HomeMy WebLinkAboutBuilding Permit 00-0815
CITY OF:.PRIOR LAKE
II'ISPECTION NOTICE
SCHEDULED
ADDRESS
3214- nom Sf:
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION c;J
FINAL ;t.(}"D': -A
~~ITE INSPECTIO
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
~O? h~-o
CL.-05C- PI~
COMMENTS:
DATE TIME
.'f.25.00 fl.).
0lJ. OalS"
o EXIGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
'f WORK SATISFACTORY, PROCEED
o CORRECTTf~! J ND PROCEED
o CORRECT 0 K 9 ~ REINSPECTION BEFORE COVERING
':<:
Inspector: j \ Owner/Contr:
CALL ~7-985~ FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
INSNOTl
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
DATE RECEIVED
CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
9.//-00
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
~~/M
)e/SO
.7 .J.Jej
/76 Ii sv
SI-J .
3. LEGAL DESC~IPTION
LOT q~/O
3/
PID 2.5- /33 -o.~c;-6
BLOCK
ADDITION
4. OWNER /J ~ (Name)
~;?t;hA"
5. ARCHITECT (Name)
1. White
2. Pink
3. Yellow
File
City
Applicant
Permit No. JL() .0 ttJf!:L
BUILDING INFORMATION
1,. SIZE OF STRUCTURE
(Height) (Width) (Depth)
12. NO. OF STORIES
13. TYPE OF CONSTRUCTION
~ (Address)
/j' ~/I? MY :701/ <{
(Address)
(Tel. No.) 14. FLOOR AREA APPORTIONMENT USE
/7 ();;Io 501v'..6'9'-9'7 --Cj"1f. .
(Tel. No.)
6. BUILDER
(Name)
(Address) (Tel. No.)
/0.:<.7/
pV~.kk_iNc. ~9,'7- 906(---
~~1,"lrl/J I~ .~.. - / --
Deck 0 FIJi-mo.fing ~ Porch 0
Finish Attic 0 Re-siding LJ Finish Basement 0
)1Io}j s
RttIH.eA S
7. TYPE OF WORK
New Construction 0
Fireplace 0
Alterations 0
Septic 0
Addition 0
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANT"
SEATS
16. PROJECT COSTNALUE
Chimney 0 Misc.
8. PROPERTY AREA OR ACRES 19. PROPERTY DIMENSIONS 110. CULVERT SIZE
Sq. Ft. Width Depth Yas No
I hereby certify ~hat I h 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 mention ro rty and that all construction wil onform to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the
building official revo"" th~rmit f~ cau u ).8rm.3Je, I hereby agree that the city official or a designee may enter upon the property to perform needed i~ecJi<>ns.
X ~ P'f. vvM_ q//I/-
/ Signature license No. ."'te '
17. COMPLETION DATE
I
FOR ADMINISTRATIVE USE
Amount Brought Forward .................. $
Park Support Fee ........................... $
SAC ......................................... $
Collective Street Fee ....................... $
Sewer Tap ................................... $
Pressure Reducer .......................... $
Meter Horn ....... ...... ...................... $
Water Meier ................................. $
Sewer & Water Connection Fee ........... !I:
WaterTowerFee ........................... $
Water Tap ................................... $
Builders Deposit ............................ $:
SETBACKS: Required
Actual
Side
Side
Front
Back
BUILDING DEPARTMENT VALUATION
OFF STREET PARKING
SPACES REQ.
SPACES ON PLAN
PERMIT VALUATION ----z., 5()t). 00
USE OF BUILDING
J!!.E-S 1/ /C.....
TYPE OF CONSTRUCTION, I II III IV V
Occupancy Group A B E F HIM R S U
Division 1 234 74~-,s-
Permit Fee ................................... ~
City:
Plan Check Fee ................. ............ $
State Surcharge ............................. $
Penalty ....................................... $
/. zC;-
Plumbing Permit Fee ....................... <l:
Mechanical Permit Fee ..................... $
Sewer & Water Permit ...................... !I:
This
By
ing Permit W!1Wl App'J.ve!J.
,oate 'to /1' 00
,
Other ......................................... $
Paid Tota~U~..:.O.C;........~~~i..... $ 3 ~f;;..~O 1j
MATERIAL FILED WITH APPLICATION
SOIL TESTS 0 ENERGY DATA 0
PILING LOGS 0 PERCOLATION TESTS 0
PLANS & SPECS 0
SURVEY 0
PLOT PLAN 0
SETS
COPIES
$
Issued
Date t;.' //. tJ () By
This is to certify that the request in the above application and accompanying documents is in accordance with the City Zon g Ordinance and may pr
signed by the City Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certifi
~
24 hour notice for all inspections (952) 447-9850
Special Conditions n any
C~yPlanner
Dale