HomeMy WebLinkAboutBuilding Permit 00-0153
CITY OF PRIOR LAKE
INSPECTI.9N NOTICE
L
DATE
TIME
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PHONE NO. PERMIT NO. ~:' _I, r-~J=t. I S3
o FOOTING 0 PLUMBING RI 0 EXlGRADIFILLING
o FOUNDATION W 0 MECH RI 0 COMPLAINT
o FRAMING 0 WATER HOOKUP 0 FIREPLACE RI
o INSULATION 0 SEWER HOOKUP 0 FIREPLACE FINAL
)V"INAL 0 PLUMBING FINAL 0 GAS LINE AIR TST
/ 0 SITE INSPECTION 0 MECH FINAL 0
COMMENTS: h.JY /Va c e F tJ L
.:s I'd. J ~j F- Ai L--
SCHEDULED
.
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ADbRESS
OWNER
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~WORK SATISF
o CORRECT AC
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9 'J-S<i,6,
o CORRECT WORK, CALL 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/
lNSNOTl
'\
/
Chimney 0 Misc.
8. PROPERTY AREA OR ACRES /90 PROPERTY DIMENSIONS /10. CULVERT SIZE
Sq. Ft. Width Depth Yas No
r hereby certify that r 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 win conform to all existing slale and local laws and will proceed in accordance with submitted plans. I am aware that the
building O"Si . I can revaJsa.tbjs p~or just cause. Furthermore, I hereby agree that the city official or a design,ee may enter upon the property to perf~rm needed inspections.
X -' -.E. -----. -' .79-- ?_ J 7- '" p
- L .. ~ " - - license No. . om.
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3;;;70DD
CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
';7z-1/o0
. OIRECTIONS
SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN
BEFORE PERMIT IS ISSUED (Please Print or Type and sign at bottom)
2;"'~
/ S-G;), 10
H .'y'" (<pvl 4",
2-
vIe IN
#{v,
3. LEGAL DESCRIPTION
5
BLOCK
/SL-/TAJL)
PID ?#';-/<8-()Z<f-O
(Sf A[y;;,v .
LOT
ADDITION
4. OWNER (Name)
L~,,/V t'~.vJJ, -f'v <-
5. ARCHITECT (/ (Name) .'
(Address)
1'>1.;/ b
(Address)
/ (Ter. No,) 7 _
(-I,-chlli"d !1,..,/,-:,/.v. ,'f6'f 7.....
U (Ter. No.)
6. BUILDER
(Name)
(Address)
(Ter. No.)
1/;,,'Jv5 t::xt".:o_S q.t~...~.t(.'-<--.Id)fj ctS-Jrj,}.o y<,t;-5'7Ifu
7. TYPE or wORK Fireplace LJ SeR!f/d Deck LJ He-ro6fing 0 Porch Ll
New Construction (] Alterations 0 Addition 0 Finish Attic ('] Ae-siding a Finish Basement 0
SETBACKS: Required
Actual
----
FOR ADMINISTRATIVE USE
1. White
2. Pink
3. Yellow
File
City
Applicant
Permit No. 00-0153
BUILDING INFORMATION
11. SIZE OF STRueT ~rl;;:
(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
Amount Brought Forward .................. $
Park Support Fee ........................... $
SAC ..,................................,..... $
Collective Street Fee ....................... $
Sewer Tap ................................... $
$
Pressure Reducer .......................... $
Meter Horn ................................... $
Water Meter ................................. $
Sewer & Water Connection Fee ........... $
WaterTowerFee ........................... $
Water Tap ................................... Cl::
Builder's Deposit ............................ $
Other ......................................... $
Total Due ...................,........... "/(.,. 0 U
Pa'd 7 If ,CJ 0 Receipt ,,~. 37/0 (/?
Dale.3/J"1/ of) By 4ft:{ -
This is to certify that the request in the above application and accompanying documents is in accordance with the City Zoning Ordina,{ce and may procee~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 Certificafe of Occupancy must be Issued.
Front
Back
Side
Side
BUILDING DEPARTMENT VALUATION
OFF STREET PAAKING
SPACES REO.
SPACES ON PLAN
PERMIT VALUATION
?.0V.dU
USE OF BUILDING
LE 'rR:.-
TYPE OF CONSTRUCTION: I II III IV V
Occupancy Group A B E F HIM R S U
Permit Fee ..........~i~~~~~...l...~...~..~... $ 7t/. 7r-
City:
Plan Check Fee ............................. $-
State Surcharge ............................. cr
/. Z,r
Penalty .......................... ......... .... $
Plumbing Permit Fee ....................... :t
Mechanical Permit Fee ..................... $
Sewer & Water Permit ...................... $
.~ifi'~;'3frij&
Certificate of Occupancy
This
By ,
Issued
GityPlanner
Date
Special Condition" if any
24 hour notice lor aU inspections 447-9850
MATERIAL FILED WITH APPLICA nON
SOIL TESTS ('] ENERGY DATA 0
PILING LOGS () PERCOLATION TESTS ()
PLANS & SPECS 0
SURVEY 0
SETS
COPIES
PLOT PLAN
()