HomeMy WebLinkAboutBuilding Permit 00-0228
3G>,S'O <lJ (Tel. No.) lfq.:J - 3! 7"~NUMBER OF OCCUPANTS OR SEATS
Cl 00 S -f. . OCCUPANT~
Tt1~ SEATS
Re-roofin~ Porch LI
As-siding 0 Finish Basement i""I 16. PROJECT COSTNALUE
~~
DATi=..fIl=r.e.nlE.C.
4-/;3100
CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
I~D:~~~a()
R/W
. DIRECTIONS
SPACES NUMBERED 1 THRU 17 MUST BE FillED IN
BEFORE PERMIT IS ISSUE;D (Please Print or Type and sign at bottom)
2. SITE ADDRESS
Cell!
SE
m~ C((L(
3. LEGAL DE~RIPTION ,
LOT riD 7:8
I
ADDITION
4. OWNER (Name)
/GUth (.1.2 bb
5. ARCHITECT (Name)
BLOCK
PID Z~-/L7- {)()(n-O
(Address)
-'Cl1!1.E-
(Address)
4i~":.r~31
. (Tel. No.)
6. BUILDER
(Name)
(Address)
l\1? t.UJ6i{
Roo P.It1/6
7. TYPE OF WORK
New Construction 0
Fireplace 0
Alterations 0
Septic 0
Addition 0
Deck 0
Finish Attic 0
I. White
2. Pink
3. Yellow
File
City
Applicant
f
~ ,"
'1
Permit No. 00 - OZZ--y
BUllDIfIG INFORMATION
1,. SIZE OF ~UCTURE
(Heiltlt) (Width) (DePlh)
12. NO. OF STORIES
13. TYPE OF CONSTRUCTION
14. FLOOR AREA APPORTIONMENT USE
Chimney 0 Misc.
18. PROPERTY AREA OR ACRES 19. PROPERTY DIMENSIONS 110. CULVERT SIZE
Sq. Ft. Width Depth YBS 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 slate and local laws and will proceed in accordance with submitted plans. I am aware that the
bUildin~~ can !e~oke~is permit for just cause. Further7re, I hereby agree that the city official or a de]nee may enter upon the property to perfoJTlgeeded inspections.
X . r~ 1%7.0tA.~_ :JDt,:> 17S 4-(.~-OO
SIIJWure License No. om.
17. COMPLETION DATE
r
FOR ADMINISTRATIVE USE
SETBACKS: Required
Actual
Front
Baok
Side
Side
MATERIAL FilED WITH APPLICA liON
SOIL TESTS 0 ENERGY DATA 0
USEOFBUILDING ~<,.~ F1/~
OFF STREET PARKING PILING LOGS 0 PERCOLATION TESTS 0
SPACES REO. PLANS & SPECS LJ SETS
SPACES ON PLAN SURVEY 0 COPIES
PERMIT VALUATION Z.s-z5CJ- rJU PLOT PLAN 0
Amount Brought Forward .................. $
Park Support Fee ........................... $
SAC .........................................$
Collective Street Fee ....................... $
Sewer Tap ................................... $
Pressure Reducer .......................... $
Meter Horn ............................ ....... $
Water Meter ................................. $
Sewer & Water Connection Fee ........... $
WaterTowerFee ........................... $
Water Tap ................................... $
Builder's Deposit ............................ $
Other ......................................... $
Total Due .............................. $ '7 t,. 0 U
Paid '/1.<. OV Receipt tl~. S 7((, 4-
Date By th
This is to certify that the request in the above application and accompanying documents is in accordance with the City Zonin Ordin nce and may proceed s requested. This document when
signed by the City Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certifiea of Occupancy must be issued.
BUILDING DEPARTMENT VALUATION
TYPE OF CONSTRUCTION: I II III IV V
Occupancy Group A B E F HIM R S U
. 0""00 1 2 3 4 7~ 1~
Permit Fee ............,...................... $
City:
Plan Check Fee ............................. 4'
State Surcharge ............................. $
Penalty ....................................... $
1- Z c;-
Plumbing Permit Fee ....................... ,It
Mechanical Permit Fee ..................... It
Sewer & Water Permit ...................... $
Gas Fireplace Permit ..... ................. $
9 ~:tr;1t w~YJ;jf/ZJ
f
Issued
City Planner
Date
Special Conditions d any
24 hour notice for all inspections 447.9850
$
OA TE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
~~hv'
6118
ADDRESS _ MARLEN
00-0228
- Re-Roof
PHONE NO.
OWNER
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
.&t1'INAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
U EXIGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
.// /7./'"1 / /
// 4/1 r (0'" ~1 /e 7c.
- . "
~RK SATISFACTORY. PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FO REINSPECTION BEFORE COVERING
Inspector:
~
Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH .l SAFETY!
lNSNOTJ