HomeMy WebLinkAboutBuilding Permit 99-0609
City of Prior Lake
Inspection Notice
DATE
TIME
10/25/99 A.T.
SCHEDULED
ADDRESS 16009 ST. PAUL AVENUE SE
OWNER CONTR
PHONE NO. PERMIT # 99-0609
TYPE OF INSPECTION RE-ROOF
COMMENTS:
~ Work Satisfactory, Proceed
o Correct Action and Proceed
o Correct W/fflr Reinspection Before Covering
Inspector: rt y . Owner/Contr.
.....,-------.-...---..
Chimney [""J Misc.
18. PROPERTY AREA OR ACRES 19. PROPERTY DIMENSIONS 1'0. 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. 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 slate and Jocallaws and will proceed in accordance with submitted plans. I am aware that the
building official n revoke this P. t for s use. Furthermore, I hereby agree that the city official or a designee may enter upon the property to perform needed inspections.
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License No. Dare
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,CATJ= RI=r.J:'I\I~.o.
5/25/11
~ =(10
CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
I DIRECTIONS
SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN
BEFORE PERMIT IS ISSUED (Please Print or Type and sign at bottom)
12, SITE ,..DDRESS
IbOOq-s+. %ul Ave. ::;.~
1. DATE
5/1q /qq
Rz-
3. LEGAL DESCRIPTION
LOT "3 I ;,. '3 z.. BLOCK
ADDITION I'.,05~Uf)'<:: k()otJ.
4. OWNER (Name)
J?i.t;hard -l-lanfTP.Y
5, ARCHITECT (Nama)
2-
PID ~-O04-'032.-0
441-
'IOqt.j
(Address) (Tel. No.)
/ bOJ Cf 51. rou J tlvt': s. E
(Address) (Tel. No.)
6. BUILDER
(Name)
(Address)
(Tel. No.)
b/~ -
8qD - 3900
flDrf-lon
7. TYPE OF WORK
New Construction 0
/.333 lAr(../nd. f3lvcl 8'vdle...
Fireplace CI Septic CI Deck CI
Alterations CI Addition CI Finish Attic CI
Re.roofingJ( Porch 0
Re-siding 0 Finish Basement 0
x
Signature
1. White
2. Pink
3. Yellow
File
City
Applicant
Permit No.
qq-(pcq
BUILDING INFORMATION
11 . SIZE OF STRUCTURE
(Height) (Width) (Depth)
12. NO. OF STORIES
13. TYPE OF CONSTRUCTION
14. FLOOR AREA APPORTIONMENT USE
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS
SEATS
16, PROJECT CQSTNALUE
b3411-
17. COMPLETION DATE
FOR ADMINISTRATIVE USE
Amount Brought Forward .................. $
Park Support Fee ........................... $
SAC ......................................... $
Collective Street Fee ....................... $
Sewer Tap ................................... $
$
Pressure Reducer .......................... $
MeterHom ................................... $
Water Meter ................................. $
Sewer & Water Connection Fee ........... $
WaterTowerFee ........................... $
Water Tap ................................... $
Builder's Deposit ............................ $
SETBACKS: Required
Actual
F"""
Back
Side
Side
BUILDING DEPARTMENT VALUATION
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
PERMIT VALUATION
2 6()O . UlJ
USE OF BUILDING
RF.5 AiR-
TYPE OF CONSTRUCTION: I II III IV V
Occupancy Group A B E F H t M R
Division 1 2 3 4
S U
City:
Permit Fee ................................... $
74-.15
Plan Check Fee ............................. $
State Surcharge ............................. $
Penalty ....................................... $
Plumbing Permit Fee ....................... $
1.25
Mechanical Permit Fee ..................... $
Sewer & Water Permit ...................... $
Gas Fireplace Permit ....................... $
This Application Becomes Your Building Permit When Approved.
By DMe
MATERIAL FILED WITH APPLICATION
SOIL TESTS 0 ENERGY DATA 0
PILING LOGS 0 PERCOLATION TESTS 0
PLANS & SPECS 0 SETS
SURVEY 0 COPIES
PLOT PLAN 0
Other ......................................... $
Total Due .............................. $ ,r.,.OO
Pa;d liP.OO Rece;PtNo.35337
Issued
Date '5 hs.JqCj By jJA--
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 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.
Certificate of Occupancy
City Planner
Date
24 hour notice for aU inspections 447-9850
Special Conditions ~ any