HomeMy WebLinkAboutBuilding Permit 00-0465
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS I to "} 51
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING @
o INSULATION
~ FINAL
/0 -SITE INSPECTION
COMMENTS:
~.
~ TIME
SCHED~!-ED - ~() AL
~/i /oJ&> LAKI: e."JR-,
CONTR.
PERMIT NO.
CJ - (J'-IInS
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
1X-1~ -~.
Rm1 ~_~JI
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QjJLP>A-~ -he...- 'F\
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~ WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
:S:::O:ECT ~A(LL FOR REINS::~::I::n::FORE COVERING
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
INSNOTl
6~~
DATE RECEIVED
(P/Q/oC4
CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
i. White
2. Pink
3. Yellow
File
City
Applicant
Permit No.
00 -o4lcE:
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 ADDRESS
11R75/ BLIND L/7K:.6
3. LEGAL DESCRIPTION
I
~7q/oo
ter-:iO
BUILDING INFORMATION
11. SIZE OF STRUCTURE
(Height) (Width) (Depth)
--;:;e
12. NO. OF STORIES
LOT
BLOCK 5"
PP/oR- 50(/77-1
PID
25-017- OfB-a
13. TYPE OF CONSTRUCTION
ADDITION
14. OWNER (Name)
DAllr: $.r..Jfi,"J_~
15. ARCHITECT (Nama)
6. BUILDER (Name)
Ib7S" I
(Address)
f3w.lo U J:Ji. T/l .
(Address)
(Tel. No.)
14. FLOOR AREA APPORTIONMENT USE
(Tal. No.)
(Address)
(Tel. No.)
15. NUMBER OF OCCUPANTS OR SEATS
~o...li..~ C.OiJ.J:r
7. TYPE OF WORK Fireplace 0 Septic 0
New Construction 0 Alterations 0 Addition 0
ChimneyO Misc. ....,-C~fL- ne:.?
OCCUPANTS
Deck 0
Finish Attic 0
.-
Re-roofing 9'" Porch 0
Re-siding 0 Finish Basement 0
SEATS
16. PROJECT COSTNALUE
B. PROPERTY AREA OR ACRES 19. PROPERTY DIMENSIONS 110. CULVERT SIZE
Sq. Ft. Width Depth Yes No
I hereby certify that I have furnished 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 all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the
bUildinZci~lpan revoke this.permit for just cause. Furthermore, I hereby agree that the city official or a designee may enter upon the property to perform needed inspections.
X ,-;H ~F............A___ "'Z....oOy.......gll L,-q-Oll
~alure License No. Date
17. COMPLETION DATE
FOR ADMINISTRATIVE USE
SETBACKS: Required
Actual
Front
Back
Side
Side
MATERIAL FILED WITH APPLICATION
SOIL TESTS 0 ENERGY DATA 0
PILING LOGS 0 PERCOLATION TESTS 0
BUILDING DEPARTMENT VALUATION
USE OF BUILDING
..er -S /11' /L
,
OFF STREET PARKING
SPACES REQ.
SPACES ON PLAN
PERMIT VALUATION
PLANS & SPECS 0
SURVEY 0
SETS
COPIES
2, s;zJO. UV
PLOT PLAN
o
TYPE OF CONSTRUCTION: I II III IV V
Occupancy Group A B E F HIM R
Division 1 2 3 4
S U
CHyo
Amount Brought Forward .................. ft.
Park Support Fee ........................... ft.
SAC ......................................... $
Collective Street Fee ....................... $
Sewer Tap ................................... $
$
Permit Fee .............. ..................... $
7d7<;"
Plan Check Fee ............................. $
State Surcharge ............................. $
/.2-\
Penalty ....................................... $
Plumbing Permit Fee ....................... $
Pressure Reducer .......................... $
Meter Hom ....... .... ........................ $
Water Meter ................................. $
Sewer & WaterConneclion Fee ........... $
WaterTowerFee ........................... $
Mechanical Permit Fee ..................... $
Sewer & Water Permit ...................... $
::-' : Jiiif;:"w"'f!1.. ,..,
By . Date (f ()U
Certificate of Occupan
Water Tap ................................... $
Builder's Deposit ............................ $
Other ......................................... $
Total Due .............................. $ 7t? .QU
Paid ?fR.oo Receip''!P. 37& 55
Issued , " ...
~h/oo BY~ _
This is to certify that the request in the above application and accompanying documents is in accordance with the City zonin{Ordi'-n:e and 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 Certifica of Occupancy must be issued.
CRy Planner
Dale
Special Conditions ~ any
24 hour notice for all inspections (952) 447~9a50