HomeMy WebLinkAboutBuilding Permit 00-0042
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
_ j-TEJ TIME
~ A-:r.
AODRESS
/4 7dfq C~jZ-(~;". /1./.6-.
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION A-
,g:FINAL ~'O/;'lI'h ~
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
C~MENTS:,
I , r f 1--1
'j 'JY) U1YWY11 / A. J (j
( ) U t.
\ / r
() () -42-
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
r
/il
VVO~C-
rf
hIR
OCEED
PROCEED
R REINSPECTION BEFORE COVERING
Inspector
Owner/Contr:
E NEXT INSPECTION 24 HOURS IN ADVANCE.
INSNOTJ
ENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/
._._---'-~-~---------_..__._-~~_.~-_.__.__._---~.-
08/23/99
MON 11:00 FAX 6124474245
CITY OF PRIOR LAKE
~002
OW I:U::r.i=tVFO
01--/.3 /00
CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
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# 7&:,tJ D
I. WI,ilc
1. Pi.k
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File
C;ly
^flPli.:;ltIl
Permil No.
OO-D04-2-
I
\
(O,pm)
IDIFl.ECnOtolS
SPACES NUMBERED 1 THAU 17 MUST BE ALlEO IN
BEFORe PERMIT IS ISSUEO (PleaSS P,lnl or T)p. and sign at bollom)
\2. SITE ADDRESS
1'17 &J'l Ca.rr/61fi.e.- et; Nt:
I, DATE
2-/3/0'0
Je.1
BUILDING INFOAMA liON
11. SIZE OF STRUCTURE
tH-ognll lWlrtlhl
3. LEGAL. DESCR.IPTION
12. NO. 01= STORIES
LOT
J
BLOCK
e
#/t..-/..:;S"
(Adclt&SS)
Carri"fi-b {'f. !IIG'
PIO 7.""-2~-IJ.&)'f-Q
JST
13. TyPE OF CONSTRUCTION
ADDITION CRIf!:.eII'7r"~
4. OWNER ~Nal1'\e)
/roptirt s'e/,,,/t~ 1't71J9
s. ARCHITECT IName)
ITel. No.)
'11/0 - 79 /tJ
. H. fLOOR AREA APPORTIONMENT USE
IAdOf(~$SI
ITol. No.)
6. BUIL.DER
(Addless)
31ff? 6'1"-/;''-''; Itn 5.
/J1~/6. /J1A1 55 ?'O t,
7. lYPE OF WORK Fireplace 0 SepllC D Ceck a Re.,Qonng 0 POlth 0
New COMtI'ucllon 0 Alu~r81lons 0 Addition 0 Finish A.nle n ne.sldln9)( Finish Basemenl CI
Chlrnneyn Misc:. _...__..___.. -------.. . ----.--"
1'I PFlOf'EFliY AReA OR ACRES \9, PROPE~TY DIMENSIONS \ to. CULveRT Sl7..E
~q. A. . WlOlh D;plh Yes Nn
I harab)' COJ\lI~ \hall I\allo lurni$hed inlormallon on lhi, appl1c:31ion which l.s 10 die b....t 01 my )!nowledOe lrue and corrRCI. 1 also c:&I1ily IMII QIT\ Ihe ownfit' 0' authorized agr.nl 101
lhl tbovo mentlonoO plopeny aoo ltlal all consuucllon "'Ill Con/Ofm 10 a~ e1i6l1ng slal8 and lo~l13w~ and wiU proc.coo \n accotdMCO wilh subm~toa Lllans. I am l\wal1il 11'131 Ih9
building ol1l.:.kl.1 '~n tevoke V'lls ~e~llolluSI caun. FunhermOIO. 1 hereby agree lhallhe cllv oIUcial 01" dflslgnee may enuu IIpMIh& propeny 10 perform noedod I~Bcllons
X ./J~..-..<A4 LY.e-!'/ _ ~l7'J f-3r-o()
~ SIgn,IUlll llC:.nllNo Oalt
(Name)
(TOI. NO.)
15. NUMBER OF OCCUPANTS OR SEATS
Pane/era (f d /11#
7.;JJ &C,:J-8
OCCUPANTS
SEATS _
16 PROJECT COSTNALUE
/ J' () eM
17. COMPLETION DATE
?
FOR ADMINISTRATIVE USE
\SETSA.CKS: RequIred
Actual
F"'"
BUILOING OEPARTMENT VALUATION
e...
Sida
so.
MATERIAL. FIL.ED WITH APPLICATION
SOIL TESTS 0 ENERGY DATA C
PIUNG I.oas n PEACOl.ATIONTESTS 0
Ol=~ STREET PARKING
PLANS & SPECS 0
SURVEY n
SETS
COPlI::S ___. ..' .__
LJ=~ "'0'1? SPACES~eO. -
VSEOFeUILOING _""'= .0 =- --._-
SPACES ON PL"N
PERMIT VAL.UATION._
F'LOT PLAN
o
"-,
TYPE OF CONSTRUCTION: 1 II III IV V
OCC1.IpancVGroUl) A e.e F HIM A 5 U
0;,... , , , . 7<1. 7~
PermhFee ................................... $
PlanCheCkr:'oo ............................. s_
C~y:
Amounl BrouOhl Forward .................. $
Pat\( SUpPOl1 Feo ............. ... ........... S
SAC ......................................... S
CollecliveSlrcolFoe ....................... $_.
Sewerl~p ................................... S
S
SIll.\o SUftMlgO ............................. S
Penally....................................... S
.PlUmtllng PellTlllFGe ....................... S
/. z.s"
I~ueo
"TOI,,1 Due .............................. $ ~(,. 0 d
P.~ 7~.oV R.<.lpl~li; {r_""K''7
0... /6 ~ Oy i,pl--
This is 10 eenlly INllhe requ", i(llhe above apc)\ic:alion atld Accompanying documonts is in accorcllnr.e will'> II'Ie CilY Zon o.::J.ance and may Ploceed tl requetl18d. Thi& documenl....he"
S9'Od by !he Oly P13nn8f COl\$111uleS' IOmpclfaty eenlrale ol Zoning ClOrfIPIIara and aRows conSIJI.ICllon 10 convnet'lCe. Belore OCc~ncy. a Cef1llicele 01 Occuoanoy muBI be .'-Suod
,;(d;09 P.'m11 w;:;rt~
Oala CIU..-
PrCS$ura Reducer .._....................... S
Maler HOln ................................... S
Weier MeIer ................................. $
Sowcr&WaI6tCOMe<:UQIIF88 ........... $_....
WatorTowerFee ........................... S
Weier Tap ...................................,
Ouilde(s Depo,l\ ............................ $....
Olho( ......................................... S_
Mechanlc3lPermitFee ..................... '_...
Se*or.r. wAle-rPett",ll ...................... 'r.
CIlyPllMtf
D~l"
S"o~I.\ICCln.;lolkM'IlIll..V
'4 hour I"II"lirfl IN ~nlr'\~n..,..I....Il. 447 .n"~'1"\