HomeMy WebLinkAboutBuilding Permit 99-1240
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SCHEDULED 9-;;29-1 ~
'~Tr'
CONTR. U
Cf9-0,L{O
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
j/7;)' 3 )
OWNER
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
~INSULATION
FINAL
SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER KUP
o PLUM INAL
o MEC AL
COMMENTS:
o EXlGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
~WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: ~. . Owner/Contr:
CALL 447-9860 FOR THE NEXT INSPECTION 24 He" IR!'IN ADVANCF~
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTl
_____.,_.._.___._._.._~_.. __.__,,__.,_ _._" - _, _.."...___u._...___..___.___
s~~
DATE RECEIVED -
/0/;3//1
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)
2.SIT?j1E3-/ YJ2lYh ~.;/<SE
3. LEGAL DESCRIPTION (/
LOT 7 BLOCK 2-
W(JOOILI ()~ ES:77'J% r;.
!'~ ~.) wU />>3/7J;. t/4.SE
5. A HITECT (N~ (Addrer
1'/0 jqq
r /
t<.r
ADDITION
PID 25- 2.9/1- 013 -0
21-10
('el.~ _ 7.J,J11
(Tel. No.)
6. BUILDER
(N.m.) ~,f1J ~~dr~t%X)(1
/b &loft*" (){f:to ),); f{36 C;
Fireplace Ij Septic 0 Deck CJ Rs-roofing 0 Porch 0
Alterations [j Addition (] Finish Attic [j Re-sidin9)t" Finish Basement (]
(Tel. No.)
~)~
7. TYPE OF WORK
-39/ -JJ.il/
New Construction [j
1. White
2. Pink
3. Yellow
File
City
Applicant
Permit No.
q9- /z40
BUILDING INFORMATION
11. SIZE OF STRUCTURE
(H"ghl) (Wodth) (Depth)
12. NO. OF STORIES z-
13. TYPE OF CONSTRUCTION
14. FLOOR AREA APPORTIONMENT USE
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANT"
SEAT"
16. PROJlF': COSTNALUEo \
.5JVO. f/U
17. COMPLETION DATE
Chimney 0 Misc.
8. PROPERTY AREA OR ACRES 19. PROPERTY DIMENSIONS 110. CULVERT SIZE
Sq. Ft. Width Depth Yes No
I hereby certify that I have furnish 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 mention property t ~~~. . n. "",ction will conform 10.11 exi"ing "al. and local. laws and will proc.ed In accordanc. with SUbmittedrlans. ~am are that the
~Uilding official can voke t . pe ?..-/Z-;7lthermOre, I hereby agree that the cityT)(:~~~r upon the property to P?to/ 7ed ~~ns.
Signalure - - license No. Ie
FOR ADMINISTRATIVE USE
Amount Brought Forward .................. $
Par1< Support Fee ........................... $
SAC ......................................... $
Collective Street Fee ....................... $
Sewer Tap ................................... $
$
Pressure Reducer .......................... $
MeterHom ................................... $
Water Meter ................................. $
Sewer & Water Connection Fee ........... $
WaterTowerFee ........................... $
SETBACKS: Required
Actual
Side
Side
Fronl
Back
BUILDING DEPARTMENT VALUATION
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
PERMIT VALUATION
7 e;157}.r}7)
USE OF 'BUILDING
-ee5 I"l/p_
TYPE OF CONSTRUCTION: I II III IV V
OccupancyGroup A B E F HIM R S U
DM,~" , 2 3 4 74 '7r
Permit Fee ................................... $
City:
Plan Check Fee ............................. $
State Surcharge ............................. $
Penalty ....................................... $
Plurrt>ing Permit Fee ....................... $
/."2---r
Mechanical Permit Fee ..................... $
Sewer & Water Permit ...................... ot
MATERIAL FILED WfTH APPLICATION
SOIL TESTS 0 ENERGY DATA 0
PILING LOGS 0 PERCOLATION TESTS 0
PLANS & SPECS 0
SURVEY (]
SElS
COPIES
PLOT PLAN
o
Water Tap ................................... $
Builder's Deposit ............................ $
Other ......................................... $
'oteIDu. .............................. $ "7 ~.OO
Paid 7r,.oa Recelpftt9. ~(, L/lq
Issued - h..h, ff:
Dafe JO~9 By . ./
This is to certify that the request in the above application and accompanying documents is in accordance with the City Zoning 6rdinance and may proceed s requested. This document when
signed by the City Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certifiea of Occupancy must be issued.
:s~Fireplacep:: .~~...........;~i..~.;.:fiW~etr*1
By Dete I~ '.3
I '
Certificate of Occupancy
City Planner
Dale
Special Conditions W any
24 hour notice for all inspections 447-9850