HomeMy WebLinkAboutBuilding Permit 99-0966
City of Prior Lake DATE
Inspection Notice
10/25/99
SCHEDULED
ADDRESS 17090 TORONTO AVENUE SE
OWNER CONTR
PHONE NO. PERMIT # 99-966
TYPE OF INSPECTION RE-ROOF
COMMENTS:
i:f Work Satisfactory, Proceed
o Correct Action and Proceed
o Correct Work, 5a~Reinspection Before Covering
Inspector: V/ Owner/Contr.
TIME
A.T.
~~
DATE RECEIVED
a/r, /9'7
CITY OF PRIOR LAKE
; BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
I. White
2. Pink
3. Yellow
File
City
Applicant
Permit No.
QCl-9'(P
DIRECTIONS
SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN
BEFORE PERMIT IS ISSUED (Please Print or Type and sign at bottom)
11:~. 99
If /d~ Mk (J e I
BUILDING INFORMATION
11. SIZE OF STRUCTURE
("';9hl) (W~lh) (D,pth)
2/J//)(};) 7Afl1/i~ L/(J./
3. LEGAL DESCRIPTION
LOT
"/ BLOCK.3
loSr
NOOOeIO~b
12. NO. OF STORIES
PID 25' 2.80.03/-0
13. TYPE OF CONSTRUCTION
ADDITION
6. BUILDER
(Name)
(Address)
;U/t1~
I
14. FLOOR AREA APPORTIONMENT USE
(Tel. No.)
15. NUMBER OF OCCUPANTS OR SEATS
llfJ/ fA!Jl1(;II/A~/l (~/) ~rlt!ol;}/;)RF l/!!(k . 1(g;. 51 fh
. TYPE OF WORK Firepleyte 0 Sap Deck LJ e.roofin~ Porch 0
New Construction 0 Alterations 0 Addition 0 Finish Attic 0 Re-sidlng 0 r Finish Basement 0
Chimney CJ Misc.
OCCUPANTS
SEAT~
16. PROJECT COSTNALUE
8. PROPERTY AREA OR ACRES 19. PROPERTY DIMENSI~LVERT SIZE
Sq. Ft. Width Depth I 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 above m on property 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
building 0 . ial can voke this perm~use. Furthermore, I hereby agree that the city official or a desi9l}l;e ma.x...enter upon the property to perfo~ed insp~?Rf'
X // /.(,AJ."~,,~""d--fJ -- ,-_--=.:;-a/)9'/~?"~NO -E-~,,- '/7
..... ....
17. COMPLETION DATE
FOR ADMINISTRATIVE USE
SETBACKS: Required
Actual
Fronl
MATERIAL FILED WITH APPLICATION
Back Side Side SOIL TESTS 0 ENERGY DATA 0
OFF STREET PARKING PILING LOGS 0 PERCOLATION TESTS 0
SPACES REO. PLANS & SPECS 0 SETS
SPACES ON PLAN SURVEY 0 COPIES
PERMIT VALUATION 2. <;(5)) . oV PLOT PLAN 0
BUILDING DEPARTMENT VALUATION
USE OF BUILDING
/et3 s "",'1/ R...
;
TYPE OF CONSTRUCTION: I II III IV V
OccupancyGroup A B E F HIM R S U
City,
Amount Brought Forward .................. $
Park Support Fee ........................... $
SAC ......................................... $
Collective Street Fee ....................... $
Sewer Tap ................................... $
.
Division 1 2 3 4
Permit Fee ................................... $
741-r
Plan Check Fee ............................. $
State Surcharge ............................. $
Penally ....................................... $
I. Z,.r
Builder's Deposit ............................ If:
Other ......................................... $
Total Due .............................. $
Pa;d -;1".(/0 RocaiPtjlrl 3563Cf
Issued ~ .'.
Dalo ~/ (" Iqq By IfAtL
This is to certify that the request in the above application and accompanying documents is in accordance with the City zoninJ Ordina~ and may proceed i~uested. 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.
Pressure Reducer .......................... $
Meter Horn .................... .... .... ....... $
Water Meter ................................. :;:
Sewer & Water Connection Fee ........... f.
WaterTowerFee ........................... <t
Water Tap ................................... $
Plumbing Permit Fee ....................... $
Mechanical Permit Fee ..................... $
Sewer & Water Permit ...................... $
This
By
IIdin~ ~:t:;tW~!'r.lqr
7(0.00
C~yPlanner
Date
Special Conditions if any
24 hour notice for all inspections 447-9850