HomeMy WebLinkAboutBuilding Permit 99-1151
CITY OF PRIOR LAKE
INSPECTION NOTICE
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PERMIT NO. 'f q - {( ~
TIME
It .-:0
ADDRESS 14 770
OWNER
PHONE NO.
o FOOTING 0 PLUMBING RI
o FOUNDATION 0 MECH RI
o FRAMING r@ 0 WATER HOOKUP
o Jf'ISULATION 0 SEWER HOOKUP
..os: FINAL 0 PLUMBING FINAL
o SITE INSPECTION 0 MECH FINAL
COMMENTS: <;~nl ^' '"
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
~
~
~ ~
~.
~
~
-~ ')
-~
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L'K SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WOR'ZtALL FOR REINSPECTlON BEFORE COVERING
Inspector: &4- r _ Owner/Contr:
J
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYl
INSNOTl
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DATE RECEIVED
9,40/f9
CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
1. White
2. Pink
3. Yellow
File
City
Applicant
LOT
R.LOCK
/
.tDtr-H
. (AddreS~ I, T_
1'!710 at. L.vI
(Address)
lD;'71-lJ /f7
, (
,(i!/SD
PID 7..':;--I.3?" -007 -0 I
- -,
Permit No. tif - / /51
I DIRECTIONS
SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN
BEFORE PERMIT IS ISSUED (Please Print or Type and sign at bottom)
12. strE ADORES, I171iM V f1 (
3. LEGAL DESCRIPTION ~
7
IJHJ::(...-nNn
BUILDING INFORMATION
11. SIZE ur- ;::; r HLlCTURE
(Height) (Width)
(Depth)
12. NO. OF STORIES
ADDITION
13. TYPE OF CONSTRUCTION
"VL.vu P;7A~'
5. ARCHITECT .(Name)
Jli:) <1 ~ 'I <(
(Tel. No.)
" 14. FLOOR AREA APPORTIONMENT USE
a.BUlLDER (Name)
~1ad6k
(Address) (Tel. No.)
, 15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS
7. lYPE OF WORK
New Construction CI
(P11~ ~ rl. i</7-'rHJl
Fireplace 0
Alterations CI
Septic 0
Addition 0
LackO
Finish Attic 0
Ae-roofing 0 Porch 0
Re-siding tit.. Finish Basement LJ
SEATS
16. PROJECT COSTNALUE
Chimney 0 Misc.
/a. PROPERTY AREA OR ACRES 19. PROPERTY DIMENSIONS /10. CULVERT SIZE
Sq. Ft. Width Depth Yes No
I hereby certify that I have furnished information on this application which is 10 the best 01 my knowledge true and correct. I also certify tIlat I am the owner or authorized agent for
the above men' ned pro rty nd th t II nstruction will conform to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the
:u;lding offic' revo is j c1iuse. Funhennore, I hereby agree t':Pi the~ riCial or a designee may enter upon the property to pert'1);"/rtJiJ1L'
. 4, , . I
License No. Date
17. COMPLETION DATE
SETBACKS: Required
Actual
FOR ADMINISTRATIVE USE
MATERIAL FILED WITH APPLICATION
Front
Back
Side
Side
SOIL TESTS
o ENERGY DATA
a
- BUILDING DEPARTMENT VALUATION
USE OF BUILDING
PB flt?Z---
OFF STREET PARKING
SPACES REQ.
SPACES ON PLAN
PERMIT VALUATION
PILING LOGS 0 PERCOLATION TESTS 0
PLANS & SPECS 0
SURVEY 0
SETS
COPIES
~m.
PLOT PLAN
a
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 ................................... $
7c.{..7r
Plan Check Fee ............................. $
State Surcharge ............................. $:
Penalty ....................................... It
Plumbing Permit Fee ....................... It
Mechanical Permit Fee ..................... $
{.7..-S
Thi
By
..................... $
;Iding ;:.':itW~Pfi'7
Pressure Reducer .......................... $
Meter Horn ................................... $
Water Meter ................................. $
Sewer & Water Connection Fee ........... $
Water Tower Fee ........................... $
Water Tap ................................... $
Builder's Deposit ............................ It
Sewer & Water Permit ...................... $
Other ......................................... $
Paid Tota!}z..iiJ...........~~~~i~;;O$ 3:~~~
Date t1/'UI/~ 'I By I ~
This is to certify that the request in the above application and accompanying documents is in accordance with the City ZoninJ Ordjn~nce ~nd may proceed J{ requested. This document when
signed by the City Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy. a Certifical"of Occupancy must be issued.
Issued
Dale
Special Conditions W any
CityPJanner
24 hour notice for all inspections 447-9850
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