HomeMy WebLinkAboutBuilding Permit 00-0838
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
DATE
tc;r;;< 7 -0
}j,Er_
ADDRESS
IL/~ 70
(7~ue-
OWNER
CONTR.
PHONE NO.
PERMIT NO.
()-'?3 Y
o FOOTING
o FOUNDATION
o FRAMING rff)
o INSULATION
FINAL
~ 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: '12, Dn +
I
,!J A..u fi<<
J .
.,~
~ WORK 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.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/
lN$JVOTl
ii~1
pATE RE~
CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
9';'1.00
I.
2.
J.
9./9.0cJ
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 / ~ 70 ?' /I [;. ,I'f II 6
3. LEGAL DESCRIPTION
1. DATE
Sf:;;
/2/s0
,',,'::':iJ
_.__BUILDIt<..(.AMATION
11. ::lILt: VI"" ~Irilo ..' JRE
(Height) (WCdtfl) (Depth)
12. NO. OF STORIES
LOT
BLOCK
PID 25-/ IA - oo8:..f1
13. TYPE OF CONSTRUCTION
~1 (Name) (Address) (TeL No.)
~A",) JJI JCcfi /<.MFp r",..".u...-AtA-L ~"t'7-/7""
5. ARCHITECT (Name) (Address) (Tel. No.)
_3".:1 (Namel (Addressl. (Tel. No.) 9"'I-~f"
~"'O (.Ala.. 5,04- .
~.,)~ ~J [:.J, --P7\lu- 1-/1"'" D.{.\IJ<- L.....JI. IYIN S'Ss<S"7
7. TYPE OF WORK Fire~ Septic 0 Deck 0 Re-rooflng 0 Porch 0
New Construction 0 Alterations 0 Addition 0 Finish Attic 0 Re-siding 0 Finish Basement 0
14. FLOOR AREA APPORTIONMENT USE
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS
SEATS
16. PROJECT COSTNALUE
Chimney 0 Misc.
8. PROPERTY AREA OR ACRES \9. PROPERTY DIMENSIONS \10. 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 on roperty 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 . I can r 0 ermit tor just cause. Furthermore, I hereby agree that the city ~cial or a designee may enter upon the property to per1o~ need inspections.
X L-cx.::>~d4S'/~
UcenseNo.
17. COMPLETION DATE
FOR ADMINISTRATIVE USE
SETBACKS: Required
Actual
MATERIAL FILED WITH APPLICATION
Front
Back
Side
Side
SOIL TESTS
o ENERGY DATA
o
PILING LOGS 0 PERCOLATION TESTS 0
USE OF BUILDING
/Z&S H/<-
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
PERMIT VAI.UATlON ~, 57/7J . r/U
.r
PLANS & SPECS 0
SURVEY 0
PLOT PLAN 0
SETS
COPIES
BUILDING DEPARTMENT VALUATION
TYPE OF CONSTRUCTION: I II III IV V
Occupancy Group A B E F HIM R
Division 1 2 3 4
Permit Fee ................................... ~
S U
City:
Amount Brought Forward .................. $
Park Support Fee ........................... $
SAC .........................................9:
Collective Street Fee ....................... ~
Sewer Tap ................................... $
$
J4-. "15'
Plan Check Fee ............................. ~
State Surcharge ............................. $
Penalty ....................................... $
I. -z.S-
Mechanical Permit Fee ..... ................ <t
Pressure Reducer .......................... $
Meter Horn ....... .... ........................ $
Water Meter ................................. <t
Sewer & Water Connection Fee ........... $
WaterTowerFee ........................... $
Plumbing Permit Fee ....................... <t
Sewer & Water Permit ...................... $
Issued
Water Tap ................................... $
Builder's Deposit ............................ ~
Other ......................................... $
Total Due .............................. $ 7 t . c/U
Paid 7'- .(/V Rece;pt~'. 3e4-:J G-
Date 'i' -/ 9 - (f'c.--' By jjl --
This is to certify that the request in the above application and accompanying documents is in accordance with the City Zoning Ordinance and may proceedi~ 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.
Gas Fireplace P. rmit '/jE. ....... ........ $
This Betom s Iding Permit Wt);~/AP..Qr~ved.
By Date .,' 7 P''--
/
Certificate of Occupanc
City Planner
Date
Special Condrtions i1any
24 hour notice for all inspections (952) 447.9850