HomeMy WebLinkAboutBuilding Permit 00-0103
CITY OF PRIOR LAKE
INSPECTION NOTICE
DATE
SCH~ULEO. ~
to q 4- c:::- f-+, LL Ct2&.. ...
TIME
A.:r.
ADDRESS
OWNER
/'
CONTR.
PHONE NO.
PERMIT NO.
Q9 - 103
o FOOTING 0 PLUMBING RI
o FOUNDATION 0 MECH RI
o FRAMING r::::-" 0 WATER HOOKUP
~NSULATION I~. 0 SEWER HOOKUP
FINAL $1 0 rNt:> 'PI 0 PLUMBING FINAL
o SITE INSPECTION 0 MECH FINAL
COMMENTS: S tD/NG i //VI"'r'-61
Ho~sg ;VV~~S:
o EXiGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLIN
/N<;TA-LL
/'
~RK SATISFACTORY, PROCEED
o CORRECT ACTION~) PROCEED
o CORRECT~. AL:!9R REINSPECTION BEFORE COVERING
Inspector: /<. - . _ Owner/Contr:
I y
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE..
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/
INSIVOTI
--------
New Construction 0
Chimney 0 Misc.
\eo PROPERTY AREA OR ACRES 190 PROPERTY DIMENSIONS lID' CULVERT SIZE
Sq. Ft. Width Depth Yes No
1 hereby certify that I have fumished information on this application which is to the best of my knowledge true and correct. , also certify that I am the owner or authorized agent for
the above ~i"~~~rty ~t::1aa-~J~ztion will conform to all existing state and local laws and will proceed in accordance with submitted plans. a~ l:~~ that the
~U"d'ng off'WiUl,-r Prl" f7/[j..J)}." Furthermore, I hereby agree t?t r. ~ or'al or a designee may enter upon the property to perto~ ne ad/ ~ lions.
1 Signature Ucense No. Ie
~7~7~DO
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.SITEADDRESS ~qL(5' /~f S+ r
'3701KJ
I (
3. LEGAL DESCRIPTION
Ie
PIf!.IO/2...
BLOCK PID Zf5-t')/7~()O- D-
souT7f
~dreSS), rL (Tel. No.) ~r
{,'1' ~r /,.,{z.- t..JL/1- I~~';:.
-
(Address) (Tel. No.)
LOT
ADDITION
4. OWN{f'luiJ);amn.. j Ii
5. ARCHITECT (Nam~F'
(Name)
~ (14-
(Address) (Tel. No.)
&9/~~ Sf.}J. e~I').~tf7'~1
6. BUILDER
7. TYPE OF WORK
Fireplace LI
Alterations 0
SepticLl
Addition 0
Deck 0
Finish Attic 0
Re-roofing 0 Porch 0
Rs-siding /I..... Finish Basement 0
"
1. White
2. Pink
3. Yellow
File
City
Applicant
Permit No. _ c:t) -;4\ j.n3
BUILDING INFORMATION
f ,. 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 .................. $
Pari< Support Fee ........................... <t
SAC ......................................... $
Collective Street Fee ....................... $
Sewer Tap ................................... $
.
Pressure Reducer .......................... It
Meter Horn ... .... .... ........................ <1'.
Water Meter ................................. <!;
Sewer & Water Connection Fee ........... $
Water Tower Fee ........................... $
Water Tap ................................... ~
Builder's Deposit ............................ t.
Other ......................................... ~
Total Due .............................. $ 'it:>. 0 0
Pa'd 710. 0 0 Receipt No. "$' 't5' 7
Date 1,.7-?r:nc By (I{J
, .-
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 as 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.
SETBACKS: Required
Actual
Back
Side
Side
Front
BUILDING DEPARTMENT VALUATION
OFF STREET PARKING
SPACES REO,
SPACES ON PLAN
PERMIT VALUATION -Z,'5Cl::1.~
USE OF BtDING 11 / ~
'l7 '+ /,1/
- I
TYPE OF CONSTRUCl10N: I 11 III IV V
Occupancy Group A B E F HIM R
Division 1 2 3 4
Permit Fee ................................... $
S U
7l/ .7<j
City:
Plan Check Fee ............................. $
, . '2.'"
State Surcharge ............................. $
Penalty ....................................... $
Plumbing Permit Fee ....................... ~
Mechanical Permit Fee ..................... $
Sewer & Water Permit ...................... $
Thi
By
ng Permit ~en ~pr~
Date "/ - ,-
.... .
Issued
MATERIAL FILED WITH APPLICATION
SOIL TESTS 0 ENERGY DATA 0
PILING LOGS 0 PERCOLATION TESTS 0
PLANS & SPECS 0
SURVEY 0
PLOT PLAN 0
SETS
COPIES
24 hour notice for all inspections 447-9850
Special Conditions it any
City Planner
Date