OWNER
nO"-l
5. ARCHITECT
1'1 fiPLE Hi Ll-
PID 25-082- 003-()
(Name)
I.\-UI.llIE.
(Name)
13. TYPE OF CONSTRUCTION
1./,,710
(Address)
fJ1 BII ~Sl./
(Address)
CIIl.
(Tel. No.)
" t/s431.J 5
(Tel. No.)
14. FLOOR AREA APPORTIONMENT USE
6. BUILDER
(Name)
(Address)
(Tel. No.)
15. NUMBER OF OCCUPANTS OR SEATS
~ h.,l.u lJ bf' <; {rv /<rT, I b026 ST ~LJWrlS Lu '-1'17- Ifln...
.~ SEATS
7. TYPE OF WORK Fireplace 0 Septic 0 Deck 0 ' Re-roofing pi. Porch LI
New Construction 0 Alterations LI Addition 0 Finish Attic 0 Re-siding 0 Finish Basement 0 16.IFROJECT COSTNALUE
Chimneyo Misc. --r.t;.AIL -Of'F :If ("OOO~
8. PROPERTY AREA OR ACRES 19. PROPERTY DIMENSIONS /10. CULVERT SIZE 17. COMPLETION DATE
Sq. FI. Width Depth Ves No q -10 _ q Cf
I hereby certify that I have furnished information on this application which is to the besl of my knowledge true and correct. r also certify that I am the owner or authorized agent for
the above mentioned property and that aU construction will confonn to all existing state and local laws and will proceed in accordance with submitted plans. I arn aware that the
building Offici~ ca"floke tIlis ennit for jusf cause. Furthennore, I hereby agree that fhe city official or a designee may enter upon tile property to perlonn needed Inspections.
X I~." $ "20tlU?"9.t1 _'l-~:- "J'1
License No.
OCCUPANTS
Date
SETBACKS: Required
Actual
FOR ADMINISTRATIVE USE
Front
Back
Side
Side
MATERIAL FILED WITH APPLICATION
SOIL TESTS 0 ENERGV DATA 0
PILING LOGS 0 PERCOLATION TESTS LI
BUILDING DEPARTMENT VALUATION
USE OF BUILDING
IZF-S, "1'/ /L
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
PERMIT VALUATION
PLANS & SPECS 0
SURVEV 0
SETS
COPIES
2 nFU.()O
PLOT PLAN
o
TYPE OF CONSTRUCTION: I If HI IV V
OccupancyGroup A B E F H r M R S U
City:
Amount Brought Forward .................. $
Park Support Fee ........................... ~
SAC ..m..........."..........ou........".. $
Collective Street Fee ....................... $
Sewer Tap ................................... $
$
Division 1 2 3 4
Permit Fee ...................... ............. $
74"7S
Plan Check Fee ............................. $
State Surcharge ............................. $
Penalty ....................................... $
1.2-S
Plumbing Permit Fee ....................... $
Pressure Reducer .......................... $
Meter Horn ................................... $
Water Meter ................................. $
Sewer & WaterConnectlon Fee ........... $
Water Tower Fee ........................... $
Water Tap ................................... $
Builder's Deposit ............................ $
Other ......................................... $
Totai Due .....m...................... $ 7(,. 0 0
Paid 7 (,. 0 (; Receipt l'J~. 3(, Ci C. "1
Issued . .
. Date 0/3/91 By J!f.tL.--
This is to certify that the request in the above application and accompanying documents is in accordance with the City Zoning ordC.ance 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 occupancy, a Certificate of Occupancy must be issued.
Mechanical Permit Fee ..................... $
Sewer & Water Permit ...................... It
ng Penni! Whe9'Ap~'Jl!I'E;
Date Q/.3 '7
,
City Planner
Date
Special Conditions if any
24 hour notice for all inspections 447-9850