HomeMy WebLinkAboutBldg Permit 98-1174
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DATE RECEIVED CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
IECTlONS
~ACES NUMBI 'RED 1 THRU 17 MUST BE FILLED IN
I BEFORE PERMIT IS ISSUED (Please Print or Type and sign at bottom)
2. SITE ADDRES$
New Construction :J
Chimney 0 Mise
18. PROPERTY AF EA OR ACRES 19. PROPERTY DIMENSIONS 1100 CULVERT SIZE
Sq. Ft. Width Depth Yas No
I hereby certify tt :lit I have furnished intonnation 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 menti oed 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
bUiJdi~j ke this permit for just cause. Furthermore, 1 hereby agree that the city official or a designee may enter upon the property to perform needed inspections.
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3. LEGAL DESCR PTlON
--If BLOCK
/?(f))';~
LOT
ADDITION
4. OWNER L .
,.,
.-
15. ARCHITECT
6. BUILDER
(Nala~ wJ(I)
(Name)
(Name)
~
7. TYPE OF WOR <
Fireplace 0
Alterations 0
SETBACKS: Rec iJired
~ ctual
Front
BUILDING DEPAIITMENTVALUATION
USEOFBUILDINl _/U C af./< /
TYPE OF CONS lIUCT1ON: I II III IV V
Occupancy Grou I A B E F HIM R
Division 1 2 3 4
Permit Fee ...... ............................ $
PlanCheckFee ............................ $
State Surcharge ............................ $
Penalty .......... ............................ $
Plumbing Permit =ee ....................... $
Mechanical Pem ~ Fee ..................... $
Sewer & Water F ~rmlt ...................... $
I. White
2. Pink
3. Yellow
File
City
Applicant
Permit No.
'If' II 7lf
I "DATE
BUILDING INFORMATION
11. SIZE OF STRUCTURE
(Hei~t) (WIdth) (Depth)
(ut~s(/S
RIW
PID 33119. oi.(f. 0
12. NO. OF STORIES
fhCvv> n-f
13. TYPE OF CONSTRUCTION
(Address)
.2to~ . (}3/&
14. FLOOR AREA APPORTIONMENT USE
(Address)
(Tal. No.)
(Address)
(Tal. No.)
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS
Septic 0
Addition LJ
Re-roofing 0 Porch 0
Re-siding 0 Finish Basement 0
SEATS
Deck 0
Finish Attic 0
16. PROJECT COSTNALUE
17. COMPLETION DATE
fL.,.,
License No.
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FOR ADMINISTRATIVE USE
..'"
MATERIAL FILED WITH APPLICATION
SOIL TESTS Cl ENERGY DATA Cl
PILING LOGS Cl PERCOLATION TESTS Cl
PLANS & SPECS Cl SETS
SURVEY Cl COPIES
PLOT PLAN Cl
S~,
Side
OFF STREET PARKING
SPACES REa.
SPACES ON PLAN
PERMIT VALUATION
.7) <JYl .,)[)
S U
City'
Amount Brought Forward .................. $
Park Support Fee ........................... $
SAC ......................................... $
Collective Street Fee ....................... $
Sewer Tap ................................... $
$
/ If. 7...5
j, /_<::;
Pressure Reducer .......................... $
Meter Horn ................................... $
Water Meter ................................. $
Sewer & Water Connection Fee ........... $
WaterTowerFee ........................... $
Water Tap ................................... $
Builder's Deposit ............................ $
~ Other ......................................... $
~ t"~J1 TotaIDue..............................$ 7".OD
. .., Paid '1t,- RacelPtNo~ q31; rv
Date~,i.. .',/.!} lo!,lrMq~ ) ,
t the request in the above application and accompanying documents is in accordance with the City Zoning Ordinance and may proceed as reqJl'sted. This document when
City, Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be issued.
City Planner
Date
Special Conditions K any
24 hour notice for aH inspections 447-9850
91-;171/
DATE ."..
ADDRESS
/Cf3;J..Cj
iCHED!jLED ~ 'J~C;
M r,R/)S
( 0
CONTR.
-ttts
..,ITV or 'l'RIOR LAKE
INSPECTION NOTICE
PHONE NO.
PERMIT NO.
Cj' f --
1:>i
Xx
OWNER
o FOOTING
o FRAMING
o INSULA liON
o FINAL
o FOUNDATION
o DEMOLITION
o FIRE PREVo
o PLUMBING RI 0 EXC/GRADIFILLlNG
o MECHANICAL 0 LKSHOREIWETLAND
o WATER HOOKUP 0 COMPLAINT
o SEWER HOOKUP 0 SEPTIC FINAL
o SEPTIC INSTALL 0 FIREPLACE
o PLUMBING FINAL 0
o SITE INSPECTION f
COMMENTS' /0-,IhY! - /l-15l!I",- ~/ 7 oil
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CODE REQUIREMENTS ARE FOR I'
If&~
1 r~
o WORK SATISFACTORY, PROCEED
f)'eoRRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR RE1NSPECTION B
Inspector: f / t--
CALL 447-4230 FOR THE NEXT IN
;VOl cOjUf'lek
CITY OF PRIOR LAKE
INSPECTION NOTICE
DATE TIME
, SCHEDULED
10-/448 ~
W hLY-L St.-.(\-,~}(~,\ (J.A-t!..
p' 0 ~ev \'1
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'0 WDRKSATISF....4-DRy,PROCEED h..e.L<s ih sh...'\rl.~/~ 5
o CORRECT ACTION AND PROCEED
7RRECT f\R;" CALL FOR RE P CTIDN BEFORE CDVERING
Inspector: . fh.. Owner/Conlr:
ADDRESS I L/ 3 2. ~
~e..s
OWNER
PHONE NO.
o FOOTING
o FRAMING
~SULATIO'N A
~~~NAL
o FOUNDATION
o DEMOLITION
o FIRE PREV.
o PLUMBING RI
o MECHANICAL
o WATER HOOKUP
o SEWER HOOKUP
o SEPTIC INSTALL
o PLUMBING FINAL
o SITE INSPECTION
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CONTR.
PERMIT NO.
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o EXC/GRAD/FllLlNG
o LKSHOREIWETLANO
o COMPLAINT
o SEPTIC FINAL
o FIREPLACE
o
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fa cJ c<
kl>l!.~ ~d
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f'.o+ 1i'\<;;.UeJ
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'-4 0 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE,
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING 0 PLUMBING RI
o FOUNDATION 0 MECH RI
o FRAMING 0 WATER HOOKUP
o INSULATION 0 SEWER HOOKUP
o FINAL 0 PLUMBING FINAL
o SITE INSPECTION j) 0 MECH FINAL
COMMENTS: (...). ~t5 hi
~~L/YL ~
TIME
-
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~~ ed)
-
o WORKSAT F ORY. PROCEED
o CORREC A 1 ON NO P CEED
o CORRE L FOR REINSPECTlON BEFORE COVERING
Inspector:
. Owner/Contr:
CALL ....7-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
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