HomeMy WebLinkAboutBuilding Permit 99-0370
City of Prior Lake
Inspection Notice
DATE
TIME
SCHliDULED
10/25/99 A. T.
ADDRESS 17344 SUNRAY CIRCLE SW
OWNER CONTR
PHONE NO. PERMIT # 99-370
TYPE OF INSPECTION RE-ROOF
COMMENTS:
~ Work Satisfactory, Proceed
o Correct Action and Proceed
o Correct W or~r Reinspection Before Covering
Inspector: L(// . Owner/Contr.
DATE RECEIVED CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CER,.TIFICATE 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/AD~~ ~ / ~ I
. / ~ 't-'-t" SUN /€ 4V
3. LEGAL DESCRIPTION
LOT / () BLOCK /
/'<:of
ADDITION iJJ/hd {flCW >1'
1!l:~ J (l'!'\'~ () LJd ,(Add,,,,,
at ~___u:.J(./Mj7,A hi" /t/).,J
5. A CHITECT (Name) (Address)
6. BUILDER
(Name)
(Address)
(~dA-
7.-TYPE OF W'f!7!
New Construction 0
Fireplace 0
Alterations 0
Septic 0
Addition 0
Deck 0
Finish Attic 0
Chimney 0 Misc.
8. PROPERTY AREA OR ACRES
Sq.Ft.
1. White
2. Pink
3. Yellow
File
City
Applicant
Permit No.
qq~370
PID
1,'OATE
4/IS/QCY
Jt IS D
rfls-1?5 -OjIJ-()
12. NO. OF STORIES
BUILDING INFORMATION
11. SIZE OF STRUCTURE
(Height) (WIdth) (Depth)
13. TYPE OF CONSTRUCTION
(Tel. No.)
~47~/~-9
(Tel. No.)
14. FLOOR AREA APPORTIONMENT USE
(Tel. No.)
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS
... .
Re-roofing)t Porch 0
Re-siding 0 Finish Basement 0
SEATS
16. PROJECT COSTNALUE
9. PROPERTY DIMENSIONS
Width Depth
Yes No
1 O. CULVERT SIZE
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
buildi"lI vi~1 can r"ke this permit {~,' st <<;?" use. .Furthermore, I hereby agree that the city official or a designee may enter upon the property to perform ,nled.ld ins!'~tionsc
X 0\)/ J//UJ:?A r;; f_~/ . -Y//J)/97_
Signature License No. ./ Dat,("
SETBACKS: Required
Actual
Front
Back
BUILDING DEPARTMENT VALUATION
FOR ADMINISTRATIVE USE
MATERIAL FILED WITH APPLICATION
Side
SOIL TESTS
o
o ENERGY DATA
Side
PILING LOGS 0 PERCOLATION TESTS 0
PLANS & SPECS 0 SETS
USE OF BUILDING
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
PERMIT VALUATION
TYPE OF CONSTRUCTION: I II III IV V
Occupancy Group A B E F HIM R S U
Division 1 2 3 4
Permit Fee ................................... $
/Jt/ /5
Plan Check Fee ............................. $
State Surcharge ............................. $
Penalty ....................................... $
Plumbing Permit Fee ....................... $
Mechanical Permit Fee ..................... $
). z... ~
Sewer & Water Permit ...................... ~
Gas Fireplace Permit ....................... $
This Application Becomes Your Building Permit When Approved.
By Date
SURVEY
PLOT PLAN
o COPIES
o
City:
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 .............................. $
7~.na
Paid "7~. 0 0 Receipt No. 350 3 2.-
Issued , / .... J. AA Ll #, .
Date <flrf/ '1f' By ~ ~~ _
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 a~uested. 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.
Certificate of Occupancy
City Planner
Date
24 hour notice for all inspections 447-9850
Special Conditions ~ any