HomeMy WebLinkAboutBuilding Permit #03-0275
DATE TIME
. CITY OF PRIOR LAKE
INSPECTION NOTICE SCHEDULED
3457
ADDRESS WILLOW BEACH
OYVNER 03-0275
Re-Side
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXlGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
Cb.0S~ F!!.E
,'/,ike Peter"SOIl, Buildin~ Inspector
DEe "J~ :;003
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 & SAFETYI
INSNOTI
.05/17/99 MON 10:55 FAX 6124474245
CITY OF PRIOR LAKE
{4JOOl
---..--
DATE '3"'~ CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
I. Whllc
2. Pinl<
~ Yrllow
Pile
Cily
Arrile.,nl
Permit No.03-;;.7S
DIRECTIONS
SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN
BEFORE PERMIT IS ISSUED (Pleaso Prinl or Type lInd sign el bOllom)
2. SITE ADDRESS
.~.J/- '17
t<)1 LLW 13 fl7CIf
1. DATE
3/)/ )/).9
TI2flIL
BLOCK PIO .8;2-/01-0iJ!o-D
I.{ ~::, ~ ~ <is """_. -., .._
BUILDING INFORMATION
11. SIZE OF STRUCTURE
(Helglll) IWlol"J IOoplhl
3. LEGA~ OeSCRIPTION
LOT
12. NO. OF STORIES
13. TYPE OF CONSTRUCTION
ADDITION
~;;7it<f-}j (NAfg U
5. ARCHITECT (Name)
(Address)
..511m~ Iff ~L
(Ad(lr~ss)
/2,- ~el. No.) ~ 14. FLOOR AREA APPORTIONMENT USE
-!:b7- - '/'/7- ~~ -
(Tel. No,)
6. BUI~OE~
(Nem~) (Address) (Tel ~~ 15. NUMBER OF OCCUPANTS OR SeATS
LJ. 9Sdl-J>j-d ~oO;;g OCCUPANTS
~ tI/!JR/{t ~tmtJJ;{;LE~~. g~'1 aJt?tZ /ltJf,5,/!...<<1JhJlAkr-TlJ(i,(l7/t) ~..)r
7. TYPE OF wORK Fireplace" $opllc d Deck 0 Re.roollng 0 Porch 0 ~ . S
New Con5lrlJctlon Cl AilQrallons Cl MOlllon 0 Finish Alllc a Rll.slellng)( Flni~h Basemenl n 16. PfijO. JE9J~C~~~.LU~ /f'?1
Chlmnoy C1 Misc. -J! ~ Y'l/ C.( _ UL/
8. PROPERTY AREA OR ACRES g, PROPERTY DIMENSIONS 10. CULVERT 517.1: 17, COMPLETION DAJE
5q, FI. Widlh Deplh Yes No ~r1r, ...::?/al/6_;]
I no"~by certify Ihllll MIIG lurnished Inlormallon on Ihis RppllC(\llon which is In Ih~ besl 01 my knowlerlge Irue end corrae/. I ~Iso certily Ihal " am Ihe owner or aulhonled ag~n\ IN
Ine abolle menlloned propeny and "'al ail conslr\Jellon will conlarm In all exlsllng slllle and local laws lint! will proceed in eccordance with sIJbmlnp.d pl;lns, I em aWA/'T) Illallhe
buJldlnc;) OI1~eIlOke~perml~ !!:Irrse. ~Urlh~rmoro. I hereby Bgree Ihallho clly olflc,al or:;r:;slee may enler IJpon Ihe propel1Y 10 pertorm 1ee.d~ Inspections
X ( N!~ '1 4'~ J -!J/fl),5.L _,_ .-d//I/e.8
----r ' i ~ lienno. NQ, / ,. t>.le
FOR ADMINISTRATIVE USE
Fronl
Baok
SidB
Sloe
MATERIAL FILED WITH APPLICATlON
SOIL TESTS C1 ENERGY DATA 0
SETBACKS: Reqvlrod
AotlJal
USE OF 6UILDING
OFF STREeT PARKING
SPACES REO. __". "'_
SPACES ON PLAN _._..... ...
PERMIT VALUATION ;;{5" 6D..-
PILING LOGS (j
PLANS & SP~CS D
SURVEY n
PLOT PLAN 0
PERCOL^TION TESTS D
SETS
COl"IE;S
BUILDING OEPARTMENT VALUATION
TYPE OF CONSTRUCTION: I II III IV V
Occupancy Group A e. E F HIM R
OiYliion 1 2 3 A
Perml! Foe ................................... S
S U
7!-U t:(
City:
Amount \:Irouglll Forward .................. $
Park Support Fep. ........................... $_.,
SAC ......................................... $
Collectllle Slreel Fae ....................... $
Sewer Tap ................................... $
$-
Pressure Rp,c:lIJcer .......................... $
Meier Horn....... ................. ........... $
WIlier Moler ......................,.......... $
Sewer & WalorConnecllon Fee ........... $_......
WalerTowerFoo ........................... $..
Wl:\ler rap ................................... $
PlanChecl<Fe~ ............................. $
i.:22.:L
Slale Surchargo ............................. S.
Penally....................................... S
. Plumbing P@rmllFee ....................... S
Mechanical Perml! Feo ..................... $_
Sewer & Welar Perml! ...... ................ $
Gas Fireplace Permll ....................... $
Tolal Due .....W............'..... $
Paid fJ I~ , Recelpl No.
Issued . 03\e Fly./ Jl-!-o'3 By ~
This Is 10 cBrtily thallhe toqueslln the al:lovo appllcalion end ~ccompanyiOQ dOCUn16nlS ~ in accordance will) Ihe City Zoning Ordlnllnc~ and mey proceed a~ueSled. This docurnen\ when
signed by the Clly Planner conslilvles a temporary Cerllllcal6 01 Zoning complsncc l\Ild anOW& conalNcllon 10 commence. Balore occupancy. e Certlllcill~ 01 Occupancy mU8\ be ISSliod.
r;lvi1dor's Deposit ............................ S
Olher .....................................".. $_.
/10 .--
This Appllc<llion Becomes Your Building Perml! Whe" Aoproved.
By Dala
Certificsle of Occupancy
Clry PI,Mer
0;31(1
Speci.1 ConOlllon, il Any