HomeMy WebLinkAboutBuilding Permit 99-1198
CITY OF PRIOR LAKE
INSPECTION NOTICE
DATE TIME
SCHEDULED
/" ./9-''7 If,'"
ADDRESS
/SC:</~ k.L 'K"+ &~.
CONTR.
OWNER
PHONE NO.
PERMIT NO.
99-//9?
o FOOTING 0 PLUMBING RI 0 EXIGRAD/FILLING
o FOUNDATION 0 MECH RI 0 COMPLAINT
o FRAMING 0 WATER HOOKUP 0 FIREPLACE RI
o INSULATION 0 SEWER HOOKUP 0 FIREPLACE FINAL
)lit FINAL 0 PLUMBING FINAL 0 GASLiJljE AIR TST
o SITE INSPECTION 0 MECH FINAL fit ~ -1'
COMMENTS: ~ ~ -L." ~ ~,
r/~(iJ/~-;'~~
\... )
~RK SATISFACTORY. PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT W~K. 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!
INSNOTl
'-_."--_.-.._-.._.~.._.__.--...,--,---_._---~-._._._~,,_.'_~m__' ,.__..___~"._____._.___.~_
~'t
OATf RH::FIVFn
q/~h'1
CITY OF PRIOR LAKE
BUILDING PERMIT,
. TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
1. While
2. Pink
3. Yellow
File
City
Applicant
Permit No. t?9-//98
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 . ,
/52-/2 C7 tJuk R) dar: L. J,r
I
1.0ATE
9~30~99
BUILDING INFORMATION
11. SIZE OF STRUCTURE
{Height) (Width) (Depth)
3. LEGAL DESCRIPTlON
9
12. NO. OF STORIES
LOT
BLOCK
/
-C:I.o6 C
PID
2~-DA3 -f1()q-r)
13. TYPE OF CONSTRUCTION
ADDITION
04K:
/ST
4. OWNER (Name)
rrtf"r1 P"'n~d/~
5. ARCHITECT
(Name)
(Address) \,
152/2 O<>->ILl(, J qC LIr
(Address) ."
(Tel. No.)
4-41~599.LJ--
(TeL No.)
14. FLOOR AREA APPORTIONMENT USE
6. BUILDER
(Name)
(Address)
(Tel. No.)
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS
7. TYPE OF WORK
New Construction 0
Fireplace 0
Alterations 0
Septic 0 Deck 0
Addition 0 Finish Attic ("I
Re-roofingl( Porch 0
Re-siding 0 Finish Basement 0
SEATS
16. PROJECT COSTNALUE
Chimney 0 Misc.
18. PROPERTY AREA OR ACRES
Sq. Ft.
19. PROPERTY DIMENSIONS
Width Depth
110. CULVERT SIZE
Yes No
17. COMPLETION DATE
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 I am the owner or authorized agent for
the above mentioned pmperty 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
building Off~ ~O~i~~jUS~aus.e. Furthermore, I hereby agree that the city official or a designee may enter upon the property to perform needed in~ectlons.
X -~~" - ~Q 9-30-'-fQ
- "'Signature - License No. Date
FOR ADMINISTRATIVE USE
SETBACKS: Required
Actual
Front
Baok
Side
Side
MATERIAL FILED WITH APPLICATION
SOIL TESTS ['l ENERGY DATA ['l
PILING LOGS ['l PERCOLATION TESTS [')
PLANS & SPECS [') SETS
SURVEY ['l COPIES
PLOT PLAN ['l
BUILDING DEPARTMENT VALUATION
USE OF BUILDING
,e~s klL
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
PERMIT VALUATION
2~ ..-v<--
TYPE OF CONSTRUCTlON: I II III IV V
Occupancy Group A B E F HIM A S U
City:
Amount Brought Forward .................. $
Park Support Fee ........................... $
SAC ......ou................................ $
Collective Street Fee ....................... $
Sewer Tap ................................... $
$
Division 1 2 3 4
Permit Fee ................................... ~
7GI. 1r
Plan Check Fee ............................. ~
State Surcharge ............................. $
I. 'Z.- r--
Penalty............................... .... .... 0;:
Plumbing Permit Fee ........................'l:
Mechanical Permit Fee ..................... $
Pressure Reducer .......................... $
Meter Hom ................................... $
Water Meier ................................. $
Sewer & Water Connection Fee ........... $
Water Tower Fee ........................... $
Water Tap ................................... 'I'
Builder's Deposit ............................ $
Other ......................................... $_
Total Due ou....ou.................... $ I fa-c.ft-'
Paid p. ...% z-- e. J
Sewer & Water Permit ...................... $
Issued
Date
This is to certify that the request in the above application and accompanying documents is in accordance with the City Zo ng Or Inanee and may pr s requested. This document when
signed by the City Planner constitutes a temporary Certificate of Zoning compliance and allows construction 10 commence. Before occupancy, a Certificate of Occupancy must be issued.
CRy Planner
Dale
Special Conditions if any
24 hour notice for all inspections 447-9850