HomeMy WebLinkAboutBuilding Permit 00-0598
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHE,DULlED
,
DATE TIME
7/1JkJ d.' CJ!)
ADDRESS d9Sd. (" ~ 21 () of
OWNER CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION II
~INALSlf)8 /'T
o SITE INS~CTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
~OMMENTS:
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Y,PROCEE
CORRECT" TIO A ") PROCE
o CORRECT' EINSPECTION BEFORE COVERING
-07) -(YS9 ~
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
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Inspector: Owner/Contr:
CALL 44 '.9850 FiR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQ~ENTS ARE FOR YOUR PERSONAL HEALTH & SAFET;!
INSNOTJ
~~
J1ATF I=IFr:FIVFQ
CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Permit No.
(f(), 0 S'%-
(.1'';'00
/
I. White
2. Pink
3. Yellow
File
City
Applicant
DIRECTIONS
SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN
BEFORE PERMIT IS ISSUED (Please Print or Type and sign at bottom)
1. DATE
7- / t.f- .00
BUILDING INFORMATION
11. SIZE OF STRUCTURE
(Height) (Width) (Depth)
2. SITE ADDRESS 2. 952
C-6/v7E:R JeO
3. LEGAL DESCRIPTION ,
LOT plo h ~1
,
12. NO. OF STORIES
BLOCK
PID 2-5~/33~()IJ- z...
13. TYPE OF CONSTRUCTION
ADDITION
.. OWNER
1"'"MfJ-.y
5. ARCHITECT
(Name)
-T'-II.Lr:... +- we
(Name)
(Address) (Tel. No.)
.')."lS~ ce,,~r pJ {'t5:Jj.;</O-fa.:lYJ
14. FLOOR AREA APPORTIONMENT USE
(Address)
(Tel. No.)
6. BUilDER
(Name)
(Address)
(Tel. No.)
15. NUMBER OF OCCUPANTS OR SEATS
K De s; l\'1e.r-;
7. TYPE OF WORK
New Construction 0
OCCUPANTS
Fireplace 0
Alterations 0
Septic 0
Addition 0
Deck 0
finish Attic 0
Re-roofing 0 Porch 0
Re-siding 0 Finish 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 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 and that all construction will conform to aU existing state and local laws and will proceed in accordance with submitted plans. I am aware that the
:uUdi~re:k~ this perm:or just cause. F~more, I hereby agree that the city official or a designee may enter upon the property to pe7 r~ !mons.
Signature license No. "Date
17. COMPLETION DATE
FOR ADMINISTRATIVE USE
SETBACKS: Required
Actual
Front
Back
Side
Side
MATERIAL FILED WITH APPLICA liON
SOIL TESTS 0 ENERGY DATA 0
PILING LOGS 0 PERCOLATION TESTS 0
BUILDING DEPARTMENT VALUATION
,
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
PERMIT VALUATION
PLANS & SPECS 0
SURVEY 0
SETS
COPIES
USE OF BUILDING
r.t.e:;~ fl / /L
z...., 5/)/) () cJ
PLOT PLAN
o
TYPE OF CONSTRUCTION: I II III IV V
Occupancy Group A B E F HIM R S U
11.1';-
City:
Amount Brought Forward .................. $
Park Support Fee ........................... $
SAC ......................................... $
Collective Street Fee ....................... $
Sewer Tap ................................... $
$
Division 1 2 :3 4
Permit Fee ............................... .... :t
Plan Check Fee ......................... .... $
I. 7.-';
State Surcharge ............................. $
Penalty ....................................... ~
Pressure Reducer .......................... $
Meter Horn ....... .... ........................ $
Water Meter ................................. $
Sewer & Water Connection Fee ........... $
WaterTowerFee ........................... $
Water Tap ................................... $
Builder's Deposit ............................ $
Other ......................................... $
Plumbing Permit Fee ....................... :t
Mechanical Permit Fee ..................... $
Sewer & Water Permit ...................... ,Il:
'::. ""::Jrtt:~;:..w_..,.,.u
By .~f -"'/' Date J-'''I'-(I
Cert:ficate of occupl,c;y
TolalDue .............................. $ 7&.00
Paid 7' .() () Receipt No,r. 37W; /
Issued ~
Date 7./1/-,00 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 requested. This document when
signed by the City Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupanc;y, a CertifICate of Occupancy must be issued.
City Planner
Date
Special Conditions ~ any
24 hour notice for all inspections (952) 447-9850