HomeMy WebLinkAboutBuilding Permit 92-0228
Permit Fee . . .
Plan Checking
State Surchar,
Penalty..... .
Septic System
Other . .. . . . . .
Subtotal. . . .. . .. . . . . . . . . . . . . . . . S.:.J. 'I LJ , C a
DIRECTION
SPACES NUMBE
BEFORE PERM!'
2. SITE ADORES
I
3. LEGAL DESCI
LOT ,5 r
ADOmoN-'=.
7. TYPE OF W
New Constructl
Chimney 0 Mil
8. PROPERTY A
. Ft.
I henlby certify I
lor the ebove m.
tllebu&
lions. ././
X 'C.-r]
SETBACKS: Ree
PROPOSED GR
IN RELATION T
OF STREET_
USE OF BUILDI
TYPE OF CON
Occupancy GI
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
PERMIT NO.c:r:2 - J 1 ~
I&fi&
CALLE[)..IN
SCHEDULED
COMPLETED
S~dO
(~ -)-17
La t'f Sc 'A-e-
OU~
ADDRESS
OWNER
~ TELEPHONE NO.
I.U 0 FOOTING
I.L.. 0 FRAMING
~ 0 INSULATION
Q 0 WALL BD.
~ 0 FINAL
~ 0 FOUNDATION
::t: 0 DE MOL.
!j 0 FIRE PREVo
<l(
~ COMMENTS:
...,J
~
o
CIJ
IE
Q..
~
~
~
I.U
a:
~
~
~
~
~
;::)
~
I.U 0 WORK SATISFACTORY:PROCEED 0 PHOTO TAKEN
Q 0 CORRECT WORK AND PROCEED
o 0 CORRECT WORK. CALL FOR REINSPECTION BEFORE COVERING
(.) 0 CORRECT UNSAFE CONDITION WITHIN HOURS. INSPECTOR WILL RETURN.
o STOP ORDER POSTED. CALL INSPECTOR.
o INSPECTION RE ED. CALL TO ARRANGE ACCESS.
call tor tha naxl ns frtour.s in advance.
Owner/Contr. it ~
Inspector
CONTR.
OPLUMBING RI
o MECHANICAL
o WATER HOOKUP
o METER SETITURN ON
o SEWER HOOKUP
o SEPTIC INSTALL.
o SEPTIC MAINT.
o PLUMBING FINAL
r,
OSITE INSPECTION
o EXCAV.lGRADINGIFILLlNG
o LAKESHORElWETLANDS
o COMPLAINT
o FOLLOW-UP
o SEPTIC FINAL
o FIREPLACE
o~.~
La
G( ( , ':> ~
" I
!~
447-4230
Yellow Copy/Site Notice
WMe CopyRn8{>>Ctor'. File
Nhite - City
?ink - Applicant
~ ellow - Assessor
/J-~T
'ORMATION
~TURE
I) (De~th)
.I
:S
,TRUCTION
'PPORTIONMENT
CCUPANTS OR
.LUE
DATE
~5
), aulllorlzed agenl
ns. I am awaretllal
)rm needed inspec.
~ APPLICATION
:NERGY DATA 0
PERCOLATION
TEST 0
SETS
:OPIES
:;)..
.. S
.. $
.. S
.. $
.. S
.. $
.. $
.. S
.. S
CJ
OSewer & Water Connection Fee. .... .. S
OWater Tower Fee.. .... ... ..... , ...... $
Water Tap.. , .. .... , .. , ........ ... .... $
City Fee, . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $
Other. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. S
Total Due......................
3Q Recei t
Check if
Deferred
c Ion Becomes Your Building Permit When
'6-J7C
,- .' l
Date _ J :;;;)-.,
B
CertlflcatS of Occupancy
Issued
Paid
Date
he reqU88l1 lhe above application and accompanying doculTlflnts Is In accordance with Ihe City Zoning Ordinance and may proceed as requested. This docu.
y the City PI constltuee a temporary Certificate 01 Zoning compllanca and allows construcllon to commence. Belore occupancy. a Cerltlllcate 01 Occupancy
. L\
. , cr-
Date Special Conditions il any
24 Hour nollce lor all inspections 447..230 9:00 a.m. - 10:00 a.m.
NAME OF
BUILDING PERMIT APPLICATION CHECKLIST
APPLICANT If J~~~
F-/r-7'Z-
APPLICATION RECEIVED
ENGINEERING
Approved ~ Denied
Reviewed by: _v: e~ A1..
Approved with Corrections
Date:J~6 /Cf;L
., ; I k
PLANNING
-J
Approved
Reviewed
Denied
by: I/~->?-.. ~
Approved with Corrections
Date: Z;::.. 2"6- q ~
Zoning:
Comments:
BUILDING
Approved -f--~nied
Reviewed by: Q~
Square Footage:
Comments:
Approved with Corrections
Date:<K-~7-~~
PERMIT ISSUED
"BPAPCK"