HomeMy WebLinkAboutBuilding Permit 00-0827
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
DATE TIME
'f -;;v.J -0/ /1 "'1:
ADDRESS
/598& ~(/f./Fli"H TK:A/0
OWNER
CONTR.
PHONE NO.
PERMIT NO.
OQ.o8Z7
o FOOTING 0 PLUMBING RI
o FOUNDATION ~ 0 MECH RI
o FRAMING 0 WATER HOOKUP
INSULATION 0 SEWER HOOKUP
FINAL jeA"b P 0 PLUMBING FINAL
! SITE INSPECTION 0 MECH FINAL
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
COMMENTS:
(~~
-;J..., 1? 17
~ORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORh:ALL FOR REINSPECTlON BEFORE COVERING
Inspector: ~ . Owner/Contr:
/
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE..
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTJ
el
~1
DATE RECEIVED CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
1. White
2. Pink
3. Yellow
File
City
Applicant
Permit No.
(J(J.0027
DIRECTIONS
SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN
BEFORE PERMIT IS ISSUED (Please Print or Type and sign at bottom)
1. DATE
9-/000
BUILDING INFORMATION
11. SIZE OF STRUCTURE
(Height) (Width) (Depth)
2.SITEj~Rb .)(/~ (;.;p -!uh_'t
3. LEGAL DESCRIPTION
LOT BLOCK PID 2-5 -(')"'~ - 0 11- 2-
ADDITION
4. OWNER ~ hName) ;&111~~~ (Address) (Tel. No.)
:....it) tv
5. ARCHITECT (Name) I (Address) (Tel. No.)
12. NO. OF STORIES
13. TYPE OF CONSTRUCTION
14. FLOOR AREA APPORTIONMENT USE
6. BUILDERtu (Name) (Address) /{'? 'Is O~6.(Tel. NO:} 1// 15. NUMBER OF OCCUPANTS OR SEATS
d } Ir(jr~r P L "r '1'1 ?,;Kif) OCCUPANT~
Ce11 <-j Lout;"... SEATS
7. TYPE OF WORK I Fireplace 0 (/ Septic 0 Deck 0 Ae-roofing 0 Porch 0
New Construction 0 Alterations LJ Addition 0 Finish Attic LJ Re-siding 0 Finish Basement LJ 16. PROJECT COSTNALUE
Chimney LJ Misc.
8. PROPERTY AREA OR ACRES 19. PROPERTY DIMENSIONS 110. CULVERT SIZE
Sq. Ft. Width Depth Yes No
I hereby certify that r have fumis 0 ation 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~rope a II con~n will conform to all existing state and local laws and will ~roceed in accordance with submitted plans. I am aware that the
building official can oke thi permi or' ~se. Furthermore, I hereby agree that the city official or ~esig~e may enter upon the property to perfo~eded.j.Dspecti.3.~
X ~A /- ,/0(:> ~^/o/~ '-<..J
, /?v:.ature - . License No. " Dale
17. COMPLETION DATE
FOR ADMINISTRATIVE USE
SETBACKS: Required
Actual
Front
Back
Side
MATERIAL FILED WITH APPLICATION
Side SOIL TESTS 0 ENERGY DATA 0
PILING LOGS 0 PERCOLATION TESTS 0
PLANS & SPECS 0 SETS
SURVEY 0 COPIES
PLOT PLAN 0
BUILDING DEPARTMENT VALUATION
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
PERMIT VALUATION
USE OF BUILDING
TYPE OF CONSTRUCTtON: I II III IV V
Occupancy Group A B E F HIM R S U
Division 1 2 3 4 7Y, 7S--
Permit Fee ................................... ~
City:
Amount Brought Forward .................. $
Park Support Fee ........................... $
SAC ......................................... $
Collective Street Fee ....................... $
Sewer Tap ................................... $
$
Plan Check Fee ............................. <t
State Surcharge ............................. q:.
I. L.,.{'"
Penalty ....................................... <t
Pressure Reducer .......................... $
Meter Horn ........... ........................ $
Water Meter ................................. $
Sewer & Water Connection Fee ........... $
Water Tower Fee ........................... $
Plumbing Permit Fee ....................... $
Mechanical Permit Fee ..................... ~
Sewer & Water Permit ...................... ~
Gas Fireplace Permit ....................... <l:
Water Tap ................................... $
Builder's Deposit ............................ $
Other ......................................... $
Pa;d T01D,e...;;;o..........~~~~;~;.1~d Jf:;L
Date 9./<1., 0 By u.rJ'--
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 a4 requested. This document when
signed by the City Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certiflcatel6f Occupancy must be issued.
This Application Becomes Your Building Permit When Approved.
By Date
Certificate of Occupancy
Issued
City Planner
Date
Special Conditions i1any
24 hour notice for all inspections (952) 447-9850