HomeMy WebLinkAboutBuilding Permit 99-1287
ADDRESS
//.>591
DATE TIME
SCHEDULED /6 -- ,;J!;- /
V- q3 riJdu'-v&'o--zG
CITY OF PRIOR LAKE
INSPECtiON NOTICE
OWNER
CONTR.
PHONE NO.
PERMIT NO.
W'- /,;;;-g,r;
o FOOTING 0 PLUMBING RI
o FOUNDATION 0 MECH RI
o FRAMING 0 WATER HOOKUP
o INSULATIO'9,r,O ~ 0 SEWER HOOKUP
~INAL)'--!/ 0 PLUMBING FINAL
o SITE INSPECTION 0 MECH FINAL
o EXIGRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
~~.
)1-wORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
:S:::O~ECT h CALL FOR REINS:~::::n::FORE COVERING
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSlWTl
6A~-f(c., (Name) 115<63 Ttllo)oDc SqS-od-io
r20Dhm if3urnsvli IfJYiN<)c;::)~1 .
7. TYPE OF W08l9 Fireplace 0 Septic (j Deck 0 Re--roofing 0( Porch 0
New Construction 0 Aheratlons 0 Addition 0 Finish Attic 0 Ae-siding 0 I Finish Basement Q 16. PROJECT COSTNALUE
Chimney 0 Mlsc_ +: q) 1 . :x. J.~ . 1J LR
8. PROPERTY AREA CR.. ACRES 190 PROPERTY DIMENSIONS 110. CULVERT SIZE 17. GOMPLE'TION DATE
Sq.Ft II 'a U 0 Width Depth Yes No I'd, - (5 - q Cj
I hereby certify that I have furnished 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 m6(1tionec! prope rty and that all CO~l\Iction will conform 10 all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the
building off~i~ can reW",""his ReW!t for just S8. jmrmore, I hereby agree t~ the cilp' qtfjci}lpr ~ ~el~nee may enter upon the property to perform needed Insp?~ I
X h 1!(Y\u--h/u Ji . nI 0 l ~'--1I'tu J (C\- 01 -.2:;t ~
Signal+ . LIcense No. Dale
'$lG 00
@~ O;~~~:n
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)
1. DATE
\0 -21- qq
2-TD~aEiSct LuSq '3
HQr bY \?fOUl
1
&.A~l-i
4-r~n ( hty(NarDmml \(\It\ j1f..rHy
5. ARCHITECT (Name) (Address)
'Pu s 0
3. LEGAL DESCRIPTION
i 2- BLOCK
f:1AR.BO~
PID ~.z.G,3 - a ,.z.- 0
LOT
ADDITION
1-4 c{/:CI bu 3
(Tel. No.)
SiSLQO
1. White
2. Pink
3. Yellow
File
City
.' Applicant
Permit No.
,
qC;-IZ...~-T
BUILDING INFORMATION
11. SIZE OF STRUCTURE
(Helghl) (Width) (Depth)
12. NO. OF ST~ES
13~dO~Nl<l1~+-
14. flOOR AREA APPORTIONMENT USE
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANT"
SEATS
FOR ADMINISTRATIVE USE
Amount Brought Forward .................. $
Park Support Fee ........................... $
SAC u.um.uu.u......................... $
Collective Street Fee ....................... $
Sewer Tap ................................... $
$
SETBACKS: Required
Actual
Side
Front
aaok
Side
BUILDING DEPARTMENT VALUATION
OFF STREET PARKING
SPACES REQ.
SPACES ON PLAN
PERMIT VALUATION
~v v.dD
USE OF BUILDING _f2 E S A,t./<!.-
TYPE OF CONSTRUCTION: I II 111 IV V
Occupancy Group A B E F HIM R
Division 1 2 3 4
S U
City:
Permit Fee ...................... ............. $
"74-./5"'
Plan Check Fee ............................. $
State Surcharge ............................. !I';
Penalty ....................................... $
Plumbing Permit Fee ....................... $
Mechanical Permit Fee ..................... $
I . -z..~
MATERIAL FILED WITH APPLICA TlON
SOIL TESTS 0 ENERGY DATA 0
PILING LOGS 0 PERCOLATION TESTS 0
PLANS & SPECS CJ
SURVEY 0
SETS
COPIES
PLOT PLAN
o
Pressure Reducer .......................... $
Meter Horn ................................... $
Water Meter ................................. $
Sewer & Water Connection Fee ........... $
Water Tower Fee ........................... $
Sewer & Water Permit ...................... $
WalerTap ................................... $
Builder's Deposit ............................ $
Other ......................................... $
Total Due ...._.u.uu.mum_..m.. L::Ztt.O 0
Paid '1 f4. (; 0 Receipt 1)19. ftJ 7
- '~
Data 10 L tl" By I){
This is to certify that the request in the above application and accompanying documents is in accordance with the City Zoning ~rdinan and :My proceed a equested. This document when
signed by the City Planner constitutes a temporary Certlficate of Zoning compliance and allows constructioolo commence. Before occupancy, a Certificate of Occupancy must be issued.
Thi
B~
City Planner
Dale
Special Conditions d any
24 hour notice for all inspections 447.9850