HomeMy WebLinkAboutBuilding Permit 94-0130
CITY OF PRIOR LAKE CALLED-IN
INSPECTIO'UiOTICE SCHEDULED Ii -m-~?- ") (,sO
PERMIT NO:-i ( -) > 0 COMPLETED
ADDRESS jG1&,2 V~ D \ ~'"
OWNER
~ TELEPHONE NO.
!.A.I 0 FOOTING
LA.: 0 FRAMING
~ ~INSU ION
Q 0 W BD.
<: INAL
~ 0 FOUNDATION
;:t 0 DEMOL.
!j 0 FIRE PREV.
~COM
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~ 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. CAL INSPECTOR.
o INSPECTION R UIRED. C TO ARRANGE ACCESS.
DATE TIME
\?J_
CONTR.
DPLUMBING RI
o MECHANICAL-RI
o WATER HOOKUP
o METER SETITURN ON
o SEWER HOOKUP
o SEPTIC INSTALL.
o SEPTIC MAl NT.
o PLUMBING FINAL
DSITE INSPECTION
o EXCAV./GRADINGlFILLING
o LAKESHORElWETLANDS
o COMPLAINT
o GAS LINE AIR TEST
o SEPTIC FINAL
o FIREPLACE
o MECHANICAL FINAL
-J- r 0
call for the ne
Owner/Contr.,
\
Inspector
447-4230
y- Cclpy~ Notice
WPIft Cclpy/ln.".c/or'S File
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i~MR
CITY OF PRIOR LAKE
BUILDING PERMIT,
1 CERTIFICATE OF ZONING COMPLIANCE
UTILITY CONNECTION PERMIT a/I
Permit No. -1"1. - [~a
1. While
2. Pink
3. Yellow
File
City
Applicant
DIRECTIONS
SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN
BEFORE PERMIT IS ISSUED (Please Print or Type and sign at bottom)
2. SIT A ORES
7
~7s/ ~ '/
(Depth)
'"
tj
12. NO. OF STORIES
LOT
ADDITION
BLOCK
S
y
PID ~.'i' - 0/7.... df5-0
(Address)
(Tel. No.)
13.TYPEW~N
14. FLOOR AREA APPORTIONMENT USE
(Name)
(Address)
(Tel. No.)
6. BUILDER
(Name)
(Address)
(Tel. No.)
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS
SEATS
16. EST.
7. TYPE OF WORK
New Construction 0
~
FOR ADMINISTRATIVE USE
Front
Back
Side
Side
MATERIAL FILED WITH APPLICATION
SOIL TESTS 0 ENERGY DATA 0
SETBACKS: Required
Actual
PROPOSED GRADE FOUNDATION
IN RELATION TO CURB OR CROWN
OF STREET
USE OF BUILDING
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
PERMIT VALUATION
PILING LOGS 0
PLANS & SPECS 0
SURVEY 0
PERCOLATION TESTS 0
SETS
COPIES
~~~
PLOT PLAN
o
Subtotal............................... $
8 t .fSP)
Check if
Deferred
Amount Brought Forward .................. $
Park Support Fee ........................... $
SAC ......................................... $
CollectiveStreetFee ....................... $
Sewer Tap ................................... $
License Check Fee ......................... $
Pressure Reducer .......................... $
Meter Horn ................................... $
Water Meter ................................. $
o Sewer & Water Connection Fee ........... $
o WaterTowerFee ........................... $
Water Tap ................................... $
Builder's Deposit............................ $
Other ......................................... $
~l.(CC)
TYPE OF CONSTRUCTION: I II III IV
Occupancy Group A BEl H & M
Division 1 2 (3/4
Permit Fee ................................... $ 8 (,l9CXJ
Plan Checking Fee ......................... $
State Surcharge............................. $
Penalty ....................................... $
Septic System............................... $
Other ......................................... $
City:
Permit When Approved.
Date t::: --s-~ 1
Paid
Issued
Date
request in the above application and accompanying documents is in accordance with the City Zoning Ordinance and may proceed a equested. This document when
ner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be issued.
S ~---qLf
City Planner Date Special Conditions ij any
24 Hour notice for all inspections 447-4230 9:00 a.m. . 10:00 a.m.
1'-/-/30
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