HomeMy WebLinkAboutBldg Permit 01-0059
08/23/99
MON 11:00 FAX 6124474245
CITY OF PRIOR LAKE
:To 8 =1/ 000 t'h tf
f 7~ tJ 0
~002
Da!E..sJ'r.J'IVEQ
CITY OF PRIOR LAKE
BUILDING PERMIT.
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
I. White
2. Piftk
3. Ycll\>w
Z/I Jo I
- DIFlECnDNS
SPACES NUMBERED 1 THRU 17 MUST BE ALLEO IN
BEFDnE PERMIT IS ISSUED (Please Prlnl or Type and $Ign al bollom)
2. SITE ADDReSS /
5&/9 CeCftirWOiPJ Sf: il/E:
Permit No.
01-
I. DATE
BUILDING INFOFlM
11. size OF STRUCTURE
(HAtghll (Wltl'h)
3. LEGAL oeSCRIPTION
LOT ~
ADDITION SA/\()
PUD,
PIO. .
3Jt:e ~ Y)
t5"".?L1-037:q
12. NO. OF STORI
BLOCK 4-
P~/NTe
13. TYPE OF CONSTRUCTION
... OWNER '-" (NalTle)
~a-"I'-y ffooVer
5 ARCHITeCT (Nllme)
(Address)
5ft,1'1 {!.edarwlu! sl/llE
(Tel No.) q!J:;L-
,-('1f)- 03%;
. 14 FLOOR AREA APPORTIONMENT use
(Adorcss) '-l (T::'O.)
(Add.ess) - ~el. NO.)
.3//f! S"e/iI:"; Iflle. 5: 7;2./- (p~d.g
/J1,P/6. /J1A1 55 ~tJ G
7. 'Npe OF WORK FirllplllCO 0 'SePllc 0 Deck 0
New Carl$trucllgn 0 Alterallons 0 MelIllon 0 Finish Anlc n
ChbnneyO Misc.. t::1.t. fi'u..'s chwn S~f'..P:..!s
/I PAorER'N AREA OR ACRES 9. PROPERTY DIMENSIONS
Sq. A. . WlOlh O~lh
6. BUILOER
(Neme)
fhhelc-NJ fl IJ( /I1t1
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS
10. CULVEnT SIZE
SEATS
16. PROJECT COSTNALUE
# /0 000
/
17. COMPLETION DATE
Re.roonng 0 PorCh CJ
Ae 'Sldlng JI( Finish Basemenl (1
Yes
Nt)
I hereby con"y Chat I have lurnished inlonnallan on lhi, aPPllcalion which Is to U18 bll5\ 01 my knowlellge true and cgrrec!. I also certily UlIlIllIrn Ihe own", 0' aul"orized agenllo,
.". abovo mendon80 propany end Illal all COnslruCUon ...1" con/orm 10 an e.i'lin\l Slale and local laws and will proceod kl accordllllCO wilh submnlod Jllans. I am aware 1"311118
building ofllclal elln revoke lilts ~ caus.. FunhernlOro. I hereby "greo Ihallhe r.ny oIhcial gIll dl!$lgnee may enlllr IJpM Ihe propeny 10 pedolm noeded InspllCllons.
X ~ _". .~/79 _"_
[/ Signal"'. llCenee No O"e
SETBACKS: RequlrllCl
Acl~1
FOR ADMINISTRATIVE USE
Fronl
Beck
Sido
Side
MATERIAL FILED WITH APPLICATION
SOIL TESTS 0 ENERGY DATA 0
PILING I.OGS n PERCOLATION TESTS 0
BUILDING DEPARTMENT VALUATION
TYPE OF CONSTRUCTION: I II III IV V
Ooc:upancy Group A B. e I' HIM R
O;v;sion I ~ 3 .
Pelmlt Fe. ................................... $_
OFF STREET PARKING
SPACES Rea. _
SPACES ON PLAN
PERMIT VALUATION. .....-~5.C?C).
PLANS & SPECS 0
SETS
COPIES ___. ... .__
use OF BUILDING
~-
SURVEY n
PLOT PLAN 0
S U
CilV:
Amelulll Brought Forward .................. $
Part< Suppon Fao ........................... $
SAC ......................................... S
Collective Slrcol Foe ....................... $_.
Sewer lap ................................... $.
$
Pr;s&ure Reducer .......................... S
MeIer Horn ................................... $
Wel8rMeler ................................. S
14.(")
Plan Check Feo ............................. S
Slala SUn:hargo ............................. S
Pena~y ....................................... $_
.PIUmblng Pennl1 Foe ....................... S
( .. 2-OS-
MechanlC41 Permil Faa ..................... S
ISSUe<!
Sewer & Waler COMOCUOfI Fee ........... $__.
WalorTower Fae ........................... $_
WalerTap ................................... S_
Ouilde(s Depo,11 ............................ $....
Orhor ......................................... $
TOlll'Oue .............................. $ - ~ . Cl:)
Paid { (p . :- Recelpl No. .3'391(,
Oal8 L I, It:> r By ILl) It
This is 10 cenJly lhallhe request in Ihe ebove 8PPlicetion end llc:c:ompanying documenls is in aecoldence with lI'1e Cily Zoning Ordinance end may Proceed as reqUMled. Thi' document when
S9'od by lhe elly Planner consIhures 8 IOl1IpOIary Cel1ll1cale 1'1 Zoning compliance and allows oonSlr\lCllon lO convnence. Belora occup.,nr.V. a Cenllic:81e 01 Occuoancy muelllO ;ssuoo
Ci\y PlaMer
0."
SooC131 ConQtlnn. II Ill'')'
'4 hnur nt"JlirA tnr RlI 'nC'np/"'1i('lIl~ 447.t)A~1"l
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
5~ 1.9.
SCHEDULED ~/2./()( A. Tr
-CE])~ vJcfdD 5(,
OWNER
CONTR.
PHONE NO.
PERMIT NO.
d( - 69
o FOOTING
o FOUNDATION
o FRAMING ,tiJ
o INSULATION
FINAL
~ITE INSPEC .ION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS: 5'1 fJ I N (), .
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)(}vORK SATISFACTORY, PROCEED
I 0- 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 & SAFETYl
INSNOTJ