HomeMy WebLinkAboutBuilding Permit 99-1390
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CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
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DATE TIME
9t?-/3 CJO
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
~ASLINE AIR TST
(~ ~F
~ r7wKL-.
~ORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
~ Owner/Contr:
Inspector:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE,
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
lNSNOTl
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New Construction LI
Chimney LI Misc.
8. PROPERTY AREA OR ACRES 19. PROPERTY DIMENSIONS 110. CULVERT SIZE
Sq. Ft. Width Depth Yes No
1 hereby certify that I have furnished j, nv.' ,."'......., on this application which is 10 the best of my knowledge true and correct. I also certify that 1 am the owner or authorized agent for
the above mentioned property and at all construction will canfono to all existing stale and local laws and will proceed in accordance with submitted plans. I am aware that the
:Uil~thiSP i r'~~herebyagreet:~tObo7R-a9amayenteruponthepropertytopeiQ7/79on9
# - , .Signature Ucense No. o.r.
~1
DATE RECEIVED
/2-~ /91
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)
1:;';/ / f}J
2'jZ'tJ2E') ~~cvh 7~
3. LEGAL DESCRIPTION
.3
,e/S.o
LOT
BLOCK
-:Pelo/C_
6"'
SoU77-1
PID 25""-0/7 -Of3C;-o
ADDITION
4~ERJ .4~) L1.-"'-IJI;.Ado/eSs)7/. d _-p./4rr ~el;:'l)
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5. ARCHITECT ame) (/ (Address) (Tel. No.)
f3tf6 ~~ ?l~~;~7~~ /
6. BUILDER
7. "TYPE OF WORK
Fireplace LJ
Alterations [j
SepticLJ
Addition LJ
DeckLJ
Finish Attic 0
Re-roofing LJ Porch LJ
Re-siding LJ Finish Basement LJ
1. White File
2. Pink City
3. Yellow Applicant
Permit No.
99 -J:3q()
BUILDING INFORMATION
II. 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
17. COMPLETION DATE
FOR ADMINISTRATIVE USE
Amount Brought Forward .................. $
Park Support Fee ........................... $
SAC ......................................... $
Collective Street Fee ....................... $
Sewer Tap ................................... $
$
SETBACKS: Required
Actual
Side
Side
Front
Back
BUILDING DEPARTMENT VALUATION
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
PERMIT VALUATION
2 \t5U _ U'--
USE OF BUILDING
RCS In L
TYPE OF CONSTRUCTION: I II III IV V
Occupancy Group A B E F HIM R S U
City:
Division , 2 3 4
Permit Fee ................................... $
7q.7r
Plan Check Fee ............................. ,.
State Surcharge ............................. $
Penalty ....................................... $
1.2"-
MATERIAL FILED WITH APPLlCA nON
SOIL TESTS ["J ENERGY DATA ["J
PILING LOGS ["J PERCOLATION TESTS ["J
PLANS & SPECS 0 SETS
SURVEY ["J COPIES
PLOT PLAN ["J
Plumbing Permit Fee ....................... $
Mechanical Permit Fee ..................... $
Pressure Reducer .......................... $
Meter Hom ... .... .... ........................ $
Water Meter ................................. $
Sewer & Water Connection Fee ........... $
Water Tower Fee ........................... ~
Sewer & Water Permit ...................... $
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. /--.:.rv l I
Certificate of Occupancy
Water Tap ................................... $
Builder's Deposit ............................ $
Other ......................................... $
Total Dua .............................. $ 7 (", . 0 0
Paid 7(4.0U Receipti)Jp. .-=<.h5(.,3
Issued - ~/' }i, - -.
Date Iz/, /Cf1 By /UlA..-.
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 wtlen
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.
City Planner
Date
Special Conditions if any
24 hour notice for all inspections 447-9850