HomeMy WebLinkAboutBuilding Permit 99-0156
City of Prior Lake
Inspection Notice
SCHEDULED
ADDRESS 16247 FRANKLIN CIRCLE SE
OWNER CONTR
DATE
10/25/99
PHONE NO. PERMIT # 99-156
TYPE OF INSPECTION RE-ROOF
COMMENTS:
"
~ Work Satisfactory, Proceed
o Correct Action and Proceed
o Correct Work, Call for Reinspection Before Covering
Inspector: t2/ . Owner/Contr.
t/
TIME
A.T.
DATE RECEIVED
CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CE~TIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
I. White
2. Pink
3. Yellow
File
City
Applicant
MAR I O~
Permit No.
9tf-/~
. DIRECTIONS
SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN
BEFORE PERMIT IS ISSUED (Please Print or Type and sign at bottom)
1. DATE
2. SITE ADDRESS 1l..c/JLr1-
rrDJ\~llVV Cl(.
3-lD-Qq
RI
,)5 - /57- (JO/" -()
BUILDING INFORMATION
11. SIZE OF STRUCTURE
(Height) (Width) (Depth)
3. LEGAL DESCRIPTION I
LOT (,; BLOCK
ADDITION~i'7Y)I(SV ~ lie. 1-11/ ,~ 3f9.
12. NO. OF STORIES
PID
13. TYPE OF CONSTRUCTION
4. OWNER (Name)
f21'cd I I ()cJ~,
5. ARCHITECT (Name)
(Address)
IIJJ~ R'~llf'\ c..l r.
(Address)
(Tel. No.)
?
14. FLOOR AREA APPORTIONMENT USE
(Tel. No.)
6. BUILDER
(Name)
(Address)
(Tel. No.)
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS
?~~ ~eo
New Construction 0 Alterations 0
Chimney 0 Misc.
8. PROPERTY AREA OR ACRES
Sq.Ft.
IUD e.~st, 8lYn..5Sl.-LQ ~tfJ.A
Septic 0 Deck 0
Addition 0 Finish Attic 0
Re-roofing 0 Porch 0
Re-siding 0 Finish Basement 0
SEATS
16. PROJECT COSTNALUE
9. PROPERTY DIMENSIONS
Width Depth
10. CULVERT SIZE
Yes No
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
the above mentioned 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
:uilding rrP ~te~rthermore, I hereby agree that the city Official~gqqq enter upon the property to perfor~~:r~qections.
Signature License No. Date
FOR ADMINISTRATIVE USE
SETBACKS: Required
Actual
Front
8ack
Side
Side
MATERIAL FILED WITH APPLICATION
SOIL TESTS 0 ENERGY DATA 0
PILING LOGS 0 PERCOLATION TESTS 0
PLANS & SPECS 0 SETS
BUILDING DEPARTMENT VALUATION
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
PERMIT VALUATION.
SURVEY
PLOT PLAN
o COPIES
USE OF BUILDING
o
TYPE OF CONSTRUCTION: I II III IV
Occupancy Group A B E F HIM
Division 1 2 3 4
Permit Fee ................................... $
V
R S U
7Lf< 7S
City:
Amount Brought Forward .................. $
Park Support Fee ........................... $
SAC ......................................... $
Collective Street Fee ....................... $
Sewer Tap ................................... $
$
Plan Check Fee ............................. $
State Surcharge ............................. $
Penalty ....................................... $
Plumbing Permit Fee ....................... $
I.J~
Mechanical Permit Fee ..................... $
Pressure Reducer .......................... $
Meter Horn ............................. ...... $
Water Meter ................................. $
Sewer & Water Connection Fee ........... $
Water Tower Fee ........................... $
Sewer & Water Permit ...................... $
~16 .60
Certificate of Occupancy
Paid
City Planner
Date
Special Conditions ~ any
24 hour notice for all inspections 447-9850