HomeMy WebLinkAboutBuilding Permit 00-0869
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CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
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DATE TIME
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o EXlGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
DG~INER~
I' ~~
n2m+:. \
~V~,
~ORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: ~~
Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE,
uaNOn
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
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QATF RFr.F= 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
-1iJ...3'3 ~ooD Lff JJE
3. LEGAL DESCRIPTION
1. DATE
LOT
BLOCK
PID
ADDITlON
4. OWNER (Name)
AIL.o..-.J h..l'i-\)l..f'>c.
5. ARCHITECT (Name)
~!oI. 'F"o,.' iU?& r.:..~
6. BUILDER (Name)
(Address)
5b33 C~~DD
(Address)
IbO<.o ~ ~q.A~G'.c, L..
(Address)
(Tel. No.)
"rr 1.ItZ..- '-I'll- ~.""lJ
(Tel. No.)
1-12.- ,*'i-'-18"S'Z-
(Tel. No.)
7. TYPE OF WORK
New Construction 0
Chimney 0 Misc.
Fireplace 0
Alterations 0
Septic 0
Addition 0
Deck 0
Finish Attic 0
/'
Rs-roofing r Porch 0
Re-siding 0 Finish Basement 0
C~
1. White
2. Pink
3. Yellow
File
City
Applicant
7 Cf'";l. t.f
Permit NO'I~eft,ct
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
OCCUPANTS
SEATS
16. PROJECT COSTNALUE
17. COMPLETION DATE
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 aU existing state and local laws and will proceed in accordance with submitted plans. I am aware that the
building official can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may enter upon the property to pertonn needed inspections.
x_lL4L. i.1="~,"~ '"2.00 'i,'d ~~on'.NO ~ 'l.~,: 00
FOR ADMINISTRATIVE USE
Amount Brought Forward .................. ,.
Par1< Support Fee ........................... <I:
SAC ......................................... <I:
Collective Street Fee ....................... $
Sewer Tap ...................................4:
.
SETBACKS: Required
Actual
Baok
Side
Side
Front
BUILDING DEPARTMENT VALUATION
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
US~SUILn;l:
TYPE OF CONSTRUCTION: I II III IV V
Occupancy Group A B E F HIM R
Division 1 2 3 4
Permit Fee ................................... $
PERMIT VALUATION
2, S"t':O.o C)
S U
7<1. 7<5"
City:
Plan Check Fee ................. ............ ~
,.-
I ,"2. t.,
State Surcharge ............................. ~
MATERIAL FILED WITH APPLICATION
SOIL TESTS 0 ENERGY DATA 0
PILING LOGS 0 PERCOLATION TESTS 0
PLANS & SPECS 0 SETS
SURVEY
PLOT PLAN
o COPIES
o
Plumbing Permit Fee ....................... ~
Mechanical Permit Fee ......... ............ $-
Pressure Reducer .......................... $
Meter Horn ... .... .... ........................ $
Water Meter ................................. $
Sewer & Water Connection Fee ........... $
WaterTowerFee ........................... $
Water Tap ................................... <I:
Builder's Deposit ............................ ,
Other ..........................................'t;
Total Due .............................. $
Paid Receipt No. 38 II 5"7
Date '7-7~'7DtnO 6y €...~
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 req~ted. 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.
Penalty ................................... .... ~
Sewer & Water Permit ...................... $
Issued
City Planner
Date
Special Conditions if any
24 hour notice for all inspections (952) 447-9850