HomeMy WebLinkAboutBuilding Permit 99-0715
CITY OF PRIOR LAKE
INSPECTION NOTICE
DATE TIME
///e,/97 9.'.30
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ADDRESS
OWNER
PHONE NO.
D FOOTlNG;j
D FOUNDATION
D FRAMING .
3,.JNSULATION
~ ~INAL 6. e
D SITE INSPECTION
SCHEDULED
CONTR.
PERMIT NO.
D PLUMBING RI
D MECH RI
D WATER HOOKUP
D SEWER HOOKUP
D PLUMBING FINAL
D MECH FINAL
(DCOMMENTS:
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D CORREC
D CORRECT
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D EXlGRADfFlLLING
D COMPLAINT
D FIREPLACE RI
D FIREPLACE FINAL
D GASLINE AIR TST
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ECTION BEFORE COVERING
Inspector: Owner/Contr:
CALL~7-9850 FOR ;HE NEXT INSPECTION 24 HOURS IN ADVANCE"
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CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
'~A~I Iq'i
I. White
2, Pink
3. Yellow
File
City
Applicant
Permit No.
11 - --; /<:;-
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
':::>4\0
3, LEGAL DESCRIPTION
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HArA f'Tc),e0 $-,
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BUILDING INFORMATION
11. SIZE OF STRUCTURE
(Height) (Width) (Depth)
12, NO, OF STORIES
LOT
BLOCK PID Z')-00fil '000-6'
l-lOI'1.M-I <,....~ CAI""'- '"Z../~ ADO
1~11N 5M DVIK (~~iD HIlMPrlrN ~ N, g~1 N~Cll,-?ip~'t
13. TYPE OF CONSTRUCTION
ADDITION
4, O~'j.ER I
Vf\\!ID 4
14. FLOOR AREA APPORTIONMENT USE
5. ARCHITECT
(Name)
(Address)
(Tel. No.)
6. BUILDER
(Name)
(Address)
ITel No,)
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS
OWNW-
7. TYPE OF WORK Fireplace CJ Septic CJ Deck CJ
New Construction CJ Alterations CJ Addition CJ Finish Attic CJ
Chimney" Mise, R t'Y>/"t-uL, Hf2o.t1lJR. '
18, PROPERTY AREA OR ACRES 19' PROPERTY DIMENSIONS 110' CULVERT SIZE
Sq. Ft. Width Depth Yas No
I hereby certify that I have furnished infonnation on this application which is to the best of my knowledge true and correct. J also certify that I am the owner or authorized agent for
the above mentioned property and that all construction will conform to aU existing state and local laws and will proceed in accordance with submitted plans. I am aware that the
building 0 ic' I a r. v ke thi?fenn~ c;nse:furt~erP1o,re, I hereby agree that the city official or a design.e e may enter upon the property to perform nned/ns;jections.
X I' ~~SignCl(/tWv1 t/~ UcenseNo. (PI ~'te 4- 1
Re-roofing CJ Porch CJ
Re-siding CJ Finish Basement CJ
SEATS
16, PROJECT COSTNALUE
17, COMPLETION DATE
FOR ADMINISTRATIVE USE
SETBACKS: Required
Actual
USE OF BUILDING
RL~
/+/,L
OFF STREET PARKING
SPACES REQ,
SPACES ON PLAN
PERMIT VALUATION
-z.,>00,"'0
MATERIAL FILED WITH APPLICATION
Side SOIL TESTS " ENERGY DATA "
PILING LOGS " PERCOLATION TESTS "
PLANS & SPECS " SETS
SURVEY " COPIES
PLOT PLAN "
Front
Back
Side
BUILDING DEPARTMENT VALUATION
TYPE OF CONSTRUCTION: I II III IV V
OccupancyGroup A B E F HIM R S U
City:
Amount Brought Forward .................. $
Park Support Fee ........................... $
SAC .........................................$
Collective Street Fee ....................... $
Sewer Tap ................................... $
.
Division 1 2 3 4
Pennit Fee ................................... $
? 4. 1<;
Plan Check Fee ............................. $
State Surcharge ............................. $
I . z..::;
Penalty ....................................... $
Pressure Reducer .......................... $
Meter Horn ................................... $
Water Meter ................................. $
Sewer & Water Connection Fee ........... $
Water Tower Fee ........................... $
Water Tap ................................... $
Builder's Deposit ............................ 4:
Plumbing Permit Fee ....................... $
Mechanical Permit Fee ..................... $
Sewer & Water Permit ..................t.. $
By
Certificate of Occupancy
Other ......................................... $
Total Due .............................. <l:
Paid 1(1, ~ 01) Receipt No.
Date "ik f 4" By tl;l ~\l.-1U/$
,',
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 to commence. Before occupancy, a Certificate of Occupancy must be issued.
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Issued
City Planner
Date
Special Conditions if any
24 hour notice for all inspections 447-9850
PRIOR LAKE
INSPEC liON
RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS c:; 4-1 0 ~AN'lP~i>,.1 'S~ N. G.
TYPE OF WORK I2-t-?A II~
USE OF BUILDING I2-E-S A I g.
PERMIT NO. qq, 1/~ DATE ISSUED
BUILDER DA\} It., ~ /("lfH'1 5A,NDVI (<-
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
I .
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,
INSPECTOR
DATE
I~ ~r tv. I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
I FRAMING lof, I j-;)- q Lf
. /'
, FINAL
I c"h I 11- g ~qq
Call between 8:00 and 9:00A.M. for all inspections
FOR ALL INSPECTIONS 447-9850
"