HomeMy WebLinkAboutBuilding Permit #00-0274
CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
QA TE RECEIVED
.20m
. 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
1. White
2. Pink
3. Yellow
File
City
Applicant
Permit No.
()O-OZ14--
1. DATE
'-I1~o ro
.
772. Ale;
3. LEGAL DESCRIPTION
4559 )-I(/I'1/1/#G !3/,eo
LOT Z. BLOCK Z.
ADDITION KNtJ8 H/U- 3,eD
4. OWNER (Name) (Address)
L3~O .5 t!1f 1/'- T ~
5. ARCHITECT (Name) (Address)
6. BUILDER (Name) (Address)
7.TYP~ (~~~iCO Deck)(
New Construction 0 Altera~::~O - :dditiot~ Finish Attita
Chimney 0 Misc.
8. PROPERTY AREA OR ACRES
Sq.Ft.
9. PROPERTY DIMENSIONS
Width Depth
BUILDING INFORMATION
11. SIZE OF STRUCTURE
(Height) (Width) (Depth)
12. NO. OF STORIES
PID ~~- 34-'1.. OO~- 0
13. TYPE OF CONSTRUCTION
(Tel. No.)
14. FLOOR AREA APPORTIONMENT USE
(Tel. No.)
(Tel. No.)
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS
Re-ro~~~~~C;;I~
Re-siding 0 Finish Basement 0
10. CULVERT SIZE
Yes No
SEATS
16. PROJECT COSTNALUE
'17, COMPLETION DATE
I hereby certify that I have fumished 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 all constructi ill conform to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the
:u~Q ~e ~ illor jusl caus Fu ermore, I hereby agree Ihat the cily off~lal or a designee may enler upon Ihe property to perfo:J nr~ inspections.
1\ - """"eNo. 't' ~
..- ~
SETBACKS: Required
Actual
FOR ADMINISTRATIVE USE
MATERIAL FILED WITH APPLICATION
Front
Back
BUILDING DEPARTMENT VALUATION
Side
USE OF BUILDING
1215~ n/e-
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
PERMIT VALUATION
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 ................................... $
Sic. 75
$6, P1
,r~
Plan Check Fee ............................. $
State Surcharge ............................. $
Penalty .............................,......... $
Plumbing Permit Fee ....................... $
Mechanical Permit Fee ..................... $
Sewer & Water Permit ...................... $
Gas Fireplace Permit ....................... $
This Ap~!i~n ~e~meS~~i1ding Permit When ~proved.
By ~ · P Date ~-zLJ..tHJ
Certificate of Occupancy
Issued
#tK't70. eo
City:
~n
kJV',
Side
SOIL TESTS
o
o ENERGY DATA
PILING LOGS 0 PERCOLATION TESTS 0
PLANS & SPECS 0
SURVEY 0
PLOT PLAN 0
SETS
COPIES
Amount Brought Forward . .. .. .. . .. .. .. .... $
Park Support Fee ...."..................... $
SAC . .. .. . .. . .. .. .. .. .. . .. . .. . .. .. .. .. .. .. ... $
Collective Street Fee ....................... $
Sewer Tap ................................... $
$
uest in the above application and accompanying documents is in accordance with the City Zonin Ordinan e and may proceed
co stiMes a temporary Certifica e f Zoni compliance and allows construction to commence. Before occupancy, a Certificat
-/1
lanner Special Conditions if any
Ii
24 hour notice for all inspections 447-9850
(JO-OZ1~
The ('enter of Ihe Lake Country
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
~HVC-I r, 73R.AD
~/ zajho
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
~65q
,
HUHM / NC3J B/RL)
I
/1<-.
Accepted
Accepted With Corrections
Denied
r--
Reviewed By: ~~ ~ Date: ~-6LY-t10
Comments: ~ ~ ~-07<.f- o,..t} a11' ~
~J.n~ ~ ~ ~.
II f , ~,
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."
(J7J P/ () ~ 14-'
The Center Ilf the Lake Country
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
':~'--/"ll' I ' /' -/" ~ .
"-._,L. J l/ L.- L-., ,f.;i l~"')') I~
! (
-51 /') / I (
~'7 / L.~ :. / ,,-
f /
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/ 1<' .
Accepted
Accepted With Corrections
Denied
Reviewed By:
L" -"& lP--cD
1
. 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."
...
PRIOR LAKE
INSPECTION
RECORD'
SITE ADDRESS '-1559 ijlUflfJ1..lrU~ (/SId ./~,
TYPE OF WORK AlE to J)~u::- I'='I'L - ~T"K-6 A ~CH-
USE OF BUILDING R(2s. AcRcf / ,e~,
PERMIT NO. OO-QZ#- DATE ISSUED 7'-~~-tJo
BUILDER ~12AtJ 8(1,1-1 ttLt-z---
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF
BUILDING AND INSPECTION
/'J INSPECTOR
FOOTING ~ Or. S7/~/~
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN S~GNfD
FRAMING . ^ I
\'h (J /
. 't\\; .() {);6 1M'
Call between 8:00 and 9:00 A.M. t'lI inspections \ \
FOR ALL INSPECTION\ 447-9850
DATE
FINAL
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
q 6~ '-q
OWNER
PHONE NO.
DATE TIME
SCHEDULED · # S I t.I{J
flvrnJni~ bird
CONTR.
PERMIT NO. (' /[) - 0 6) 7Cj
o FOOTING 0 PLUMBING RI
o FOUNDATION 0 MECH RI
o FRAMING 0 WATER HOOKUP
o INSULA~ION 0 SEWER HOOKUP
I'f4 FINAL 0 PLUMBING FINAL
Yo SITE INSPECTI 0 MECH FINAL
COMMENTS: t>e.A1'Y\.\+ ~ 1(\
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o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
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~(j \)evr
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Owner/Contr:
CAL 447.9850 FO ~ THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE\eQU,I 1REREMM1 'NTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
V I..,.,Tl