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HomeMy WebLinkAboutBuilding Permit 88-0029 ;~ 9 11 DATE TIME CITY OF PRIOR LAKE INSPECTION NOTICE_O -? .q PERMIT NO. C!;J~ t.---- CALLED-IN SCHEDULED COMPLETED 4-~ l-ffi 1/; '7() ADDRESS ~q qJ OWNER ~ TELEPHONE NO. LlI 0 FOOTING l.l.. 0 FRAMING c:s 0 INSULATION Cl 0 WALL BD. ~ ~1:INAL ltt..6 BlDG q: 0 PROGRESS :::., ;:z: 0 DEMOL. :i 0 FIRE PREVo 0::( ~ COMMENTS: ~ ~() L ~:;rltU/tv (~4--; CI) PW!~~ ~~qpf}>>J!5P. (i "t M~Lb,. CONTR. OPLUMBING RI OSITE INSPECTION o MECHANICAL 0 EXCAV.lGRADING/FILLlNG o WATER HOOKUP 0 LAKESHOREIWETLANDS o METER SETITURN ON 0 COMPLAINT o SEWER HOOKUP 0 FOLLOW-UP o SEPTIC INSTALL. 0 SEPTIC FINAL o SEPTIC MAl NT. 0 FIREPLACE o PLUMBING FINAL 0 ~lM&- CJt:-! c){= , I.U a:: :5 ~ ~ ~L5 e;v~C0NSJ LlI ~WORK ~TISFACTORY:PROCEED 0 PHOTO TAKEN ) Cl~ ~ORRE T WORK AND PROCEED o 0 CORRE T WORK. CALL FOR REINSPECTION BEFORE COVERING (.) 0 CORRECT UNSAFE CONDITION WITHIN _HOURS. INSPECTOR WILL RETURN. o STOP ORDER POSTED. CALL INSPECTOR. o INSPECTION REQUIRED. CALL TO ARRANGE ACCESS. call for the next inspection 24 hour, /" 447-4230 Inspector Yellow Copy/Site Notice White Copy/lnspector's File CITY OF PRIOR LAKE BUILDING PERMIT, TEMPORARY CERTIFICATE OF ZONING COMPLIANCE AND UTILITY CONNECTION PERMIT 1. White - City 2. Yellow - ASsessor 3. Pink - Applicant ( 0' ~.' ~,,'_ :J C] Permit No. ' :_ \ (.... DIRECTIONS SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN BEFORE PERMIT IS ISSUED (Please Print or Type and sign at bottom 2. SITE ADDRESS qq 3 MAr<..TtN LG: Sf: 3. LEGAL DESCRIPTION BUILDING INFORMATION 11. SIZE OF STRUCTURE (H igh}l (Width) (Depth) , 1. DATE SECTION ~, 9 BLO~ 2. T I TU~ I ~ AOC,'TI'ON PARCELNUMB~ ~5"' 0 1';;0 ;)J..- 0 (Name) (Address) (Tel. No.RS.c, -C-;Z(?L - 4 r 1JE FI!.JIJA. LK ~ UP (Name) (Address) (Tel. No.) /"t(, j2..L ~ viw I NhS - IEJ"rV t:..LA-1/1.E: Wr. '> (> 7 - 2.8J - 32 7 (Name) (Address) (Tel. No.) ~7.s- AbR\ BUiw~.s lJ A t2.e vJr::. Fireplace 0 Septic 0 Heating 0 Plumbing 0 Alterations 0 Addition 0 Finish Attic 0 LOT New Construction 0 Finish BasementD PorchO Garage ChimneyO 9. PROPERTY DIMENSIONS 10. CULVERT SIZE Width /7 S I Depth 5' Yes No Sq. Ft. 13. TYPE OF CONSTRUCTION 'S-r~t... 4- WOoD 14. FLOOR AREA APPORTIONMENT USE SIC:> ;!!.^6e: 7?;<::... . 15. NUMBER OF OCCUPANTS OR SEATS ~ OCCUPANTS SEATS ~ 16. ESTlli1ATED VALUE ~ '-000. ~ 17. COMPLETION DATE 2- 5"-88 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 ali construction will conform to ali existing state and local laws and wlli proceed In accordance with submitted plans. I am aware that the buildin a an revoke this p it for just cause. Furthermore, I hereby agree that the city official or a designee may enter upon the property to perform needed inspec. tions. MATERIAL FILED WITH APPLICATION SOIL TESTS 0 ENERGY DATA j&. Side PILING LOGS 0 PERCOLATION TEST 0 PLANS & SPECS -W SETS SURVEY j6 COPIES 1 ~ PLOT PLAN 0 Amount Brought Forward. . . . . . . . . . . .. $ d (,., , (A Y Park Ded . . . . . . . . . . . . . . . . . . . . . . . . . . . .. $ Sac.................................. $ Plumbing. . . . . . . . . . . . . . . . . . . . . . . . . . .. $ Sewer Tap........................... $__ Sewer Hook-up. . . . . . . . . . . . . . . . . . . . . .. $ Water Hook-up. . . . . . . . . . . . . . . . . . . . . .. $ Meter Horn. . . . . . . . . . . . . . . . . . . . . . . . . .. $ Water Meter. . . . . . . . . . . . . . . . . . . . . . . . .. $ []Sewer & Water Connection Fee....... $___ []Water Tower Fee.......... .. ...... ... $ Water Tap. . . . . . . . . . . . . . . . . . . . . . . . . . .. $ City Fee. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $ Other. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. $ I(G, (.,-\ Total Due. . . . . . . . . . . . . . . . . . . . .. $ Receipt no. 1/ '.ll :, 3 ~ x FOR ADMINISTRATIVE USE /;:2-?-7-J'7 . Date SETBACKS: Required Actual Front Side Back PROPOSED GRADE FOUNDATION IN RELATION TO CURB OR CROWN OF STREET USE OF BUILDING OFF STREET PARKING SPACES REQ. SPACES ON PLAN ~ PERMIT VALUATIO '/ t OC':' TYPE OF CONSTRUCTION; I II III IV Occupancy Group A BEl H RID Division 0) 3 4 Permit Fee. . . . . . . . . . . . . . . . . . . . . . . . . .. $ Plan Checking Fee. . . . . . . . . . . . . . . . . . .. $ State Surcharge. . . . . . . . . . . . . . . . . . . . .. $ Penalty. . . . . . . . . . . . . . . . . . . . . . . . . . . . .. $ Septic System. . . . . . . . . . . . . . . . . . . . . . . . $ Other.... ......... ............. ...... $ Subtotal....................... $ /6 (.,.0-.;;'" City: c;; ';'; - '-." C~ -,. I "'1.- - ,,~j -oJ- "'- -=So C('o Check if Deferred This Ap . ation Becomes Your Building Permit When ApprovE/< ._---.... Date ( 2- - _<;'i::~- ~ '7 By Certificate of Occupancy Issued Paid Date i (. ~~ q ...",""'.. -:$"""" ,~_." '" """"'~.... .. "" "'"'"' o.,"..~ .. m" __ .. . ...". Th"_" n tl ue a temporary Certf ;cate o' o~mPliance and aliows construction to commence. Before occupancy, a Cerltlf cate of Occupancy p~o . - ,.~ Special Conditions If any 24 Hour notice for ali Inspections 447-4230 9:00 a.m. . 10:00 a.m.