HomeMy WebLinkAboutBuilding Permit 99-0388
City of Prior Lake
Inspection Notice
DATE
TIME
SCHEDUUED
10/25/99. A.T.
ADDRESS 16710 ANNA TRAIL SE
OWNER CONTR
PHONE NO. . PERMIT # 99-388
TYPE OF INSPECTION RE-ROOF
COMMENTS:
~. Work Satisfactory, Proceed
o Correct Action and Proceed
o Correct Work, ~ Reinspection Before Covering
Inspector: W Owner/Contr.
p .
------.------ .._-.-.... -...-.---..--....--..
~1
.QfT~J::n=r:l=n'l=.Q
CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
q:f ;;l.;:;L (P>
1. White
2. Pink
3 Yellow
File
City
Applicant
APR j 9 1999
Permit No.
qq ~ 3%1
2. SITE ADDRESS
/ft;77/0 11t111c.
3. LEGAL DESCRIPTION
LOT .~ BLOCK
, )/\ -kllCl.
rr
1. DATE
if-I?
tJ
BUILDING INFORMATION
11. SIZE OF STRUCTURE
(Height) (Width) (Depth)
DIRECTIONS
SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN
BEFORE PERMIT IS ISSUED (Please Print or Type and sign at bottom)
12. NO. OF STORIES
PID~S- - 0 (:d -005'-0
ADDITION
~
13. TYPE OF CONSTRUCTION
14. ~oymER
y IA.Q~. ..p,
15. ARCHITECT
6. BUILDER
(Name) _ (Address)
/' .'''--''-
~ 41<1"" I
IN.. <NIGHT-W AY I.fl!lOOFING
ITeL No.)
14. FLOOR AREA APPORTIONMENT USE
(Tel. No.)
(Nar
1~8~ - "'~'I &'1 '
e) ..... v ~. 1 ..J '{)\l:ldhfs!;1 \J 'Co' L
Bloomington. MN 55425
(612)953-0049
,. -Se"til$ 13., " ~~-99f......
Addition 0 Finish Attic 0
(Tel. No.)
15. NUMBER OF OCCUPANTS OR SEATS
eJ~r WI1"\(
OCCUPANTS
7. TYPE OF WORK
New Construction 0
. .. -,..-,-~.... ---'
, Re-roofing ~ Porch 0
Re-siding 0 Finish Basement 0
SEATS
Alterations 0
16. PROJECT COSTNALUE
,~'361): en.-
17. COMPLETION DATE
Chimney 0 Misc.
18. PROPERTY AREA OR ACRES 19. PROPERTY DIMENSIONS 110. CULVERT SIZE
Sq. Fl. Width Depth Yes No
I hereby certify that I v furnished infonnation 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 me n party and tha\-8,IJ..a>~tlon WIll confonn to all eXisting stale and local laws and will proceed In accordance WIth submitted plans I am aware that the
~Uild: Off, a, I ';ka ~~ . e, I he,.by ag,ee that the;; ~~13a;9; may ente,upon the pmperty to perlo~ne~/n~ect'ons
... _ /' ~._ license No Dale
FOR ADMINISTRATIVE USE
SETBACKS: Required
Actual
MATERIAL FILED WITH APPLICATION
Front
Back
Side
Side
SOIL TESTS
o ENERGY DATA
o
BUILDING DEPARTMENT VALUATION
~ES 1'<1 t"<.-
OFF STREET PARKING
SPACES REQ.
SPACES ON PLAN
PERMIT VALUATION
PILING LOGS 0
PLANS & SPECS 0
PERCOLATION TESTS 0
SETS
USE OF BUILDING
SURVEY 0
COPIES
7_ s-v-D. "'V
PLOT PLAN
o
TYPE OF CONSTRUCTION: I II III IV V
Occupancy Group A B E F HIM R S U
/4-.'1S"
City:
Amount Brought Forward .................. $
Park Support Fee ............. .... .... ...... $
SAC ......................................... $
CoUectiveStreet Fee ....................... $
Sewer Tap ................................... ~
$
Pressure Reducer .......................... $
MeterHom ................................... ~
Water Meter ................................. $
Sewer & Water Connection Fee ........... $
WaterTowerFee ...........................4:
Water Tap ................................... $
Builder's Deposit ............................ It
Other .............................. .... ....... $
Division 1 2 :3 4
Pennit Fee ................................... $
Plan Check Fee ............................. $
t. '2.5
State Surcharge ............................. $
Penalty ....................................... $'
Plumbing Permit Fee ....................... $
Mechanical Permit Fee ..................... $
Sewer & Water Permit ...................... $
Gas Rreplace Permit ....................... $
This Application Becomes Your Building Permit When Approved.
~ D~
Issued
Total Due .............................. $ "7 t?if{)
1 ~ . ((.l Receipt No. '3 "'04- Y
Date C}-/l C, / It q By {dJ0--
This is to certify that the request in the above a~lication and accompanying documents is in accordance with the City Zoning Ordinan~ and may proceed as re{iuested. 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.
Paid
Certificate of Occupancy
City Planner
Date
SpecialConditions~any
24 hour notice for all inspections 447-9850