HomeMy WebLinkAboutBuilding Permit 99-1222
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
s..CHEDULED
/tJ 7'9 -9 <J A. I;
AOORESS
15~1f'7
~~ T~:CJ
OWNER
PHONE NO.
CONTR.
PERMIT NO. 19 - Iddd-
o FOOTING 0 PLUMBING RI 0 EX/GRAD/FILLlNG
o FOUNDATION 0 MECH RI 0 COMPLAINT
o FRAMING 0 WATER HOOKUP 0 FIREPLACE RI
o INSULATION 0 SEWER HOOKUP 0 FIREPLACE FINAL
),!FINAL 0 PLUMBING FINA~L ~ G~AS~. A. IR TST
o SITE INSPECTION 0 MECH FINAL f ' :-r'f
COMMENTS: ~ ~
f
~,
{ 'O/r.U
""
--
0--&--:>
~
~RK SATISFACTORY. PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: /J:;. . Owner/Contr:
I
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
INSNOTl
~" :;':7;;
u " ~~'I>O
CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
. DIRECTIONS
SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN
BEFORE PERMIT IS ISSUED (Please Print or Type and sign at bottom)
1. DATE
IO-6-9Q
2. SITE ADDRESS / - 'L/'/7
:J '"/!l -f'o.,'rhc.tth
1rc..,'f
K:r.Jt)
3. LEGAL DESCRIPTION
LOT
BLOCK
PID 2 <;-0:$(,,- 00 7- j
ADDITION MErF:, /ffIln
14. OWNE~ ~ (Name) I
c.-'I r: V~Ill"j"
15. ARCHITECT (Name)
6. BUILDER (Name)
hli./A/n.5:
(Address) /j
I~L YJ tC>u'rhtA"ks 'II.
(Address)
(Tel. No.)
'l- '1-6 - ')(,'1 "I
(Tel. No.)
4!'1.Jf,C()!n
7. TYPE OF WORK
New Construction [j
(Address) L (Tel. No.)
1'L1./.{7 11/( CC./lf I ftv< 5;
!l",'tJ,-"S {~" JrAc;,}1>( f 7tJ7-b'fJ 5'~
Fir~ce 0 Septic 0 Deck 0 Re-roofing)if Porch 0
Alterations 0 Addition LJ Finish Attic LJ Re-siding LJ Finish Basement LJ
..
l. White
2. Pink
3. Yellow
File
City
Applicant
Permit No.
"1'1' -1'2.- 2- 2-
BUILDING INFORMATION
11. SIZE OF STRUCTURE
(Height) (Width)
(Depth)
12. NO. OF STORIES
13. TYPE OF CO~STRUCTION
y-triJp/""'
14. FLOOR AREA APPORTIONMENT USE
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS
SEATS
16. ~OJECT COSTNALUE
~!2C!)O -
1 t. CUMPLETION DATE
Chimney a Misc.
8. PROPERTY AREA OR ACRES 19. PROPERTY DIMEN.SIONS 10. CULVERT ;:.ILt::
Sq. Ft. Width Depth Yes No
I hereby certify that r 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 mentlonEid 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 off~c" can r~~e this permit for just cause. Furthermore, I hereby agree that the city official or a designee may enter upon the property to pertorm neEided inspections.
X ./<--#(1 '-'2.1..6 <1") S'3 /0- 6.::..9 '1
Signature license No. Dale
FOR ADMINISTRATIVE USE
MATERIAL FILED WITH APPLICATION
Amount Brought Forward .................. $-
Park Support Fee ........................... $
SAC ......................................... $
Collective Street Fee ....................... $:
Sewer Tap ....................................'t
$
Pressure Reducer .......................... $
Meter Horn ....... ..................... ....... $
Water Meter ..................................It
Sewer & Water Connection Fee ........... $
WaterTowerFee ........................... $
Water Tap ................................... $
Builder's Deposit ............................ $
Other ..... .... ........ ........................ $
Total Due .............................. $ 1 Co. d U
Pa;d 7"'" ,.-di) Rece;PtN'f! _,,3&, <-/0 7_
Date 10,17/'1'1 By 1!.fV..--
This is to certify that the request In the above application and accompanying documents is in accordance with the City Zoning Ordinance a~d may proceed ~equested. This document when
signed by the City Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be issued.
SETBACKS: Required
Actual
Frnn'
Back
Side
Side
BUILDING DEPARTMENT VALUATION
OFF STREET PARKING
SPACES REa.
SPACES ON PLAN
PERMIT VALUATION
Z rVD ..--v
USE OF BUILDING
.e f;.-:J ffj?<,_
TYPE OF CONSTRUCTION: I II III IV V
Occupancy Group A B E F HIM R
Division 1 2 3 4
Permit Fee ........................... ........ $
S U
City:
74.1
.-
\
Plan Check Fee ............................. $
State Surcharge ............................. $
Penalty ....................................... $
Plumbing Permit Fee ....................... $
(. -z..r-
Mechanical Permit Fee ..................... $
Sewer & Water Permit ...................... $
This
By
P, rmit ........ .............. $
ullding Permit WtlenJ-!rof~: ?
Date /4 'f
, I
Issued
CilyPlanner
Dale
SOIL TESTS
LJ ENERGY DATA
LJ
PILING LOGS a PERCOLATION TESTS LJ
PLANS & SPECS LJ
SURVEY LJ
SETS
COPIES
PLOT PLAN
LJ
24 hour notice for all Inspections 447-9850
Special Conditions if any