HomeMy WebLinkAboutBuilding Permit 99-1436
SCHEDULED
I ~ATE
z.~
TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
10:30
ADDRESS 4f,.f')4
.
P\~ 'Sr-
OWNER
CONTR.
PHONE NO.
PERMIT NO.
qq- 1'-1%
o FOOTING
o FOUNDATION
o FRAMING
Mj.D)NSULATION.l
\t1I~INAl ~'.a...
o SITE INSPECTIO~
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EX/GRAD/FilLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:.it Lr." VoL +..~...kJ- :!l
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{/ A/.,.IIo J ,,,)(0
o WORK SATISFACTORY, PROCEED
~1:0RRECT ACTION AND PROCEED
.. 0 CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
/11 /~
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Inspector:
Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.,
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
INSNOTJ
_",_~_"_,,,_'p_ ___P_' "__~_.~..._._,_.. ._.,_._.,_____m__..___.____._~._____.._ ---.-"'-
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QATF RF<'FIVFn CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
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
1. DATE
Q\A'\"\"'\
Q-2...
j..lf~Dl-\ (>\___~_.~ ~. <X. S. E.
3. LEGAL DESCRIPTION
LOT \ \
"LOCK "Z-
/+;;:, iHJ
PID
ZS-CO"Z..-oll..- 0
R. ' '2-
ADDITION
c:A-reS
4. OWNER
~N--l
5. ARCHITECT
(Namel
OA"~
(Address)
P\.....,"i"'~
(Address)
~-r _
(Tel. No,)
t,,::;). 1-\1..."'\- SS"/,>\
(Tel. No.)
l\w,\
(Name)
6. BUILDER
(Name)
(Address)
(Tel. No,)
""~.c... S",_"",,\...r"
7. TYPE OF WORK Fireplace 0
New Construction 0 Alterations 0
~,,-s 'C>-,<j><'
Septic 0 Deck 0
Addition 0 Finish Attic 0
(..:S', ""'!.-,,,,1,I.\-,\
Re-roofing 0 Porch 0
Re-sjdin~ Finish Basement 0
1. White
2. Pink
3. Yellow
File
City
Applicant
Permit No. 9"1. - \ 4-3'-
BUILDING INFORMATION
". SIZE OF STRUCTURE
(Height) (Width) (Depth)
12. NO. OF STORIES
13. TYPE OF CONSTRUCTION
<;,,):_,~ ,hJ;;<;;"1- L._:.
14, FLOOR AREA APPORTIONMENT USE
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS
SEATS
16. PROJECT COSTNALUE
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 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 10 all exisling state and Jocallaws and will proceed in accordance with submitted plans. J am aware thaI the
building offi~voke this permit~ust~urt~ermore, I hereby agree that the city official or a designee may enter upon the property to perform needed lnspections.
X ..............~.....(./ ~ n<L~ \~\;t-"")\."'\"'\
z;,. SIgn.... - .....No. "-l:iIte
17. COMPLETION DATE
FOR ADMINISTRATIVE USE
SETBACKS: Required
Actual
Front
Back
Side
Side
BUILDING DEPARTMENT VAI.UATlON
I
USE OF BUII.DING RES A 1.2-
I'
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
zc;co.-
PERMIT V AI.UA TION
TYPE OF CONSTRUCTION: I It III IV V
Occupancy Group A B E F HIM R S U
MATERIAL FILED WITH APPLICATION
SOIL TESTS [j ENERGY DATA [j
PILING 1.0GS 0 PERCOLATION TESTS 0
PLANS & SPECS 0
SURVEY [j
SETS
COPIES
PLOT PLAN
o
Division 1 2 3 4
Permit Fee ........................... .... .... $
Plan Check Fee ............................. $
State Surcharge ............................. $
Penalty ....................................... $
Amount Brought Forward .................. $
Park Support Fee ........................... $
SAC ......................................... $
Collective Street Fee ......... .... .... ...... $
Sewer Tap ................................... $
$
Pressure Reducer .......................... $
Meter Hom .................... .... ........... $
Water Meter ................................. $
Sewer & Water Connection Fee ........... $
WaterTowerFee ........................... $
Water Tap ................................... $
Builder's Deposit ............................ $
Other ......................................... $
Total Due .............................. $ 1 ~_ .....
Paid 1 (" :- I Re<eipt No, '3"" 01-
Date \7....ft..1.,.. By t.,O~
\
This is to certify that the request in the above application and accompanying documents is in accordance with the City Zoning Ordinance and may proceed as requested. This document when
signed by the City Planner constitutes a temporary Certificate of Zoning compliance and allows construction 10 commence. Before occupancy, a Certificate of Occupancy must be issued.
City:
\4.1~
( _ 'Z.."')'
Plumbing Permit Fee ....................... <t
Mechanical Permit Fee ..................... <I:
~
.
This AppU
By
D:rmit When APpro~ 'L,h.. 7 h r
~
Certificate of Occupancy
Issued
City Planner
Date
Special Conditions if any
24 hour notice for all inspections 447-9850