HomeMy WebLinkAboutBuilding Permit 99-1285
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
0')9S- e '(-
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
~SULATJP19 ~
FINAL I"-OC)
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
(~ 7J'-u
DATE TIME
/ tJ -;).,1-1-1
r; Cf NdA.--brli
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o EXIGRADfFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
7CWORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
~
Inspector:
Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE..
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYf
INSNOTJ
CITY OF PRIOR LAKE
BUILDING PERMIT,
"/ rllT'l\ TEMPORARY CERTIFICATE OF
{lei 2 1:.1'11: ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
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ADDITION
4.1;:/;' ~ r
5. ARCHITECT
(t1a~e)
V~u.J
(Name)
As~o),
5'olDO
1. White
2. Pink
3. Yellow
File
City
Applicant
Permit No. qq./2..f35
PUS!)
BUILDING INFORMATION
11. SIZE OF STRUCTURE
(Height) (Width~ (Depth)
12. NO. OF STORIES
::1...
13. WE OF CONSTI}I.ICIION
I'" e-r"oo"t:- 4 (l ~
14. FLOOR AREA APPORTI~ENT USE
61r~~ (Name) l t -S rJd~~fD 0,.. ~1SI_00f()
J'~t- B l' .in N OCCUPANTS
7.Tvpfo~wo~~ Fi'epleceO L>~~l~;' e~o "Ae-~,::;$ ("'hO SEATS
New Construction a Alterations a Addition 0 FInish Attic 0 Ae-sidlng 0 Finish Basement 0 16. 3PR03JE~. T/C.:9l!.O ;;'.~EJ
Chimney 0 Misc. 1/ ;'''{...J
18. PROPERTY AREA OR ACRES 19. PROPERTY DIMENSIONS 1'0. CULVERT SIZE 17. COMPLETION DATE
Sq. Ft r 90 Width Depth Ves No /;;2. - J 5" -'79
I hereby certify that I have furnished information on this application which is 10 the best of rny knowledge true and correct. I also certify that I am the owner or authorized agent for
the above mentioned property and san construction will conform to all existing stale and local laws and will proceed in accordance with submitted plans. I am aware that the
building offi ia can rf!voke y,jS~Plj(ITl' . for just ~. Furthermore, I hereby agree that thelity official or ~ ~sli.nee may enter upon the property to perform needed ~ections.
X , WA;"I./V V~j(1 KD_3'1/~u /0-,.:;).,"/-9"1
v Signal~" .. License No. Dal&
15. NUMBEA OF OCCUPANTS OR SEATS
FOR ADMINISTRATIVE USE
I SETBACKS: Required
Actual
Frnn'
BUILDING DEPARTMENT VALUATION
Back
Side
Side
MATERIAL FILED WITH APPLICATION
SOIL TESTS 0 ENERGY DATA a
USE OF BUILDING ~c:;
A I.JL
I
OFF STREET PARKING PILING LOGS 0 PERCOLATION TESTS c:J
SPACES REO. PLANS & SPECS a SETS
SPACES ON PLAN SURVEY 0 COPIES
PERMIT V ALUA T10N 2""0 u-aD PLOT PLAN 0
Builder's Deposit ............................ $
Other ......................................... $
Total Due .............................. $ -rf4. DO
Paid ,(;.00 Aeceipt No. 3~J...L, "1
Issued ~ By .J'~ I
This is to cenify tha'the request in the above applk:ation and accompanying documents is in aceo,danc. with the c~:;on~n~ Il:~ce a2 may p,j;;;;'U;;;'ed. 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.
TYPE OF CONSTRUCTION: I II iii IV V
OccupancyGroup A B E F HIM R S U
Permit Fee ..........~i~:~i~~...1...~...~..~... $~6f. 75"
City:
Plan Check Fee ............................. $
Stale Surcharge ............................. <t
25'
Penalty ....................................... $
Plumbing Permit Fee ....................... $
Mechanical Permit Fee ..................... $
Sewer & Water Permit ...................... <t
This
Hding ;:,';" 1"6 fz'6ttf ~
I
By
City Planner
Date
24 hour notice for all inspections 447-9(iSO
Special Conditions ~ any
Amount Brought Forward .................. $
Park Support Fee ........................... $
SAC ......................................... $
Collective Street Fee ....................... $
Sewer Tap ................................... $
$
Pressure Reducer .......................... $
Meter Horn ................................... $
Water Meter ................................. $
Sewer & Water Connection Fee ........... $
WaterTowerFee ........................... $
Water Tap ................................... $