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HomeMy WebLinkAboutBuilding Permit 00-0524 CITY OF PRIOR LAKE INSPECTION NOTICE DATE nile SCHEDULED ~/~ ADDRESS ltJzKo ~~wr'l OWNER CONTR. PHONE NO. PERMIT NO. IJ -,)'1.J.{ o FOOTING o FOUNDATION o FRAMING o INSULATION o FINAL o SITE INSPECTION o PLUMBING RI o MECH RI o WATER HOOKUP o SEWER HOOKUP o PLUMBING FINAL o MECH FINAL o EXlGRADIFILLING o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL ;-~;E~OZ COMMENTS: ~i~ ~ ~ ~ U_i9L9h<-, ~.( I9K ~'i~(~, . '11 ,/'WORK SATISFACTORY, PROCEED o CORRECT ACTION AND PROCEED o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING Inspector: ~ Owner/Contr: CALL "7-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY! '''''''''' ~1 DAIE....RFr.FI\{I=Q. 0/21/(.21 CITY OF PRIOR LAKE BUILDING PERMIT, TEMPORARY CERTIFICATE OF ZONING COMPLIANCE AND UTILITY CONNECTION PERMIT DIRECTIONS SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN BEFORE PERMIT IS ISSUED (Please Print or Type and sign at bottom) 2. SITE r~~'SO 1. DATE k)L-. (o-dl '00 tt:.( A\l~ t/)~rd 3. LEGAL DESCRIPTION / "'112 / 1"/1/0/5 /-flu_ 2Nn Te 1~-crS) PID 2~-nq- OO/-U LOT BLOCK ADDITION 4. OWNER uS~ (Name) \ A .Il. (Tel. No.1 4c?- n-.JSo V'AuP}'l.ra CW+ I (Tel. No.) 5. ARCHITECT (Address) 6. BUILDER (Name) (Address) (Tel. No.) rmtlt o~uL 7. TYPE OF WORK New Construction LI Fireplace 0 Alterations 0 Septic 0 Addition [j Deck 0 Finish Attic CJ Re-rOOfing~ Porch CJ Re-siding CJ Finish Basement CJ J'" I. White 2. Pink 3. Yellow File City Applicant 5- '1"O~) Permit No. QD-05z4- 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 OCCUPANT~ SEATS 16. PROJECT COSTNALUE Chimney CJ Misc. 8. PROPERTY AREA OR ACRES /9. PROPERTY DIMENSIONS f10. CULVERT SIZE Sq. Ft. Width Depth Yes No I hereby certify that t have fumished in.'v., ,.a..v., on this application which is to the best of my knowledge true and correct. J also certify that I am the owner or authorized agent for the above menti eel property and 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 :uilding official c revoke this \rm\ fO~. Furthermore, I hereby agree that the city official or a designee may enter upon the property to pertor ~~ed~~OO V - ^-1 SiQillftJre Ucense No. om. 17. COMPLETION DATE FOR ADMINISTRATIVE USE SETBACKS: Required Actual Front Back Side Side BUILDING DEPARTMENT VALUATION MATERIAL FILED WITH APPLICATION SOIL TESTS 0 ENERGY DATA 0 USE OF BUILDING .ec::, ;Yf IC- OFF STREET PARKING PILING LOGS 0 PERCOLATION TESTS 0 SPACES REO. PLANS & SPECS 0 SETS SPACES ON PLAN SURVEY 0 COPIES PERMIT VALUATION 2,57J{J. PLOT PLAN 0 Amount Brought Forward .................. <t Park Support Fee ........................... $ SAC ........................................._If: Collective Street Fee ....................... t Sewer Tap ................................... t $ Pressure Reducer .......................... ~ Meter Horn ................................... $ Water Meter ................................. $ Sewer & Water Connection Fee ........... $ WaterTowerFee ........................... $ Water Tap ................................... $ Builder's Deposit ............................ $ Other ......................................... $ Total Due .............................. $~. UD Paid Receipt No. TYPE OF CONSTRUCTION: I II III IV V Occupancy Group A B E F HIM R S U --;4. 7) City: Division 1 2 3 4 Permit Fee ................................... $ Plan Check Fee ............................. $ State Surcharge ............................. $= Penalty ....................................... $ Plumbing Permit Fee ....................... $ I. z.. \ Mechanical Permit Fee ......... ......... ... $ Sewer & Water Permit ...................... $ This By Issued Date 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 as requested. This document when signed by the City Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be issued. By City Planner Date Special Conditions if any 24 hour notice for all inspections (952) 447.9850