HomeMy WebLinkAboutBuilding Permit 99-1108
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEll'iILED 10 -1:;-- '1r A ,(,
DATE TIME
ADDRESS
/Ytf":l7 /2f~ n.
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING 0 PLUMBING RI
o FOUNDATION 0 MECH RI
o FRAMING 0 WATER HOOKUP
o INSULATION 0 SEWER HOOKUP
'!f FINAL 0 PLUMBING FINAL
o SITE INSPECTION 0 MECH FINAL
COMMENTS: I(--{
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~~
\.. ( 1 fI JYoJZ
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9 '7 - / / c:Jff
o EXIGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
~
~
~~
-
LK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT wc;lK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: f'.b- , Owner/Contr:
- I
~ALL 447-98~O FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
lNSNOTl
---"--._----,~----~...~----
16. PROJECT COSTNALUE
7, OOD
17. COMPLETION DATE
~qt-. I
I hereby certify that I have furnished information on this application which is to the best of my knowledge true and correct. I also certify that 1 am the owner or authorized agent for
e mentioned prope~ and that all construction will conform to all existing state and local laws and will proceed in accordance with submitted plans. 1 am aware that the
. lal ca va nn"t r' 51 cause. Furthermore, I hereby agr~~)~~~t V designee may enter upon the property to peptrr:' M~ ~J1tions.
License No. Dale
~~
DATE RECEIVED
9/7/,n
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)
2.SITEADDREr~ql Ma.nitw Rrl.
3. LEGAL DESCRIPTION
II
KOPPS
1. DATE
B:JJ1.~q
/<-/50
LOT
BLOCK
P'D
25-()53- ()/ /- ()
ADDITION
eAV2~
.
Ittgq1 (M'artltuv
Rd
Jf4(J': N6/ g1
(Tel. No.)
,4. OWNER l1tW
5. ARCHITECT
(Name)
(j)Ov?CV
(Name')
(Address)
6. BUILDER (Name)
{hmi{; 'M51nv
(Address) (Tel. No.)
1?aO ~AJ)b 10'Yl'1S~~1 f?QS .q~l~
Re-rOofing, Porch 0
Rs-sidlng 0 Finish Basement 0
7. TYPE OF WORK
Fireplace 0
Alterations 0
Septic 0
Addition 0
Deck 0
Finish Attic 0
New Construction 0
Chimney 0 Misc.
8. PROPERTY AREA OR ACRES
Sq.Ft.
\9. PROPERTY DIMENSIONS
Width Depth
11 O. CULVERT SIZE
Yes No
x
MJtql
lIP
1 White
2. Pink
3. Yellow
File
City
Applicant
Permit No.
qC;~lltJB
BUILDING INFORMATION
11 . SIZE OF STRUCTURE
(Height) (Width) (Depth)
12. NO. OF STORIES
13. TYP~F CONsr:?ON
t"C V'O
14. FLOOR AREA APPORTIONMENT USE
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS
SEATS
FOR ADMINISTRATIVE USE
Amount Brought Forward .................. ,It
Park Support Fee ........................... $
SAC ......................................... $
Collective Street Fee ....................... <t
Sewer Tap ................................... <t,
.
Pressure Reducer .......................... <I'
Meter Horn ... .... .... ................. ....... <I'
Water Meter ................................. $
Sewer & Water Connection Fee ........... $
Water Tower Fee ........................... cr,
Water Tap ................................... $
Builder's Deposit ............................ cr
Other ..... ........ .... ........................ $
SETBACKS: Required
Actual
Back
Side
Side
Front
- BUILDING DEPARTMENT VALUATION
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
PERMIT VALUATION
USE OF BUILDING
/<?6S A/~
TYPE OF ..........:0. ....\JeTtON: I II III IV V
Occupancy Group A B E F HIM R
Division 1 2 3 4
Permit Fee ................................... $
s U
City:
7~7~
Plan Check Fee ............. ................ $
State Surcharge ............................. $
Penalty ....................................... $
Plumbing Permit Fee ....................... $
/.2-5
Mechanical Permit Fee ......... .... ........ $
Sewer & Water Permit ...................... $
Gas Fireplace Permit ....................... $
This ,nles~lng Permit When ~p.roy6~......."
By 7- -r"- Date ~/71 cr--?_
Certificate of Oecu ancy
I MATERIAL FILED WITH APPLICATION
SOIL TESTS 0 ENERGY DATA 0
PILING LOGS 0 PERCOLATION TESTS 0
PLANS & SPECS 0
SURVEY 0
SETS
COPIES
PLOT PLAN
o
Total Due .............................. $ 714. c) t1
Pa;d 7 r;, . 0 () Race;pt tojo. :~c,;, 0 7 t
Issued . Data t:1 /7/ q q By f1J!L--
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 #. r:<luest~. 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.
24 hour notice for all Inspections 447-9850
Special Conditions if any
City Planner
Date
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