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HomeMy WebLinkAboutBuilding Permit 99-1317 CITY OF PRIOR LAKE INSPECTION NOTICE SCH~DULED , ADDRESS Lf//o fJfl-.-wI .9. OWNER CONTR. PHONE NO. PERMIT NO. o FOOTING o FOUNDATION o FRAMING o INSULAT~ON r21 FINAL I(!/ ~ SITE INSPEC ION o PLUMBING RI o MECH RI o WATER HOOKUP o SEWER HOOKUP o PLUMBING FINAL o MECH FINAL COMMENTS: .~ ~ rJ./lA4 t)/i ck1p DATE TIME /ckJ.-'t'\ '1'1-/3/7 o EX/GRAD/FILLING o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GASLlNE AIR TST 'j!{.e...r p ~ WORK SATISFACTORY, PROCEED o CORRECT ACTION AND PROCEED o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING Inspector: I?\A Owner/Contr: CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. IlVS/VOTl CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY! ~~ QATI= !:::n::r.FIVl=n /1/e/9?' CITY OF PRIOR LAKE BUILDING PERMIT, TEMPORARY CERTIFICATE OF ZONING COMPLIANCE AND UTILITY CONNECTION PERMIT I. White 2. Pink 3. Yellow File City Applicant Permit No. CJ9 -/3/7 I DIRECTIONS SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN BEFORE PERMIT IS ISSUED (Please Print or Type and sign at bottom) 12. SITE ADDRESS I.J./ID fU4J.SAu-r 5-r S~ 1. DATE .-elSe; BUILDING INFORMATION 11. SIZE OF STRUCTURE (Height) (Width) (Depth) 3. LEGAL DESCRIPTI,oN LOT /1) i I ( BLOCK 2 ADDITION L /JK[;J'/OF 6>~'7J5, 14. OWNER (Name) (Address) PIl'"T P~III""'- '-1110 f'11i.ASAAJ"- S-r 5 L- 15. ARCHITECT 6. BUILDER 12. NO. OF STORIES PID 2.<:'--06&, - D/Y-O 13. TYPE OF CONSTRUCTION (Name) (Address) (Tel. No.) LNl-2SLN (Tel. No.) 14. FLOOR AREA APPORTIONMENT USE (Name) (Address) fl, JLt>JD Srl:;.AAlc I ~ L.., Deck LJ Re.rOOfing~ Porch 0 Finish Attic 0 Ae-siding 0 Finish Basement CJ (Tel. No.) 15. NUMBER OF OCCUPANTS OR SEATS ~ ~1Uu)bllS 7. TYPE OF WORK Fireplace 0 Alterations (] Ca f<;;-T Septic 0 Addition 0 L/'f7-/~?L OCCUPANT~ New Construction 0 SEATS 16. PROJECT COSTNALUE Chimney 0 Misc. 18. PROPERTY AREA OR ACRES 19. PROPERTY DIMENSIONS 110. CULVERT SIZE Sq. Ft. Width Depth Yes No 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 mentioned 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 bUildingw ~~k this permit for just cause. Furthermore, I hereby agree that the city official or a designee may enter upon the property to perfonTl needed inspections. X 1-.> 11-8-'7'''1 Signature License No. Date 17. COMPLETION DATE FOR ADMINISTRATIVE USE SETBACKS: Required Actual Front Back Side Side MATERIAL FILED WITH APPLICATION SOIL TESTS 0 ENERGY DATA 0 PILING LOGS 0 PERCOLATION TESTS 0 BUILDING DEPARTMENT VALUATION USE OF BUILDING .R'F3 4j'"e.. OFF STREET PARKING SPACES REO. SPACES ON PLAN PERMIT VALUATION PLANS & SPECS 0 SURVEY 0 SETS COPIES ZJOC.C/Z/ PLOT PLAN o TYPE OF CONSTRUCTION: I II III IV V Occupancy Group A B E F H r M R S U City: Amount Brought Forward .................. $ Park Support Fee ........................... $ SAC ......................................... $ Collective Street Fee ....................... $ Sewer Tap ................................... $ $ Division 1 2 3 4 Permit Fee ................................... q: 7</7 - I Plan Check Fee ............................. It State Surcharge ............................. <t Penalty ....................................... <t I. z..r- Plumbing Permit Fee ....................... $ Pressure Reducer .......................... $ Meter Horn ... ................. .... .... ....... $ Water Meter ................................. $ Sewer & Water Connection Fee ........... $ WaterTowerFee ........................... $ Mechanical Permit Fee ..................... It Sewer & Water Permit ...................... <t . n.Bermnm......../l...I..rJ..;,'~I.n.9..~..:.';'I.tWhn~/n""~..J,~c, Water Tap ................................... $ ~Jlj!JeYr' Ii I") I'7 / Builder's Deposit ............................ $ Other ......................................... $ Certnicate 01 Occ~an' I Paid T;~; ..Jii..........~~~~i~;~O$ 3~ ~~?i() Issued . . 1 Dat. ///Y/99 BY,~ This is to certify that the request in the above application and accompanying documents is in accordance with the City ZoningUrdinance and may proceed asJ&quested. 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. C~yPlanner Dale Special Conditions if any 24 hour notice for all inspections 447-9850