HomeMy WebLinkAboutBuilding Permit 99-0696
City of Prior Lake
Inspection Notice
DATE
TIME
10/25/99 A.T.
SCHEDULED
ADDRESS 16099 KILDEER LANE
OWNER CONTR
PHONE NO. PERMIT # 99-696
TYPE OF INSPECTION RE-ROOF
COMMENTS:
~ Work Satisfactory, Proceed
o Correct Action and Proceed
D Correct Wo~einspection Before Covering
Inspector: ~ Owner/ContI.
-~--"_._--".._.-
~1
CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
DATI= RFr.~
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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 v:
!\oOqC\. l'--\\r1f'ey-
Ptl t)
LD Ke~
La. l' F.
().,'lrN
3. LEGAL DESCRIPTION
2.
ADDITION (!A/CP//V/'1L ,e/oGC
4. OWNER (Namfl> (~~ess)
_\I(h )()'h 1\ -\-"0 \1\ \l\)()C\q K \\/jee."\
5. ARCHITE6Tl (Name) (Address)
LOT
BLOCK
z
PID 7 S--.3n2-
2/\/0
t'J/1-Q
LVI
1. DATE
')-;;25- C{Cj
'-.
ZONING
(Tel. No.)
LJy1- ~04~
(Tel. No.)
6. BUI19ER (Name) (Address) (Tel. No.)
,;r::/Gff7 Wfit/ /&.,r7S.:;,/<;7H ,.qVG -. 7>" I/novTh'
7. TYPE OF WORK FI~place [J Septic 0 Deck 0 'Re.roofin~ Porch 0
New Construction 0 Alterations 0 Addition CI Finish Attic CI As-siding CI Finish Basement 0
Chimney 0 Misc.
8. PROPERTY AREA OR ACRES
Sq.Ft.
9. PROPERTY DIMENSIONS
Width Depth
YeS No
1 O. CULVERT SIZE
1. White
2. Pink
3. Yellow
File
City
Applicant
Permit No. BP t1Cl -~ tf'Ct>
BUilDING INFORMATION
11. SIZE OF STRUCTURE
(Height) (WIdth) (Depth)
12. NO. OF STORIES
13. TYPErlSTRUCTION
11' r._ .
14. FLOOR AREA APPORTIONMENT USE
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANT~
SEAT~
16. PROJECT COSTNAlUE
Q ()
I!"P.. .
17. COMPLETION DATE
(Q-~A.qq
I hereby certify thai I have furnished information on this applICation wtlich 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. I am aware that the
buildl~icial can revoke this permit f9f1}ls~ C8us,e. Furthermore, I hereby agree that the ci~icial or a designee may enter upon the property to perfopn needed inspftl{tions.
X ---.:.h.P ()./'" dd) k j ('JU'A -' d ( -J CI 9 CJ 5, ~ f3 ~ Lf q
(j;lgnature License No. Dale
FOR ADMINISTRATIVE USE
SETBACKS: Required
Actual
Baok
Side
Front
- BUILDING DEPARTMENT VALUATION
Side
USE OF BUILDING
;Ie e;s; "'7 A':..
OFF STREET PARKING
SPACES REO,
SPACES ON PLAN
PERMIT VALUATION 2. '>Vo_ cJU
Amount Brought Forward .................. $
Park Support Fee ........................... $
SAC ......................................... $
Collector Street Fee ....................... $
Sewer Tap ................................... $
License Check Fee ......................... $
Pressure Reducer .......................... $
Meter Horn ................................... $
Water Meter ................................. $
Sewer & Water Connection Fee ........... $
Water Tower Fee ........................... $
Water Tap ................................... $
Builder's Deposit ............................ $
Other ......................................... $
Total Due .............................. $ I G, . t/l)
Paid 7(P, (/lI ReceiotNo. 3~<l1"';
Datebldqq By ArJ.2
This is to certify that the request in the above application and accompanying documents is in accordance with the City Zoning Orctf'nance and may proceed ~ 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.
TYPE OF CONSTRUCTION: I II III IV V
Occupancy Group A B E F HIM R S U
City:
Division 1 2 3 4
Pennit Fee ................................... 'l:
IY./"-
Plan Checking Fee ......................... ~
,."2. ~
State Surcharge ............................. $
Penalty ....................................... $
Septic System ............................... $
Other ......................................... $
Th~
By
Issued
City Planner
Da..
24 hour notice for all inspections 447-4230
Special Conditions it any
MATERIAL FilED WITH APPUCATlON
SOIL TESTS Ll ENERGY DATA Ll
PILING LOGS Ll PERCOLATION TESTS Ll
PLANS & SPECS 0
SURVEY 0
SETS
COPIES
PLOT PLAN
Ll