HomeMy WebLinkAboutBuilding Permit 99-0901 - re-roof
City of Prior Lake
Inspection Notice
DATE
TIME
JO/25/99 A.T.
SCHEDULED
,
ADDRESS 16829 TORONTO AVENUE
OWNER CONTR
PHONE NO. PERMIT # 99-901
TYPE OF INSPECTION .RE-ROOF
COMMENTS:
~
o
o
Work Satisfactory, Proceed
Correct Action and Proceed
Correct Work, Call for Reinspection Before Covering
Inspector:
c;v
Owner/Contr.
6~~
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
DATE RECEIVED CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
1r:~ (1'
1. White
2. Pink
3. Yellow
File
City
Applicant
Permit No.
9f- 9/)/
/t;'f?2Q
"i7J I~ vvL <;E
BUILDING INFORMATION
11. SIZE OF STRUCTURE
(Height) (Width) (Depth)
3. LEGAL DESCRIPTION
12. NO. OF STORIES
J'f/~
JbOCK
~~~
PID 'Z.;-- qo~ ~.:>Z,"l_-o
LOT
ADDlTlON
13. TYPE OF CONSTRUCTION
4.0WNE~. .~ <
( ---0"" . _ ~/"':~'
5. ARCHITECT (Name)
(Address)
/l.1 A/fvt<{tJWL.
(Address)
(Tel. No.)
.<::L/fA . 3 2-1 'I
(Tel. No.)
14. FLOOR AREA APPORTIONMENT USE
6. BUILDER
(Name)
(Address)
(Tel. No.)
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS
~ D. I>~ttt
7. TYPE OF WORK Fireplace (:J
New Construction 0 Alterations 0
Chimney 0 Misc.
IC8l1 'nh20~
Septic LJ Deck LJ
Addition 0 Finish Attic 0
~, lf~- &521.{
Re-roofing Porch LJ
Re-siding 0 ish Basement 0
SEATS
16. PROJECT COSTNALUE
8. PROPERTY AREA OR ACRES 19. PROPERTY DIMENSIONS 110. CULVERT SIZE
Sq. Ft. Width Depth Yes No
I hereby certify that I have fumlshed .. "........"......., 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 perty 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
build' g official ca oke this penn.' lor IUSI cause. Furthennore, I hereby agree Ihal Ihe City offICIal or a deSignee may enler upon the property 10 pell:" ~ ~n1ectlons
X 0--, '7 _. ---......., l'
/~..r/'''''-- C'-~ ./ ~ LIcense No te
17. COMPLETION DATE
FOR ADMINISTRATIVE USE
SETBACKS: Required
Actual
Front
Baok
Side
Side
MATERIAL FILED WITH APPLICATION
SOIL TESTS 0 ENERGY DATA 0
PILING LOGS 0 PERCOLATION TESTS LJ
BUILDING DEPARTMENT VALUATION
USE OF BUILDING
,
I(E:<; A-/A-
f
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
PERMIT VALUATION
PLANS & SPECS 0
SETS
COPIES
SURVEY 0
'2.500.
PLOT PLAN
o
TYPE OF CONSTRUCTION: I II III IV V
Occupancy Group A B E F HIM R
Division 1 2 3 4
Permit Fee ................................... $
S U
City:
Amount Brought Forward .................. $
Park Support Fee ........................... $
SAC ......................................... $
Collective Street Fee ....................... $
Sewer Tap ................................... $
$
1 ~_ "1<)
Plan Check Fee ............................. $
State Surcharge ............................. $
,. 'l.o;""
Penalty ....................................... $
Plumbing Permit Fee ....................... $
Pressure Reducer .......................... $
.... .........,;..... $
. $ I'
ng P:,:"it Wh1 ~(f 1
Meter Hom ................ ................... $
Water Meter ................................. $
Sewer & Water Connection Fee ........... $
Water Tower Fee ........................... $
Water Tap ................................... $
Builder's Deposit ............................ $
Other ......................................... $
Total Due .............................. $
Paid ,c. - .
Mechanical Permit Fee ..................... $
Date
t{,......
Receipl No. ~ ''''''lP
By (l..I)f:t
Certificate of Occupancy
Issued
This is to certify that the request In the above application and accompanying documents is in accordance with the City Zoning Ordin nd may proceed as 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
Dale
Special Conditions W any
24 hour notice for aH inspections 447-9850