HomeMy WebLinkAboutBuilding Permit 99-1246
CITY OF PRIOR LAKE
INSPECT/ON NOTICE
SCHEDUL~D
ADDRESS
Ihr 117
~i~
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING 0 PLUMBING RI
o FOUNDATION 0 MECH RI
o FRAMING 0 WATER HOOKUP
o INSULA TIPJF;'\ 0 SEWER HOOKUP
~ FINAL ~ 0 PLUMBING FINAL
o SITE INSPECTION 0 MECH FINAL
COMMENTS: ~ (/)6-
.~ ~- tAo~
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--:- .
(~~
.....
,DiE I TIME
~<;'7
C;(C~ '~
1~Z16
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
4~
t"
,
/'
~ORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WlK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: t7+ ' Owner/Contr:
,
QALL 447-98~n FOR THE NEXT INSPECTION 24 HOURS IN ADVANC~
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
"""""
---~.,--..._-_....._..-
-.... .--..-.-----..-
DATE RECEIVED
/~3~,9
CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
I ;~7/alqq
1. White
2. Pink
3. Yellow
File
City
Applicant
Permit No.
q9-/Z~
DIRECTIONS
SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN
BEFORE PERMIT IS ISSUED (Please Print or Type and sign at bottom)
2. SITE A~D]E>>..
~" [?)L.HID L/:+K~ TR A I L
3. LEGAL DESCRIPTIO~
/4
,!e/s..o
BUILDING INFORMATION
". SIZE OF STRUCTURE
(Height) (Width)
(Depth)
12. NO. OF STORIES
LOT
BLOCK
s-
s 0 t/"7:H
PID 25-0/7-/)91:.-0
ADDITION
13. TYPE OF CONSTRUCTION
;Re/OA?-
14. OWNERr:2 (Na~ (Address) (Tel. No.)
!;){)8 ~L.s.I(:l.oAA. lbq~,., B..HJDLAKJ::-mAII
15. ARCHITECT (Name) (Address) (Tel. No.)
6. BUILDER (Name) i"" (Address) . (Tel No)
Mrz. Po'! v-i41J DI"R=:>? ry 3"30 YeR\<. A()~S,
GU&TIOI0 (j;AIT~~-;{j~", tIC S,.-"",. loLL
7. TYPE OF WORK Fireplace 0 Septic 0
New Construction 0 Alterations 0 Addition 0
Deck 0
Finish Attic 0
(; l.z J 14. FLOOR AREA APPORTIONMENT USE
l1.4'l-;{~LL
. I
I
6 (~ I 15 ~~~~::~~:CCUPANTS OR SEATS
~_4-1. -OL~~
Re-roofing 0 Porch 0 - SEATS
Finish Basement 0
16. PROJECT COSTNAlUE
Chimney 0 Misc.
8. PROPERTY AREA OR ACRES
Sq.Ft.
Re-sidin~
Width
Depth
I ~~s;:~~~~K~~;:~
'17. COMPLETION DATE
9. PROPERTY DIMENSIONS
I hereby certify that I have furnished information on this application which is to the best of my knowledge true and correct. r 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
:uildin~n[.revoke this it for' ISL Furthermore, I hereby agree thai the city official or a designee may enter upon the property to perform ne ed in actions.
(.,~..- V-"" license No.
FOR ADMINISTRATIVE USE
I SETBACKS: Required
Actual
Front
BUILDING DEPARTMENT VALUATION
Back
Side
Side
MATERIAL FILED WITH APPLICATION
SOIL TESTS 0 ENERGY DATA 0
PILING LOGS 0 PERCOLATION TESTS 0
USE OF BU[lDING
/Zf':T '"'1' L
OFF STREET PARKING
SPACES REQ.
SPACES ON PLAN
PERMIT VALUATION
PLANS & SPECS 0
SURVEY 0
SETS
COPIES
Z Q)Z) _ Cf1.)
PLOT PLAN
o
TYPE OF CONSTRUCTION: I II III IV V
Occupancy Group A B E F HIM R S U
City:
Amount Brought Forward .................. It
Park Support Fee ........................... It:
SAC ......................................... $
Collective Street Fee ....................... $
Sewer Tap ................................... $
Division 1 2 3 4
Permit Fee ................................... $
74. 75
Plan Check Fee ............................. $
State Surcharge ............................. $
/. z....r-
.
Penalty ....................................... $
Plumbing Permit Fee ....................... $
Pressure Reducer .......................... $
Meter Horn ................................... $
Water Meter ................................. $
Sewer & Water Connection Fee ........... $
WaterTowerFee ........................... $
Mechanical Permit Fee ..................... $
Sewer & Water Permit ...................... $
TGB~a,ilJIfSFire c .~"m..l'Jiif. Y...............g..;.a.et$';". w/h;eann/.;:?~IO~e'<jI. 7 Water Tap ....................................
_ /' V, ~ / 7 Builder's Deposit ............................ $
Other ......................................... $
-j T [0 . 7b.oo
CertificateofOCCuptlOCY Paid ;~~..............~~~~i~;~O. 36,1/23
Issued ;t / ~
Date JIj/n/f'If By.wv-
This is to certify that the request in the above application and accompanying documents is in accordance with the City Zoning brdina'nce atfd may proceed ~ requested. 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.
C~yPlanner
Date
Special Conditions if any
24 hour notice for aU inspections 447-9650