HomeMy WebLinkAboutBuilding Permit 00-0305
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CIT:/ OF PRIOR lJilKE
INSPECTION NOTICE
SCHEDULED
ADDRESS 41 p, 5
OWNER
CONTR.
PHONE NO.
o FOOTING 0 PLUMBING RI
o FOUNDATION 0 MECH RI
o FRAMING @ 0 WATER HOOKUP
,IlI)HSULATION 0 SEWER HOOKUP
\tf FINAL 0 PLUMBING FINAL
o SITE INSPEC N 0 MECH FINAL
COMMENTS: ~
V
TIME
AT
no - 03
~
o EXIGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
~ .
K/rtf.t ~ ('fJl_____~-
'l~+;. ~ -::;-;;~
'-- ..---
LK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WO~ALL FOR REINSPECTION BEFORE COVERING
Inspector: r {/ r / Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE..
INSNOTJ
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
--_._.._~"--.--._""_......_.__._~
DIRECTIONS
SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN
BEFORE PERMIT IS ISSUED (Please Print or Type and sign at bottom)
\2. SITE ADD:,E }S IS C"'. ___
:-I-X..... EtRlA Q / ~,'~"" Tru~.. L
3. LEGAL DESCRIPTION
/ BLOCK 4-
W J AID 6 ONq r~TY~~nC07R~c~ F="
(Name) (Address) (Tel. No.)G.I;J. - 14. FLOg-~EA APPORTIONMENT USE
t,Uill..Rt'LL J.ft-xS rltt.<~,E: :l.,,-J'}tX
(Name) (Address) (Tel. No.)
(Address) r,",~ (Tel. Nt) 9S~- 15. NUMBER OF OCCUPANTS OR SEATS
(l.oIl',PdtW,.e..; 11''lJ~ Ut~c.. ~STf'}/ 39S,9.;l.~~ OCCUPANTS
Z.J ('. iY..i/J.. {3u.{l.,J >V;lLe..A.J~3?i7 I
__ . - ." I SEATe
Fireplace [1 Septic C1 Deck ~ -Tl It" Re-roofin9j( Porch 0 . '
Alterations (] Addition 0 Finish Attic 0 OF~Siding 0 Finish Basement 0 16. PROJECT COSTNALUE
1/;).1 '577';.0
1 7. COMPLETION DATE
~~
QAIE. RI=C"::I=IVEQ
MAY 3 2JlXl
LOT
ADDITION
\4. OWNER ,)
j:'Rl'I"'~
5. ARCHITECT
6. BUILDER (Name)
/5,,1--D R.~ sl~~~j
- . --.
7. TYPE OF WOHK.
New Construction (]
CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
File
City
Applicant
1. White
2. Pink
3. Yellow
Permit No. O()- 6...<'03"""
1. DATE
~-~3-tJO
,..J, E. .~ilJR LAI<e,
,
BUILDING INfORMATION
11. SIZE OF STRUCTURE
(Height) (Width)
(Depth)
12. NO. OF STORIES
PID
2..6-Z3&.- OfS-O
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 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
bui1~in, Off~ can revoke this perm. it for just ca}lse. Furthermore, I hereby agree that the city official or a des~nee may enter upon the property to perform needed inspections.
X ~ f3~J~"fY'?.J Xl", 7 t . ~--t73'/;/}
. Stgnature License No. Date
FOR ADMINISTRATIVE USE
SETBACKS: Required
Actual
SOIL TESTS
CJ ENERGY DATA
o
Front
BUILDING DEPARTMENT VALUATION
USE OF BUILDING
c
1<'55 /t /.e..
TYPE OF CONSTRUCT10N: I II III IV V
Occupancy Group A B E F HIM R
Division 1 2 3 4
Permit Fee ................................... $
Plan Check Fee ......................... .... $
State Surcharge ............................. $
Penalty.............. ......................... $
Plumbing Permit Fee ....................... $
Mechanical Permit Fee ..................... $
Sewer & Water Permit ...................... $
MATERIAL FILED WITH APPLICATION
Back
Side
Side
PILING LOGS CI PERCOLATION TESTS 0
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
PERMIT VALUATION
SETS
PLANS & SPECS 0
SURVEY CJ
COPIES
PLOT PLAN
o
S U
City:
Amount Brought Forward .................. $
Park Support Fee ........................... $
SAC ......................................... $
Collective Street Fee .......................~,
Sewer Tap ................................... $
$
7475
1.7...5
Pressure Reducer .......................... ~
MeterHom ................................... ot
Water Meter .................................!I:
Sewer & Water Connection Fee ........... $
WaterTowerFee ........................... $
GThalsS~Flrep,laceonp.Bnn. ...S.~...O.I~~UU..iltl.dd.,.n.g..p..e$nn~." ro d. Water Tap ................................... ot.
Ili'J.6 "" Builders D.posit ............................ ·
By Date DO Oth.r ......................................... $
~:::cate of Occup.ncy ::~:!J:~;,;......::~~~:~;~o$ ~!;i ~fj
This IS to certify that the request In the above application and accompanYIng documents IS In accordance With the City zOning brd,nan~e and may proceed r uested ThIS document when
signed by the City Planner constitUtes a temporary Certificate of ZOOlng compliance and allows construction to commence Before occupancy, a Certificate f 0 cupancy must be ISSUed
City Planner
Date
Speciai Conditions ~ any
24 hour notice for all inspections 447.9850