HomeMy WebLinkAboutBuilding Permit 99-0611
City of Prior Lake
Inspection Notice
DATE
10/25/99
.
SCREDULED
ADDRESS 17103 SUNRISE AVENUE SW
OWNER CONTR
PHONE NO. PERMIT # 99-611
TYPE OF INSPECTION RE-ROOF
COMMENTS:
~ Work Satisfactory, Proceed
o Correct Action and Proceed
o Correct Work, /":)or)einspection Before Covering
Inspector: L..r Owner/Contr.
TIME
A.T.
~1
;;R;;119
CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
?Vhv1i:t ~ 7/0 . 00
I.
2.
3
White
Pink
Yellow
File
City
Applicant
Permit No.
99-tP1/
DIRECTIONS
SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN
BEFORE PERMIT IS ISSUED (Please Print or Type and sign at bottom)
2. SITE ADDRESS
n I 0-1, .~U h n~ce M/t S l-J
BLOCK 3
HLL..L...':.
1. DATE
5111 /qGt
g.\SD
BUILDING INFORMATION
11. SIZE OF STRUCTURE
(Height) (Width) (Depth)
12. NO. OF STORIES
LOT
PID 2(';-112..- o4Cl-C)
4.0W:tf (Name)
; l!~HITE~)V7j~~e~)Y\
(Address)
11/ O~)'IlnnSt. /k..R, ,S;,W
(Address)
(Tel. No.)
4l-jl.RbD~
13.TYPEOFCONSTRUCTION . do~ , 0
.fJ:WW:4 \t'lIl.Q.\-g~1 "I'II'\../'
14. FLOOR AREA APPORTIONMENT USE
ADDITION
(Tel. No.)
6. BUILDER
(Name)
7. TYPE OF WORK
New Construction LJ
Fireplace 0
Alterations 0
(Address)
\bN[.Cli4 R.D
o JrIJ . YY\ f\_ <\'\,::j?"
Septic 0 Deck 0 Re-rOOfing~ Porch 0
Addition 0 Finish Attic 0 Ae-siding LJ Finish Basement LJ
(Tel. No.)
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS
f(\ l 0JJe..)\ {\ 'n\ tt'<Ul:'f
01'2-
~'b'V -dio 00
SEATS
Chimney 0 Misc.
a. 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. 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 state and local laws and will proceed in accordance with submitted plans. J am aware that the
building offic~can revoke ltlis permit for just cause. Furthermore, I hereby agree that the city official or a designee may enter upon the property to perform needed ~ections.
X -'Ilillo/LAf ~;g~ ').0 /4TJ,~~i~"" No 5/17 /~'!
. ~ 16. PROJECT COSTNALUE
fCp11?fl
17. COMPLETION DATE
Front
FOR ADMINISTRATIVE USE
MATERIAL FILED WITH APPLICATION
Back Side Side SOIL TESTS 0 ENERGY DATA 0
OFF STREET PARKING PILING LOGS 0 PERCOLATION TESTS 0
SPACES REO. PLANS & SPECS 0 SETS
SPACES ON PLAN SURVEY 0 COPIES
PERMIT VALUATION ?~) UU PLOT PLAN 0
SETBACKS: Required
Actual
BUILDING DEPARTMENT VALUATION
USE OF BUILDING
eF-<; IJd Ie-
,
TYPE OF CONSTRUCTION: I II III IV V
Occupancy Group A B E F HIM R
DMsion 1 2 3 4
S U
City:
Amount Brought Forward .................. $
Park Support Fee .... ....................... $
SAC .........................................$
Collective Street Fee ....................... $
Sewer Tap ................................... $
$
Permit Fee ...................... ......... .... $
Plan Check Fee ............................. $
State Surcharge ............................. $
Penalty ....................................... $
Plumbing Permit Fee ....................... $
14- ,1 <e:1
\. 2.. ':)
Mechanical Permit Fee ..................... $
Pressure Reducer .......................... $
Meter Hom ... .... .... ................. ....... $
Water Meter ................................. $
Sewer & WalerPermit ...................... $
Sewer & Water Connection Fee ........... $
WaterTowerFee ........................... $
Water Tap ................................... $
Builder's Deposit ............................ $
Other ......................................... $
Total Due .............................. $ -j~. dU
Paid I G,. OV Receipt No. :3 5 33 CO
DateS-/2..'~-/qq 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 at?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.
Th, n e~n "~'~'~'e~'t Whe
B ts Date'-
Certificate of Occupa!cy
Issued
city Planner
Date
Speciai Coodilions ~ any
24 hour notice for aU inspections 447.9850