HomeMy WebLinkAboutBuilding Permit 99-1231
~~
DATE RECEIVED
CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY GERTIFICATE OF
ZONI~G COMPLIANCE
ANq UTILITY CONNECTION PERMIT
1. White
2. Pink
3. Yellow
File
City
App-
Q&lll..
DIRECTIONS
SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN
BEFORE PERMIT IS ISSUED (Please Print or Type and sign at bonom)
2. SITE ADDRESS
/(.,350 ALBANY AvE- SE;
1. DATE
Permit No. ~jfIl3 L
,j,if)'J"
BuiCL ,. lORMATlON
11. SIZE 0 CTURE
(Helght) 'rqii' idlh) (Depth)
/<./
3. LEGAL DESCRIPTION
12. NO. OF STORIES
LOT
ADDITION
BLOCK
M8T65 AND BCUNDS
(Nama) (Addra..)
SANDt..-ER..
PID 2!"i-C/.Q2, - {)/(,,-o
13. TYPE OF CONSTRUCTION
4. OWNER
Ke:\ff N
5. ARCHITECT
(Name)
(Address)
(Tal. No.)
2.2(.,- &007
(Tal. No.)
14. FLOOR AREA APPORTIONMENT USE
6. BUILDER
(Name)
(Address)
(Tel. No.)
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS
7. TYPE OF WORK
New Construction LJ
Chimney LI Misc.
8. PROPERTY AREA OR ACRES 19. PROPERTY DIMENSIONS 11 O. CULVERT SIZE
Sq. Ft. Width Depth Yes No
I hereby certify that I have furnished 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 co Neticn will conform to all existing stale and local laws and will proceed in accordance with submined plans. I am aware that the
~~ ~ rerithls It for just . Furthermore, I hereby agree that the city official or a designee may enter upon the property to perfo~ed InlSp8Ctions.
.F.~-r'..~., UcenseNo! '.
"
FOR ADMINISTRATIVE USE
FireplaceLl
Alterations 0
Septic 0
Addition I""J
Deck 0
Finish Attic I""J
Re-roofingX Porch I""J
Re-sldlng I""J Finish Basement LI
SEATS
16. PROJECT COSTNALUE
17. COMPLETION DATE
SETBACKS: Required
Actual
Fronl
Back
Skle
Side
MATlERIAL FILED WITH APPUCATlON
SOIL TlESTS (J ENERGY DATA (J
PILING LOGS (J PERCOLATION TlESTS (J
BUILDING DEPARTMENT VALUATION
USE OF BUILDING
~6 S AIR...
OFF STREET PARKING
SPACES REQ.
SPACES ON PLAN
PERMIT VALUATION
PlANS & SPECS LI
SURVEY (J
SETS
COPIES
Z 'Sf) ('). ()'f)
PLOT PLAN
(J
lYPE OF CONSTRUCTION: I II III IV V
OocupancyGrot.Il A B E F HIM R
Division 1 2 3 4
Permit Fee ................................... $
S U
cny:
Amount Brought Forward .................. $
Park Support Fee ........................... $
SAC ......................................... $
Collective Street Fee ....................... $
Sewer Tap ................................... $
$
74.75"
Plan Check Fee ............................. $
State Surcharge ............................. $
penany ....................................... $
PlumbIng Permit Fee ....................... $
Mechanical Permit Fee ..................... $
1.25
Pressure Reducer .......................... $
MeterHom................................... $
Water Meter ................................. $
Sewer & Waler Pennlt ...................... $
Sewer & Water Connection Fee ........... $
Water Tower Fee ........................... $
Water Tap ................................... $
Bulldef. Deposit ............................ $
Other ......................................... $
Total Due .............................. $_7 tc. () 0
Paid 7(,.00 Reoe~4-I2...
Dale 011 q Bv
This Is to certify that the request in the above application ancl accompanying documents is in accordance with the City Zoning On:Inance d may proceed requested. This document when
signed by the CIty Planner constitutes a temporary Certificate of Zoning compliance and anows construction to commence. Before occ~ncy. a Certificate of Occupancy must be issued.
.............. $
r Building Permit WheJApi!f!:-
' Dele 10 /I
, I
Issued
CilyPlann81
Dale
Special Conditions if any
24 hour notice for all inspections 447-9850
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
/(Jro
#lbj/
OWNER
CONTIR.
PHONE NO.
PERMIT NO.
o FOOTING
lJ FOUNDATION
o FRAMING
lJ INSULATION
...a-1'INAL
o SITE INSPECTION
o PLUMBING RI
lJ MECH RI
o WATER HOOKUP
lJ SEWER HOOKUP
o PLUMBING FINAL
~CH FINAL f\
/&/00 r
COMMENTS:
/7 /)
~T
/' If
[oP'#/~ re...
,
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r' 'C-/
-------
-----
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DATE TIllE
1/o/..s-'
97-1,2.11
o EXlGRADlFILLlNG
lJ COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
)t"WORK SATISFACTORY, PROCEED
lJ CORRECT ACTION AND PROCEED
o CORRECT WORK, ~';W~INSPECTlON BEFORE COVERING
Inspector. r~ Owner/Contr.
CALL 447-9850 FOR THE NEXT INSPECTION U HOURS IN ADVANCE.
INSIfO"
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI