HomeMy WebLinkAboutBuilding Permit 99-1165
City of Prior Lake
Inspection Notice
DATE
TIME
10/25/99 A.T.
SCH)WULED
ADDRESS 16351 ALBANY AVENUE SE
OWNER CONTR
PHONE NO. PERMIT # 99-1165
TYPE OF INSPECTION RE-ROOF
COMMENTS:
i
o
Work Satisfactory, Proceed
Correct Action and Proceed
Correct Work, Call for Reinspection Before Covering
(l/
Owner/ContI.
Inspector:
q/;R;;9;
CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
DIRECTIONS
SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN
BEFORE PERMIT IS ISSUED (Please Print or Type and sign al bottom)
1. DATE
q.I2..qCj
2. SITr {;D~
3. LEGAL DESCRIPTION
(] rnnu
R/
'-"
LOT
PID
25 -90Z - 0113-0
ADDITION
~LOCK
h"":.r....~IVO l3()uA.//J..c::,
'M.fh/enJ ~n
//::d[ ~
{Addrer!J
(Tel. No.)
5. ARCHITECT
(Name)
(Tel No.)
-6.~.
ttt($~C;
~(N~~_
~/I1C.
l~crxll'!Mh k, r rJ/!J.fih.q.?fcf
$Um.5V1IJe HN C2i1i3::r
7. TYPE OF WORK
New Construction 0
Fireplace 0
Alterations 0
Septic 0
Addition 0
Deck 0
Finish Attic 0
Re-roofjn~ Porch 0
Ae-siding 0 Finish Basement 0
Chimney 0 Misc.
8. PROPERTY AREA OR ACRES
Sq. Ft C. I I I
yvv{"=' g-
-(<.".
I. White
2. Pink
3 Yellow
File
City
Applicant
Permit No.
q?~//~s-
I
BUILDING INFORMATION
11. SIZE OF STRUel UHt:.
{Height) (Width) (Depth)
12. NO. OF STORIES
13. TYPE OF CONSTRUCTION
14. FLOOR AREA APPORTIONMENT USE
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANT!=::
SEATS
16. PROJECT COSTNALUE
0LtW.-
17. COMPLETION DATE
q.~ .qq
/9. PROPERTY DIMENSIONS /10. CULVERT SIZE
Widtt'ff Depth Yes No
ap c tion which is to the beSt of my knowledge true and correct. I also certify that I am the owner or authorized agent for
rm to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the
a, I ha'eb~ ag'e~~r b~~~ignee may entar upon tha pmperty to parlg.nr2':tr'rlions.
License No. Date
x
Signature
[/
FOR ADMINISTRATIVE USE
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>:>u U,P{) PLOT PLAN 0
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 ......... .... .... ............. .... ....... $
- SETBACKS: Required
Actual
Front
BUILDING DEPARTMENT VALUATION
USE OF BUILDING
R--e;-5 Af'/2.-
TYPE OF CONSTRUCTION: I II JII IV V
Occupancy Group A B E F HIM R
Division 1 2 3 4
Permit Fee ................................... $
S U
City:
74-.7~
Plan Check Fee ............................. $
State Surcharge ............................. $
1.2. S-
Penalty ....................................... <t:
Plumbing Permit Fee ....................... $
Mechanical Permit Fee ..................... $
Sewer & WaterPermlt ...................... <t:
Gas Areplace Permit ....................... $
This A~4Br4>mes/~g Paonh W~APP~b
By ~~,~Date 1 7; 0/7
Certificate of OcctJpant
~1b.OO
Total Due .............................. $
Paid ?..:;;;. 0 0 Recaipt No. ~~ 4-7
Issued . 1i1::l
Data of0~f By /_ _
This is to certify that the request in the above application and accompanying documents is in accordance with the City Zoning Ordinance and may pr~s 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.
CrtyPlanner
Date
Spec~1 Conditions ij any
24 hour notice for all inspections 447.9850
- '~_..._-,-, .-'-.......-.