HomeMy WebLinkAboutBuilding Permit 99-1113
City of Prior Lake DATE
Inspection Notice
10/25/99
SCHEDl.lLED
ADDRESS 15755 SKYLINE AVENUE NW
OWNER CONTR
PHONE NO. PERMIT # 99-1113
TYPE OF INSPECTION RE-ROOF
COMMENTS:
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o
o
Work Satisfactory, Proceed
Correct Action and Proceed
Correct Work, Call for Reinspection Before Covering
tV
Inspector:
Owner/Contr.
TIME
A.T.
CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITy' CONNECTION PERMIT
5~~
DATE RECEIVED
q/8/91
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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
/'7755
~kJ.',,#
3. LEGAL DESCRIPTION/
Avz.
7(;. ()O
-----
1. White
2. Pink
3. Yellow
File
City
Applicant
Permit No. q9 ~ III ~
I ;r~-11
BUILDING INFORMATION
11. SIZE OF STRUCTURE
(Height) (Width) (Depth)
;e IS 0
LOT ()lfT l-O-r l3 BLOCK
IS~ V /G 'rV I <<.r
PID 25-/43- 67/-0
12. NO. OF STORIES
ADDITION
4. OWNER
Kt/....
5. ARCflfTECT
(Name)
S-b./'tY.uh ./
(Name)
(Address)
/tJ7~.; )eyJ.""
(AddrEfss)
k
6. BUILDE'A ' (Name) II 1
l"^U'tCh /J".,ltI(,
[C "'/-re".d""5
7. TYPE OF WORK Fireplace (J
New Construction LJ Alterations a
Chimney D Misc.
(Address)
'....1..'17 ,A/;a/4+/rv.- s,
Ptcfn5v/11.t...
Septic 0
Addition 0
Deck 0
Finish Attic 0
Re-roofin91l Porch 0
Rs-siding 0 Finish Basement 0
1YROJECT COSTNALUE
If I?OrJ -
17. COMPLETION DATE
(Tel. No.)
Jlt{7 -1/7/'1
(Tel. No.)
13. TYPE OF CON.llTRUCTION
rfrlJd'
14. FLOOR AREA APPORTIONMENT USE
(Tel. No.)
')C7-
6'1 $''7
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS
SEATS
8. PROPERTY AREA OR ACRES /9, PROPERTY DIMENSIONS 10. CULVERT SIZE
Sq. Ft. Width Depth Yes No
t hereby certify that I have furnished informatJon 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 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 o~at C8!ljfvoke this permit for just cause. Furthermore, I hereby agree ttlat the city official or a designee may enter upon the property to perlonn needed inspections.
X -"'--&:;' r-U)/,t;'1,R-"J Cr-e--qo,
Signature License No. Date'
SETBACKS: Required
Actual
FOR ADMINISTRATIVE USE
Front
Back
Side
- BUILDING DEPARTMENT VALUATION
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
PERMIT VALUATION
USE OF BW-DING
l{pJ~> .
Air
/
TYPE OF CONSTRUCTION: I II HI IV V
Occupancy Group A B E F HIM R
Division 1 2 3 4
Permit Fee ................................... $
Side
MATERIAL FILED WITH APPLICATION
SOIL TESTS 0 ENERGY DATA 0
PILING LOGS 0 PERCOLATION TESTS 0
PLANS & SPECS 0 SETS
SURVEY
PLOT PLAN
o COPIES
o
/.c::-no.Qd
s u
City:
7q.?~
Plan Check Fee ............................. $
State Surcharge ............................. $
/.2.~
Penalty .......................................4:
Plumbing Permit Fee ....................... $
Mechanical Pennit Fee ......... ............ ,Il:
Permit When-&pro~. C;
Date _9 -74r -'7 /
Issued
Amount Brought Forward .................. $
Park Support Fee ........................... $
SAC ......................................... $
Collective Street Fee ....................... $
Sewer Tap ................................... $
$
Pressure Reducer .......................... $
Meter Horn ....... ............................ $
Water Meter ................................. $
Sewer & Water Connection Fee ........... $
WaterTowerFee ........................... $
Water Tap ................................... $
Builder's Deposit ............................ $
Other ......................................... $
Total Due .............................. $ 7'-'.00
Paid 7 r,. 00 Receipt No. ~~lrpPJ (
Date 'f -If -q,? By f4';;
This is to certify that the request in the above application and accompanying documents is in accordance with the City Zoning Ordinance and 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.
CilyPlanner
Date
24 hour notice for all inspections 447-9850
Special Conditions il any