HomeMy WebLinkAboutBuilding Permit #00-0468
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS 3364
SPRUCE
OWNER 00-0468
PHONE NO. Re-Roof
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
U t'LUMI:SINU 1'\1
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
COMMENTS:
CLOSE FILE
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o WORK SATISFACTORY. PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector:
Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH'" SAFETYl
INSNOTl
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDUI&:D
ADDRESS ~3(,q $lf((dL '1?-
OWNER CONTR.
PHONE NO.
PERMIT NO.
o FOOTING (R)
FOUNDA TIO
FRAMING
~ INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
~
TIME
I a : ~)
0-_ 40
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
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o WORK SATISFACTORY, PROCEED
ti' CORRECT ACTION AND PROCEED
/0" CORREC~K, CALL FOR REINSPECTION BEFORE COVERING
Inspector: I ~ I Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
INSNOTI
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYl
DATE RECEIVED
C:. /~/ (J1J
CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
11! ( 6:. White
I. 2. Pink
I 3. Yellow
File
City
Applicant
Permit No. 1m - (j Lj l P"
DIRECTIONS
SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN
BEFORE PERMIT IS ISSUED (Please Print or Type and sign at bottom)
1. DATE
i-/J--fld
BUILDING INFORMATION
11. SIZE OF STRUCTURE
(Height) (Width) (Depth)
2. SITE ADDRESS
.'\.'~c.. LJ M 1'1 )( c-> Il'7i 'I'
. -" .. .
3. LEGAL DESCRIPTION
~~
~iJJ
12. NO. OF STORIES
LOT
BLOCK
-:>
.J
PID dS- t7a- 03<"1 -Q
13. TYPE OF CONSTRUCTION
ADDITION
4. OWNER
( fe., 'r
5. ARCHITECT
(N~)
~", "c
(Name)
(Address)
>)~<1 ~/t~r,f-I/,
(Address)
~17~/q)~
(Tel. No.)
14. FLOOR AREA APPORTIONMENT USE
6. BUILDER
(Name)
(Address)
(Tel. No.)
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS
1.J0/1
~_I ~~r~~
7. TYPE OF WORK
New Construction 0
Fireplace 0
Alterations 0
f/7 {/~/
Septic 0 Deck 0
Addition 0 Finish Attic 0
IV~/~~ Vi/I' /f)v, ~
Re-roofing Porch 0
Re-siding 0 inish Basement 0
SEATS
16. PROJECT COSTNALUE
Chimney 0 Misc.
8. PROPERTY AREA OR ACRES
Sq.Ft.
9. PROPERTY DIMENSIONS
Width Depth
10. CULVERT SIZE
17. COMPLETION DATE
Yes No
I hereby certify that I have fumished 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
building official ca~e this permit for just;!luse.JOrthermore, I hereby agree that the city official or a designee may enter upon the property to perf? needed inspections.
X c;,/~ ~ ./,)~t>O
Signature License No. Date
FOR ADMINISTRATIVE USE
SETBACKS: Required
Actual
Front
Back
Side
Side
MATERIAL FILED WITH APPLICATION
SOIL TESTS 0 ENERGY DATA 0
PILING LOGS 0 PERCOLATION TESTS 0
PLANS & SPECS 0 SETS
BUILDING DEPARTMENT VALUATION
USE OF BUILDING
~
Ur<
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
PERMIT VALUATION
SURVEY
PLOT PLAN
o COPIES
o
TYPE OF CONSTRUCTION: I II III IV V
Occupancy Group A B E F HIM R S U
Division 1 2 3 4
City:
Amount Brought Forward .................. $
Park Support Fee ..................... ...... $
SAC ......................................... $
Collective Street Fee ....................... $
Sewer Tap ................................... $
$
Permit Fee ................................... $
Plan Check Fee ............................. $
l} '-f L '7 S'
State Surcharge............................. $
Penalty ....................................... $
Plumbing Permit Fee ....................... $
Mechanical Permit Fee ..................... $
I . ~S-
Sewer & Water Permit ...................... $
Pressure Reducer .......................... $
Meter Hom ................................... $
Water Meter................................. $
Sewer & Water Connection Fee ........... $
Water Tower Fee ........................... $
Gas Fir place Permit ... .................. $
Yf ~ 6,'"'og P~'b jr3l'!l""
~~Date C/(/
"-
Certificate of Occupancy
Water Tap ................................... $
Builder's Deposit ............................ $
Other ......................................... $ -
Total DUOO........................... $ 7 b. - U
Paid 7{;,. Receipt No. ~ 71.. t 0
Issued ~ .
Date ;;) By ~
This is to certify that the request in the above application and accompanying documents IS in accordance with the City Zoning rdinan e and may proceed a uested. 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 cupancy must be issued.
City Pianner
Date
Special Conditions ff any
24 hour notice for all inspections (952) 447-9850