HomeMy WebLinkAboutBuilding Permit 99-1016
CITY OF PRIOR LAKE ~ TIME
INSPECTION NOTICE SCHEDULED \ 1.") 'ICf AT"
~b;r "
ADDRESS (,5'-18 V;u.u
OWNER CONTR.
PHONE NO. PERMIT NO. CY9- 10/(."
o FOOTING
o FOUNDATION
o FRAMING
~INSULAT~
,.. FINAL
o SITE INS ION
COMMENTS: ~O.c
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
~&;
L,~f1U/
IXWORK SATISFACTORY, PfOCEED
o CORRECT ACTION AND F RqCEED
o CORRECT WORK, ~&-. I D~ REINSPECTlDN BEFORE COVERING
Inspector: f--' (\ . Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE,
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/
INSNOTJ
-_.._.__.__.~~'_.- _.._~-~._---~'~--~-_..._-_.,--- --,~--.._,-_..._-,...,._-
4y1\j90 L
2.
3.
~(J5~
White File
Pink City
Yellow Applicanl
QAIi::: i:l!J:"(,:FJVFI')
8/17 /~9
CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
99-/0/b
Permit No.
DIRECTIONS
SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN
BEFORE PERMIT IS ISSUED (Please Print or Type and sign at bottom)
1. DATE
~ -10 -iJ
PUSD
BUILDING INFORMATION
11. SIZE OF STRUCTURE
(Height) (Width) (Depth)
2. SITE ADJ!ll~S)> /
b::> 'ir -b 5$'0
fie; r bo ('"
U/ew
3. LEGAL DESCRIPTION
12. NO. OF STORIES I
BLOCK I pro 2,5-Z2E- nCi7.-0 I
HAJef,OJ2... 4- m /JDDtJ. -< I . . _ (1 ~*3. TYP^;CONSTRU;;:{ION .f').
~ . ' ... r. -. , r t\ R 1'< 01\.
6 '
0\ldress) (:f-q .....1'17_ e...r. No.) . I 14. FLOOR AREA APPORTIONMENT USE
,,4 S 5 OC"~.- 6l;:J -1,;) ,::;} -.5"s-75'
(Address) (Tel. No.) ~
,
2-
LOT
ADDITION
4. .orNER /
J:19./' ~r
5. ARCHITECT
(Name)
Con1/Ylu/\ I
(Name)
+/
6. BUILDE~ (Name)
A -z. roe c..
Roo:rlna
7. TYPE OF WORK ..J
/JS [? 3 R :;pf!) -0 r.
~ u rnSl/ t II r<'. ~rn N,
Fireplace !j Septic 0 Oet:k LI
Alterations a Addition 0 Finish Attic a
(Tel. No.)
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTF
2;:>'75-00 iD
SEATS
Re-roofin~ Porch 0
As-siding 0 Finish Basement 0
New Construction 0
Chimney 0 Misc.
16. P~EO C~S'AbE 0
17. C'OMPLETIVN DATE
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 besl 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 10 all existing state and local laws and will proceed in accordance with submitted plans. I am aware thai the
building official can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a ,d~ip~ee may enter upon the property to perform needed inSpecti~s.
X ~ DJ 39 J '7'V fj(-JD -97'
License No. Date
Signature
FOR ADMINISTRATIVE USE
SETBACKS: Required
Actual
MATERIAL FILED WITH APPLICATION
SOIL TESTS LI ENERGY DATA LI
PILING LOGS LI PERCOLATION TESTS LI
Front
Back
Side
Side
BUILDING DEPARTMENT VALUATION
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
PERMIT VALUATION ----b 500.0 [)
PLANS & SPECS LJ
SURVEY 0
PLOT PLAN LI
SETS
COPIES
~ 1<.65' HIre....
,
USE OF BUILDING
TYPE OF CONSTRUCTION: I II III IV V
OccupancyGroup A B E F HIM R S U
Amount Brought Forward .................. $
Park Support Fee ........................... $
SAC ......................................... <I'
Collective Street Fee ....................... <t
Sewer Tap ................................... <r
City:
Division 1 2 3 4
Permit Fee .............. ..................... $
Plan Check Fee ............................. $
State Surcharge ............................. $
Penalty .......................... ............. $
Plumbing Permit Fee ....................... $
74.7~
1.2-5
$
Pressure Reducer .......................... $
Meter Horn ... .... .... ........................ $
Water Meter ................................. $
Sewer & Water Connection Fee ........... $
Water Tower Fee ........................... $
WalerTap ................................... $
Builder's Deposit ............................ $
Other ..........................................It:
Mechanical Permit Fee ..................... $
'-'\\
'"'.. ~:~\,'
..,\\.,\~
", /-W\F
Sewer & Water Permit ...................... $
ng ~:t:,n W~1trj?1
I
Total Due ............................... -;1(",.0 0
7t. 0 0 R.ceipt~q. .35882-
Oat. 6ft 7/qq By 1'NA-
This is to certify that the request in the above application and accompanying documents is in accordance with the City Zoning Ordin~nce and may proceed/s requested. 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.
Certificate of Occupancy
Paid
Issued
C~yPlanner
Date
Speciai Conditions ~ any
24 hour notice for all inspections 447.9850
---~._-_..."'_.._."_.----------,._-,.-