HomeMy WebLinkAboutBuilding Permit 99-0911
City of Prior Lake
Inspection Notice
DATE
TIME
10/25/99 A.T.
SC~EDULED
ADDRESS 16376 FRANKLIN TRAIL SE
OWNER CONTR
PHONE NO. PERMIT # 99-911
TYPE OF INSPECTION RE-ROOF
COMMENTS:
g' Work Satisfactory, Proceed
o Correct Action and Proceed
o Correct Work, Call for Reinspection Before Covering
Inspector: (}J Owner/Contr.
~~
"!/?7C
CITY OF PRIOR LAKE _
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
""
AND UTILITY CONNECTION PERMIT Permit No.
.Q.ATf RI=r:I=I\~Q
7/Z-7/9?
I DIRECTIONS
SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN
BEFORE PERMIT IS ISSUED (Please Print or Type and sign at bottom)
12, SITE ADDRESS / /'") 76
~ J:r fA" kl (/I
L White
2. Pink
3. Yellow
File
City
Applicant
1. DATE
99- 9//
/9. PROPERTY DIMENSIONS 110. CULVERT SIZE
Width Depth Yes No
I hereby certify that I have fumished information on this application which is to the best of my knowledge true and correct. J also certify that I am the owner or authorized agent for
the above mentioned property and that all construction will conform 10 an existing state and local laws and will proceed in accordance with submitted plans. I am aware that the
building o~n revo~Wis permit for just cause. Furthermore, I hereby agree that the city official or a designee may enter upon the property to pertorm needed inspections.
X - ~ ~/6"l}h -2-ZP-94
~ Signature License No. Oate ,
7-LC-0, ~
-PrlJo,'/
le-J
3. LEGAL DESCRIPTION
LOT
AODITlON
Pl
::a.LOCK
J PID 2'f)-O/~~ Ool!J-O
#/ LtJ' 2.A1.c
8Lco.cJ'Vlrj ~
4. OWNER (j")
VOIl
5. ARCHITECT
(~e)
~(JAIl S&t ,It:.
(Name)
(Address)
IC.~ 76 r;'rc..JI:.y r;.
(Address)
(Tel. No.)
1(';7-11:37
(Tel. No.)
6. BUILDER
(Name) (Address)
A . ,.? '/J 1'L1-'/1#/c4lt+~ '>.
fkUlla.r.. ts~I~.A9 {OIttl"t>.c.for5 /l. 'II
/ ""'^5//I.'-'-
Septic 0 Deck 0
Addition LI Finish Attic 0
(Tel. No.)
'/07-
6'1.>0,
7. TYPE OF WORK
New Construction LI
Fireplace 0
Alterations 0
Re-roofing){ Porch 0
Re-siding 0 Finish Basement LI
Chimney LI Misc.
/8. PROPERTY AREA OR ACRES
Sq,Ft /7
BUILDING INFORMATION
11, SIZE OF STHuCTURE
(Height) (Width) (Depth)
12. NO. OF STORIES
13. TYPE OF CONSWUCTION
r~rttH'
14. FLOOR AREA APPORTIONMENT USE
15. NUMBER O~ ut...:lJUl-'ANTS OR SEATS
OCCUPANTS
SEATS
16, PROJECT COSTNALUE
Lt, O(Hl-
17. COMPLETION DATE
- --
Amount Brought Forward .................. $
Park Support Fee ........................... $:
SAC m...u..uu...u....u...u....u...u $
Collective Street Fee ....................... $
Sewer Tap ................................... $
$
Pressure Reducer .......................... $
Meter Horn ................................... $
Water Meter ................................. $
Sewer & Water Connection Fee ........... $
WaterTowerFee ........................... $
Water Tap ................................... $
Builder's Deposit ............................ $
Other ......................................... $
Total Due ..'u..u....u...u....u.... $ 7'.V</
Paid '7 f. . c(D Receipt ,"/ ~ r tf'u?J
Date '1 By f4<---
This is to certify that tile request in the above application and accompanying documents is in accordance with the City Zoni Ordi anca and may proceed a4requested. This document when
signed by the City Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate M Occupancy must be issued.
SETBACKS: Required
Actual
FOR ADMINISTRATIVE UtlE
Front
Back
Side
Side
BUILDING DEPARTMENT VALUATION
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
PERMIT VALUATION
2. ~"" _ V'---
USE OF BUILDING
Rl;J M ~
TYPE OF CONSTRUCTION, I II III IV V
Occupancy Group A B E F HIM R S U
City:
Division 1 2 3 4
Permit Fee ................................... $
Plan Check Fee ............................. $
State Surcharge ............................. $
Penalty.......................... ............. $
Plumbing Permit Fee ....................... $
7-1. 7 ~
/.{.."'-
Mechanical Permit Fee ..................... $
Sewer & Water Permit ...................... ~
....................... $
r Building ;;';" l!i2"It:p!]vft 7
Issued
City Planner
Date
Special Conditions ~ any
24 hour notice for all inspections 447.9850
MATERIAL HLED WITH APPLICATION
SOIL TESTS 0 ENERGY DATA 0
PILING LOGS 0 PERCOLATION TESTS 0
PLANS & SPECS 0
SURVEY 0
SETS
COPIES
PLOT PLAN
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