HomeMy WebLinkAboutBuilding Permit 99-1201
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDU~D
jd.-6- ,~
ADDRESS
/St-t? FA-uv,v. ~
OWNER
CONTR.
PHONE NO.
PERMIT NO.
?'1- /dOJ
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION d@
}J FINAL,/Vl n
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
COMMENTS:
UM
"dtlW
(do
~ORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
~ Owner/Contr:
Inspector:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.,
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
INSNOTl
-_.-----_..-.__._---_.._---_.._~_..---_._.._- ---. -----,..._~_.__.,.----
WI{ fYUR/L! (404'/2/
7. TYPE OF WORK Fireplace 0 Septic 0
New Construction 0 Alterations 0 Addition 0
Chimney" M;sc. /-/ rY'11-~ ~ tt;:-AR D' kp
8. PROPERTY AREA OR ACRES 19. PROPERTY DIMENSIONS 110. CULVERT SIZE
Sq. Ft. Width Depth Yes No
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 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
building official can ~~>>ft cause. Furthermore, I hereby agree that the city official or a deSign,ee may enter upon the property to p,ert?~ neede~ections.
X ~~_~~~ ro~~
. - S;gnature LICense No. Date
~~
QATE RFr:FIVa!
/0// /f'1
CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
I 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
1. DATE
/1 rhc;!l
10 ~ /- 91
"c# ,lJ!/10/U/ 4t1/~ /i J tJ ,Jf2H'L)
3. LEGAL DESCRIPTION
LOT 5 BLOCK .3 PID 26-Z52.- 0/$-0
ADDITION /.s~1IN.o V/eW snv
4. OWNER (Name) (Address) (Tel. No.)
/'12:/(0~ J/!tJ//(()/J /, ),({ j /Y?(1/'tJAJ1~v); IlI( J
5. ARCHITECT (Name) (Address) (TeL No.)
6. BUILDER (Name) (Address) (Tel. No.)
lYe /~J7~tf:{J
Deck 0
Finish Attic 0
(FCI/-tJ3CK/
Ae-roofing. Porch 0
Ae-siding 0 Finish Basement 0
1. White
2. Pink
3. Yellow
File
City
Applicant
Permit No.
qq-/zo /
BUILDING INFORMATION
11. SIZE OF STRUCTURE
(Height) (Width) (Depth)
12. NO. OF STORIES
13. TYPE OF CONSTRUCTION
14. FLOOR AREA APPORTiONMENT USE
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS
SEATS
16. PROJECT COSTNALUE
17. COMPLETION DATE
FOR ADMINISTRATIVE USE
MATERIAL FILED WITH APPLICATION
Amount Brought FOlWard .................. $
Park Support Fee ........................... $
SAC ......................................... $
Collective Street Fee ....................... $
Sewer Tap ................................... <I:
$
SETBACKS: Required
Actual
Front
Back
Side
Side
BUILDING DEPARTMENT VALUATION
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
PERMIT VALUATION
Z. '><TV. crU
USE OF BUILDING
ee~ ~A:-
,
TYPE OF CONSTRUCTION, I II ill IV V
Occupancy Group A B E F H r M R
DivisiOn 1 2 3 4
Permit Fee ................................... $
S U
City:
~
'7c/. 75
Plan Check Fee .... ......................... ~
State Surcharge ............................. $
Penalty ............................... ........ $
/.t..-r
SOIL TESTS
o ENERGY DATA
"
PILING LOGS 0 PERCOLATION TESTS 0
PLANS & SPECS 0
SURVEY 0
SETS
COPIES
PLOT PLAN
"
Plumbing Permit Fee ....................... $
Pressure Reducer .......................... ~
Meier Horn ................................... $
Water Meter ................................. t,
Sewer & Water Connection Fee ........... 'I:
WalerTower Fee ........................... $
WalerTap ................................... t
Builder's Deposit ............................ $
Other ......................................... $
Total Due .............................. $ 7 to ~ ~
Pa;d {(g. CJ 0 Rece;Pt.rr~; .3 (., '2-;"4-
Date lair / i{1 By ~
This is to certify that the request in the above application and accompanying documents is in accordance with the City zoning' Ordinance and may proceecii4s requested. This document when
signed by the City Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificafe -Of Occupancy must be issued.
Mechanical Permit Fee ..................... $
Sewer & Water Permit ...................... $
~~:~Ire a rmfJfit m..........~~;I~i~~.~.e:lt Whe~p~ed1
By ~ Date /0 / If
/ I
Certificate of Oc~pa
Issued
City Planner
Dale
Special Condilions if any
24 hour notice for all inspections 447-9850