HomeMy WebLinkAboutBuilding Permit 00-0237
CITY 05-PRIOR LAKE
'INSPECTION NOTICE
SCHEDULED
ADDRESS 3401 ,^-1" \A"", ~~rl.
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
iEULATION
FINAL
SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
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COMMENTS:
JJ(J
DATE TIME
4,-I1-~ \ t CiQ
0-7.."37
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
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L SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, ft':: FOR REINSPECTION BEFORE Sf~
Inspector: ip'1/ Owner/Contr: f~'
I
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
INSNon
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH'" SAFETYl
19. PROPERTY DIMENSIONS 1'0. CULVERT SIZE
Width Depth Yes No
is ad 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 tor
nd that all constru tion will conform to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the
s permit for just ca . Furthermore, I hereby agree th~_ Wi9~r upon the property to perf(;i ~eid3-i~~S.
License No. 1. Dale
Amount Brought Forward .................. $
Park Support Fee ........................... $
SAC ......................................... $
Collective Street Fee ....................... $
Sewer Tap ................................... $
$
Pressure Reducer .......................... $
Meier Horn ................................... $
Water Meter ................................. $
Sewer & Water Connection Fee ........... $
WalerTower Fee ........................... $
Water Tap ................................... $
Builder's Deposit ............................ $
Other ......................................... $
<l..Total Due .............................. $
.1"d rJ f 0-0 .
Pal I l"") . Receipt No.
Issued
Dale 41 J i./ Ian By
This is to certify that the request in the above application and accompanying documents is in accordance with the City Zoning ~~d may proceed a requ ad. This document when
signed by the City Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate f Occ pancy must be issued.
C\.~o~~ PRI~(
t: ~
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QAT~ I=l:Fr.~IVI=Q
CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
APR I 4 2ml
DIRECTIONS
SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN
BEFORE PERMIT IS ISSUED (Please Print or Type and sign at bottom)
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2. SITE ~~R~SS . ( --.4.
"3'101 IAf I ( "vU tlif,l
3. LEGAL DESCRIPTION
LOT
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~LOCK q
'6ro\
PID
cYY-II()- o,3;l-()
4th -57'fcr
~Trtt)
(Tel. No.)
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LI
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(Nj'T.) c-
,,1A (b'<... ~iJ Jee.AM ,I
(N.m.) I
Af)\)~ I
cfi;l(a~
ADDITION
4. OWNER
(Address)
3l{tJ\
5. ARCHITECT
(Address)
6. BUILDI)J). I IN.m.) (Addr.ss) rcr-...(:rel"N~k ~J<>CL
(I'~ '3t-vllti:.e5 ~-t"7' '-:.'~I "'-''''' V1C:-=
dcl11911fr/r ~vIt ~jll[_
7. TYPE OF WORK
New Construction D
Chimney D Misc.
Re-roofin~ Porch D
Re-siding D Finish Basement D
Fireplace D
Alterations D
Septic D
Addition D
DeckD
Finish Attic D
6. PROPERTY AREA OR ACRES
Sq. Ft.
-7'
x
FOR ADMINISTRATIVE USE
SETBACKS: Required
Actual
Front
Back
Side
Side
BUILDING DEPARTMENT VALUATION
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
USE OF BUIIJ1}NG
/(Q,5':..
(j. I
/- lit.
I
2.50':>.00
PERMIT VALUATION
TYPE OF CONSTRUCTION: I II III IV V
Occupancy Group A 8 E F HIM
Division 1 2 3 4
Permit Fee ................................... $
R S U
City:
7<(.7C:
Plan Check Fee ............................. <t
State Surcharge ............................. ~
( . 2.C:-
Penalty ....................................... <I:
Plumbing Permit Fee ....................... <I:
Mechanical Permit Fee ..................... <I:
Sewer & Water Permit ...................... <I:
'1 .
I ~~..j~......;I~i~~.;.rrniIVl~nl\rt>roYi/~:-
~ Date Y-I'I-~
CijyPlanner
Date
Special Conditions if any
24 hour notice for all inspections 447.9850
-,--____1
"
.). 1. While
/,\, . /2. Pink
,/ J. ",r'"). 3. Yellow
\
Permit No. _i'/:)- () ^~'\
File
City
Applicant
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
OCCUPANTS
SEATS
16. PROJECT COSTNALUE
17. COMPLETION DATE
MATERIAL FILED WITH APPLICATION
SOIL TESTS D ENERGY DATA D
PILING LOGS D PERCOLATION TESTS D
PLANS & SPECS D
SURVEY D
PLOT PLAN D
SETS
COPIES
"11"1\
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