HomeMy WebLinkAboutBuilding Permit 99-0999
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
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ADDRESS 14/55
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OWNER
CONTR.
PHONE NO.
PERMIT NO.
Q9-'1'1'1
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
o FINAL 0 PlUMBI~G FI 0 GASLlNE AIR TST
o SITE INSPECTION r 0 MECH FIN . 0
COMMENTS: ~; cLfY'~ _
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L SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: ~. Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/
INSNOTl
Chimney 0 Misc.
8. PROPERTY AREA OR ACRES 19. PROPERTY DIMENSIONS 110. CULVERT SIZE
Sq. Ft. Width Depth Yes No
1 hereby certify that 1 have furnished information on this application which is 10 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 all construction will conform to all existing slate and local laws and will proceed in accordance with submitted plans. I am aware that the
building official can revoke.Ahis permit JPr just cause. Furthermore, I hereby agree that the city official or a designee may enter upon the property to pertonn needed inspections.
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Signature
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CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
--- B.ff 3.1 of
..J tJ ..
$ '7 ~ (JO
I DIRECTIONS
SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN
BEFORE PERMIT IS ISSUED (Please Print or Type and sign at bottom)
12. SITE ADDRESS )'/ fl f r- / /
"T. :::;:J .5ntJr €- t-An-e
1. DATE
;2-;25"-q1
NE" PUD
3. LEGAL DESCRIPTION
q
..5/7/110
.3
PID Z5 - 2..15 - 035- 6
477/
LOT
BLOCK
POI N I !-:-
ADDITION
14. OWNER (Name)
13r/a-t Barbe.r
15. ARCHITECT (Nam.)
6. BUILDER (Name)
'/lMe!er,,!r .f
(Address)
I"/~~ 5hor~ L-zne AlE
(Address)
(TeL No.)
'-1<15-775"1
(T.L No.)
(Tel. No.)
s:
(Address) _
31/% >n.el/'"o 4..
/11/",4; m ~ 5"5;</&0
7.?,1-
cPV:l.!
/11,.)
7. TYPE OF WORK
New Construction 0
Fireplace 0
Alterations 0
Septic 0
Addition 0
Deck 0
Finish Attic 0
Re-roofing 0 Porch 0
Re-siding)r:( Finish Basement 0
License No.
I. White
2. Pink
3. Yellow
File
City
Applicant
Permit No, ~q9- q91
BUILDING INFORMATION
11. SIZE OF STRUCTURE
(Height) (Width) (Depth)
12. NO. OF STORIES
13. TYPE OF CONSTRUCTION
14. FLOOR AREA APPORTIONMENT USE
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS
SEATS
16. PROJECT COSTNALUE
0/735
17. COMPLETION DATE
7
Date
MATERIAL FILED WITH APPLICATION
Amount Brought Forward .................. $
Park suppon Fee ........................... $
SAC ......................................... $
Collective Street Fee ....................... ~
Sewer Tap ...................................9:
$
FOR ADMINISTRATIVE USE
SETBACKS: Required
Actual
Side
Front
Back
Side
BUILDING DEPARTMENT VALUATION
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
USE OF BUILDING
k! p;,.c:; A/I<:.
PERMIT VALUATION
2/ SDO. OV
TYPE OF CONSTRUCTION: I II 111 IV V
Occupancy Group A B E F HIM A S U
Division 1 234 7'-/-.75
Pennit Fee ................................... $
City:
Plan Check Fee ............................. $
State Surcharge ............................. $
Penalty ....................................... $
/.25
Pressure Reducer .......................... ,It
Meter Horn ................................... $
Water Meter ................................. $
Sewer & Water Connection Fee ........... $
WaterTowerFee ........................... $
Water Tap ................................... $
Builder's Deposit ............................~,
Other ......................................... $
Plumbing Permit Fee ....................... $
Mechanical Pennit Fee ..... ................ $
Sewer & Water Pennit ...................... ~
Gas Fireplace P It ....................... $
This B~m./YoyfJ!jJng P.rml' Wh.ry'APprct~a
By /_t=L_Da1. 8fi2-/~
-:enlflcate of Occupancy
SOIL TESTS
o ENERGY DATA
o
PILING LOGS 0 PERCOLATION TESTS 0
PLANS & SPECS 0
SURVEY 0
SETS
COPIES
PLOT PLAN
o
Total ou. .............................. $ 7 {., .0 0
Paid 7 rR . 0 0 R.C.iP~~ /;:5 a Co Z-
Oat. 9; /IZ/qq By (f1..t/L--
This is to certify that the request in the above application and accompanying documents is in accordance with the City Zoning 6rdinarfce and ~ay proceed Ii requested. This document when
signed by the City Planner consmutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be issued.
Issued
City Planner
Date
Special Conditions K any
24 hour notice for all inspections 447-9850