HomeMy WebLinkAboutBuilding Permit 99-0492
City of Prior Lake DATE
Inspection Notice
10/25/99
^
SCHEDULED
ADDRESS 16461 FRANKLIN TRAIL SE
OWNER CONTR
PHONE NO. PERMIT # 99-492
TYPE OF INSPECTION RE-ROOF
COMMENTS:
o Work Satisfactory, Proceed
o Correct Action and Proceed
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TIME
A.T.
~~
DATF RFr.FIVFn
5/5/19
CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING. COM'PLIANCE
AND UTILITY CONNECTION PERMIT
\, White
2. Pink
3 Yellow
File
City
Applicant
Permit No.
qq-L/q2-
DIRECTIONS
SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN
BEFORE PERMIT IS ISSUED (Please Print or Type and sign at bottom)
;/5-/91
2}Z;Y2i ~ VI";,
ILl
BUILDING INFORMATION
11. SIZE OF STRUCTURE
(Height) (Width) (Depth)
3. LEGAL DESCRIPTION
q
12. NO. OF STORIES
LOT
BLOCK
PID
2.5-o?~- (J09-{)
BOI2GR21J / N'q 2 I;!.R
4~ ~~ (4d;SS~,,, ().A ~ (Tel;;~t7_3~
15. ARCHITECT (Name) (Address) (Tel. No.) 1
~~~~Zu~~~~/;j~oWS:mJ
7. TYPE OF WORK Fireplace 0 Septic 0 Deck 0 Re-roofin~ Porch 0
New Construction 0 Alterations 0 Addition D Finish Attic D Re-siding D Finish Basement [j
13. TYPE OF CONSTRUCTION
ADDITION
14. FLOOR AREA APPORTIONMENT U5E
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANT~
SEATS
Chimney 0 Misc.
B. PROPERTY AREA OR ACRES 19. PROPERTY DIMENSIONS 110. CULVERT SIZE
Sq. Ft. Width Depth Yes No
I hereby certify that I have furnished information on this application which is to the best of my knowledge true and correct. 1 also certify that I am the owner or authorized agent for
the above mentioned property and that all construction will confonn to aU existing state and local laws and will proceed in accordance with submitted plans. I am aware that the
~uildin icial cau...revoke t . p it for jus caus ../ ennore, I hereby agree th~O~ffi7??2-? may enter upon the property to pe~ 7~ ~9ns.
. License No. , /Oate -
16. ~:!FC.:r.COSTNALUE
"".:>50, .0
17'5/)9799
I
SETBACKS: Required
Actual
FOR ADMINISTRATIVE USE
MATERIAL FILED WITH APPLICATION
Front
Back
Side
Side
SOIL TESTS
o ENERGY DATA
o
lee; s ;<rIlL
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
PERMIT VALUATION
PILING LOGS 0 PERCOLATION TESTS 0
BUILDING DEPARTMENT VALUATION
USE OF BUILDING
PLANS & SPECS 0
SURVEY 0
SETS
COPIES
2 S01J,c/2...I
PLOT PLAN
o
TYPE OF CONSTRUCTION: I II III IV V
Occupancy Group A B E F HIM A
Division 1 2 3 4
s U
City:
Amount Brought Forward .................. $
Park Support Fee ........................... $
SAC .........................................~.
Collective Street Fee ....................... $
Sewer Tap ................................... $
$
Permit Fee .................. ......... ........ $
74-, '15~
Plan Check Fee ............................. <l:
,-
/. l-l
State Surcharge ............................. ~
Penalty....................................... <l:
Issued
Total Due .............................. $ -;1(,. c! <>
"1G. . c) () Receipt No. 3 0/37
Dale 5/,/9'1 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 aflrequested. 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.
ng Pennit Whe"ffPjfved.
Date 5" , 1
Pressure Reducer .......................... $
Meter Horn .................... .... .... ....... $
Water Meter ................................. $
Sewer & Water Connection Fee ........... $
WaterTowerFee ........................... $
Water Tap ................................... $
Builder's Deposit ............................ $
Other ......................................... $
Plumbing Permit Fee ....................... <t
Mechanical Pennil Fee ..................... $
Sewer & Water Permit ...................... <t
Gas Rreplace Permit ....................... $
This
By
Paid
City Planner
Dale
Special Conditions n any
24 hour notice for all inspections 447.9850