HomeMy WebLinkAboutBuilding Permit 99-0605
City of Prior Lake
Inspection Notice
DATE
TIME
10/25/99 A.T.
SCHEDULED
ADDRESS 15840 EAGLE CREEK AVENUE NE
OWNER CONTR
PHONE NO. PERMIT # 99-0605
TYPE OF INSPECTION !ill-ROOF
COMMENTS:
~ Work Satisfactory, Proceed
o Correct Action and Proceed
o Correct Work?-5~r Reinspection Before Covering
Inspector: if/ Owner/Contr.
~1
DA T~ RECEIVED
6pUI/99
CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
I. White
2. Pink
3. Yellow
File
City
Applicant
DIRECTIONS
SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN
BEFORE PERMIT IS ISSUED (Please Print or Type and sign al bottom)
2. SITE ADDRESS
I S:f'/tJ 1:4(; l ~ e.. Q.J!; E"K
Permit No.
qq -~o.s-
3. LEGAL DESCRIPTION
LOT n~ t'<l J.iO"""?f BLOCK
ADDITION
1. DATE
sf &'//17 _ BUILDINGINFORMATION
/11. SIZE OF i:lJMUvIVRE
A U li:. ;e '2- .s -D (H,i,hl) (Wodlh) (DePlh)
,
12. NO. OF STORIES
.PIDZS-032-oIR- 0
4. OWNER
ED
13. TYPE OF CONSTRUCTION
M (Name)
f'Ifl.~;-fNf
5. ARCHITECT (Name)
(Address)
liL-O I MPcSONI C
(Address)
6. BUILDER
(Name)
(Address)
17 5 S 'B f!'R. fC c. t.. t::y
S. 7'. 'V19 tor J.... 1M N
Re-roofin~ Porch 0
Re-siding 0 Finish Basement 0
(Tel. No.) (P I fi ( 'I 14. FLOOR AREA APPORTIONMENT USE
HIM1 r:;: 'D i!... I-. "-r1-.
ITel. No.) .. I'
I
7, TYPE OF WORK
New Construction 0
Chimney 0 Misc.
Fireplace 0
Alterations 0
Septic D
Addition 0
(Tel. No.)
is} -
b'lP~3~~
15. NUMBER OF OCCUPANTS OR SEATS
"PATes +"Nc..
OCCUPANTS
Deck 0
Finish Attic 0
SEATS
16. PROJECT COSTNALUE
8. PROPERTY AREA OR ACRES
Sq.Ft.
/9. PROPERTY DIMENSIONS /10. CULVERT SIZE
Width Depth Yes No
va furnished' format. n on this application which is to the bes, of my knowledge true and correct. I also certify that I am the owner or authorized agent for
property and hat aU struction will conform to all existing state and local laws and will proceed in accordance with submitted plans. r am aware that the
v kethispe i to ~~e,,;ore'lherebyagreethatlh'CiIyO~,:~::ts~saY~i"'thepropertytopert~~s.
Signature license No. Da
17. COMPLETION DATE
x
./
SETBACKS: Required
Actual
- - -
FOR A[;MINISTRATIVE USE
Front
Back
Side
Side
MATERIAL FILED WITH APPLICATION
SOIL TESTS 0 ENERGY DATA 0
PILING LOGS 0 PERCOLATION TESTS 0
BUILDING DEPARTMENT VALUATION
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
PLANS & SPECS 0
SURVEY 0
SETS
COPIES
USE OF BUILDING
Ker ""7"
PERMIT VALUATION
2..>-<rV p--.-.-
PLOT PLAN
o
TYPE OF CONSTRUCTION: I II III IV V
Occupancy Group A B E F HIM R S U
7t..{.7r
City:
Amount Brought Forward .................. $
Park Support Fee ........................... $
SAC ......................................... $
Collective Street Fee ....................... $
Sewer Tap ................................... $
$
Division 1 2 3 4
Permit Fee ............................... .... $
Plan Check Fee ......................... .... $
State Surcharge ............................. $
Penalty ....................................... $
/. z..y-
Plumbing Penni! Fee ....................... .'l:
Mechanical Pennit Fee ..................... $
Pressure Reducer .......................... $
Meter Hom ............................ ....... $
Water Meter ................................. $
Sewer & Water Connection Fee ........... $
WaterTowerFee ........................... $
Sewer & Water Pennit ...................... $
Water Tap ................................... $
BuUder's Deposit ............................ $
Other ......................................... $
Total Due .............................. $ 7 r.. - c.ru
Paid 7 (q. UV Receipl No. S '>-~'? I
Date ";/-z..4/Q<t By jU~
This is to certify that the request in the above application and &.....w"....."'..}ing documents is in accordance with the City Zonina Ordinance and may proceed e!requested. This document when
signed by the City Planner constitutes a temporary Certificate of Zoning compliance and dllows construction to commence. Before occupancy, a Certificate of Occupancy must be issued.
~;:~~l;f~:.;itW~kro:rfr1
Certificate of Occupa'
Issued
City Planner
Date
Special Conditions if any
24 hour notice for all inspections 447.9850
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