HomeMy WebLinkAboutBuilding Permit 99-1288
CITY OF rRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
Ie ')'15-
v---c; 7
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
~I SULA~I -r--
FINAL 00/
o SITE IN TION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
- ~
,..
~
~
DATE TIME
If) -;a [1-/
-fJ &J;-zrv.fxcV~'
1 .
Cj' {/-- J B-J' d
o EXlGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
~ WORK 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.
INSNOTJ
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
16. PROJECTCOSlNA4E
~~ J . .S?\ fl. .(p
B. PROPERTY AREA OR ACRES 19. PROPERTY DIMENSIONS 110. CULVERT SIZE 17. COMPL"ETION DATE
Sq. Fl. ( I -;). (j) 0 Width Depth Ye, No / 0< ~ (5 - CjCf
I hereby certify that I have fumished information on this applicalion which is to the best of my knowledge true and correct. I also certffy that I am the owner or authorized agent for
the above~ntIoned 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
building I caD ~~ this rnnh forfllft cause. Furthermore. I hereby agree that the Cl~_o~o~~~e may enter upon the property to perlorm needed Inspections.
X i/VYW2/\14,0't,1 j,1\l [)Ol JY 1"1 U j(~d.7-qq
. ~~ a ~~ ~
FOR ADMINISTRATIVE USE
MATERIAL FILED WITH APPLlCA nON
Ba". Side Side SOIL TESTS LJ ENERGY DATA 0
OFF STREET PARKING PILING LOGS LJ PERCOLATION TESTS 0
SPACES REO. PLANS & SPECS LJ SETS
SPACES ON PLAN SURVEY LJ COPIES
PERMIT VALUATION "2- 5lfl).mJ PLOT PLAN LJ
QATl= l=IFr.l=I\lFQ
CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
'7 ZONING COMPLIANCE
oct Z EIlTtlAND UTILITY CONNECTION PERMIT
11oTE'iXl-C1CfI
'NSO
DIRECTIONS
SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN
BEFORE PERMIT IS ISSUED (Please Print or Type and sign at bottom)
2. SITE ADDRESS
loc:;q~..J loSerl
3. LEGAL DESCRIPTION
L4-
LOT
Hn r IIJ)( [)yOCJt,
I
PID :z..<=i- Z{,,3 - () 14 - ()
BLOCK
o
4. O""~ER, IfNal11~
rrw trr 1 '(l1Ylm l J(J j h I
(Name)
I
I
I
(Address) (TeL No.)
(/5;-<;3 12uPpIY: ~q5-Cd-It
hi if nC,u IIit-mN' \<;:;5:2,l
Septic (j Deck (j Re-roofin~ Porch (j
Addition 0 Finish Attic (j Re.sidlng (j Finish Basement (j
ADDITION
(Address)
/t")q'jU
(Address)
I .(J."!. No.) /i '7
LlJCI if - LJrx 0-;
(Tel. No.)
5. ARCHITECT
(Neme)
6. BUILDER
,A-;;?j( G
~ ~.
_JJLJllro
7. TYPE OF \YeRK
Fireplace (j
Alterations 0
New ConstnJction 0
Chimney 0 Misc.
SETBACKS: Required
Actual
Front
BUILDING DEPARTMENT VALUATION
USE OF BUILDING ~ES A Iii!..
.
lYPE OF CONSlRUCTlON: I II III IV V
Occupancy Group A B E F HIM R
Oivisioo 1 2 3 4
Permit Fee ................................... $
z,'cl19 0
I. White
2. Pink
3. Yellow
File
Cil)\
Applicanl
Permit No.
qq-/ztfJ?J
BUILDING INFORMATION
11. SIZE OF STRUCTURE
(Height) (Wklth)
(Depth)
12. NO. OF STO!)ES
13}:YPE ~ CON~~CT!9~
Of ci Il fo-O[{t S
14. FLOOR AREA APPORTIONMENT USE
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS
SEATS
,4.7'5"
Amount Brought Forward .................. $
Park Support Fee ........................... $
SAC ......................................... $
Collective Street Fee ....................... $
Sewer Tap ................................... $
$
Pressure Reducer .......................... $
Meter Ham ................................... $
Water Meter ................................. $
Sewer & Water Connection Fee ........... $
WaterTowerFee ........................... $
S U
City:
Plan Check Fee ............................. $
Stale Surcharge ............................. If'
/. z.~
Penalty ....................................... $
Plumbing Permit Fee ....................... 'I:
Mechanical Permit Fee ..................... $
Sewer & Water Permit ...................... It.
Gas Fireplace Permit.. ................... $
By Be&m ,JJdlild1n9 ~:''':'tt~ef 2:~fq 1
If I I
Certificate 01 Occupanl;y
Water Tap ................................... $
Builder's Deposit ............................ $
Other ......................................... $
Total Due .............................. $7".00
Paid i~.O 0 Receipt No .3<14&,1
Issued ~ 1!3. I
Date I 0 By./
This is to certify that the request in the above application and accompanying documents is in accordance with the City Zoning brdinan and' may proceed a 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 01 Occupancy must be issued.
City Planner
0310
Special Conditions if any
24 hour notice lor all inspections 447.9850