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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