HomeMy WebLinkAboutBuilding Permit 00-0752
CITY OF PRIOR LAKE
INSPECT JON NOTICE
ADDRESS ---.5'//0/
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
'llf>FINAL
(0 SITE INSPECTION
COMMENTS: KorI.
I
DATE TIME
SCHEDULED 9;1~;I~
.
&,.11. 'j. ~
CONTR.
PERMIT NO.
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
- .........-
/o~
oo-7~c:..
o EXlGRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
./
/
./
~ORK SATISFACTORY, PROCEED
o CORRE AC N AND PROCEED
o COR CT W ALL FOR REINSPECTION BEFORE COVERING
Owner/Contr:
7~ FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE..
QUlREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYl
INSNOTl
~7
u.~
CITY OF PRIOR LAKE
BUILDING PERMIT,
. JEM.. PORARY CERTIFICATE OF
Z 2. Jl : ZONING COMPLIANCE
A"fII ~ ,ljJTILlTY CONNECTION PERMIT
DIRECTIONS -- ~~ ' I
SPACES NUMBERED. ....._.,.,.: :-::--7J.&..a' I en'N
BEFORE PERMIT IS ISSUeD (Please Print or Type and sign at bottom)
2. SITE ADDRESS
51\.(.\
'-~~[:Jl::""I:I\/l=n...____
D c: f.S rr; fr", '
_,,?___15 ~i..:,
1. White
2. Pink
3. Yellow
File
City
Applicant
Permit No..t'f:) - () ry Se)
1. DATE
~ I'd. aJ un
j
BUILDING INFORMATION
( .rerL \-
Qj '\Ie J
11. SIZE OF STRUCTURE
(Height) (WldttI)
(Depth)
12. NO. OF STORIES
13. TYPE OF CONSTRUCTION
4. O~ER ~Name)
T1V& I~j,/)
5. ARCHITECT (Name)
6. BUILDER
(Name)
(Address)
(Tel. No.)
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANT"
S, EI.." F
7. TYPE OF WORK Fireplace LI
New Construction 0 Alterations 0
Septic 0
Addition 0
Deck 0
Finish Attic 0
}/
Re.roolin~ Porch 0
Re-siding 0 I );inish Basement 0
SEATS
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 certify that I have furnished in atlon on this application which is to the best 01 my knowledge true and correct. I also certify that I am the owner or authorized agent for
the ab~~ff~~~ prope II construction will conform to all existing state and local laws and will p. roceed in accordance with submitted Plan~. I am ware that the
~Uilding~. revoke is I just cause. Furthermore, I hereby agree that the city official or a designee may enter upon the property to pe~ede b(JeclionS.
C-/ Signature license No. te
17. COMPLETION DATE
FOR ADMINISTRATIVE USE
Front
.""
Side
Side
MATERIAL FILED WITH APPLICATION
SOIL TESTS 0 ENERGY DATA 0
PILING LOGS 0 PERCOLATION TESTS 0
SETBACKS: Required
Actual
- BUILDING DEPARTMENT VALUATION
USE OF BUILDING
Do~t?
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
PERMIT VALUATION
PLANS & SPECS 0
SURVEY 0
PLOT PLAN 0
SETS
COPIES
TYPE OF CONSTRUCTION: I II III IV V
Occupancy Group A B E F HIM R
Division 1 2 3 4
s U
City:
Amount Brought Forward .................. $
Park Support Fee ........................... $
SAC ......................................... ~
Collective Street Fee ....................... $
SewerTap ................................... $
$
Permit Fee ................................... $
"'14.15"
Plan Check Fee ............................. <l::
State Surcharge ............................. It':
Penalty. ...................................... $
Plumbing Permit Fee ....................... $
/, QS-
Mechanical Permit Fee ..................... $
Pressure Reducer .......................... $
Meter Horn ... .... .... ........................ $
Water Meter ................................. $
Sewer & Water Connection Fee ........... $
WaterTowerFee ........................... $
Sewer & Water Permit ...................... $
Gas Fireplace Permit ....................... $ Water Tap ................................... $
:JJi'S li~ionm~SY r idin permitWherJ.~provtt.:\ Builder's Deposit ............................ $
By ,)1 . Date aj;:jOl. ~ .1V Other ......................................... $ -
. I C'l-I
Cert"icate of Occupancy pa:iT~ ,: ~~""""'''~~~~i~;~O$,~ ~=Q33
Issued .
Date '?S / :J :J.}.SJD By ( I
This Is to certify that the request in the above application and accompanying documents is in accordance with the c~rdinance and may proceed ested. This document when
signed by the City Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate 10 upancy must be issued.
City Planner
Date
Special Conditions If any
24 hour notice for all inspections (952) 447.9850
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