HomeMy WebLinkAboutBuilding Permit 99-1347
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
DATE TIME
/~/;~/cn It T
ADDRESS
3L/-(;LJ 6i;} L 514/'1
OWNER
PHONE NO.
o FOOTING
o FOUNOATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
COMMENTS:
~
'Ii
CONTR.
PERMIT NO.
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
~
~ -r..JJ
99- /_~L/-7
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
~GASLINE AIR TSTA
)" K'/J7O F
F/ /V /9 '--
o WORK SATISFACTORY, PROCEED
o CORRECT ACTION ANO PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector:
k
Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/
INSNOTl
~ TIME
CITY OF PRIOR LAKE tlJ/r, tier. Av-
INSPECTION NOTICE SCHEDULED
ADDRESS SL/Ot/ txJSIMn
OWNER CONTR.
PHONE NO. PERMIT NO. ~-I3L17
o FOOTING ~
CUNDATION
FRAMING
INSULATION
o FINAL
o SITE INSPEC~
COMMENTS: I~
/lfrrn Jl 'DA
- ,
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
ell
o EXIGRAD/FILLING
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:
A1VZ
CALL 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE,
Owner/Contr:
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
INSNOTl
-, .... -.--.-- '-'-',~-,,--,,-- .,"...-..~._- .....--.-. ..-.. -.",
~~
;;);;;
CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
L White
2. Pink
3. Yellow
File
City
Applicant
Permit No.
qq-j 3L./7
I DIRECTIONS
SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN
BEFORE PERMIT IS ISSUED (Please Print or Type and sign al bottom)
2. SITE ADDRESS
34D~ eI"lLS/lM Sr: .5W
1. DATE
R./
BUILDING INFORMATION
1,. SIZE OF STRUCTURE
(Height) (Width) (Depth)
3. LEGAL DESCRIPTION
12. NO. OF STORIES
LOT
/4- BLOCK
.s vAlse/
2. PID 25-/7z-mS-Q
I-II/L5 Af)nN.
13. TYPE OF CONSTRUCTION
ADDITION
14. OWNER
15. ARCHITECT
6. BUILDER
(Name)
(Address)
(Tel. No.1
14. FLOOR AREA APPORTIONMENT USE
(Name)
(Address)
(Tel. No.)
(Name)
(Address)
(Tel. No.1
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANT~
SEATS
16. PROJECT COSTNALUE
AA"'LJS "'oA/sn= 5530 1.36771 s/./ ~N/lq6
rlvrT .... IV .--"/
7. TYPE OF WORK
New Construction 0
Fireplace 0
Alterations Q
Septic 0
Addition 0
Deck 0
Finish Attic CI
Re-rOOfinjii{ Porch 0
Re-siding LJ Finish Basement 0
Chimney 0 Misc.
8. PROPERTY AREA OR ACRES 19. PROPERTY DIMENSIONS 110. CULVERT SIZE
Sq. Ft. Width Depth Yes No
I hereby certify that I 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 construction will conform to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the
:Ullding official cann:JJ:..pe?r~~rthermore. I hereby agree that the city official or a designee may enter upon the property to pe,,;;; $.~. d.~. ,n.:s ions.
T.....- s~nalur;I---''''''' License No. -, ...i- ";:"
I
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 (J
BUILDING DEPARTMENT VALUATION
USE OF BUILDING
~e;s /1/;e:.
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
PERMIT VALUATION
PLANS & SPECS 0
SURVEY 0
SETS
COPIES
:z.57)0.00
PLOT PLAN
D
TYPE OF CONSTRUCTION: I II III IV V
Occupancy Group A B E F H t M R S U
City:
Amount Brought Forward ........ no....... $
Park Support Fee .... .... ................... $
SAC ......................................... $
Collective Street Fee ....................... <!:
Sewer Tap ................................... II:
Division 1 2 3 4
Permit Fee ................................... $
II./q GO
Plan Check Fee ............................. $
State Surcharge ............................. $
Penalty ....................................... $
/. z5"
v
$
Plumbing Permit Fee ....................... $
Mechanical Permit Fee ..................... $
Pressure Reducer .......................... <I:
Meter Hom ... .... .... ............. .... ....... <I:
Water Meter ................................. <t
Sewer & Water Connection Fee ........... <t
WaterTowerFee ........................... $
Sewer & Water Permit ...................... $
Gas Fireplace Permit ....................... $
This ~ ~_cor'!J'3~oIMing Permit When Approved.
By ~"V~f-r/\. Date
Certificate of Occupancy
Water Tap ................................... $
Builder's Deposit ............................ $
Other .......................... .... ........... $
Total Due .............................. $ /5(). '7S _
Paid /5</.7 r Receipt.N9. 3(,57 A
Issued
Date /lllth,,! By ~
This is to certify that the request in the above application and accompanying documents is in accordance with the City Zoning OrdinAnce and may proce~s 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.
City Planner
Dale
Sper.ialConditionsifany
24 hour notice for all inspections 447-9850