HomeMy WebLinkAboutBuilding Permit 00-0415
SCHEDULED
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TIME:
CITY OF PRIOR LAKE
INSPECTION NOTICE
4,
ADDRESS ~ 1<:1 4
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OWNER
CONTR.
PHONE NO.
PERMIT NO.
0-415
o FOOTING
o FOUNDATION
o FRAMING
o INSULATIOwrJ)
~ FINAL fJY
o SITE INSPECTION
COMMENTS:
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o PLUMBING RI 0 EX/GRAD/FILLING
o MECH RI 0 COMPLAINT
o WATER HOOKUP 0 FIREPLACE RI
o SEWER HOOKUP 0 FIREPLACE FINAL
o PLUMBING FINAL 0 GAS LINE AIR TST
o MECH FINAL 0
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t WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WOlf5.- CALL FOR REINSPECTION BEFORE COVERING
Inspector: 17,? ...h Owner/Contr:
J
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE..
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTJ
.DATJ:Rl=';~
7Lv. co
DIRECTIONS
SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN
BEFORE PERMIT IS ISSUED (Please Print or Type and sign at bottom)
2~7CI'T; Ai r('l1LtJrrrI
3. LEGAL DESCRIPTION ~
LOT oesGI11,DT'l BLOCK
5 AfV() Per/VT"e ZID
14'Fav~ ~e C;
IS. ARCHITECT (Nam.)
6. BUILDER (Name)
\tx11.lX'l.
r'Aj:fOP(5
7. TYPE OF WORK
New Construction a
Chimney 0 Misc.
18. PROPERTY AREA OR ACRES /9, PROPERTY DIMENSIONS 110. CULVERT SIZE
Sq. Ft. Width Depth Yes No
I hereby certify that I have fUrnished ~. ,;".., ...,........, 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 al construction will conform to all existing stale and local laws and will proceed in accordance with submitted plans. I am aware that the
building offici can revoke this permi r' st cause. urthermore. I hereby agree that the city official or a designee may enter upon the property to perter needed i spections.
,.;}fY)' ,:;) I q S
. License No.
~1
MAY 2.6 m
CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
157210/ dO
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pusP
PID
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ADDITION
(Address)
i333 l.o..r~dd'fdustr;a1 blvd. ITaLNO(qSz)
~,~Ml\l r:::.;:..,-:<.:2..7 <i:'1o--3Qro
Fireplace l:J Septic l:J Deck LJ Re-roofin~ Porch 0
Alterations a Addition a Finish Attic 0 Re-siding 0 Finish Basement 0
x
1. White
2. Pink
3. Yellow
File
City
Applicant
Permit No. 00 ~41S;
BUILDING INFORMATION
11. SIZE OF STRUCTURE
(Height) (WIdth)
(Depth)
12. NO. OF STORIES
r<.~~,OFC~~
14. FLOOR AREA APPORTIONMENT USE
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS
SEATS
16. PROJECT COSTNALUE
~~7c;. rY')
17. COM-P[EtJON'bAT~
FOR ADMINISTRATIVE USE
Amount Brought Forward .................. $
Park Support Fee .... .... ................... $
SAC ......................................... $
Collective Street Fee ..... ........ .... ...... $
Sewer Tap ................................... $
$
Pressure Reducer .......................... $
Meter Hom ... .... .... ........................ $
Water Meter ................................. $-
Sewer & Water Connection Fee ........... $-
Water Tower Fee ........................... $-
Water Tap ................................... $
Builder's Deposit ............................ $-
other ......................................... $
Total Due .............................. $ 7 fc:;>. -
Paid ...., '" . e;p Rec.ipt No. "3.1 ~" ~
D.ta C; f1&, (00 By fLO/:-l
ThIs is to certify that the request in the above application and accompanying documents Is in accordance with the City Zoning 6rdinance 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.
SETBACKS: Required
Actual
Front
Back
Side
Side
BUILDING DEPARTMENT VALUATION
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
PERMIT VALUATION
2 se1). -
USE OF BUILDING ~
,
AIL
TYPE OF CONSTRUCTION: I II '" IV V
OccupancyGroup A B E F HIM R S U
001,1001234 1401<)
Permit Fee ................................... $ .
City:
Plan Check Fee ............................. $
State Surcharge ............................. $
Panalty ....................................... $
Plumbing PellTllt Fee ....................... $
Mechanical Pennlt Fee ..................... $
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...
By
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. ..;I~I~.~.a::::.n mJid /
at. ::>7"'Z:{.. ko
, /
Certificate of Occupancy
Issued
CityPlanl'\Elr
Date
Special Conditions if any
24 hour notice for all inspections 447-9850
MATERIAL FILED WITH APPLICATION
SOIL TESTS 0 ENERGY DATA 0
PILING LOGS 0 PERCOLATION TESTS 0
PLANS & SPECS 0 SETS
SURVEY 0 COPIES
PLOT PLAN 0
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