HomeMy WebLinkAboutBuilding Permit 99-1110
CITY OF PRIOR LAKE
INSPECTION NOTICE
DATE TIME
SCHEOULE~ lo!Q 4,
Ce"S<,o ~B(yt... \/I6.vCj.
ADDRESS
OWNER
CONTR.
PHONE NO.
PERMIT NO.
'19-//10
o FOOTING
o FOUNDATION
o FRAMING
P INSULAT~
Ql.J:INAL
o SITE INS TION
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 GASLlNE AIR TST
o
COMMENTS:
~~ 1J'~~
~sc.,- rtc...G-
~RK SATISFACTORY, PROCEED
o CORRECT ACTIO'1?FD PROCEED
o CORREC{Z:"I C 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/
/N$NOTl
. .-...-.-.--.. -....., -~------~-'---'-'--'-"---'---"-'--""-",-
DIRECTIONS
SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN
BEF~IT IS ISSUED (Please Print or Type and sign at bottom)
(~l~6oS'b56S1- J-/t:;;k,
~. Ct_. ,I'lfSCRIPTION
=>
4. 9'fNERb ~am.) . fy
Hell or GOflJdl 1.//1,
15. ARCHITECT (Name)
fJ~L1ec.- (Nam.)
7~~O~~:j
New Construction CJ
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 mentione property and that all construction will conform to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the
~Uildi icial f: n voke t ermit r 'ust cause. Furthermore, I hereby agre~t;; ~t~~i9 0; ~b may enter upon the property to perf~n~ed/~ectY9
UcenseNo. Date
11593 ~/.J(f!1/ (Jr,
[5f.,.1;ns L)/ IJe. 1}1/V
Septic [. D4!ck 0
Addition a Finish Anic 0
~~ ;;;"j;;
~ o/~?-
&755" / (P
LOT
BLOCK
#/i,e~O,e .3 /20
ADDITION
Fireplace a
Alterations 0
6U0~1~.DD
1. White Fi~
2. Pink City
3. Yellow Applicant
CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATM 3 0 OO'D
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT Permit No.
CJ9-///0
1. DATE
I) ,''('1.0
8 -j{)'-11
,
BUILDING INFORMATION
11. SIZE OF STRUCTURE
(Height) (Width)
PtJ5D
(Depth)
12. NO. OF STORIES
/
PID 25- 2-"3- 005-0
11 _-L.... .y./r;. 'f! M'
'.~,.I- . . ~. .'
~/~_~~L~o557S
(I 1)) TYPE OF CONSTRUCTION -.fJ
:T-t"r !NI( ROO1\:
14. FLOOR AREA APPORTIONMENT USE
(Ad~ress)
/tS5CC,
(Address)
(TeL No.)
(Tel. No.)
$515 -()(YID
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS
Re-roofin~ Porch 0
Re-siding 0 Finish Basement a
SEATS
16. P~OJ!'9T CQ~NALUE
hI .~0C>
17. C 'M~F-'Le-I'IOt.{DATE
SETBACKS: Required
Actual
Front
BUILDING DEPARTMENT VALUATION
USE OF BUILDING
/265 /lk.
TYPE OF CONSTRUCTION: I II III IV V
Occupancy Group A B E F HIM R S U
Division 1 2 3 4
Permit Fee ................................... $
Plan Check Fee ..................... ........ $
State Surcharge ............................. $
Penalty ....................................... $
Plumbing Permit Fee ....................... $
Mechanical Permit Fee ..................... $
Sewer & Water Pennit ...................... $
FOR ADMINISTRATIVE USE
Back
Side
Side
MATERIAL FILED WITH APPLICATION
SOIL TESTS 0 ENERGY DATA 0
PILING LOGS 0 PERCOLATION TESTS 0
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
PERMIT VALUATION
PLANS & SPECS 0
SURVEY 0
SETS
COPIES
PLOT PLAN
o
City:
Amount Brought Forward ..................:t
Park Support Fee ........................... :t
SAC ......................................... ~
Collective Street Fee ....................... ~.
Sewer Tap ................................... $
$
'7 t.f. 75"
I.Z~
Pressure Reducer .......................... $
Meter Ham ................................... $
Water Meter ....................................
Sewer & Water Connection Fee ........... $
WaterTowerFee ..............................
Water Tap ................................... II:
Builder's Deposit ............................ <t
Other ......................................... <I'
Gas Fireplace Pennit ....................... $
ThiS~~.cof ~ng P.rmit Wh.ryI\ppj6v.ll.
By ~ ~Date "'1/7/'1<1
. f ' ,
Certificate of Occupancy
7t;,.O()
3("tJ7"1
BY~.
This is to certify that the request in the above application and accompanying documents is in accordance with the City Zoning Ordinance and may proceed is 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.
Issued
C~y Planner
Total Due .............................. 'I'.
Paid 7&. () 0 Receipt t::Jo.
Date "7/7/-99
Date
Special Conditions n any
24 hour notice for all inspections 447-9850