HomeMy WebLinkAboutBuilding Permit 99-0927
City of Prior Lake
. Inspection Notice
DATE
TIME
10/25/99 A.T.
SCHEDULED
ADDRESS 15800 FREMONT AVENUE NW
OWNER CONTR
PHONE NO. PERMIT # 99-927
TYPE OF INSPECTION RE-ROOF
COMMENTS:
y
o
o
Work Satisfactory, Proceed
Correct Action and Proceed
Correct Work, Call for Reinspection Before Covering
{p
Owner/Contr.
Inspector:
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CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
2. SITE ADDRESS r-
15Kt() ,...r(*~fnl'\Y1f
3. LEGAL DESCRIPTION
3
/SL-A/tJO View 4tH
~~trnv \~Kt.() (A~;t:emon\-1iv('".(Tel NO~i:;
5. ARCHITECT (Name) (Addra..) (Tel. No.)
I DIRECTIONS
SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN
BEFORE PERMIT IS ISSUED (Please Print or Type and sign at bottom)
f}1If"~
LOT
:z..
PID Z5-.2.4q-OZS-o
BLOCK
ADDITION
1. DATE
7/27/99
~/sO
6. BUILDER (Name) (Address)
Htlri"2.p('\._ 133~lo.t"c Incl'-'5tnoJ E>\vd
~ ~Wt'}C;.V.i.lk... 65?;, 7
7. TYPE OF WORK Fireplace LI Septic 0 . Deck 0 Re-roofln~ Porch 0
New Construction 0 Alterations (] Addition 0 Finish Attic 0 As-siding 0 Finish Basement 0
(Tel. No.) (g rz.
gqo-
3Cl 00
L White
2. Pink
3. Yellow
File
City
Applicant
Permit No. 99 - 927
BUILDING INFORMATION
11 . SIZE OF STRUCTURE
(Heighl) (Width) (Depth)
12. NO. OF STORIES
13. T'?'f OF CONSTRUCTI~
~."" - '(' t'n-
14. FlOOR AREA APPORTIONMENT USE
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS
SEATS
16. PROJECT COSTNALUE
(0512.. 7q
17. COMPLETION'M1'E
Chimney 0 Misc.
8. PROPERTY AREA OR ACRES ~ROPERTY DIMENSIONS 10. CULVEH I .::>ILt::
Sq. Ft. I Width Depth Yes No
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 abov mentioned property and that all construction will conform to all existing state and local laws and wlll proceed in accordance with submitted plans. I am aware that the
buildin fficial can revoke~i it for just cau/e. Furthermore, 1 hereby agree that the city official or a designee may enter upon the property to perform ~e~ed insPEftions.
X a I-'1 .rLU--...... :Jt'.::D.1:;n 9~ '/..:2 .,. / Q 9
. ture License No. - Date - -
SETBACKS: Required
Actual
FOR ADMINISTRATIVE USE
Front
Ba'"
Side
BUILDING DEPARTMENT VALUATION
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
PERMIT VALUATION
USE OF BUILDING
ee..s A/.12
,
Side
2500.00
Amount Brought Forward .................. ~
Park Support Fee ........................... It
SAC ......................................... $
Collective Street Fee ....................... $
Sewer Tap ................................... $
..
Pressure Reducer .......................... $
Meter Ham ................................... $
Water Meter ................................. $
Sewer & Water Connection Fee ........... :t
WaterTowerFee ........................... $
Water Tap ................................... ,'I::
Builder's Deposit ............................ ~
Other ......................................... $_
Total Due .............................. $ . 'J '" . C) 0
Paid ~h' 0 0 Receipt No
Issued
Date ., '2n/'1.'f B~ _
This IS to certify that the request in the above application and accompanYing documents IS In accordance With the City ZOOlnA Ordln~nce and may proce s requested ThIS document when
signed by the City Planner constitutes a temporary Certificate of Zomng compliance and allows construction to commence Before occupancy, a Certifl of Occupancy must be ISSUed.
TYPE OF ...'..m;;. I nUCTION: I II III IV V
Occupancy Group A B E F HIM R S U
DM.b, 1 2 3 4 741. 75""
Permit Fee ................................... $
Plan Check Fee ............................. $
City'
State Surcharge ............................. $
/.z.s-
Penalty ....................................... $
Plumbing Permit Fee ....................... $
Mechanical Permit Fee ..................... $
CilyPlanner
Dale
24 hour notice for all inspections 447-9850
Special Conditions ~ any
MATERIAL FILED WITH APPLICATION
SOIL TESTS ('] ENERGY DATA (']
PILING LOGS ('] PERCOLATION TESTS (']
PLANS & SPECS ('] SETS
SURVEY ('] COPIES
PLOT PLAN (']