Loading...
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