HomeMy WebLinkAboutBuilding Permit 99-0293
City of Prior Lake
Inspection Notice
ADDRESS 16637 ANNA TRAIL SE
SCMEDULED
OWNER CONTR
DATE
TIME
10/25/99 A. T.
PHONE NO. PERMIT # 99-293
TYPE OF INSPECTION RE-ROOF
COMMENTS:
/ Work Satisfactory, Proceed
o Correct Action and Proceed
o Correct Work, j}1einspection Before Covering
Inspector: ~ / Owner/Contr.
QA TE RECEIYEQ
CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
~.,
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
L White
2. Pink
3. Yellow
File
City
Applicant
Permit No.
qq,.:>Cf3
DIRECTIONS 10A ~
SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN ~. "; Ie '/J c;
~RE PERMIT IS ISSUED (Please Pnnt or Type and sign at bottom) , "7/0 I '17
~TE ADDRESS ,2/ ;
J~;:'3"1 ANN'~. 'ry Se pyJtfyJ..a/rB,Mk'
./
PID ;;(5"- ~C 7-c/ ~ -0
BUILDING INFORMATION
11. SIZE OF STRUCTURE
(Height) (Width) (Depth)
3. LEGAL DESCRIPTION
LOT , I BLOCK j
:\d-~{.L 2Y~ ~
12. NO. OF STORIES
13. TYPE OF CONSTRUCTION
ADDITION
,YWNER . (Name)
l-/elV/?Y
5. ARCHITECT (Name)
w srtJC/(
(Address) It. ~ :J't /iJVI"/t T)')e (Tel. No.)
~
py/ps,.- l:,JJre. /11.1.)
(Address) .
14. FLOOR AREA APPORTIONMENT USE
'fi.f7 - 3't3f
(Tel. No.)
, VUILDER
(Address) ff/ f tJ -$ LJ 5'1:
ALtetl fr/ept;eS
Fireplace 0 Septic 0
Alterations 0 Addition 0
(Name)
i/ (Tel. No.)
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS
7. TYPE OF WORK
New Construction 0
Wel3STer AfAl~~S'J-.;)9()5
Deck 0 Re.roofi~ Porch 0
Finish Attic 0 Re-siding 0 Finish Basement 0
SEATS
16. PROJECT COSTNALUE
Chimney 0 Misc.
8. PROPERTY AREA OR ACRES
Sq.Ft.
9. PROPERTY DIMENSIONS
Width Depth
1 O. CULVERT SIZE
Yes No
17. COMPLt: IIUI-J 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
building official can revoke this permit for just ca~se. F~hermore, I hereby agree that the city official or a designee may enter upon the property 10 perform needed inspections.
X ~A-t d'~>~/ LI--Z-?9
, r:::J ~ ) License No. I' ~
FOR ADMINISTRATIVE USE
SETBACKS: Required
Actual
Front
Back
Side
Side
MATERIAL FILED WITH APPLICATION
SOIL TESTS 0 ENERGY DATA 0
USE OF BUILDING L:~ >
~/F<-
OFF STREET PARKING PILING LOGS 0 PERCOLATION TESTS 0
SPACES REO. PLANS & SPECS 0 SETS
SPACES ON PLAN SURVEY 0 COPIES
PERMIT VALUATION :JsOV. c/V PLOT PLAN 0
BUILDING DEPARTMENT VALUATION
TYPE OF CONSTRUCTION: I II III IV V
Occupancy Group A B E F HIM R S U
Division 1 2 3 4
City:
Amount Brought Forward .................. $
Park Support Fee ........................... $
SAC ......................................... $
Collective Street Fee ....................... $
Sewer Tap ................................... $
$
Permit Fee ................................... $
7~7~
Plan Check Fee ................. ............ $
State Surcharge............................. $
Penalty ....................................... $
Plumbing Permit Fee ....................... $
I.J.~
Mechanical Permit Fee ..................... $
Pressure Reducer .......................... $
Meter Hom ................................... $
Water Meter ................................. $
Sewer & Water Connection Fee ........... $
Water Tower Fee ........................... $
Sewer & Water Permit ...................... $
Gas Fireplace Permit ....................... $
Water Tap ................................... $
Builder's Deposit ............................ $
Other ......................................... $
Total Due .............................. $
Paid rll(. (> (') Receipt No. U ( 'l b
Issued I .
Date t.//y/f~ By ~
This is to certify that the request in the above application and accompanying documents is in accordance with the City Zonin~ Ordin~nce and may proceed as requested. This document when
signed by the City Planner const~utes a temporary Certificate of Zoning compliance and allows construction 10 commence. Before occupancy, a Certificate of Occupancy must be issued.
7".00
This Application Becomes Your Building Permit When Approved.
By Date
Certificate of Occupancy
City Planner
Date
Special Conditions ff any
24 hour notice for all inspections 447-9850