HomeMy WebLinkAboutBuilding Permit 99-0325
City of Prior Lake
Inspection Notice
DATE
TIME
"-
SCHEDULED
10/25/99 A. T.
ADDRESS 17308 SUNRAY CIRCLE SW
OWNER CONTR
PHONE NO. PERMIT # 99-325
TYPE OF INSPECTION RE-ROOF
COMMENTS:
~ Wark Satisfactory, Proceed
o Correct Action and Proceed
o Correct Work, Call for Reinspection Before Covering
Inspector: t(J/ Owner/Contr.
DATF Ri=r.J;JYEQ
CITY OF PRIOR LAKE 1F /752-
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT Permit No.
I. White
2. Pink
3. Yellow
File
City
Applicant
+/(y crj
QQ-32S
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
JI?-'~
3. LEGAL DESCRIPTION
1. DATE
Lf - 10
BUILDING INFORMATION
11. SIZE OF STRUCTURE
(Height) (Width) (Depth)
LOT
/s
w ODD V I E"\\J
541\ rCA-j
I
Z-WD
c;',,--
12. NO. OF STORIES
BLOCK
PID 25-2.2.-7- 0 I~ -0
ADDN
5. ARCHITECT
(Name)
t?r~C)
(Name)
(Address)
<; ~d,\v....,
(Tel. No.)
13."!!:- ~T~CTION
14. FLOOR AREA APPORTIONMENT USE
ADDITION
4. OWNER
fjrl,rlroC'C"
(Tel. No.)
6. BUILDER
(Name)
G
(Tel. No.)
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS
7. TYPE OF WORK
New Construction 0
Chimney 0 Misc.
8. PROPERTY AREA OR ACRES
Sq. Ft.
1200 E. 79th Street
aloomin~ton ~Jl 1\1 ~.5A"J:\ --
Fireplace 0 e~ic d Rec} ~ I e-roofingQo""""" Porch 0
All; rations 0 ( 6 A:J~0}~ 5 3=mO lo.ItiEld:1 Re-si ing 0 Finish Basement 0
SEATS
9. PROPERTY DIMENSIONS
Width Depth
10. CULVERT SIZE
16. PROJECbZf1'f1Ll1j. Vb
17. COMPLETION DATE
Yes No
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 perty 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 r ke this pe~r just cjll7S~urthermore. I hereby agree that the city official or a designee may enter upon the property to perform needed inspections.
X ~ ~ /.:.-- ./ ~ t.? 0<::) 3C?9 .,. 'f - /0 -.,. 7
-......,. / Signature.... ~ License No. Date
FOR ADMINISTRATIVE USE
SETBACKS: Required
Actual
Front
Back
Side
Side
MATERIAL FILED WITH APPLICATION
SOIL TESTS 0 ENERGY DATA 0
BUILDING DEPARTMENT VALUATION
OFF STREET PARKING PILING LOGS 0 PERCOLATION TESTS 0
SPACES REO. PLANS & SPECS 0 SETS
SPACES ON PLAN SURVEY 0 COPIES
PERMIT V ALUA TION -Z '!.--c.fb .dU PLOT PLAN 0
USE OF BUILDING ~ ~S A/1'2--
I
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 ................................... $
74.75
Plan Check Fee ............................. $
State Surcharge ............................. $_
Penalty ....................................... $
Plumbing Permit Fee ....................... $
'.2S-
$
Mechanical Permit Fee ..................... $
Pressure Reducer .......................... $
Meter Hom ........... ........................ $
Water Meter ................................. $
Sewer & Water Connection Fee ........... $
Water Tower Fee ........................... $
Sewer & Water Permit ...................... $
Gas Fireplace Permit ....................... !l:
This Application Becomes Your Building Permit When Approved.
By Date
WaterTap ................................... $
Builder's Deposit ............................ $
Other......................................... $
Total Due .............................. $
Paid 70. dO Receipt No.
Issued
Date 4-ltJqj By ~
This is to certify that the request in the above application and accompanying documents is in accordance with the City Zoning Ordin~nce and may proceed as r~uested. 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.
rJ(..OL)
Certificate of Occupancy
city Planner
Date
Special Conditions ff any
24 hour notice for all inspections 447-9850