Loading...
HomeMy WebLinkAboutBuilding Permit 99-0764 - City of Prior Lake Inspection Notice DATE TIME 10/25/99 A.T. SCHEDULED ADDRESS 16336 VICTORIA CURVE SE OWNER CONTR PHONE NO. PERMIT # 99-764 TYPE OF INSPECTION RE-ROOF COMMENTS: ~ Work Satisfactory, Proceed o Correct Action and Proceed o Correct Work, ;~t)or Reinspection Before Covering Inspector: r?~ Owner/Contr. 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 ) b 33~ tJ/c-L~~ ClA4'I~ 7--- e 106; E: (gD2~ ;J;E9 ), ') [.U~ 3. LEGAL DESCRIPTION / BLOCK /' A--P // 111 / /JL. 4. OWNER IYI:KL (r:;UL 5. ARCHITECT (Name) LOT ADDITION 6. BUILDER (Name) 41 LIM- U "'Y 7. TYPE OF WORK New Construction 0 Fireplace 0 Alterations CJ Septic 0 Addition CJ CITY OF PRIOR LAKE BUILDING PERMIT, TEMPORARY CERTIFICATE OF ZONING COMPLIANCE AND UTILITY CONNECTION PERMIT 1. White 2. Pink 3. Yellow File City Applicant Permit No. 91 - 7ft:4- 1. &/;(Jhi BUILDING INFORMATION 11. SIZE OF STRUCTURE (Heighl) (Width) (Depth) s .E;. ,?usp 12. NO. OF STORIES PID 25-32.2..- OO~-O Lf1?f' 13. TYPE OF CONSTRUCTION (Address) ~ (Address) !l;;1~ L)?/J2- . (Tel. No.) . 14. FLOOR AREA APPORTIONMENT USE (Address) (Tel. No.) 15. NUMBER OF OCCUPANTS OR SEATS OCCUPANTS 3 5BO ~"Il"j,~, [~N/ ~j"I-~-'l{a; SEATS 16. PROJECT COSTNALUE Deck 0 Finish Attic 0 Re.roofin~ Porch 0 Re.siding 0 Finish Basement 0 Chimney 0 Misc. B. PROPERTY AREA OR ACRES 19. PROPERTY DIMENSIONS 110. CULVERT SIZE Sq. Ft. Width Depth Yes No I hereby certify that I e fumished 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 roperty and that 6ns ruction will conform to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the building official can aka thi it f just sa. Furtl:lermore, I hereby agree that the city official or a designee may enter upon th~roparty to pertorm needed inspections. X . 5n../ ..2-01 380 '7 j /C;- ./~ Signal License No. Date SETBACKS: Required Actual Front BUILDING DEPARTMENT VALUATION USE OF BUILDING /2~s R/IC TYPE OF CONSTRUCTION: I II III IV V Occupancy Group A B E F HIM R Division 1 2 3 4 Permit Fee ................................... $ Plan Check Fee ............................. $ State SUlcharge ............................. $ Penalty ....................................... $ Plumbing Permit Fee ....................... $ Mechanical Permit Fee ..................... $ Sewer & Water Permit ...................... $ 17. COMPLETION DATE FOR ADMINISTRATIVE USE Back Side MATERIAL FILED WITH APPLICATION SOIL TESTS 0 ENERGY DATA 0 PILING LOGS LJ PERCOLATION TESTS c:J Side OFF STREET PARKING SPACES REO. SPACES ON PLAN PERMIT VALUATION PLANS & SPECS c:J SURVEY c:J SETS COPIES ~ CGil.J _ </U PLOT PLAN Ll S U 7<f.1y City: Amount Brought Forward .................. It Park Support Fee ........................... $ SAC ......................................... $ Collective Street Fee ....................... $ Sewer Tap ................................... t $ Pressure Reducer .......................... $ Meter Horn ................ ................... $ Water Meter ................................. $ Sewer & Water Connection Fee ........... $ WaterTowerFee ........................... $ Water Tap ................................... $ Builder's Deposit ............................ 4: 1.2..~ Other ......................................... $ Total Due .............................. $ -/fe,. u U Paid '""Jr,. (/lJ Receipt No. 35<;;37 Date &/, PJ/<;0 By ~ This is to certify that the request in the above application and accompanying documents is in accordance with the City zoning' Ordinahce ari'd may proceed Is requested. This document when signed by the City Planner constitutes a temporary Certificate of Zoning compliance and allows constructiOl1 to commence. Before occupancy, a Certificate of Occupancy must be issued. Certificate of Occupancy Issued City Planner Dale SpecialCondilions~any 24 hour notice for all inspections 447.9850