HomeMy WebLinkAboutBuilding Permit 00-0732
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CITY OF PRIOR LAKE
INSPECTION N9TICE .
SCHEDULED
ADDRESS
385/_
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
~INSULATION
~ FINAL 184"DP
A-:; 0 SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
TIME
(JO.0732-
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
~ORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WOR~, CALL FOR REINSPECTION BEFORE COVERING
Inspector: '$ - Ut1ua Owner/Contr:
CALL 447-9850 FOR~HE NEXT INSPECTION 24 HOURS IN ADVANCE,
INSNOTl
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/
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QATF "Fr:Fllli;Q CITY OF PRIOR LAKE:
I } BUILDING PERMIT,
<6 17 00 TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
1. White
2. Pink
3. Yellow
File
City
Applicant
I DIRECTIONS
SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN
BEFORE PERMIT IS ISSUED (Please Print or Type and sign at bottom)
12 SITE ~~ Q rY\ 1\ .---" h ~ t--0..u J-
3. LEGAL DESCRIPTION
Permit No. DO- C"l7 ~.2..-
1. DATE
~/17 J(J7J
BUILDING INFORMATION
". SIZE OF STRUCTURE
(Height) (Width) (Depth)
1\ HAl
LOT
I
Q.g~.k
12. NO. OF STORIES
BLOCK
PID Q S - I (. 0 - (') () 1- 0
Lk i b B\o~ '3 \,s~V'\..t.lAJ
(Address) /
-?,.fn /n'H'.) n5r
13. TYPE OF CONSTRUCTION
ADDITION
4. OWNE,'\-, . (NT, ~
./!frJ!.//t t ~ 1'12
5. ARCHITECT (Nama)
I\1JT'14. FLOOR AREA APPORTIONMENT USE
I
I
(Address) //3 V~ ..o19l'41"s";-NO.) '1I/J..Uf"') 15. NUMBER OF OCCUPANTS OR SEATS
tio/~- U-fJ 0t Jzr? I< i/ OCCUPANT~
/'1 ". ~ _ SEAT~
Deck Ll Ae-roafin Parer. Ll
Finish Attic 0 Ae-siding 0 inish Basement a 16. PROJECT COSTNALUE
(Address)
(Tel. No.)
Ah~
(Tel. No.)
\'"
)
/1;:; i:,amL~ I
7. TYPE OF' WORK (f- Fireplace 0
New Construction LJ Alterations 0
Chimney 0 Misc.
18. PROPERTY AREA OR ACRES
Sq. Ft.
I hereby certify that I have fumishe
the above mi:~~~rope
:Uilding OffjC~PL.VOke thO perm'
, / S'
Septic 0
Addition 0
19 PROPERTY DIMENSIONS /10. CULVERT SIZE
Width Depth Yes No
orm ti 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
nstruction will conf.orm to all existing slate and Jocallaws and will proceed in accordance with submitted plans. I am aware that the
ore, I hereby ag:2~hel~ffit(75i9t, may enter upon the property to pe~:,e~;ct~
'UCense No. V Date
17. COMPLETION DATE
FOR ADMINISTRATIVE USE
SETBACKS: Required
Actual
MATERIAL FILED WITH APPLICATION
Front
Back
Side
Side
SOIL TESTS
D ENERGY DATA
o
BUILDING DEPARTMENT VALUATION
o -R...h ~1r~
OFF STREET PARKING
SPACES REa.
SPACES ON PLAN
PERMIT VALUATION
PILING LOGS 0 PERCOLATION TESTS 0
USE OF BUILDING
PLANS & SPECS 0
SURVEY D
PLOT PLAN 0
SETS
COPIES
Amount Brought FO~~~..::l::"""'" $
/~~p~.l:~=
i'~e:::: :educe' ............. ..................1I
Mer.... ..........~
aler ..............lJtt
Sewe er nection FH........ $
Water ~er Fee ........(.lJ.'~ . $
Water Tap ................ .......
Builder's Deposit ...................
Other ...................................
...!]f.OU
Certificate of Occupancy Paid T$;~Due .VO............~~~~i~;~O~ :3;; ;?.IS
Issued
Date 5<Ji7/rrn By ~ ')
This is to certify that the request in the above application and accompanying documents IS in accordance with the City Zoni~gl,~n.d may proceed r u~ed. This document when
signed by the City Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate f cupancy must be issued.
TYPE OF CONSTRUCTION: I II III IV
Occupancy Group A B E F HIM
DMsion 1 2 3 4
V
R S U
City:
Permit Fee ................................... $
.., Lf . 1'5
Plan Check Fee ............................. $
State Surcharge ............................. $
I. ;\S
Penalty ....................................... $
Plumbing Permit Fee ....................... $
Mechanical Permit Fee ..................... $
.; it~~itW;;prt1h
Sewer & Water Permit ...................... $
Gas Fi
lace Permit.. .................... $
City Planner
Date
Special Conditions if any
24 hour notice for all inspections (952) 447.9850