HomeMy WebLinkAboutBuilding Permit 99-1350
CITY OF PRIOR LAKE
INSPECTION NOTICE
DATE TIME
SCHEDULED
, .
/-'-I-()O
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ADDRESS lro3i./7 1-!(,3t.jq
~ ,Av(.
OWNER
CONTR.
PHONE NO.
PERMIT NO.
qq-/354P
o FOOTING
o FOUNDATION
o FRAMING
~NSULATION
FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXIGRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o G~LINE AIR TST
O~~
J
COMMENTS:
(1/(
V'
-:: tJ.k?~ (.Jd
XWORK SATISFACTORY. PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector:
~
OwnerfContr:
CALL 447-9860 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
INS/'iOTl
r / '
//C'A/r7$v ~/>J"~ ,;//",/ t/'-
7. TYPE OF WORK Fireplace [j
New Construction [j Alterations 0
Chimney 0 Misc.
8. PROPERTY AREA OR ACRES \9. 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 mention 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 official reV~ke' permit for just cause. Furthermore, I hereby agree that the city official or a designee may enter upon the property to perform needed inspections.
X ,./';. ////~/,9
_ /' ignalure License No. 6ete
~~
CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
OAlF I=U=C:FIVEQ
/ I /113/99
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
//.?7V'Q /;;//' ~/ Sr
3. LEGAL DESCRIPTION
1.0ATE
////1/-;:"
1!2 SD
LOT
/
BLOCK )
L/lKe~1 015
PID 2S-Z2.2--N)r-
e:::r~\
ADDITION
4. OWNER
/t."./"
-.. ,;,
s. ARCHITECT
(Name) (Address) (Tel. No.)
UiA ,,_ / /{f5'/f 0/,{ AI' ~/~/7- Z-:>75
(Nam.) (Address) (T.1. No.)
(Name) (Address) (Tel. No.)
6. BUILDER
f / rc J y' _ .....
/~t:"p/7.A-' :... y. / '/ /- CUI!"
Deck 0 Rs-roofing'l:!l Porch 0
Finish Attic 0 Re-sidin~1 Finish Basement 0
c;/,f c
Septic 0
Addition 0
1. White
2. Pink
3 Yellow
File
City
Applicant
Permit No,
99-/3::J-o
BUILDING INFORMATION
11 . SIZE OF STRUCTURE
(Height) (Width) (Depth)
12. NO. OF STORIES
13. TYPE OF CONSTRUCTION
14. FLOOR AREA APPORTIONMENT USE
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTF
SEATS
16. PROJECT COSTNAlUE
17. COMPLETION DATE
FOR ADMINISTRATIVE USE
Amount Brought Forward .................. $
Pari< Support Fee ..................... ...... $
SAC ....,.......................,..........., $
Collective Street Fee ....................... $
Sewer Tap ................................... $
$
Pressure Reducer .......................... $
Meter Horn .................... .... ........... $
Water Meter ................................. $
Sewer & Water Connection Fee ........... $
WaterTowerFee ........................... $
Water Tap ................................... $
Builder's Deposit ............................ $
Other ......................................... $~
Total Du. ,...w""."'''''''''.'''''' $--.2..h, () (J
Pa;d 7h,0 0 31062 L-
Oat. If If eJ r; t'1 By ~.
This is to certify that the request in the above application and accompanying documents is in accordance with the City Zoning 6rdina~ce and may procee 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 Certif" e of Occupancy must be Issued.
SETBACKS: Required
Actual
Back
Side
Side
Front
- BUILDING DEPARTMENT VALUATION
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
PERMIT VALUATION
--z. nnJ ~
USE OF BUILDING _/20. /1f...fr
TYPE OF CONSTRUCTION: I II 111 IV V
OccupancyGroup A B E F HIM R S U
Division 1 2 3 4 -;q. t\
Permit Fee .................. ......... .... .... <t
City:
Plan Check Fee ............................. $
/. 7. S-
State Surcharge ............................. ot:
Penalty ....................................... $
Plumbing Permit Fee ....................... <I:
Mechanical Permit Fee ..................... <t
Sewer & Water Permit ...................... ~
Thl P B:~" ;~."'~.." .11~,;~.;.~1l7rio&jOv~.~
By J Dat. l r CI/'t
CertifIcate of oc<Lpancy
Issued _
MATERIAL FILED WITH APPLICATION
SOIL TESTS Ll ENERGY DATA Ll
PILING LOGS Ll PERCOLATION TESTS Ll
PLANS & SPECS 0
SURVEY 0
SETS
COPIES
PLOT PLAN
o
24 hour notice for all inspections 447-9850
Special Conditions ff any
CityPianner
Dale