HomeMy WebLinkAboutBuilding Permit 00-0227
TIME
II-rAcu..
DATE
CITY OF PRIOR LAKE
INSPECTION NonCE
, '2J-oJ
SCHEDULED
W.Jl..Ll Au--e
CONTR.
ADDRESS ~ (
OWNER
() -::r;1t
PERMIT NO.
PHONE NO.
o EXIGRADIFILUNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GA~~ AI~~~~
~ P
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
COMMENTS:
+t, . f\J
~ "'- ,'Y(
c. ~C>'VL.-
Ik:.~
~
No A~u.c;,c:., +...
~ORK SATISFACTORY. PROCEED
o CORRECT A nON AND PROCEED
o CORRE . CALL FOR REINSPECTION BEFORE COVERING
Owner/Contr:
Inspector
50 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE_
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNO"
_~___'__-,---m__".'____"'___'__"_____~._ _
~~
4)~70d
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)
2. SITE ADDRESS
/5'"~/Y/
1. DATE
>>0
~'o.-tXJ
)Ie/SO
1?1} ~ Av-L
3 LEGAL DESCRIPTION
10 BLOCK 1
/5L/T/1IO VIe4J
PID ?c:;-1if..3- ()/O~O
LOT
/.rt
(Address) (Tel. No.)
fSt.b I ~/../..w1 J:vt'. A14/
v (Tel. No.)
ADDITION
4. OWNER (Name)
';Nr *'37;t.",,~ r
5. ARCHITECT (Name)
'5~f.?
(Address)
6. BUILDER
(Name)
(Address)
(;;'ij)q(J$-m;o
Fireplace 0
Alterations 0
/(81)p.vtA~ ~
'l2L<-_'~""!J
Septic 0 Deck 0 - Re-rooflng.e-- Porch 0
Addition 0 Finish Attic 0 As-siding 0 Finish Basement 0
~,t~SiJU'lc.e.~ ~
7. TYPE OF WORK
New Construction 0
/ .'() /11
/.' ,
.......) {
" ( ,,</L
VV'
II, White File
2. Pink City
3. Yellow Applicant
q .~
,,;;}""
per~itNO. (Y)-02-2 I
BUILDING INFORMATION
11. SIZE OF STRUCTURE
(Height) (WhiCh)' (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
Chimney 0 Misc.
8. PROPERTY AREA OR ACRES \9. PROPERTY DIMENSIONS \10. CULVERT SIZE
Sq. Ft. Width Depth Yes No
I hereby certify that 1 have furnished infonnation on this applic . n 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 mentioned property and t const Ion nfonn to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the
building official ke' It for' hermore, I hereby agree that the city official or a designee may enter upon the property to pe~~ ni.l~ inspections.
X . .20/'X{'4-::2'1< u- .J - DO
P jiidFoature license No. Date
17. COMPLETION DATE
FOR ADMINISTRATIVE USE
MATERIAL FILED WITH APPLlCA nON
SETBACKS: Required
Actual
Back
Side
Side
Front
BUILDING DEPARTMENT VALUATION
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
2,.:::J U U .cJV
,
USE OF BUILDING
E8S rl//L
PERMIT VALUATION
SOIL TESTS
o ENERGY DATA
o
PILING LOGS 0 PERCOLATION TESTS 0
PLANS & SPECS 0
SURVEY 0
SETS
COPIES
PLOT PLAN
o
TYPE OF "'UI I;:) I nUcnoN: I II 111 IV V
Occupancy Group A B E F HIM R S U
D'ol" 1 2 3 4 74 1('"
Permit Fee ................................... 4:
Amount Brought Forward .................. $
Par1< Support Fee ........................... $
SAC ......................................... $
Collective Street Fee .......................4:
SewerTap ................................... It,
Pressure Reducer .......................... $
MeterHom ................................... $
Water Meter ................................. $
Sewer & Water Connection Fee ........... $
WaterTowerFee ........................... $
City:
Plan Check Fee ............................. 4:
/. l-f
State Surcharge ............................. 4:
Penalty ....................................... $
Plumbing Pennit Fee ....................... $
Mechanical Pennit Fee ..................... It
Sewer & Water Penni! ...................... .It
$
Water Tap ................................... $
Builder's Deposit ............................ $
Other ......................................... $
"/v.cfU
Total Due .............................. $
Paid IV. 6V Receipt No, 371 (; I
Date 4-I/7Jtf7J By /Yf'^-
This is to certify that the request in the above application and accompanying documents is in accordance with the City Zoning 6rdinalce and may proceed~ 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.
~::~:~J~,~.;e~it~~r~;t>,
BY~~~ D~e~ dLJ
Certificate of Ltancy
Issued
24 hour notice for all inspections 447-9850
Special Conditions it any
City Planner
Date