HomeMy WebLinkAboutBuilding Permit 99-1255
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
(..W6
If'~.'
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING 0 PLUMBING RI
o FOUNDATION 0 MECH RI
o FRAMING f) 0 WATER HOOKUP
) INSULATIO 0 SEWER HOOKUP
FINAL 0 PLUMBING FINAL
SITE INSPEC 0 MECH FINAL
COMMENTS: iC IE - )'.J4.
(Ij'~
~I--'
DATE TIME
?/2.'Y/o/ AT,
.
9 CJ - /::l~~
o EX/GRAD/FilliNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASllNE AIR TST
o
t;/WORK SATISFACTORY, PROCEED
fc; CORRECT ACTION AND PROCEED
o CORRECT WO"CAll FOR REINSPECTION BEFORE COVERING
Inspector: ~ Owner/Contr:
CA',.J. 447-98~" FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE,
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTl
19. PROPERTY DIMENSIONS .~RT SIZE
Width Depth I Yas No
ion 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
all nstruction will conform to all existing slate and locallaw$ and will proceed in accordance with submitted plans. I am aware that the
u: :se, Furtherrno'e. I he,e>>gr:;;:''Oi {}; ~~O?~ignee may enter upon the property 1~[h:eid1 ~ons.
Signature License No. Date
~~
nAn: RFr.FIVFn
CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONN~TION PERMIT
1. DATE
/0//8/9'1
DIRECTIONS
SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN
Y BEFORE PERMIT IS ISSUED (Please Print or Type and sign at bottom)
2 SIT~D~~O k DuiJ'r'n CJ. tv. s.
3. LEGAL DESCRIPTION
/~ -1J--yo,
Je{SD
LOT nerr.5/INo ,!;{)W1JBLOCK
PID .?- S -1.3 0 - ().c,s - 2--
ADDITION
l7SIuAI/...
15. ARCHITECT
~ 6. BUILDER
(Na[:}-
~ddres"W
(Tel. No.)
4-47- AIR?
k-S:-j
(Name)
(Address)
(Tel. No.)
(Name) (Address) (Tel. No.)
7~00~~ a~\i 5:~ ~~k~2J A1.~~~t'~:h~oR
New Construction 0 Alterations 0 Addition 0 Finish Attic 0 Re-siding}( Finish Basement 0
Chimney CJ Misc.
IS. PROPERTY AREA OR ACRES
Sq. Fl.
~
I hereby certify that
the above mention
building official re
.....-1(
t
I
FOR ADMINISTRATIVE USE
SETBACKS: Required
Actual
Front
Back
Side
Side
1. White
2. Pink
3. Yellow
File
City
Applicant
Permit No.
\
c;q-/7- r; J
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
'~PROJECT COSTNALUE
/ 8' LO<.!>CJ ,00
17. COMPLETION DATE
MATER'AL FILED W'TH APPLICATION
SOIL TESTS 0 ENERGY DATA CJ
USE 0~1r.1iL
OFF STREET PARKING PILING LOGS Cl PERCOLATION TESTS Cl
SPACES REQ. PLANS & SPECS Cl SETS
SPACES ON PLAN SURVEY Cl COPIES
PERMIT VALUATION -J-p,.- O~r') '''''''4-- PLOT PLAN Cl
Amount Brought Forward .................. <t
Park Support Fee ........................... ct
SAC ......................................... $
Collective Street Fee ............. .... ...... $
Sewer Tap ................................... $
.
Pressure Reducer .......................... $
Meter Horn ................................... $
Water Meter ................................. $
Sewer & Water Connection Fee ........... $
Water Tower Fee ........................... or
Water Tap ................................... $
Builder's Deposit ............................ It'
Other ......................................... $
Total Due .............................. $ L,LL// 7/
Paid '-I '-I/.7 I ReceiP~, ,1/ (, <I'.s c/
l~~ A
Date //J,//e/C;q By It
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 .Is requested. This document when
signed by the City Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificat/of Occupancy must be issu~.
BUILDING DEPARTMENT VALUATION
TYPE OF CONSTRUCTION: I II III IV V
Occupancy Group A B E F HIM R S U
242 :2. S
I r"/.{'), 4&
q...c.o
City:
Division 1 2 3 4
Permit Fee ...................... ......... .... $
Plan Check Fee ............................. $
State Surcharge ............................. $
Penalty.......................... ............. $
Plumbing Permit Fee ....................... $
Mechanical Permit Fee ..................... $
terPermit ...................... $
n..... ................ $
uilding Permit ,+,~n App~ve~,..
Date IV - ''''-"Ll-
Y
City Planner
Date
Special Conditions ff any
24 hour notice for all inspections 447-9850