HomeMy WebLinkAboutBuilding Permit 99-0525
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED,
!tJ-Q-,? A, v-;
ADDRESS
14g59
tU~ /~
u
OWNER
CONTR.
PHONE NO.
PERMIT NO.
19 - 5;25
o FOOTING 0 PLUMBING RI 0 EX/GRAD/FILLING
o FOUNDATION 0 MECH RI 0 COMPLAINT
o FRAMING 0 WATER HOOKUP 0 FIREPLACE RI
o INSULATION 0 SEWER HOOKUP 0 FIREPLACE FINAL
)! FINAL 0 PLUMBING FINAL 0 GASLlNE AIR TST
o SITE INSPECTION Y 0 MECH FINAL )if ~
COMMENTS: /)4-f ~ ~ do, c
~- --
;Z~,\ }
,/
~RK SATISFACTORY. PROCEED
o CORRECT ACTION AND PROCEED
:S::~:ECT W6;~L FOR REINS:::::::::FORE COVERING
/
CALL 447-9860 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
INSNOTl
OA Tf RECj=:riEl
6" IJ/ jcn
CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
DIRECTIONS
SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN
BEFORE PERMIT IS ISSUED (Please Print or Type and sign at bottom)
lliil" 99
2. SITE ADDRESS
/S/35tJ /-1) /J~/'),J//;'.g
3. LEGAL DESCRIPTION
LOT ~ /JI/ dtltlltlV BLOCK
80 U 01 /liS
~A'//
M/:
Jel.> .0
PID JB-/Iq - 03'l- /
ADDITION
IW't N tJ /e-
(Address)
/t/ 35 C;; it Jilj,~/J1JlA;:/ ..f J. E
(Address)
(Tel. No.)
(45 - Wo?
(Tel. No.)
~AR 11;));;0)
5. ARCHITECT (Name)
6. BUILDER
(Name)
(Address)
(Tel. No.)
'all fJ/lU,< 7odi~ 111!J
7. TYPE OF WORK Ffrepl~e c:J Septl
Porch 0
Finish Basement [j
New Construction [j
Alterations 0
Addition 0
1. White
2. Pink
3. Yellow
File
City
Applicant
Permit No.
qq-525
BUILDING INFORMATION
11. SIZE OF STRUCTURE
(Height) (Width) (Depth)
12. NO. OF STORIES
~2F ;7TRUCTlON
. (7.. .
14. FLOOR AREA APPORTIONMENT USE
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS
SEATS
16. PROJECT COSTNALUE
Chimney 0 Misc.
8. PROPERTY AREA OR ACRES 19. PROPERTY DIMENSIONS 110. CULVERT SIZE
Sq. Ft. Width Depth Yes No
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~en' ed property and thai all construction will conform to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the
building 0 . lal ca rev. oke this permit for 'ust cause. Furthermore, I hereby agree that the city official or a designee may enter upon the property to perform needed inspections.
X ( '.. h~ _ :J tP ()914 ~ ~ & .../~ 9J::j.
\ 17 ature I license No. Date
17. COMPLETION DATE
a:- /5- 99
FOR ADMINISTRATIVE USE
Amount Brought Forward .................. $
Park Support Fee ........................... $
SAC ......................................... 'I:
Collective Street Fee ......... .... .... ...... $
Sewer Tap ................................... $.
$
Pressure Reducer .......................... $
Meter Horn .................... .... ........... $
Water Meter ................................. $
Sewer & Water Connection Fee ........... $
Water Tower Fee ........................... $
Water Tap ................................... $
Builder's Deposit ............................ $
Other ......................................... $_
Total Due .............................. $ 7(".0 {)
Pa;d -'/C9.00 Reca;pt No. 3-:;;/~
Date 51/1 Itlq By fH----
This is to certify that the request in the above application and accompanying documents is in accordance with the City Zoning Ord{nance and may proceed a~quested. This document when
signed by the City Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be issued.
SETBACKS: Required
Actual
..ok
Side
Side
Front
BUILDING DEPARTMENT VALUATION
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
PERMIT VALUATION
2.5mJ.oU
USE OF BUILDING
R'ES "ilL
TYPE OF CONSTRUCTION: I II III IV V
Occupancy Group A B E F HIM R
Division 1 2 3 4
s U
City:
Permit Fee .......... ......................... ~
7<1.7)
Plan Check Fee ............. ................ ~
State Surcharge ............................. 'I:
}. '2.- r-
Penalty ....................................... <t
Plumbing Permit Fee ....................... It
Mechanical Permit Fee ..................... $_
Sewer & Water Permit ...................... It
Gas Fireplace Permit ..................... $_
This r. uilding ~:tr:it~r/~pfPf'lt
By ( ,-
Certificate of Qccu ancy
Issued
MATERIAL FILED WITH APPLICATION
SOIL TESTS Ll ENERGY DATA Ll
PILING LOGS Ll PERCOLATION TESTS Ll
PLANS & SPECS 0
SURVEY 0
SETS
COPIES
PLOT PLAN
Ll
24 hour notice for all inspections 447.9850
Special Conditions n any
City Planner
Date
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