HomeMy WebLinkAboutBuilding Permit 00-0202
CITY CF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
4 zc. q
cJoYd~ ~
OWNER
_IDA1 _
~
TIME
&r
CONTR.
PERMIT NO. 0 - ZoZ-
PHONE NO.
o FOOTING 0 PLUMBING RI
o FOUNDA TION@DMECHRI
o FRAMING 0 WATER HOOKUP
. qAJ.lSULA TION 0 SEWER HOOKUP
~ FINAL 0 PLUMBING FINAL
o SITE INSPECTION '/) :; MECH FINAL
COMMENTS: Mol
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tJ
~;
~ //
-~
~-rO'}~
--
o EXIGRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
~c0n
Ii WORK SATISFACTORY, PROCEED
bCORRECT ACTION AND PROCEED
o CORRECT WO~L~ FOR REINSPECTION BEFORE COVERING
Inspector: ~() 1l Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
INSNOTJ
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
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CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
1. White
2. Pink
3. Yellow
File
CilY
Applicant
Permit No. (J(J - () z.oz-
DIRECTIONS
SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN
BEFORE PERMIT IS IssueD (Please Print or Type and sign at bottom)
2. SITE ADDfESS
4IioQ ((')lo~cL. <;1-- ~[
1. DATE
l/ -t "'OV
~ OW Lft-( Ct!'
BUILDING INFORMATION
11. SIZE OF STRUCT0HE
(Height) (Width) (Depth)
3. LEGAL DESCRIPTION
LOT
I=l;LOCK
PID
zs- (}()ft:, -()()q-Q
12. NO. OF STORIES
ADDITION
4. OWNER
.:51:Jf,. All.J
5. ARCHITECT
h~7"F-:"S ON I? /!OfLLJ,L,oS
, (Name) (Address)
Ik/t/Lvl/ lfU9 ~("Jnu/"
(Name) (Address)
13. TYPE OF CONSTRUCTION
9,
(Tel. No.)
~~7~5S-sV
(Tel. No.)
14. FLOOR AREA APPORTIONMENT USE
::::l:Jt11f5
7. TYPE OF WORK
New Construction 0
(Name) (Address)
'--4/Wl.kv ~ f-
Fi"rdpiace 0
Alterations CJ
(Tel. No.)
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTR
Septic 0
Addition D
DeckCl
Finish Attic 0
Clz /fC..? -1"7 r;?
He-roofin.,... Porch 0
Re-siding 0 Finish Basement 0
SEATP
Chimney 0 Misc.
8. PROPERTY AREA OR ACRES 19. PROPERTY DIMENSIONS 110. CULVERT SIZE 17. COMPLETION DATE
Sq. Ft. Width Depth Ves No S - "10 --(}.O
t hereby certify that I have furnished information on this application which is to the besI of my knowledge true and correct. I also certify that 1 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
building Official~e this.permJ:J'?ust cause. Furthermore, I hereby agree that the city official or a designee may enter upon the property to perform needed inspections.
X -/....... '-7~ 7003 S"IM Cf <{-('--OD
S"ignature . LicanseNo. . Date
16. PROJECT COSTNALUE
SETBACKS: Required
Actual
FOR ADMINISTRATIVE USE
F=t
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
/26I fl1 /L-
.
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
PERMIT VALUATION
PLANS & SPECS 0
SURVEY 0
SETS
COPIES
'"2- 'Sl5U _ c/U
PLOT PLAN
o
TYPE OF CONSTRUCTION: I II III IV V
Occupancy Group A B E F HIM R S U
City:
Amount Brought Forward .................. $
Park Support Fee ........................... $
SAC ......................................... ~
Collective Street Fee ....................... $
Sewer Tap ................................... $
$
Division 1 2 3 4
Permit Fee ................................... $
74. -'s-
Plan Check Fee ................. ............ $
State Surcharge ............................. $
Penalty ................................... .... $
Plumbing Permit Fee ....................... $
/.2-\
Mechanical Permit Fee ..................... $
Pressure Reducer .......................... $
Meter Horn ................ .... ............... $
Water Meter ................................. $
Sewer & Water Connection Fee ........... $
WaterTowerFee ........................... $
Water Tap ................................... $
Builder's Deposit ............................ $
Sewer & Water Permit ...................... $
Gas Areplace e It ;A $
-^, ':'1f;"'':d~'
By Date ~/t.AJ
Certificate of occupJCY
Other ......................................... $
Total Due .............................. $ 7t, .C/O
Paid '1 (,.Q""L...- Receipt'jq, . ~4-t"
Date LJ.jr,/(JiJ By ~
This is to certify that the request in the above application and accompanying documents is in accordance with the City Zoningbrdin&nce and may proceed ~ 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.
Issued
City Planner
Date
Speciai Conditions W any
24 hour notice for all inspections 447-9850