HomeMy WebLinkAboutBuilding Permit 99-0642
City of Prior Lake
Inspection Notice
DATE
TIME
SCHEDULED
10/25/99 A.T.
ADDRESS 16951 WILDERNESS TRAIL SE
OWNER CONTR
PHONE NO. PERMIT # 99-642
TYPE OF INSPECTION RE-ROOF
COMMENTS:
"er-- Work Satisfactory, Proceed
o Correct Action and Proceed
o Correct Work, Call for Reinspection Before Covering
Inspector: ~ Owner/Contr.
---,----
!
iJ~);
DATE RECEIVED CITY OF PRIOR LAKE
6/2.-7/qQ- BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
1. White
2. Pink
3. Yellow
File
City
Applicant
Permit No.
qq-~+2-
DIRECTIONS 1. DATE
SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN $/;>'7) 9<}
BEFORE PERMIT IS ISSUED (Please Print or Type and sign at bottom) BUILDING INFORMATION
2. SITE ADORES! I l,; ~ IU, T",w 1</5D 11. SIZE OF STRUCTURE
tq~/ (Height) (Width) (Depth)
3. LEGAL DESCRIPTION 12. NO. OF STORIES
LOT Zo BLOCK I PID 2.S'-.31e- 0'l..O-0
NILD6A!?N6SS PONOS 13. TYPE OF CONSTRUCTION
ADDITION
4. OWNER (Name) (Address) (Tel. No.) 14. FLOOR AREA APPORTIONMENT USE
5. ARCHITECT (Name) (Address) (Tel. No.)
6. BUILDER (Name) (Address) ;;I;~)I (i) 15. NUMBER OF OCCUPANTS OR SEATS
A(...,U~;V HrJMGS IzL/-3.$ PRIJ'l/aeroN OCCUPANTS
>~
7. TYPE OF WORK Fireplace 0 Septic 0 Deck 0 Re-roofiii~. Porch 0 SEATS
New Construction 0 Alterations 0 Addition 0 Finish Attic 0 Re-siding 0 Finish Basement 0 16. PROJECT COSTNALUE
Chimney 0 Misc.
8. PROPERTY AREA OR ACRES 19. PROPERTY DIMENSIONS I ,10. CULVERT SIZE 17. COMPLETION DATE
Sq.Ft. Width Depth Yes No
I hereby certify that I have furnished information on this application which is 10 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 stale and local laws and will proceed in accordance with submitted plans. I am aware that the
building official canlVOke ~s permit fO~ cause. F*~ore, I hereby agree that the city official or a designee may enter upon the property to perform ~~7~d in~tlOns.
X ' r.]. . . - .:s-.2-" '4'-;"-
Signature A" - License No. 0810
V FOR ADMINISTRATIVE USE
SETBACKS: Required MATERIAL FILED WITH APPLICATION
Actual SOIL TESTS 0 ENERGY DATA 0
Front ."" Side Side
BUilDING DEPARTMENT VALUATION OFF STREET PARKING PILING lOGS 0 PERCOLATION TESTS 0
A'JI:- SPACES REO. PLANS & SPECS 0 SETS
USE OF BUilDING /86.s SURVEY 0 COPIES
, SPACES ON PLAN
PERMIT V ALUA TION Z nnM/V PLOT PLAN 0
TYPE OF CONSTRUCTION: I II III IV V Amount Brought Forward .................. $
Occupancy Group A B E F H I M R S U City:
Division 1 2 3 4 Park Support Fee ........................... $
Permit Fee ................................... $ '7<1.7S- SAC ......................................... $
Plan Check Fee ............................. $ Collective Street Fee ....................... $
f.'"t.) Sewer Tap ................................... $
State Surcharge ............................. $ $
Penalty ....................................... $ Pressure Reducer .......................... $
Plumbing Permit Fee ....................... $ Meter Horn ................................... $
Mechanical Permit Fee ..................... $ Water Meter ................................. $
Sewer & Water Connection Fee ........... $
Sewer & Water Permit ...................... $ Water Tower Fee ........................... $
Gas Fireplace Permit ....................... $ Water Tap ................................... $
This Application Becomes Your Building Permit When Approved. Builder's Deposit ............................ $
By Date Other ......................................... $
Certificate of Occupancy Total Due .............................. $ 7(,. () Cl
Paid '7c.. CI1.J Receipt No. ~r-q
Issued Date ->1Z,7! qq By ~ ~ /
This is to certify that the request in the above application and accompanying cIocuments is in accordance with the City Zoning Ordinance and may proceed i. 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 Speclal Conditions if any
24 hour notice for aU inspections 447-9850