HomeMy WebLinkAboutBuilding Permit 99-0837
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
.. SCHEDlJ.LED
ej'1',h1 I/;~
ADDRESS
63ro(P I bUrN ..:::> I
OWNER
CONTR.
PHONE NO.
PERMIT NO.
q~-e37
,
o FOOTING 0 PLUMBING RI 0 EXlGRADIFILLlNG
o FOUNDATION 0 MECH RI 0 COMPLAINT
o FRAMING 0 WATER HOOKUP 0 FIREPLACE RI
o INSULATION 0 SEWER HOOKUP 0 FIREPLACE FINAL
o FINAL 0 PLUMBING FINAL I'L ~~I~~/T~ST A-
D SITE INSPECTION D MECH FINAL r'{ I"" -~"''''''';L... c.v
COMMENTS: (. &'c-~ &U~~ i&c>P;,
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)i~ORK SATISFACTORY, PROCE-;
o CORREC~A O~ROCEED
o CORRECT Q , LL FOR REINSPECTION BEFORE COVERING
Inspector:" ~ Owner/Contr:
I .
CALL 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
--
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH &: SAFETY!
INSNOTt
~ CITY OF PRIOR LAKE
7 I 7 f CJ9. 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
lj,3ro ro
1. DATE
Le..
7~ 7-11
;e IS-D
-;1... -
1'::'0 i- r5 I .
p~/(
3. LEGAL DESCRIPTION
LOT
PID
26..t?3D -tJ2!-o
BLOCK
ADDITION ~b/t::::.s //1/ DIlt//l/OS
4. OWNER (Name) (Address) ,.-
KeN + -:r ~ ~~OrJ fo2f'c fo 1)-0 - Sf:
5. ARCHITECT (Name) (Address)
(Tel. No.)
t.fL(7'7~ n
(Tel. No.)
(Tel. No.) f'7'0-1032/
&Xf~-IJ1Mi>N~;j:.,vc... /2901 LtfTvN A1i~.f . .ti 3ft!. 2 N.sv(
7. TYPE OF WORK Fifeplace 0 Septic 0 Deck 0
New Construction 0 Alterations 0 Addition 0 Finish Attic 0
ChimneyO Misc. .lJ?ASON'~ ,eePA/,e..
8. PROPERTY AREA OR ACRES 9. PROPERTY DIMENSIONS
Sq. Ft. Width Depth
6. BUILDER
(Name)
(Address)
Re-roofing 0 Porch 0
Re-siding 0 Finish Basement 0
10. CULVERT SIZE
Yes
No
v/
I. White
2. Pink
3. Yellow
File
City
Applicant
Permit No.
qtJ-6:31
BUILDING INFORMATION
11 . 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
I hereby certify that I have fumished information on this application which is to the best of my knowledge true and correct. I also certify that I am the owner or authorized agent for
~he . ov~entioned property and that all construction will conform to all existing state and local laws and will proceed in accordance with submitted plans. I am a.ware that the
buil g ff ~-permit for just cause. Furthermore, I hereby agree that the city official or a designee may enter upon the property to perform needed i~ections.
l.J..ULQ.J ~ 7- ?- '7 q
Signature License No. Date .
Amount Brought Forward .................. $
Park Support Fee ........................... $
SAC ......................................... $
Collective Street Fee ....................... $
Sewer Tap ................................... $
$
Pressure Reducer .......................... $
Meter Hom ................................... $
Water Meter ................................. $
Sewer & Water Connection Fee ........... $
Water Tower Fee ........................... $
Water Tap ........................ ........... $
Builder's Deposit ............................ $
Other ......................................... $
Total Due .............................. $ (L 1.50
Paid Z. /. Sl) Receipt No. 35' - ? ~
Issued . . ~
Date 7/'" / q"J By
This is to certify that the request in the above application and accompanying documents is in accordance with the City zOning~ and may pr as requested. This document when
signed by the City Planner constttutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy. a Certificate of Occupancy must be issued.
FOR ADMINISTRATIVE USE
SETBACKS: Required
Actual
Front
Back
Side
Side
BUILDING DEPARTMENT VALUATION
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
PERMIT VALUATION
00
US'E OF BUILDING
/
,ees A/,e
50~
TYPE OF CONSTRUCTION: I II III IV V
Occupancy Group A B E F HIM R S U
Division 1 2 3 4
City:
Permit Fee ................................... $
Plan Check Fee ............................. $
1.. \. e.o
State Surcharge ............................. $
.50
Penalty ....................................... $
Plumbing Permit Fee ....................... $
MeChanical Permit Fee ..................... $
Certificate of Occupancy
City Planner
Date
Special Conditions ff any
24 hour notice for all inspections 447-9850
MATERIAL FILED WITH APPLICATION
SOIL TESTS
o ENERGY DATA
o
PILING LOGS 0 PERCOLATION TESTS 0
PLANS & SPECS 0
SURVEY 0
SETS
COPIES
PLOT PLAN
o