HomeMy WebLinkAboutBuilding Permit 99-1022
CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
~1
DATE RFCEIVED
6/1'7/Qe;
DIRECTIONS
SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN
UED (Please Print or Type and sign at bottom)
3. LEGAL DESCRIPTION
Ie:;
1. White
2. Pmk
3. Yellow
File
City
AppliCIDt
Permit No. q~~:;~..
PUD
BUILDING INFORMATION
11. SIZE OF STRUCTURE
<_') (Width) (""""')
12. NO. OF STORIES
BLOCK
PID 25-..32.3- 01&1- 0
13. TYPE OF CONSTRUCTION
LOT
(Address)
14. FLOOR AREA APPORTIONMENT USE
(Tel. No.)
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS
SEATS
16. PROJECT COSTNALUE
Construction a
Chimney LI Misc.
8. PROPERTY AREA OR ACRES
Sq.Ft.
SepticLl
Addition a
Deo
Finish Att a
Re-roofing LJ Po
Ae-siding a Finish Basement CI
8. PROPERTY DIMENSIONS
Width Depth
10. CULVERT SIZE
Yes No
17. COMPLETION DATE
SETBACKS: Required
Actual
FOR ADMINISTRATIVE USE
License No.
F"""
Be'"
Side
BUILDING DEPARTMENT VALUATION
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
PERMiT VALUATION
USE OF BUILDING
I€?f5S A/e.
,
IO,C)~ . on
Ll
Pressure Reducer .......................... $
MeterHom................................... $
Water Meter ................................. $
Sewer & Water Connection Fee ........... $
Water Tower Fae ........................... $
Water Tap ................................... $
Builder's Deposit ............................ $
Other ......................................... $
Total Due .............................. $
Paid
Dete 9-2-
request In the above application and accompanying documents is in accordance with the City Zoning Ordinance and y proceed as requested. This document when
con a temporary ~,f ~1~~iance and allows construction to commence. Before occL4>8llCY, a Certificate of OCCupancy must be Issued.
~ Special Conclitionsil any
24 hour notice for all inspections 447.9850
TYPE OF CONSTRUCTION: I II III IV V
OooupancyGroup A 8 E F HIM R S U
Division 1 234 _
Permll Fee ................................... $_1 (62 :2 s
Plan Check Fee ............................. $ / Dr; .l((",
State Surcharge ............................. $ 5 . ~ 0
C~,
~~
t~~~
Penalty ....................................... $
Pluntling Pennlt Fee ....................... $
Mechanical Pennit Fee ..................... $
Sewer & Water Pennlt ...................... $
Building Pennit When Approved.
Date
Issued
Side
MATERIAL FILED WITH APPLICATION
SOIL TESTS Ll ENERGY DATA Ll
PILING LOGS Ll PERCOLATION TESTS Ll
PLANS & SPECS Ll
SURVEY Ll
SETS
COPIES
PLOT PLAN
AmountBroughtFOIward .................. $
Park Support Fee ........................... $
SAC ........................................1$
Collective Street Fee ....................... $
Sewer Tap ................................... $
$
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-
"2.'1'2...1\
PRIOR LAKE
,
INSPECTION RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
,-
SITE ADDRESS \'5).OLt ~ ~c.\!Z. ~.
NATURE OF WORK ~k cI- ote"^-..
USE OF BUILDING SF"D
PERMIT NO. '14 - 10 '2."'L. DATE ISSUED 8 -7jo-Q 7
CONTRACTOR 8t...-.. ~\ tte...
NOTE: THIS IS NOT A PE MIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
r_~-
FRAMING
INSULATION
ELECTRICAL
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
~ I I
FINALS
- ---
BUILDING
ELECTRICAL
DO NOT OCCUpy UNTIL ABOVE HAS BEEN SIGNED
NOTICE
This card must be posted near an electrical service cabinet prior to rough-in inspections
and maintained until all inspections have been approved. On buildings and additions
where no service cabinet is available, card shall be placed near main entrance.
Call between 8:00 and 9:00 A,M. for all inspections
FOR ALL INSPECTIONS (612) 447-9850
4'.. .
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{lite/' nME
/).-2CJ~ U/t:7e/ dock J/
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
OWNER
CONTR.
PHONE NO.
PERMIT 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
COMMENTS:
del ~s
6e~-
?9-/0~2
o EXlGRADlFILUNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASUNE AIR TST
o
/
/t:"~""'-e.d
o WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WOR.lK,;~~? REINSPECTION BEFORE COVERING
Inspector. ~ OWner/Contr.
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
INSNtm
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SIIFETY/
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
DATE TIME
7/u/t!ffJ AX:
ADDRESS /5';;'0';
tJ0-i2 ~ T~,
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING @
o INSULATION
~FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS: 'J)~
99 - /Oz.7-
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
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o CORRECT ACTION AND PROCEED .. ff / ~
~CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspeelor: ~ { Owner!Contr.
CALL 447-8860 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
o WORK SATISFACTORY, PROCEED
INSNOTJ
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
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