HomeMy WebLinkAboutBuilding Permit 99-1232
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CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
I!SS t
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING 0 PLUMBING RI
o FOUNDATION 0 MECH RI
o FRAMING 0 WATER HOOKUP
o INSULATION _ .1?(~O SEWER HOOKUP
)(. FINAL A.o -/-><-<<o~ 0 PLUMBING FINAL
o SITE INSPECTION 0 M~r:INAL
COMMENTS: () rl
/~ f-0
DATE TIME
't9 - /;(3;;Z
o EXlGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
~ORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
/I'~ Owner/Contr:
Inspector:
CALL 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
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CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
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CITY OF PRIOR LAKE .....
. BUILDING PERMIT, '!""IIf
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT Permit No.
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/O/;2/en
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
LfS-SG
C%,J()
~~~.
Sf.
3. LEGAL DESCRIPTION
.3
BLOCK
/0
PID ;z5 -001- 12..3-()
12. NO. OF STORIES
(Address) . /I I A. (Tel. No.)
11..1--{ 7 /'S",'COIL<r /TY( )_
AJ1./~/I:<'~ tJ,A:W,';J LlJllldleftX"_ -'0 7-6 c,$'''}
7. TYPE OF WORK F lace a Septic 0 Deck 0 Ae-roofing 0 Porch 0
New Construction D Alterations 0 Addition LI Finish Attic 0 Ae-Siding}( Finish Basement 0 16;OJECT COSTNALUE
Ch;mneyD M;sc. ~ 10. t:J:.t?(?-
8. PROPERTY AREA OR ACRES 19. PROPERTY DIMENSIONS 110. CULVERT SIZE 117. COMPLETION DATE
Sq. Ft. J- 7 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. J 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 o~ic~can r~vo~is permit for just cause. Furthermore. I hereby agree that the city official or a designee may enter upon the property to perform needed inspections.
X ~-Lt?' ~/.cq7<;---r to-If-pc:
Signature License No. Date' ,
LOT
ADDITION
4. OWNER
11 (Name)
1'(0./1 tl U
(Name)
~'+d:<
(Address)
tf?5'h r/JI't-",.d,. 51
(Address)
5. ARCHITECT
6. BUILDER
(Name)
I. White
2. Pink
3. Yellow
File
City
Applicant
~-/Z32-
1. DATE
IO-/l-q~
BUILDING INFORMATION
1,. SIZE OF STRUCTURE
{Height} (Width) (Depth)
122-
(Tel. No.)
13. TYPE OF CONSTRUCTION
/.f?>/~,,-,!C.
14. FLOOR AREA Id"PORTIONMENT USE
(Tel. No.)
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS
SEATS
SETBACKS: Required
Actual
FOR ADMINISTRATIVE USE
Front
Back
Side
Side
MATERIAL FILED WITH APPLICATION
SOIL TESTS 0 ENERGY DATA 0
USE OF BUILDING
/'?F.,S ..q/~
,
OFF STREET PARKING PILING LOGS 0 PERCOLATION TESTS 0
SPACES REO. PLANS & SPECS 0 SETS
SPACES ON PLAN SURVEY 0 COPIES
PERMIT VALUATION z67J?). Ql) PLOT PLAN 0
~. "r.;j~;~~ $ Water Tap ................................... $
~~rs nB' ~;.~:t";.V;?>>;?t1- ~:~:::::::;~::::::.:::::::::::::::::::.::: 7~.OO
CertifIcate of Dc pancy
Issued Pard 7 fa. 0 0 Rec~erPt Np i3{,4/ "'!
Date /d/lz-/qq 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 proceed s request--;d. 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.
BUILDING DEPARTMENT VALUATION
TYPE OF CONSTRUCTION: I II III IV V
Occupancy Group A B E F H t M R
Division 1 2 3 4
S U
City:
Permit Fee ................................... $
7~ 7S-
Plan Check Fee ............................. $
State Surcharge ............................. $
I,~s
Penally ....................................... $
Plumbing Permit Fee ....................... $
Mechanical Permit Fee ..................... $
1'1"
1~1o .J
Ope; et/
f\
pe;V
Sewer & Water Permit ...................... $
City Planner
Date
24 hour notice for all inspections 447-9850
Special Conditions if any
Amount Brought Forward .................. $
Park Support Fee ........................... $
SAC ......................................... $
Collective Street Fee ....................... $
Sewer Tap ................................... $
$
Pressure Reducer .......................... $
Meter Horn ................................... $
Water Meter ................................. $
Sewer & Water Connection Fee ........... 4:
Water Tower Fee ........................... $