HomeMy WebLinkAboutBldg Permit 01-0771
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. DIReCTIONS
SPACES NUMBERED 1 iHRU 17 MUST 1& F'ILl~D IN
BEFOA!! PERMIT 's ISS~O CPI_u.> Prine or Typ. A'ld Sign II COltO'Tli
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3. LEGAL CESCJ:\/P'rrOI\.
OATR AECEI\/eD CITY OF PRIOR LAKE
BUILDING PERMiT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
1. While
2. Pink
3. y.Dow
File
Cby
"pplil:~l1t
Permit No.
01- oT! I
1. DATE
'l~
8UllOING INFOAMA TION
11. SIZE OF STRU(.: '''"RE
'''''11'') lWicf1hl (l>w,>ln)
LOT _
AODlTION
4 OWNE~ -=RrIN~) S Mt1.f 1\exAda~~ f1ref Y 4' Pi (
~eIIlTl!eT (NI,.,e) (AdCltlllS) /1, -C~. No) A
'1,5 6-~-t7 - ~I( l
~R . (Nam.) (A(JC1r",)~f\. . ^ ... 1 !TO!' ~R:l
.-.U ~'101lD' iVt' I \'--\. Q~~
~1.e(~.B\~ ~\~.MN '11tO-53-ollC
7. TYPE Ul- WOAK IIllrOOlice 0 S6~tk; ~ . Oeck 0 . R..rooflno)f' POI~'l!J
N.oN C'Jnctf~OUon ~ L ~'atloll~ Q Adt;llUon iJ . Finis" Alf'c 0 Re.siding n F,..,rst' Basement::l
Cn.m".~a Mlac. _~...~Q.(\ \6..... Q 1)(0.-( . __-=-
8. "AOPERTV AREA Of:! ACRES 9. PROPEJltTY OfMI!NSIONS 10. CULVERT SiZe I
SQ. Ft. Width O"'l~l ~'ea No
12'. NO. OF STQlIIIES
.Bl.OCK .
PIO
13. 'TYPE OF CONSTRUCTION
\,
14. FLOOR AREA I,PPCRTIONMENT USE
15. NUMBiiR OF OCCUPANTS OR SEATS
OCCUPANTS
S~ATS
15. PROJECT COSr.rVALUe
~L I f:li.). 00
i i\ 60MPU:TION DATE
I hereby cootitv ~t f I1;aYll lum/$l'1lJd Il1lonnelion Oil t'lls aP!llica\!on whicl1ls lO Itle best tlf my Icnowt~ lrue ana corr~ I alSo ce"11y trIa. ; 'rT\ the llW!lf)( or lut/lc)rized "lIenl for
the aoove menDoned P"lOCltly I~ 111~1 a'l conStruction will Conform 10 ;JA e~lfjang stale am locIIllaw.. and \\~I proceed in lICOOrdanc:. with aubrrltte<l!'lar1J, j!m aware thet lhll
ooildi t!ieiAl can (',ok. tis ~rmll lO! ~'I ~$~. F:.:rlnllncl9 ! I1eret.y a,;r.. ,hallhe city .:>IfIClIJ or II da'i~ne" m;a)' .r:er upon \118 prop.r:y 10 pe~, na In6pactk'na
i W t \ .t~ ____ ?In.r;??f) I ^ I
~{\P ~"'1Nl~l'l ._._ L",,,nuNc "'''' . ~
FOR ADMINISTRATIVE USE ,_lfIr.,..
Se1'l!ACKS: Requl~C
4.Qluo'
"rot,t
8ac:ll
Sol,
S~...
MATERIAL FILED WITH APPLICATION
SOIL TESTS i:'I ENERGY OATA 0
"'LlNG lOGs (I PERCOLATION TESTS 0
BIJILOING Ol!!PAATMENT VALU.o. TION
OFF STReET PAR!<iNG
TYPE OF CONSTRUCTION' I II III!V V
Occupancy Qrouo6, a. E " "" I M
DimonI2~.
Pll'm~ Fe. ...... ............................ $
SPAC~S REO.
SP....OES ON f'LAI\. _
"IFlMIT lIo\L:.JATION_
PLANS.. SPECS 0
SUFII/l:Y :J
SliTS _
COPIES
USE OF BL.ILOI"'G
Pl.OT PLAN
o
R S U
City:
Amouf'lIBrought 'O_rd .................. S
P~rY. SUPP<>1 Fee .....................,..... S
SAC.......".............. ................. $
CJ.lllecllw Street Fo. ........ .......... ..... $
Sewer Tap ................................... S
$
'74. 7S-
PIIIn Checll r.ee ................. ........... $
Stal. Sure~ ............................ $
Peoaify ... ................ .......... .......... $
P;urn\lh'lg Perm;l Fee .. ..... .......... .... $
MeclllrliC;a1 p.rm~ Fe. ..................... S,
I. 2-5"'
s........& WIl.rPermn ...................... $
Pre$~ur. Redv<:~r .......................... $
Mel..r Horn ..................... ............. S
WarllrMeler ................................. $
Sew.r& Water Connection Fa. . .......... $
Wel&rTllwer Foo ........................... $,
T a::_lr " r It. .....ou...r.~'..I.Idi...:g..p...$,m1":!IW A,ro\/tld._,'-, Wal,rTap .................................. $
'l~ .... n, ? U 8u"Cl8(~OeJ'Osll ............................ $
By 0.19 '.,;;J~ _ OthIJ' ......................................... $
'..... . fOl<llOue .............................. $ ?to. u ()
~:=t. oJ O<:cUJl8noy !"1I1d 1 (p . nO ~.C~f)l~ f #J / ~.3 _
. Dat6 7. 23....t) I By ~_
This II Ie CMI!y lIIallhe request in I/Ie llbol.w Applk;atiOn ,nd 'CC~ying documents Is " 'c:c<JrOMce I'JiIh tho> Cr1y zc;nino. Ordir..nc;~ ~nd mav PIOtM · reQulliIed. Thl& doc~menl....han
signe ~ bV lilt CIly I'1mll8" con"JtUlel " :emoo'ary C.rilk:ale 01 Zoo~ Coov",nce itld allows CONtr.ctI01l to commenco. ".Iore CICl:~f1C:\I. a c.rtffica 01 Occupaney rru;I b& ISSued
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24 !lOu( notice 10. all 'n:ope<:liorlS 441-~
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
OWNER
16784
CREEKSIDE
01-0771
Re-Roof
ADDRESS
PHONE 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
u <:X1GRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
COMMENTS:
("~05!: FI!..E
Mtkl!. ric:. t~rson, Building Insp~ctor
Q~C :! 1993
o WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTlON BEFORE COVERING
Inspector:
OwnerlContr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
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