HomeMy WebLinkAboutBuilding 01-1250
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CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
DATE RECEIVED
1/) /" J-tr0l
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
,
3. LEGAL DESCRIPTION
LOT
~ BLOCK
W \ \ I ~l;J~
PID
ADDITION
Lj
6+h ~
1. White
2. Pink
3. Yellow
File
City
Applicant
Permit No.
OI-IZ50
1. DATE
-i} J
BUILDING INFORMATION
11. SIZE OF STRUCTURE
(Height) (Width) (Depth)
1
::)s- ~ l.f~- OQ8~
12. NO. OF STORIES
13. TYPE OF CONSTRUCTION
4. OWNER
5. ARCHITECT
(Name)
(Address)
6. BUILDER
(Name)
(Address)
s~~
AS
A\30 V E:
7. TYPE OF WORK
New Construction 0
Chimney 0 Misc.
8. PROPERTY AREA OR ACRES
Sq. Ft.
Fireplace 0
Alterations 0
Septic 0
Addition 0
Dec
Finish Attic 0
Re-roofing 0 Porch 0
Re-siding 0 Finish Basement 0
SEATS
16. PROJECT COSTNALUE
9. PROPERTY DIMENSIONS
Width Depth
10. CULVERT SIZE
Yes No
17. COMPLETION DATE
14. FLOOR AREA APPORTIONMENT USE
(Tel. No.)
(Tel. No.)
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS
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 pr that all construction ill conform to all existin state and local laws and will proceed in accordance with submitted plans. I am aware that the
building official can oke this pe 't for just cause. hermore, I yagr t the city official or a designee may enter upon the property to perform needed inspections.
X /0-;;)4-6 /
License No.
Date
FOR ADMINISTRATIVE USE
SETBACKS: Required
Actual
BUILDING DEPARTMENT VALUATION
USE OF BUILDING~ ~
MATERIAL FILED WITH APPLICATION
Side SOIL TESTS 0 ENERGY DATA 0
PILING LOGS 0 PERCOLATION TESTS 0
PLANS & SPECS 0 SETS
SURVEY 0 COPIES
1,~bQ.~O PLOT PLAN 0
Front
Back
Side
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
PERMIT VALUATION
TYPE OF CONSTRUCTION: I II III IV
Occupancy Group A B E F HIM
Division 1 2 3 4
Permit Fee................................... $
V
R S U
City:
57. os-
3'1. o~
./:J{)
Plan Check Fee ............................. $
State Surcharge ............................. $
Penalty....................................... $
Plumbing Permit Fel\ ....................... $
Mechanical Permit Fee ..................... $
00.
1i~ti ,\
ell' . \ / L
1\'
our Building Permit When ~ved.
Date I () - '26e:J I
Issued
Amount Brought Forward .................. $
Park Support Fee ........................... $
SAC ....... ...... .... ......... .... .... ....... $
Collective Street Fee ....................... $
Sewer Tap.................... ...... ......... $
$
Pressure Reducer .......................... $
Meter Horn ................................... $
Water Meter ................................. $
Sewer & Water Connection Fee ........... $
Water Tower Fee ........................... $
WaterTap ................................... $
Builder's Deposit ............................ $
Date
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 re ested. 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.
City Planner
Date
24 hour notice for all inspections (952) 447-9850
Special Conditions ~ any
White - Building
Canary - Engineering
Pink - Planning
Tht' Ct"nlt"r or Ihe I..kr COUnlr)i
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT ~ '1')1~
APPLICATION RECEIVED !tJ-:3 0'-0/
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
Ibgo~ tu~.J ~
Accepted Accepted With Corrections ^-
Denied ~
Reviewed : -^
Date: /0 -3t;J-2LJo('
Comments:
~ ~ lkk:- l~
"The 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."
B{)~
Residential Building Permit Checklist
Deck Additions to Single Family Homes
Date: 10 -30-(5 (
Building Permit # P;ID6: C//)G"/ / / / ~/J /.~ ~onil}g:.. )
Site Address (l U 5 {.;.l/ ~?U LJ'f-/
Legal: L B Subdivision:
Existing Structure: YES or NO
I CONFORMS TO ZONING
ORDINANCE
I
NO
I
YES
Yard Setbacks: NOT APPLICABLE Requirement Proposed
MEETS CODE
. Side Yard 10' I?I
(;2.5' ifabuttiug a ;)tIvd, JO' d'a61:lttinS a ~tlee;t in
Cardinal Ridge)
. Side Yard 10' ~A
. Rear Yard 25' (PS'
. Townhouses Must be consistent with
approved plan for
development
ANY PROPOSED DECK NOT MEETING THE ABOVE CRITERIA MUST BE REFERRED TO THE
PLANNING DEPARTMENT. ALSO, ANY DECK ON A LOT WITH A SUSPECTED BLUFF, OR ANY
OTHER UNUSUAL CIRCUMSTANCE MUST BE REFERRED TO THE PLANNING DEPARTMENT.
TIns CHECKLIST MUST BE CO.MPLETED AND INCLUDED IN THE BUILDING PERMIT FILE TO
MAINTAIN A RECORD OF THE REVIEW.
L:\TEMPLA TE\DECKCHCK.DOC
PRIOR LAKE
INSPECTION
RECORD
SITE ADDRESS J l.o50f) W n lQ<..J ~€....
TYPE OF WORK _~
USE OF BUILDING SFC)
PERMIT NO. 01-/250
.
BUILDER MUf'lLu- PHONE #
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF
BUILDING AND INSPECTION
DATE ISSUED /0 -30 -Of
INSPECTOR DATE
I FOOTING l t,~....., ~I. ]
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN 'sIGNED
FRAMING ~~ jV\st~tl; d~. I / ~ ~ /
I FINAL
]
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (952) 447-9850
I
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