HomeMy WebLinkAboutBuilding Permit 99-1152
City of Prior Lake
Inspection Notice
DATE
TIME
SCHEDULED
10/25/99 A.T.
ADDRESS 16453 FRANKLIN TRAIL SE
OWNER CONTR
PHONE NO. . PERMIT # 99-1152
TYPE OF INSPECTION RE-ROOF
COMMENTS:
.-.
6'
/
o
o
Work Satisfactory, Proceed
Correct Action and Proceed
Correct Work, Call for Reinspection Before Covering
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Owner/Contr.
Inspector:
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QATf RFr.FIYFQ
q /z- /99
CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
1. White
2. Pink
3. Yellow
File
City
Applicant
Permit No. Q9-//5Z--
DIRECTIONS
SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN
BEFORE PERMIT IS ISSUED (Please Print or Type and sign at bottom)
2. SITE AD71S4 S J
3. LEGAL DESCRIPTION
;;'~ft:"
LOT
I BLOCK
Beo(JJ::f VI' t.-c. ~
(Name)
73mb),~:1"
ADDITION
4. OWNER
5. ARCHITECT
(Name)
6. BUILDER
(Name)
7. TYPE OF WORK
New Construction 0
Chimney 0 Misc.
Fireplace 0
Alterations 0
Septic 0
Addition 0
1. DATE
t;c-
9~)/' if 7
Je-/
BUILDING INFORMA liON
11. SIZE OF STRUCTURE
(Height) (Width) (Depth)
I/'
2-
"./I U>S'
12. NO. OF STORIES
PID ZS"O[3 - /J/W-'C)
/ .$-r-
13. TYPE OF CONSTRUCTION
(Address)
7c;.....~
(Address)
(Tel. No.1
14. FLOOR AREA APPORTIONMENT USE
(Tel. No.)
(Address)
(Tel. No.)
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS
DeckCl
Finish AWe 0
Re-roofing'" Porch 0
Re-siding 0 Finish Basement 0
SEATS
16. PROJECT COSTNALUE
8. PROPERTY AREA OR ACRES 19. PROPERTY DIMENSIONS 110. CULVERT SIZE
Sq. Ft. 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 above mentioned property and that aU construction will confonn to all existing stale and local Jaws and will proceed in accordance with submitted plans. I am aware that the
building official can revok~rmit for just cause~rthermore..JJ1ereby agree that the city official or a designee may enter upon the property to perf~ ~ Inspecticf\s.
1 ,c/- ~~ .,.~ .J/. qt;
DOAl PlttJ ~ Signature '*" .' License No. Date '
SETBACKS: Required
Actual
Front
BUILDING DEPARTMENT VALUATION
USE OF BUILDING
,ee;:r ~/AL
TYPE OF CONSTRUCTION: I II III IV V
Occupancy Group A B E F HIM R
Division 1 2 :3 4
17. COMPLETION DATE
FOR ADMINISTRATIVE USE
Back
Side
MATERIAL FILED WITH APPLlCA nON
SOIL TESTS 0 ENERGY DATA 0
PILING LOGS 0 PERCOLATION TESTS 0
PLANS & SPECS 0 SETS
SURVEY 0 COPIES
PLOT PLAN 0
Side
OFF STREET PARKING
SPACES REQ.
SPACES ON PLAN
PERMIT VALUATION
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/~.7~
S U
City:
Amount Brought Forward .................. $
Park Support Fee ........................... $
SAC ......................................... ~
Collective Street Fee ......... .............. ~
Sewer Tap ................................... ~
Permit Fee ............................... .... $
Plan Check Fee ............................. $
State Surcharge ............................. $
Penalty ....................................... $
Plumbing Permit Fee ....................... $
Mechanical Permit Fee ..................... $
Sewer&WaterPennit ...................... $
(.2-r
$
Pressure Reducer .......................... ~
Meter Horn ................................... ~
Water Meter ................................. ,It
Sewer & Water Connection Fee ........... ~
WaterTowerFee ........................... $
::?Jf~it~~.. ..........r~~i:t;rtW~h,(~7
I I
Certificate of Occup ncy
Water Tap ................................... ~
Builder's Deposit ............................ $
Other ......................................... $
Pard T7~e;(i1:r.....~~~~r~;~. ':?~t,;~ ~
Issued {!
Date "1/"2.-//91 By
ThiS IS to certify that the request In the above applICation and accompanYing documents IS In accordance WIth the City ZOnlng Ordln&nce and may proceed requested. ThiS document when
signed by the City Planner constitutes a temporary Certificate of ZOnlng compliance and allows construction to commence. Before occupancy, a CertifICate of Occupancy must be issued.
City Planner
Oa"
Special Conditions if any
24 hour notice for aU inspections 447-9850