HomeMy WebLinkAboutBuilding Permit 99-0767
City of Prior Lake
Inspection Notice
DATE
TIME
10/25/99 A.T.
SCHEDULED
ADDRESS 16672 CREEKSIDE CIRCLE SE
OWNER CONTR
PHONE NO. PERMIT # 99-767
TYPE OF INSPECTION RE-ROOF
COMMENTS:
s--'
o
o
Work Satisfactory, Proceed
Correct Action and Proceed
Correct Work, Call for Reinspection Before Covering
t;J/
Owner/Contr.
Inspector:
16. PROJECT COSTNALU~C
~~(.C> -
17. COMPLETION DATE tv&. n..~
~/'2-7'/'7'1 ~.?_,itrN:,
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 ab entio d property and that all construction wiU conform to all existing state and local laws and will proceed in accordance with submined plans. I am aware that the
. 9 offici~jc revoke this perm.w .~. use. rthermore, I hereby agree that the dtyofficial ora deSiQn.ee may enter upon the property to perform ns ad insp, 'ons.
X p,/~,,~~( (::lK..., 2..C>09'?_O~S-
-- . Signature license No.
~1
DATE RECEIVED
CITY"OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
to ~ /(jji9
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
1~1072.
3. LEGAL DESCRIPTION
5""
1. DATE
6- / 8--~"
C V' [E:I<..S (de
LOT
(\l2.cl" S z
PID dc:;-/rx/- 60S'-()
J-h -lite/A J 3>9 M.dA
BLOCK
, irl -14u J1 It-
ADDITION
14. OWNER
C,.,
15. ARCHITECT
6. BUILDER
(Name)
(eV\
(Name)
(Address)
Wh.J<.ll't""v
(Tel. No.)
(Address)
(Tel. No.1
(Name)
(Address) (Tel. No.)
<; \'2..0..j(). .....0..0 '-Lv~ S '"
<b~",<.~ c;,yu.......
Deck 0 Re-roofi~ Porch 0
Finish Attic 0 Re-slding 0 Finish Basement 0
OVl:,I1,,:mz.. WI? KOO{:'( ~~
7. TYPE OF WORK Fireplace 0 Septic d
New Construction 0 Alterations 0 Addition D
Chimney 0 Misc.
8. PROPERTY AREA OR ACRES
Sq.Ft.
19. PROPERTY DIMENSIONS
Width Depth
11 O. CULVERT SIZE
Yes No
I. White
2. Pink
3. Yellow
File
City
Applicant
Permit No.
9tf-767
BUILDING INFORMATION
". SIZE OF STRUCTURE
(Height) (Width)
(Depth)
12. NO. OF STORIES
I
13. TYPE OF CONSTRUCTION
14. FLOOR AREA APPORTIONMENT USE
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS S,.., ('" h......
SEATS
FOR ADMINISTRATIVE USE
SETBACKS: Required
Actual
Front
Back
Side
Side
MATERIAL FILED WITH APPLICATION
SOIL TESTS 0 ENERGY DATA 0
BUILDING DEPARTMENT VALUATION
" -
'[.(J!.~ INIL
OFF STREET PARKING PILING LOGS 0 PERCOLATION TESTS LI
SPACES REO. PLANS & SPECS LI SETS
SPACES ON PLAN JC SURVEY LI COPIES
PERMIT VALUATION co?SW. ~~ PLOT PLAN LI
USE OF BUILDING
TYPE OF CONSTRUCTION: I II III IV V
Occupancy Group A B E F HIM R
Division 1 2 3 4
Permit Fee ................................... $
--14 < 7~
I, ::rS-
Amount Brought Forward .................. $
Park Support Fee ........................... $
SAC ......................................... $
Collective Street Fee ....................... ~
Sewer Tap ................................... ~
$
Pressure Reducer .......................... $
Meter Hom .................... .... ........... ~
Water Meter ................................. $
Sewer & Water Connection Fee ........... $
WaterTowerFee ........................... $
Water Tap ................................... $
Builder's Deposit ............................ $
Other ......................................... $ --c
Total Due ....eC!.................... $ _ /~.. u ~
Paid 7?c ."-' Receipt No.1;;~ .67'
Date b -ft. 'te) By {)}ClA-J
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 requ~ted. 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.
S U
City:
Plan Check Fee ............................. $
State Surcharge ......................... .... $
Penalty ....................................... $
Plumbing Permit Fee ....................... $
Mechanical Permit Fee ..................... $
Sewer & Water Permit ...................... $
Gas Fireplace Permit ....................... $
This Application Becomes Your Building Permit When Approved.
By Date
Certificate of Occupancy
Issued
C~yPlanner
Date
Special Conditions ff any
24 hour notice for all inspections 447.9850