HomeMy WebLinkAboutBuilding Permit 00-0686
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS I~__CJ
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
COMMENTS:
t\{~
SCHEDULED
/Jow (AJ-~
CONTR.
PERMIT NO.
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
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o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
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}(WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRE~CK' CALL FOR REINSPECTION BEFORE COVERING
Inspector: Owner/Contr:
CALL 447-9 0 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
/
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTl
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, ,
7. TYPE OF WORK Fireplace 0 Septic 0 Deck 0 Re~roofing)Q. t Porch 0
New Construction 0 Alterations CI Addition 0 Finish Attic 0 Re.Sidin~ Fini Basement t? _ J
Chimney 0 Misc. .RJi,&. AAI8IV
8. PROPERTY AREA OR ACRES 19. PROPERTY DIMENSIONS 110. CULVERT SIZE
Sq. Ft. Width Depth Yes No
I hereby certify that I have fumished 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 mentioned property an that all construction will conform to all existing state and local laws and will proceed in accordance with submined plans. I am aware that the
building official can revo e this p it fopust cause. Furthermore, I hereby agree that the city official or a designee may enter upon the property to perform needed inspections.
X . ~ Q--'/-CcEJ
'- $VI.lure License No. - I:l8te
OFF STREET PARKING PILING LOGS 0 PERCOLATION TESTS 0
SPACES REO. PLANS & SPECS 0 SETS
SPACES ON PLAN SURVEY 0 COPIES
PERMIT VALUATION Z, SlJl) , C:fC' PLOT PLAN 0
Amount Brought Forward .................. $
Park Support Fee ........................... $
SAC ......................................... $
Collective Street Fee ....................... $
Sewer Tap ................................... $
$
Pressure Reducer .......................... $
Meter Horn ... .... ............................ $
Water Meter ................................. $
Sewer & Water Connection Fee ........... $
WaterTowerFee ........................... $
Water Tap ................................... $
Builder's Deposit ............................ $
Other ......................................... $
Paid T';2~ OV.............~~~~i~;~:_Z~~: ()
Date f), t.f-. 0 i) By ~
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 I; requested. This document when
signed by the City Planner constijutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be issued.
D4T~ l=I~r.FIV1;,Q
CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
B'4'.oo
DIRECTIONS
SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN
BEFORE PERMIT IS ISSUED (Please Print or Type and sign at bonom)
2. SITE AODRESS I I ~ 'r _ \;".. I
_J,t::;';>.. ,q ~~ ~~ k'~
3. LEGAL DESCRIPTION
1. DATE
~-L/-CX!)
~&J.o~~
LOT
ADDITION
4. OWNER ..lL (Nam" "-
/Vtttld ~ o..Y-V"\ 5 ~
5. ARCHITECT (Name)
PID 2S-Q32--- M7-c)
I~LOCK
(Address)
$A-t"lz..
( cfZ~)) &33-ots, Fj
(Tel. No.)
(Address)
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6. B\l(DER
(Name)
(Address)
(Tel. No.)
FOR ADMINISTRATIVE USE
SETBACKS: Required
Actual
Front
Back
Side
Side
BUILDING DEPARTMENT VALUATION
USE OF BUILDING
.eE:~ fr/.e
TYPE OF CONSTRUCTION: I It III IV V
Occupancy Group A B E F HIM R
Division 1 2 :3 4
Permit Fee ...................... ......... .... It
s U
City:
74.1~
Plan Check Fee .............................)1:
State Surcharge ............................. .<1:
1_ 'Z- \-
Penalty ....................................... <t
Plumbing Permit Fee ....................... <t
Mechanical Permit Fee ..................... ~
Sewer & Water Permij ...................... <t
~::~It (ii:.:~~;I~i~~.~.e~ttW~ ~PBl~~e~ J
By ~"(f:N Datel::) .,-
Certificate of Occutn~
Issued
CilyPlanner
Date
Special Conditions ~ any
24 hour notice for all inspections (952) 447-9850
(8-J,Q
1. White
2. Pink
3. Yellow
File
City
Applicant
Permit No.
00 . ()fof3h
BUILDING INFORMATION
11. SIZE OF STRUCTURE
(Height) (Width) (Depth)
12. NO. OF STORIES
13. TYPE OF CONSTRUCTION
14. FLOOR AREA APPORTIONMENT USE
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS
SEATS
16. PROJECT COSTNALUE
17. COMPLETION DATE
MATERIAL FILED WITH APPLICATION
SOIL TESTS 0 ENERGY DATA 0