HomeMy WebLinkAboutBuilding Permit 00-0316
~ TIME
CITY OF PRIOR LAKE (. I'L AT
INSPECTION NOTICE SCHEDULEP -
ADDRESS 110678 CPl~~c. LL
OWNER CONTR.
PHONE NO. PERMIT NO. ~ - ~l(,..
o FOOTING o PLUMBING RI o EX/GRAD/FILLING
o FOUNDATION o MECH RI o COMPLAINT
o FRAMING @ o WATER HOOKUP o FIREPLACE RI
~~TION (gJ o SEWER HOOKUP o FIREPLACE FINAL
o PLUMBING FINAL o GAS LINE AIR TST
o SITE INSPECTION o MECH FINAL 0
- COMMEN",:S: ~6 ~~
Mf t-(.
(~ ~cf(:;p~"~~
~ ---- -
-
lsI WORK SA TIS FACTORY, PROCEED
~v CORRECT ACTION AND PROCEED
o CORRECT ~ALL FOR REINSPECTION BEFORE COVERING
Inspector: ' ~ I . Owner/Contr: _
/ .
CALL 447-9860 Fl)R THE NEXT INS~CTION 24 HOURS IN ADVANCE,
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/
INSNOTI
T
----'--.-------.
pe j oe /-Md'GS
I~ ~~L Ilp07$ (~~bAJ/.J. 01rc1t(T.,NO)
15t, - ._" JJ (Name) lJ./ (Addr.ss) ~>td It _ JT.'If'l) . rll
r-< ,12 X- WCu-i PJQ\1h, 1lJ.1l<J) ?::Sco-rrw t1Uf\10U\l.ll-
6.J.Y"-ol~ (Na"!.) () ~ nt'J L..~(Addr.sS) L (p I L~2- ~7~
lNj r o-.(+' iI' Kk; CD I 161--\ ~~ an"* ~.
7. TYPE OF WORK Fireplace CJ Septic LJ Deck 0 U Re-rooflng.}f Porch 0
New Construction 0 Alterations 0 Addition 0 Finish Attic 0 Re-siding CJ Finish Basement CJ
Chimney 0 Misc.
8. PROPERTY AREA OR ACRES 19. PROPERTY DIMENSIONS \10. CULVERT SIZE
Sq. Ft. WIdth Depth Yes No
I hereby certify that I have fumlshed 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 a that all construction will conform to all existing state and local laws and will proceed in accordance with sUbmltted~~. I am aware that the
bUII~I~cial can revoke this p It for j~t ?i~se. Furthermore, I hereby agree that tb9 ptty.Pfficial or a designee may enter upon the property to perf eedjtd}nspections.
x.vf-I(JUfd>.. ItA J ~J'1'14 _ 26j(Jb
- - Signature License No. . Date
~~
DATE RECEIVED
~S11 /tV'
CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
.CTIONS
I SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN
BEFORE PERMIT IS ISSUED (Please Print or Type and sign at bottom)
12tG~~r~s r (] fV\!:n; d IQ to' cJ~
3. LEGAL DESCRIPTION U
1. DATE
4- 25-00
ZONING
IC-I
LOT
j
-,
.:::'
Pia Z'<~-O{Jq - r.m1- n
RLOCK
ADDITION
FOR ADMINISTRATIVE USE
JACKS: Required
Actual
Front
Baok
Side
Side
BUILDING DEPARTMENT VALUATION
OFF STREET PARKING
SPACES REQ.
SPACES ON PLAN
PERMIT VALUATION
?'7Ju
SURV.EY
_ L/"----- ~ PLAN
Cl
Amount Brought Forward .................. $
Park Support Fee ........................... $
SAC ......................................... $
Collector Street Fee ....................... $
Sewer Tap ................................... $
License Check Fee ......................... $
Pressure Reducer .......................... $
Meter Horn ................................... $
Water Meter ................................. $
Sewer & Water Connection Fee ........... $
Water Tower Fee ........................... $
Water Tap ................................... $
Builder's Deposit ............................ $
Other ......................................... $
Tolal Du. .............................. $ -; t, (/7/
Paid 7/, - (i> ;~C.,P1!. :;:-/-10'"
'--"uoo D.,. ,,':-/'7;;'v {1M L
.J IS to certify that the request In the above application and accompanYing documents IS 10 accordance With the City ZOnln(Ordlnance and mawf)r~_ ai~ed. ThIS document when
signed by the CIty Planner constitutes a temporary Certificate of Zoning compliance and allows construction to w.. '" ,~..~3 Before occupancy, a Cerm~f Occupancy must be Issued
City Planner Date Special Conditions if any
USE OF BUILDING
k"':{:( /Jj' /L-
TYPE OF CONSTRUCTION, I II III IV V
City,
OccupancyGroup A B E F HIM R S U
Division 1 2 3 4
Permit Fee ................................... $
Plan Checking Fee ......................... $
State Surcharge ............................. $
Penalty ....................................... $
Septic System ............................... $
'JLI 7 (-
I z <;
Other ......................................... $
Subtotal............................... $
T11ISft;&1~1BulltJlng p.rmitWh.n~rOVa? _
By [j - I Dat. c: t( 1(; Z-
/
Certlftcateof
24 hour notice for all inspections 447-4230
"
1. White
2. Pink
3. Yellow
File
Oty
Applicant
Permit No. BP {f7J .-O? I (?
BUILDING INFORMATION
11. SIZE OF STRUCTURE
(Hei~t) (WIdth) (Depth)
12. NO. OF STORIES
13. TYPE OF CONSTRUCTION
14. FLOOR AREA APPORTIONMENT USE
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS
SEATS
16a\1J30JECT COSTNALUE
,l>>.~OO()_ 00
17.~ ~MPLTTION DATE
_..sl ?JI{ LV
MATERIAL FILED WITH APPUCATION
SOIL TESTS Cl ENERGY DATA Cl
PILING LOGS CI PERCOLATION TESTS CI
PLANS & SPECS LI
SETS
COPIES
Cl