HomeMy WebLinkAboutBuilding Permit 99-1119
CITY OF PRIOR LAKE
INSPECTION NOTICE
DATE TIME
OWNER
ADDRESS <..3? 9 G,. ~../ ~,
SCHEDULEQ /d-Z2-9? t{. r:
PHONE NO.
CONTR.
COMMENTS:
o PLUMBING RI 0 EXtGRAD/FILLING
o MECH RI 0 COMPLAINT
o WATER HOOKUP 0 FIREPLACE RI
o SEWER HOOKUP 0 FIREPLACE FINAL
o PLUMBING FINAL 0 GAS~E AIR TST
o MECH FINAL )\I'" ~
_A;; /.~ dt~
('l~ Aa)
PERMIT NO. _9 9 -11/9
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
;gFINAL
o SITE INSPECTION
~RK SATISFACTORY. PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: 6i- Owner/Contr _
CALL 447.9850 FOR T'iE NEXT INSP~CTlON 24 HOURS 'M ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTl
..
~~
QATF .flFr.FIYEll.
9/9/91
P-1f'-l75'
CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
1. White
2. Pink
3. Yellow
File
City
Applicant
e4"'111~
Permit No.
DIRECTIONS
SPACES NUMBERED 1 THRU 17 MUST BE ALLED IN
BEFORE PERMIT IS ISSUED (Please Print or Type and sign at bottom)
2. SITE ADDRESS
1. DATE
r -y-'1 "I
BUILDING INFORMATION
11. SIZE OF STRUCTURE
(Heighl) (Wiclth) (Depth)
sf.
J 79C
3. LEGAL DESCRIPTION
3
./11 a...r ~ h
/C/JQ
12. NO. OF STORIES
(
LOT
/)0.3 - 0
Plo 25 - / <t.3
RIOCK
J~'-/7NO VIPJ.J
13. TYPE OF CONS~UCTlON
rf '''nF
14. FLOOR AREA APPORTIONMENT USE
/$7
ADDITION
4. OWNER (Name)
/'1,. rh".I I /v'/r-lu^
5. ARCHITECT (Name)
(Address)
T796/11.v<l. 51:
(Address)
(Tel. No.) '.
'11-/7- 't ~g-i_1
(Tel. No.1 I
(Tel. No.)
s: 7CJ7 -
615"1
6. BUILDE\! . (Name) # 'I J '
A""-tfdA'l c>",,!PI. "J
[(/Il-lrc..dtpll5
7. TYPE OF WORK Fireplace 0
New Construction 0 Alterations LJ
(Address)
1-'1-~'f7 jl/lt()/(~fAv~
g"rr'f/r.'~k
OeckD
Finish Attic 0
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS
SEATS
Septiclj
Addition 0
Re-roofing)( Porch LJ
Re-siding 0 Finish Basement 0
16. ~OJECT COSTNALUE
-' 5;100-
17. COMPLETION DATE
Chimney 0 Misc.
8. PROPERTY AREA OR ACRES 19. PROPERTY DIMENSIONS /10. 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. J also certify that I am the owner or authorized agent for
the above mentioned property and that all construction will conform 10 all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the
building Offi~i~a~ this permit for just cause. Furthermore, t hereby agree that the city official or a designee may enter upon the property to perform needed inspections.
X ~- . -..oM'q'lf'l q-~-qo,
- - Signature License No. Dale .
FOR ADMINISTRATIVE USE
SETBACKS: Required
Actual
MATERIAL FILED WITH APPLICATION
SOIL TESTS
Front
Back
Cl ENERGY DATA
Side
Cl
Side
BUILDING DEPARTMENT VALUATION
PILING LOGS LJ PERCOLATION TESTS 0
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
PERMIT VALVA TION
RE~ "q/K...
PLANS & SPECS 0
SURVEY Cl
SETS
COPIES
USE OF BUILDING
2-mJ.UV
PLOT PLAN
Cl
TYPE OF CONSlRUcnON: I II III IV V
Occupancy Group A B E F HIM R
Division 1 2 3 4
Amount Brought Forward .................. $
Park Support Fee ........................... $
SAC ......................................... $
Collective Street Fee ....................... $
Sewer Tap ................................... $
$
City:
S U
'7Q''lf
Permit Fee ............................... .... $
Plan Check Fee ............................. $
State Surcharge ............................. $
Penalty .......................................4:
Plumbing Permit Fee ....................... $
Mechanical Permit Fee ..................... $
1.7-1
Pressure Reducer .......................... $
Meier Hom ................................... $
Water Meter ................................. $
Sewer & Water Connection Fee ........... $
WaterTowerFee ........................... $
Sewer & Water Pennit ...................... $:
~~ :ireplec n :~t1fit~I~~~:t;~~r;f4~
Certificate of OcctJp~r::y
Water Tap ................................... $
Builder's Deposit ............................ $
Other ......................................... $
Total Due .............................. $ 7 <0. (f 0
Paid 7&. q (/ Receipt No. 3("O~oj
Issued
. Date q /1/91 By IfIJ. ~
This is to certify that the request in the above application and accompanying documents is in accordance with the City Zoning OrdfnancJ811d may proceed j"" ~U:sted. This document when
signed by the City Planner constitutes a temporalY Certificate of Zoning compliance and allows construction to commence. Before occupanr::y, a Certificate of Occupancy must be issued.
CilyPJanner
Date
Special Conditions if any
24 hour notice for aH inspections 447-9850