HomeMy WebLinkAboutBuilding Permit 99-0032
City of Prior Lake
Inspection Notice
ADDRESS 16660 ANNA TRAIL SE
SCH.EDULED
OWNER CONTR
DATE
TIME
10/25/99 A.T.
PHONE NO. PERMIT # 99-32
TYPE OF INSPECTION RE-ROOF
COMMENTS:
.....0--- Work Satisfactory, Proceed
o Correct Action and Proceed
o Correct Wark, M Reinspection Before Covering
Inspector: C;;/ Owner/Contr.
DATE RE@EIVED CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CE.RTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
1. While
2. Pink
3. Yellow
File
City
Applicant
Permit No. ~ ? - 0032.....
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
\~l~O
1. DATE
I-IS-qq
BUILDING INFORMATION
11. SIZE OF STRUCTURE
(Height) (Width) (Depth)
h)r\f"\O ~r
~&, :)
( Y (' l-or-
f..A.,J/-fJ ~ '$ ~ U2.-- .
3. LEGAL DESCRIPTION
LOT 10
12. NO. OF STORIES
ADDITION
BLOCK
JO. A.tJNA
PID '2 S" - Orz r- 010 -0
A,)u \C' PIl.\cIL LA,-~
13. TYPE OF CONSTRUCTION
4. OWNER (Name)
mn f1 ~
5. ARCHITECT (Nam~
Wed )6Lr
(Address)
(Tel. No.)
II Lr7 - ~O l'l....-
(Tel. No.)
14. FLOOR AREA APPORTIONMENT USE
(Address)
6. BUILDER
(Name)
(Address)
(Tel. No.)
15. NUMBER OF OCCUPANTS OR SEATS
Y\ 1 ~ f"J'-.. \:-\ ~
7. TYPE O~ WORK Fireplace 0
New Construction 0 Alterations 0
Chimney 0 Misc.
\Q~~ S\'Oiv'\ ~
Deck 0
Finish Attic 0
....
g"\e~ -'7b'~-Ut
Re-roofln~ Porch 0
Re-siding 0 ' Fi~h Basement 0
OCCUPANTS
Septic 0
Addition 0
SEATS
16. PROJECT COSTNALUE
8. PROPERTY AREA OR ACRES
Sq. Ft.
9. PROPERTY DIMENSIONS
Width Depth
10. CULVERT SIZE
Yes No
17. COMPLt: IIUI-l 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
the above 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 aware that the
building icial can revoke this PTit for just cause. Furthermore. I hereby agree ~tJhe city official or a designee may enter upon the property to perform needed inspections.
X U.. . !JJ1~ <F :J..Q/Li34;)'S- j-/J-1?
Signature License No. Data
FOR ADMINISTRATIVE USE
SETBACKS: Required
Actual
MATERIAL FILED WITH APPLICATION
Front
Back
Side
Side
SOIL TESTS
o ENERGY DATA
o
USE OF BUILDING
(ltS' ~"
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
PERMIT VALUATION
PILING LOGS 0 PERCOLATION TESTS 0
BUILDING DEPARTMENT VALUATION
PLANS & SPECS 0
SURVEY 0
SETS
COPIES
'2 SuO. ..
PLOT PLAN
o
TYPE OF CONSTRUCTION: I II III IV V
Occupancy Group A B E F HIM R
Division 1 2 3 4
Permit Fee ................................... $
S U
City:
Amount Brought Forward .................. $
Park Support Fee ........................... $
SAC ......................................... $
Collective Street Fee ....................... $
Sewer Tap ................................... $
$
14 -,-)
Plan Check Fee ............................. $
State Surcharge ............................. $
Penalty ....................................... $
Plumbing Permit Fee ....................... $
Mechanical Permit Fee ..................... $
l. '2.-)
Sewer & Water Permit .. .... .1.............. $
i~..$~ ~
'Iding Permit When rov '4
Date I 7
Water Tap ................................... $
Builder's Deposit ............................ $
Other ......................................... $
Total Due .............................. $ 1 G::.
Paid .., (p, - Receipt No. '3434 \
Date l! I ~l i l' By (2... D t':\-
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 constnutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy. a Certificate of Occupancy must be issued.
Pressure Reducer .......................... $
Meter Hom .......... ......................... $
Water Meter ................................. $
Sewer & Water Connection Fee ........... $
Water Tower Fee ........................... $
This Appli
By
Certificate of Occupancy
Issued
City Planner
Date
Special Conditions W any
24 hour notice for all inspections 447-9850