HomeMy WebLinkAboutBuilding Permit 99-0982
City of Prior Lake
Inspection Notice
DATE
TIME
10/25/99 A.T.
SCI;IEDULED
ADDRESS 16347 P ARK AVENUE SE
OWNER CONTR
PHONE NO. PERMIT # 99-982
TYPE OF INSPECTION RE-ROOF
COMMENTS:
D Work Satisfactory, Proceed
D Correct Action and Proceed
D Correct Work, Call for Reinspection Before Covering
Inspector: t;2J Owner/Contr.
~~
~A;;~79CJ
CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILlTY:COMIIECTION PERMIT
~'
Y -,; 'j'q
,leI ~O
1. White
2. Pink
3. Yellow
File
City
Applicant
Permit No. _99 -q(J2-
I DIRECTIONS
SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN
BEFORE PERMIT IS ISSUED (Please Print or Type and sign at bottom)
~l. 'I" 1f'J\!4-.e.J:= c4-vf' 5"'2-
3. LEGAL DE~CRju-ION '
LOT ? / CJ / BLOCK
BUILDING INFORMATION
11. SIZE OF STRUCTURE
(Height) (Width) (Depth)
12. NO. OF STORIES
PID 25 -22-2.- 00/-0
ADDITION
~/1 re.5'/ 0 b 47H
(Name) (Address)
b~c" &v,,'Lc., /t.W9 1~l4vi!5.t
(Name( f (Addr.ss)
13. TYPE OF CONSTRUCTION
~
(Tel. No.)
VI;C? ~ :J-n~
(T.I. No.)
14. FLOOR AREA APPORTIONMENT USE
15. ARCHITECT
6. BUilDER
(Name)
(Address)
(Tel. No.)
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANT~
New Construction 0
Fireplace CJ
Alterations CJ
SepticCJ
Addition CJ
DeckCJ
Finish Attic CJ
Re-roofin~p(" Porch CJ
Re-siding CJ Finish Basement CJ
SEATS
16. PROJECT COSTNALUE
Chimney CJ Mlsc,
18, PROPERTY AREA OR ACRES 19. PROPERTY DIMENSIONS 110' CULVERT SIZE
Sq. Ft. Width Depth Yes No
I hereby certify that I have fumished information on this application which is to the best 01 my knowledge true and correct. I also certify that I am the owner or authorized agent for
the above mentioned 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
~Ial ~VOk~thIS pe[Iq.t for Just cause Furthermore, I hereby agree that the City offiCIal or a desIgnee may enter upon the property to~ons.
~ c.,,~ oCl...,.A___, . '
~;? I ,,-=V '0 Signature (s license No Dale
17. COMPLETION DATE
FOR ADMINISTRATIVE USE
SETBACKS: Required
Actual
MATERIAL FILED WITH APPLICATION
Front
..ok
S~.
Side
SOIL TESTS
CJ ENERGY DATA
CJ
BUILDING DEPARTMENT VALUATION
e&;s /-1-/ R...
r
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
PERMIT VALUATION
PILING LOGS LJ PERCOLATION TESTS D
USE OF BUILDING
PLANS & SPECS CJ
SURVEY CJ
SETS
COPIES
2. nJ7) ,. c:/V
PLOT PLAN
CJ
TYPE OF CONSTRUCTION: I II III IV V
OccupancyGroup A B E F HIM R S U
City:
Amount Brought Forward .................. $
Park Support Fee ........................... c:
SAC ...."''''.. ' "'...... ' "''''........... , $
Collective Street Fee ....................... It
Sewer Tap ................................... or
$
Division 1 2 3 4
Permit Fee ................................... $
7t1.7C:;-
Plan Check Fee ............................. $
State Surcharge ............................. $
Penalty ....................................... $
Plumbing Permit Fee ....................... $
j, z-C;-
Mechanical Permit Fee ..................... $
Pressure Reducer .......................... $
Meter Horn ................................... $
Water Meter ................................. $
Sewer & Water Connection Fee ........... $-
WaterTowerFee ...........................:t
Sewer & Water Permit ...................... $
ermit .... .................. $
m sYn./i"iI\"'9P.lTTlitW~ApPro""J1.t1
7m;(' D.t. 10/., /
f~ I
Certificate of Occupancy
This
By
Water Tap ................................... ,or
Builder's Deposit ............................ $
Other ......................................... $
Total Du. ...........,"'......,"'...., $-7(", ou
Paid "'"'1 /. ,() () R.c.ipt Np. 3~s:5
Issued ~ _ .
Th.. certifytha '" . '" bo I. ti d . doc Is.. rd .'" h cDatz. ~Ord/O/<j'1d By J~ The--
IS IS to t e request In e a va app lea on an accompanYing umen IS In acco anca WI t e Ity oOlng Inance an may pr0ceeaca6 requested. IS 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
Date
Special Conditions if any
24 hour notice for aU inspections 447-9850
~-"------"""~ --'--_._----~-_.-