HomeMy WebLinkAboutBuilding Permit #00-0161
If:!!-- PR/~ DATE RECEIVED
~ .'.
C/f}- ~d-
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
472,2- HlIf1l'1/ NGB/R..D 77e..
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.
{){)-O I h I
1. DATE
BUILDING_ORMATION
Ne
11. SIZE OF ;:> I ndCTURE
(H~ht~ (Width)
lf ,;),~ '
12. NO. OF STORIES
owl
13. TYPE OF CONSTRUCTION
CC b~,- '])csc;.K
(Tel. No.) I/~S--""'~o 14. FLOOR AREA APPORTIONMENT USE
btZ-~' I ,t. '-~ R €.c..R€/H.IOWAL
(Tel. No.)
~I
(Depth) ,
J&
3. LEGAL DESCRIPTION
4-
PID 25-331-04-/-0
LOT
BLOCK
~ __ KIl/O/3 11/ t.A."
< 4. OWNER) (Name)
~ ;;.;-.-- /h 4?z-J<.
5. ARCHITECT (Name)
(Address)
w. M~)(n(?l.A'
(Address)
6. BUILDER
(Name)
(Address)
(Tel. No.)
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS
--- ---
_"!,. TYPE?FWO~
~t>w~ulI':'lIU~UOII 0
it. PROJECT COSTNALUE
3 .....""!! "- ~ ,:
Chimney 0 Misc. -..) lJv ,,~...,....
8. PROPERTY AREA OR ACRES 9. PROPERTY DIMENSIONS 10. CULVERT SIZE 17. ~~MPL'1TION DATE
Sq. Ft. 13 ~ SS'"7 JCl Width B'" Depth J' 0 · Yes No '11301 DO
I hereby certify that I have fumished information on t' p Ication whic 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 const tion will conform to existing state and local laws and will proceed in accordance with submitted plans. I am aware that the
building official can revoke this permit for just ereby agree that the city official or a designee may enter upon the property to perform needed inspections.
X - - 0""a,.::=> '--- ""'Me No 3 - ~O
"-"-FOR ADMINISTRATIVE USE
Fireplace 0 Septic 0 Dec~ Re-roofing 0 Porch 0
Alterations 0 Addition 0 Finish AttiC' 0 Re-siding 0 Finish Basement 0
SEATS
SETBACKS: Required
Actual
Front
Back
Side
MATERIAL FILED WITH APPLICATION
Side SOIL TESTS 0 ENERGY DATA 0
PILING LOGS 0 PERCOLATION TESTS 0
PLANS & SPECS 0 SETS
SURVEY 0 COPIES
PLOT PLAN 0
BUILDING DEPARTMENT VALUATION
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
PERMIT VALUATION ~~.C90
USEO~~IN~ t
TYPE OF CONSTRUCTION: I II III IV V
Occupancy Group A B E F HIM R S U
Division 1 2 3 4
Permit Fee.................. ................. $
City:
Amount Brought Forward .. .. . .. .. .. . .. .... $
Park Support Fee ........................... $
SAC .. . . . . . .. . .. . . .. . . .. . . . . . . .. . . . . . . . . . .... $
Collective Street Fee ....................... $
Sewer Tap ................................... $
$
Plan Check Fee ............................. $
State Surcharge ............................. $
Penalty ....................................... $
Plumbing Permit Fee ....................... $
Mechanical Permit Fee ..................... $
7Cl.1S-
~ '18.$7
.1 . '5"0
Water Tap ............................ ....... $
Builder's Deposit ............................ $
Other.............. ........................... $
Total Due .............................. $~. 84-
Paid [2.. 4- . fJ d Receipt Np,.. .3 71 z- -z-.
~ , 7 ~
Date 3I3tJ/{f7) By ~
This is to certify that the request in the above application and accompanying documents is in accordance with the City Zoning Ordin~nce and may proceed a equested. This document when
sig th Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be issued.
-.3 ~ ']...'7 -"U
Date
~
Pressure Reducer .......................... $
Meter Horn ................................... $
Water Meter ................................. $
Sewer & Water Connection Fee ........... $
Water Tower Fee ........................... $
Sewer & Water Permit ...................... $
Special Conditions if any
24 hour notice for all inspections 447-9850
CJ -D I (0 I
The Center of the Lake Country
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
n/tRI<- ;vlAX~/6LD
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The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
4727 HUMMINgBIRD 77C- ;J~
I
Accepted
Accepted With Corrections
Denied
Reviewed By:
Date:
Comments:
liThe issuance or granting of a permit or approval of plans, specifications and
computations shall not be construed to be a permit for, or an approval of, any violation of
any of the provisions of this code or of any other ordinance of the jurisdiction. Permits
presuming to give authority to violate or cancel the provisions of this code or other
ordinances of the jurisdiction shall not be valid.1I
rw - ()({~ ·
The Center of ~e Lake Country
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
/ir/j-/ A:.} /< /ir II~i X ;=-/ C" L 0
'7 ,/ ,'" ;/ .... ...\
~)/211(ill
/ I
r
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
. .--'
~:j 'J},?'" 7 /./ i / I 1\, (~:l / i2~.u / /e..' /,\j c..
/
Accepted
v
Accepted With Corrections
Denied
Reviewed By: ~~i~A ~
Date: j roo 2- ?-l9()
Comments:
-fWv,~O V...ov- i~ ~eLJ<.
C>
... .
liThe issuance or granting of a permit or approval of plans, specifications and
computations shall not be construed to be a permit for, or an approval of, any violation of
any of the provisions of this code or of any other ordinance of the jurisdiction. Permits
presuming to give authority to violate or cancel the provisions of this code or other
ordinances of the jurisdiction shall not be valid. II
.J
PRIOR'LAKE
INSPECTION
RECORD
SITE ADDRESS ~ H\)IM--~~"~' \r-o
TYPE OF WORK ~ l,_
USE OF BUILDING S~~
PERMIT NO. Or) -O(~ I
BUILDER n~~ol. '
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
FOOTING INSPEftr) 4' " ';TE
PLACE NO CONCRETE UNTIL ABO~t-iAS BEEN' SIGNED
~ - '\ - \
\ x~ ~~\
Call between 8:00 and 9:00 A.M. for al i~pections \ t.
FOR ALL INSPECTIONS 4~7-9850
DEPARTMENT OF
BUILDING AND INSPECTION
DATE ISSUED 3.~"3-~
FINAL
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
4,22
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
ir:SULATIO&t
FINAL
SITE INSPE TION
lJA TE TIME
\
SCHEDULED 4 lf1jJ5 ~
4u-~~ fiz.-
CONTR.
PERMIT NO.
0-/(,;,1
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
,
COMMENTS: C ~
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V ,\ \ic1~ Uo ~
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9
Inspector: Owner/Contr:
I "--' .
CALI! 447-985Q FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
COD~REQUI4MENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
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