HomeMy WebLinkAboutBuilding Permit 99-1182
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDUL.aO
~
DATE TIME
/0-'''--1<; A-I;
ADDRESS
/7355 J. . J'l;f- I~
OWNER
CDNTR.
PHONE NO.
PERMIT NO.
o FOOTING 0 PLUMBING RI
o FOUNDATION 0 MECH RI
o FRAMING 0 WATER HOOKUP
o INSULATION v.:\\ 0 SEWER HOOKUP
l.!r FINAL f(ts:/ 0 PLUMBING FINAL
~;~:::~:~ION 4~CH FINAL
~ha
/~
99-116"2-
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
cP~
~
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-
~
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--
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~ORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WOR'lfALL FOR REINSPECTION BEFORE COVERING
Inspector: IJ) . Owner/Contr:
I
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE..
INSNOTJ
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
---.-----..---.-....--.-.------
DATE RECEIVED
9/ ;;J.-tJ/99
CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
';7d Fi!CJ1
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
3. LEGAL DESCRIPTION
35
LOT
ADDITION
4.0WNEA
("'Job
5. ARCHITECT
6. BUILDER
hr(uSfr
7. TYPE OF WORK
New Construction 0
/1355
BLOCK
WOODV fGW
(Nam.r . .I
...) rnf rr,
(Nam.)
SU)1~
'0lc.0
{E./SD
I . PID 25 ~ {AS' ~ 035-0
I :;-r 'f C( 1- /'-I'iO
(Addr.ss) (T~O.)
It ~5) Surr<;d II'"
(Address) (Tel. No.)
Fireplace []
Alterations 0
Septic(]
Addition 0
DeckLJ
Finish Attic []
(T.I. No.)
11 d- 3?-12
Rs-rooflng i"...... Porch LJ
Re-sidlng LJ Finish Basement (]
(Name)
(Address)
A.oo 6rt')
I. White
2. Pink
3. Yellow
File
City
Appli_
Permit No.
qq, I\~ z..
BUILDING INFORMATION
11. SIZE OF STRUCTURE
(Haight) (Width) (Depth)
'2. NO. OF STORIES
13. TYPE OF CONSTRUCTION
14. FLOOR AREA APPORTIONMENT USE
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANT~
SEATS
16. PROJECT COSTNALUE
17. COMPLETION DATE
Chimney (] Misc.
8. PROPERTY AREA OR ACRES \ 9. PROPERTY DIMENSIONS \10. CULVERT SIZE
Sq. Ft. Width Depth Yes No I
I h.reby certify that I have furnish.d infonnation on this app1~ation which is to the best of my knowl.dg. true and correct. I also c.rtlfy that I am the owner or authorized agent for
the above mentioned property and that all construction will conform to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the
~Ullding OffiC~~l;;;or iUsp:,.F;rt:.:;;'~eb~ agr.. :;20"7 ~ij/ d.~r~y .nt.r upon the property to P.rto;/~ed 5;j~o;;
; Signature lioense No. Date
SETBACKS: Required
Actual
Front
BUILDING DEPARTMENT VALUATION
USE OF BUILDING K'C..::::>i ~
TYPE OF CONSTRUCTION: I II 11\ IV V
Occupancy Group A B E F HIM R
DIvision 1 234
Permit Fee ............................... .... $
Plan Chec\C; Fee ............................. ~
State Surcharge ............................. $
Penalty ....................................... It:
Plumbing Permit Fee ....................... $
Amount Brought Forward .................. $
Park Support Fee ........................... $
SAC ......................................... It.
Collective Street Fee ....................... ft.
Sewer Tap ................................... It.
.
Pressure Reducer .......................... $
Meter Hom ................................... $
FOR ADMINISTRATIVE U~E
MATERIAL FILED WITH APPLICATION
SOIL TESTS 0 ENERGY DATA 0
PILING LOGS 0
PLANS & SPECS (]
PERCOLATION TESTS 0
SETS
COPIES
SURVEY
o
..ok
S~.
Side
I PLOT PLAN
o
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN --M
PERMIT VALUATION It 'PbOO ~
S U
City:
-u".. .G>O
Water Meter ................................. $
Sewer & Water Connection Fee ........... $
Water Tower Fee ........................... $-
Water Tap ...................................!t.
Builder's Deposit ............................ $
Other ......................................... $
Toyua .............................. $ "7 (.,.190
Paid f (,. OV R.ceipt No. 3 (. 2.(" is
Issu - . - .
Dat. 't~ 2.~-tiq BY~
Th~ is to certify that the r uest in the aboVe application and accompanying doCUm.nts is in accordanc. with the City Zoning Ordinanc. and may proceed s uested. This document when
signed by the City PI ~st_S a tempor8lY C.rtificat. of Zoning complianoe and allows constru<:tion to commence. Befor. occupancy, a CertifLCa of cupancy must be issued. .
City Planner Date Special Conditions it any
Mechanical Permit Fee ..................... It.
Sewer & Water Pennit ...................... $-
14.15
I . '2.-S"
.
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Data --rrT.
24 hour notice for all inspections 447-4230