HomeMy WebLinkAboutBuilding Permit 99-0585
City of Prior Lake
Inspection Notice
DATE
TIME
10/25/99 A.T.
SCHEDULED
ADDRESS 16340 VICTORIA CURVE SE
OWNER CONTR
PHONE NO. PERMIT # 99-585
TYPE OF INSPECTION RE-ROOF
COMMENTS:
rr
o
o
Inspector:
Work Satisfactory, Proceed
Correct Action and Proceed
Correct Work, Call for Reinspection Before Covering
q/
Owner/Contr.
~1
DATE RECEIVED
S' /2 () !~1
CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
I. White
2. Pink
3. Yellow
File
City
Applicant
Permit No.
9'1-5 v)
LOT
.~F2dq1
\ ) \ cJr)~\ Ict Cu/u---e- IJ:}, ,J't WG
- PlI ~f)
2.. PID ?s-~.Ju... OtJ7-0
o/-nt
ICr;;Ob V I ~'QJ tI--
(Address)
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)
UTE A17;Sl, tJ 0
3. LEGAL DESCRIPTION
12. NO. OF STORIES
2-
I' fiP..t? I N ~ -e/ &:>G F
~. OWNErrw t;(r ~1SlQ' _
5. ARCHITECT (Name)
BLOCK
13. TYPE OF CONSTRUCTION
ADDITION
EfI!1)~s:r767
14. FLOOR AREA APPORTIONMENT USE
(Tel. No.)
6. BUILDER
(Name)
(Address)
(Tel. No.)
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANT~
7. TYPE OF WORK
New Construction 0
Chimney 0 Misc.
Fireplace 0
Alterations 0
Septic 0
Addition 0
Deck 0
Finish Attic 0
Re-roofin9tt Porch 0
Re-siding 0 Finish Basement 0
SEATS
16. PROJECT COSTNALUE
17. COMP~ TION DA fE:
8. PROPERTY AREA OR ACRES 19. PROPERTY DIMENSIONS 110. CULVERT SIZE
Sq. Ft. Width Depth 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 abo e 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
:Uilding ~s Pt7'l~just~m.~e that the dtyofficial ora designee may enter upon the property to pe~/rj) "1ns.
V ' lig~ature' I License No. f Date
FOR ADMINISTRATIVE USE
SETBACKS: Required
Actual
MATERIAL FILED WITH APPLICATION
Front
Back
Side
Side
SOIL TESTS
o ENERGY DATA
D
- BUILDING DEPARTMENT VALUATION
USEOFBUILDING -1ZE<;; ~c..
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
PERMIT V ALUA TION 'Z. "-C! c/. c>'tJ
PILING LOGS 0 PERCOLATION TESTS 0
PLANS & SPECS 0
SURVEY 0
SETS
COPIES
PLOT PLAN
D
TYPE OF CONSTRUCTION: I II III IV V
Occupancy Group A B E F HIM R
Division 1 2 3 4
S U
City:
Amount Brought Forward .................. $
Park Support Fee ........................... $
SAC ......................................... $
Collective Street Fee ................. ...... $
Sewer Tap ................................... $
$
Permit Fee .................. ......... .... .... $
Plan Check Fee .... ......................... $
"74- .7>
State Surcharge ............................. $
Penalty ................................... .... $
Plumbing Permit Fee ....................... $
I . '"L ('"
Mechanical Permit Fee ..................... $
Pressure Reducer .......................... $
Meter Horn... .... .... ........................ $
Water Meter ................................. $
Sewer & Water Connection Fee ........... $
WaterTowerFee ........................... $
Sewer & Water Permit ...................... $
:::<.1:t::: .t~j~,~i~~.;e~. Whr: Apptr~_
~~1' ~~ D~ ~~d
I . I !
Certificate of Occu~ncy
Water Tap ................................... $
Builder's Deposit ............................ $
Other ......................................... $
Total Due .............................. $
7t:..db
Receipt No. 3 "'3 ,.,
(P---
Issued
Paid 1 (. . <TV
Date slz..o/q <J By
This is to certify that the request in the above application and accompanying documents is in accordance with the City Zoning OrdinaJce and may proceed as'requested. 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.
City Planner
Date
Special Condilions ff any
24 hour notice for all inspections 447-9850