HomeMy WebLinkAboutBuilding Permit 99-1286
CITY OF PRIOR LAKE
INSPECT!ON NOTICE
SCHEDULED
ADDRESS
/,'/; C; u-
c;':;l. - 9 q
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o )NSULAT;I9N/.V'~
J2f FINAL /l '-"c../!
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
[1;7 /r.1..t 7J"'o
DATE TIME
/ t1 - ;;;I/-I~)
~~?/&a~
99- ;,:).If ~
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
V WORK SATISFACTORY. PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORKzZ'LL FOR REINSPECTION BEFORE COVERING
Inspector: ~ ( Owner/Contr:
I
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
INSHOTJ
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
0< PR/~R 1 V 00
e~~
OA T~ RFr.~lVIiQ.
OCi 2.'i 00'Il
DIREC"nONS
SPACES NUMBERED 1 THRU 17 MUST BE ALLED IN
BEFORE PERMIT IS ISSUED (Please Print or Type and sign at bottom)
1. DATE
52s'VO
L White
2. Pink
3. Yellow
File
City
Applicant
Permit No.
qq~/z"9fp
/0 -;;2.7- f~ ~
;Ie:; /' h D r 11 ~i?rc.., t.
~~9DS~s9..2 +b5'rLf
3. LEGAL DES~RIPTlON
q BLOCK I
. ~ RE.ACl-J
A 5>7')C .
pl/'3;
LOT
PID
25.Zl...~ ~ n~q=.Q
ADDITION
4'fi:~ bt:> tam(:;;,,-n m
5: ARCHITECT (Nama)
, (1ddresa)
I/J'\ I 7'V
(Mdresa)
(Tel. ~ _
f~o) ""9861
~., 1'Z1ek (Name) , / 5 ~3 Rv f/(JeS<fJr, 39'S -otYfD
oo"t-1114 BVN\S u; 17e rlJN, 553.3.7
. TYPE OF WORK'-' Fireplace CI Septic a J Deck a Re.roofin9Ar'" Porch CI
New Construction Cl Alterations Cl Addition Cl Finish Attic Cl Re-sidlng Cl }:inish Basement CJ
BUILDING INFORMATION
11. SIZE OF STRUCTURE
(Height) (Wldlh~ (Depth)
12. NO. OF STORI~
1R+~CON~~~0.f5
14. FLOOR AREA APPORTIONMENT USE
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANT~
SEATS
16. PROJECT COSTNALUE R
"33,0 7~, ()
17. COMPLETION DATE
Chimney 0 Misc.
8. PROPERTY AREA OR ACRES 19. PROPERTY DIMENSIONS 110. CULVERT SIZE
Sq. Ft. '1 {7 (;) Width Depth Yes No
I hereby certify that 1 have fumished 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 mentioned property and, that, all con~~tion will conform to all existing state and local laws and will ,proceed in accordance with submitted plans. I am aware that the
:u'~'ng oWit~'i~eT11vtaiv r:tupre.1 hereby ag,ee;;;et3'r 0; y}?e may enferupon the propeny to pe/O ne~~'~
Signatu~J ( / Ucense No. Date
SElBACKS: Required
Actual
FOR ADMINISTRATIVE USE
Front
B,ok
Side
BUILDING DEPARTMENT VALUATION
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
PERMIT VALVA TION
.
USEOFBUILDING __KJ=.5 f1/J<-
Side
7...,,0 u.OV
TYPE OF CONSTRUCTION: I II 1tI IV
QccupancyGroup A B E F HIM
Division 1 2 3 4
Permit Fee ................................... $
V
R S U
City:
74-.75"
Plan Check Fee ......................... .... <l:
State Surcharge ............................. $
Penalty ....................................... $
I . '2..E:)
Plumbing Permit Fee ....................... $
Mechanical Permit Fee ..................... $
Sewer & Water Permit ...................... ~
.
This
By
uildlng ~:trr;"1'tJjl'~
MATERIAL FILED WITH APPUCA TlON
SOIL TESTS 0 ENERGY DATA 0
PILING LOGS 0 PERCOLATION TESTS 0
PlANS & SPECS 0
SURVEY Cl
SETS
COPIES
PLOT PLAN
o
Amount Brought Forward .................. $
Park. Support Fee ........................... $
SAC ......................................... $
Collective Street Fee ....................... $
Sewer Tap ................................... $
$
Pressure Reducer .......................... $
Meter Horn ................................... $
Water Meter ................................. $
Sewer & Water Connection Fee ........... $
WaterTowerFee ........................... $
WalerTap ................................... $
Builder's Deposit ............................ $
Other ......................................... $
Total Due .............................. .. 7t,.0 0
Paid ""7 f4 .0 0 Receip
Issued . Date I 0/ 2. e,-i. t/ 1 By
This is to certify that the request in the above application and c.~w...~"'..Jjng documents is in accordance with the City Zoning'Ordina and 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.
CilyPtanner
Date
24 hour notice lor all inspections 447-9850
Special Conditions ~ any