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HomeMy WebLinkAboutBuilding Permit 00-0760 CITY OF PRIOR LAKE INSPECTION NOTICE StiT!EDULED DATE TIME t?- B-w.. ..4. T ADDRESS 3~ 70 8/lSSW01)O (]AK- OWNER CONTR. PHONE NO. PERMIT NO. o FOOTING 0 PLUMBING RI o FOUNOATION 0 MECH RI o FRAMING (BD WATER HOOKUP o INSULATION 0 SEWER HOOKUP ~FINAL 5/0/#' 0 PLUMBING FINAL o SITE INSPECTION 0 MECH FINAL COMMENTS: .. ..",.-- -- /~. ( ~~ '- .....-t" :'tJ ~ - 7(.0 o EX/GRAD/FILLING o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GASLINE AIR TST o --- ~) ~ 0/ 0<.1 Ji/,A.'I .> WORK SATISFACTORY, PROCEED o CORRECT ACTION AND PROCEED o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING Inspector: ~ I Owner/Contr: I CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. INSNOTJ CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY! QATF RFnFIVFn CITY OF PRIOR LAKE BUILDING PERMIT, ~ ~yfcio TEMPORARY CERTIFICATE OF r ZONING COMPLIANCE AND UTILITY CONNECTION PERMIT I. White 2. Pink 3. Yellow File City Applicant Permit No._c()-0lf /,0 DIRECTIONS SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN BEFORE PERMIT IS ISSUED (Please Print or Type and sign at bottom) '~i6141c1} BUILDING INFORMATION 11, SIZE OF STRUCTURE IHelght) (WidIh) (Oep'h) 2SI$~S{J ~LA1\r}('1 3. LEGAL DESCRIPTION S I n(\o_ 12. NO. OF STORIES BLOCK PID (;)o- II ()-() 17- n 13. TYPE OF CONSTRUCTION LOT ~ W;IIIl)~ ~rCl A-OOr-J ~dress) _ \ ~'5;70 .\~S)"/MXJ ADDITION 4. OWNER . ~arlfl> ~III SCHoLlU-v 5. ARCHITECT (Name) (Address) (Tel. No.) l{4/' <)'; -S7 (Tel. No.) 14. FLOOR AREA APPORTIONMENT USE 6. BUILDER (Name) (Address) (Tel. No.) r~~~+ ~( 7. TYPE OF WORK Fireplace 0 New Construction 0 Alterations a Aql ~ ~b/)s.+ ~ Septic 0 Deck 0 ~~~~g 0 Porch 0 Addition LJ Finish Attic 0 Re'Si~ Finish Basement 0 1Y6-6' 67 15. NUMBER OF OCCUPANTS OR SEATS OCCUPANTS SEATC:: 16. PROJECT COSTNALUE Chimney 0 Misc. 8. PROPERTY AREA OR ACRES 19. PROPERTY DIMENSIONS 110. CULVERT SIZE Sq. Ft. Width Depth Yes No I hereby c rti that I have fim' ed 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 'one propertyj 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 0 . ial oke t" p it for just cause. Furthermore, I hereby agree thaI the city official or a designee may enter upon the property to p~~~e~ed inspections. X. ~A \l~ Y--l'1- to SIgn~ - License No. .. Date 17. COMPLETION DATE FOR ADMINISTRATIVE USE SETBACKS: Required Actual MATERIAL FILED WITH APPLICATION Front Back Side Side SOIL TESTS o ENERGY DATA D ~. OFF STREET PARKING SPACES REQ. SPACES ON PLAN PERMIT VALUATION PILING LOGS D PERCOLATION TESTS D BUILDING DEPARTMENT VALUATION USE OF BUILDING ~ PLANS & SPECS 0 SURVEY 0 PLOT PLAN D SETS COPIES TYPE OF CONSTRUCTION: I II III IV V OccupancyGroup A B E F HIM R S U OM,"01234 '/L/....,::s- Pennit Fee ............................... .... $ City: Amount Brought Forward .................. $ Park Support Fee ........................... $ SAC ......................................... $ Collective Street Fee ....................... $ Sewer Tap ................................... $ $ Plan Check Fee ..................... ........ ,>I: State Surcharge ............................. ~ I. ~S" Penalty ....................................... $ Plumbing PennitFee ....................... $ Pressure Reducer .......................... $ Meter Horn ... .... ..................... ....... $ Water Meter ................................. ot Sewer & WalerConnection Fee ........... ot WaterTowerFee ........................... $ Mechanical Permit Fee ..................... $ Sewer & Water Permit ...................... $ Gas Fireplace Permit ........ ............. $ Water Tap ................................... ,ot Builder's Deposit ............................ $ Other ......................................... ~. CertHicale of Occupancy Paid T;'.;I~. UJ..............~~~~i;;~O$_~~~ ~ Issued /., / ) Th~ Is to certify 1hal1he requesl in the above application and accompaoying documenls Is 10 accordance wl1h the c~:;on~6rd:~ a~~ P'::ed a~-tf:f'.,ed, This documenl whan signed by tile City Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of ~~ncy must be issued. City Planner Date Special Conditions n any 24 hour notice for all inspections (952) 447.9850