HomeMy WebLinkAboutBuilding Permit 99-1360
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
h5' C'0 .i ~~~ ~
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING 0 PLUMBING RI
o FOUNDATION 0 MECH RI
o FRAMING 0 WATER HOOKUP
o INSULATION 0 SEWER HOOKUP
.;s:.,INAL 0 PLUMBING FINAL
o SITE INSPECTION 0 MECH FINAL
COMMENTS: 1<rJIJP
(I tl.ll-::Lr/ "'::).. YJ;1
,
DATE TIME
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o EXIGRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
~ WORK SATISFACTORY. PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT Won. CALL FOR REINSPECTION BEFORE COVERING
Inspector: f'A.r Owner/Contr:
. I
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE,
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTI
.tJ'2TEc- (Name)
~ r:?s-> --t, \() <1
7. TYPE OF WORK .J
New Construction 0
Chimney LI Misc.
8. PROPERTY AREA OR ACRES ,~9. PROPERTY DIMENSIONS 110. CULVERT SIZE
Sq.Ft. ,;2500 5f1Width Depth Yes No
I hereby certi~ Jat I have furnished infonnation 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 state and local laws and will proceed in accordance with submitted plans. I am aware that the
:Uikling o~~1~ NV.rflJ~lle,t~~e Furthennore, I hereby agree u;rDj~~qri d~"be may enter upon the property to pert//"~j'~?)?
~nature V LIC8nS& No. Date
fl ~~ 0" PR/O~( . '.'C::;" DATE.~~D CITY OF PRIOR LAKE
G~~ c~Na'5v'~~;OI ti t 5T.EMP~~~~~;E~~~F~~~TE OF
'= 1'011II". fNT'l20NING COMPLIANCE
. .~~ND UTILITY CONNECTION PERMIT
DIR~OOS II) 1.~
:=~:: P~~=~~;s~~~'(~~e~~~'~~~t'o~;y~~-a~~ign at bottomlt II elJ/ ( J ! -) 5 -77
B~~c- ). t!Jpv
2 SITEZD?O D
H<7 y be> r
PlJsD
3. LEGAL DESCRIPTION
LOT
BLOCK
PID ?::,-z..3PJ - 011-0
ADDITION
/,.ARBOI2
Vt'r.'/lJ}
4TH
ADO,,-I.
!k5CD_
(Tel. No.)
Lj9/, .-7C> b3
(Tel. No.)
4. O~N'R b (Name)
t-/4,,, 0 r
5. ARCHITECT
/ ,(Address)
L-P P?1 /71 .
(Address)
(Name)
I i5cY.3 R~7? Ou;
r3vrY1SUI' / Ie, It! /1),
Septic CJ J Deck 0
Addition (] Finish Attic CI
(Tel. No.)
'i? ?5'-Ob Yo
55'337
Re-roollag,g-- Porch 0
Ae-sidlng Cl Finish Basement 0
Fireplace 0
Alterations Cl
I. White
2. Pink
3. Yellow
File
City
Applicant
Permit No.
qq - 13foO
BUILDING INFORMATION
1,. SIZE OF STRUCTURE
(Height) (Width} (Depth)
12. NO. OF STORIES
2-..
13,J~'PE OF CONSTRUCTI9N ,
fI< r> - rOb r (iJ<'?
14. FLOOR AREA APPOR1l0NM6HT USE
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANT~
SEATS
16.~~E5~~~ 9
';c;;t7sAT~tf'
,-
FOR ADMINISTRATIVE USE
MATERIAL FILED WITH APPLICA nON
Amount Brought Forward .................. $
Pari< Support Fee ........................... S
SAC ......................................... $
Collective Street Fee ....................... S
Sewer Tap ................................... $
$
Pressure Reducer .......................... $
Meter Horn ................................... $
Water Meter ................................. $
Sewer & Water Connection Fee ........... $
WaterTowerFee ........................... $
Water Tap ................................... $
Builder's Deposit ............................ $
Other ......................................... $
Total Due .............................. $ 710.00
Paid I (P .0'0 Receipt.lll9. 3(,,'53'8
- I e
Date II //1 qct By 1A
, I ~
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 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 01 Occupancy must be issued.
SETBACKS: Required
Actual
Back
Side
S~,
Fron'
BUILDING DEPARTMENT VALUATION
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
PERMIT VALUATION
2.-vuu,QU
USE OF BUILDING
12E:S A /e.....
TYPE OF CONSTRUCTlON: I II 111 IV
Occupancy Group A B E F HIM
Division 1 2 3 4
Permit Fee .................. ......... ........ $
V
R S U
City:
74,,'5'
Plan Check Fee ............................. $
State Surcharge ............................. $
I. 'Z-S""
Penalty ....................................... ~
Plumbing Permit Fee ....................... ~
Mechanical Permit Fee ..................... $
Sewer & Water Permit ...................... $
This
By ,
ding ~:t,::,rt i!jt~'ftt1
, ,
Certificate of Occupancy
SOIL TESTS
" ENERGY DATA
"
PILING LOGS LI PERCOLATION TESTS a
PlANS & SPECS "
SURVEY LI
SETS
COPIES
PLOT PLAN
"
24 hour notice 'for all inspections 447-9850
Special Conditions it any
CilyPlanner
Date