HomeMy WebLinkAboutBuilding Permit 00-0168
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
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OWNER
PHONE NO.
o FOOrlNG
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
COMMENTS:
SCHEDULED
qJ~7t03
TIME
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CONTR. ~
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PERMIT NO.
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL t,
o MECH FINAL *'
o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
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'WORK SArlSFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
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Inspector:
CALL 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.,
Owner/Contr:
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH" SAFETY!
lNSNOTJ
----,~._.,~-~,..._----~-------~'~--"_._-~
DATE RECEIVED CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
I DIRECTIONS
SPACES NUMBERED 1 THRU 17 MUST BE RLLED IN
BEFORE PERMIT IS ISSUED (Please Print or Type and sign at bottom)
2. SITE ADDRESS
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Nr:
3. LEGAL r;!i,SCRIPTlON
LOT ' t....
BLOCK
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14. OWNER (Name) - -
Lv-.vfun K,'I1 VIe"
5. ARCHITECT (Name) I
ADDITION
6. BUILDER 1/ (Name)
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7. TYPE OF WORK Fireplace 0
New Construction 0 Alterations 0
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I 2 Pink
3. Yellow
File
City
Applicant
1. DATE
Permit No. e:;>....lb8
3J ~CJ /00
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PID 2.","-O~ ~a:>-z:..0
,..:la. "Z..-
/~/yS5f N~ 5fJ.8 r;-(rel~V5 -1/ '111
I
(reI. No.)
74'1'/ '3 qy.;J
Re-rOOfin~ Porch 0
Re-siding 0 Finish Basement D
(Address)
(Tel. No.)
BUILDING INFORMATION
1" SIZE OF STRUCTURE
(Height) (WIdth) (Depth)
12, NO, OF STORIES
13. TYPE OF CONSTRUCTION
14. FLOOR AREA APPORTlONMENr USE
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS
SEATS
16, PROJECr COSrNALUE
Chimney 0 Misc.
18, PROPERTY AREA OR ACRES 19' PROPERTY DIMENSIONS 1 0, CULVERT SIZE
Sq. Ft. Width Depth Yes No
f 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 constl\lction will conform to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the
:Ullding 0~d1f~~1t for~J;~rmore, I hereby agree that thea O/;t1 jS'_l:: may enter upon the property to pe37 ~97 ~dons,
Signature V) License No. Dale
(Address)
~(.5U fA)
Jeptic LJ Deck 0
Addition 0 Finish Attic CI
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17. COMPLETION DATE
I SETBACKS: Required
Actual
Front
- BUILDING DEPARTMENT VALUATION
USE OF BUILDING
l2.ES
I
AIL
, '
TYPE OF CONSTRUCTION: I II III IV V
Occupancy Group A B E F H IRS U
Division 1 2 3 4
Permit Fee ................................... $
Plan Checking Fee ......................... $
State Surcharge ............................. $
Penalty ....................................... t
Septic System ............................... $
Other ......................................... 'I:
Amount Brought Forward .................. $
Pari< Support Fee ........................... $
SAC ,........................................ $
Collective Street Fee ....................... $
Sewer Tap ................................... $
License Check Fee ......................... $
Pressure Reducer .......................... $
Meier Hom ................................... $
Water Meter ................................. $
Sewer & Water Connection Fee ........... $
FOR ADMINISTRATIVE USE
"ok
Side
Side
MA rERIAL RLED WITH APPLICATION
SOIL TESTS 0 ENERGY DATA 0
PILING LOGS 0 PERCOLATION TESTS CI
PLANS & SPECS Ll
SURVEY 0
SETS
COPIES
OFF STREEr PARKING
SPACES REQ,
SPACES ON,PLAN
PERMIT VALUATION ZS'E:Jc:>. ~
City:
1 ,\,-(<)
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PLOT PLAN
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WaterTowerFee ........................... $
Date
Special Conditions if any
,
_,__. Si I
-- ~i Water Tap ................................... $
ThisAppli ullding permitW~ rove. Builder's Deposit ............................ $
By I Date '! ~ Other ......................................... $
Certificate of Occupancy Paid ;tal~e...:...................~:i~;~O~
Issued ,I I
Date 31'Z--Oj I ct.~ Bv M (rt-
This is to certify that the request in the above application and accompanying documents is in accordance with the City Zoning 6rdjn~nA:e 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.
City Planner
--'1'..-
24 hour notice for all inspections 447-4230
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