HomeMy WebLinkAboutBuilding 99--0863
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CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
';~~;;q
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 5~~
3. LEGAL DESCRIPTION
q
LOT
ADDITION
4. OWNER
jOl\ i fY'IlJCI
5. ARCHITECT
c-
..Je-
6. BUILDER . (Name)
/~.a,s. ). (1 -,SIC, seJf
(Address)
7. TYPE OF WORK
New Construction 0
Fireplace 0
Alterations 0
Septic 0
Addition 0
Deck"
Finish Attic 0
Re-roofing 0 Porch 'if
Re-siding 0 Finish Basement 0
Chimney 0 Misc.
8. PROPERTY AREA OR ACRES
Sq. Ft.
9. PROPERTY DIMENSIONS
Width Depth
10. CULVERT SIZE
Yes No
1. DATE
'7/;2,/91
"PU D
(Tel. No.)
1. White
2. Pink
3. Yellow
File
City
Applicant
Permit No. qq - 6b3
BUILDING INFORMATION
11. SIZE OF STRUCTURE
(Heigh)) (Width) (Depthl
I~ ;)0/
12. NO. OF STORIES 1-
13. TYPE CONSTRUCTION
Por-e-A
14. FLOOR AREA APPORTIONMENT USE
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS
SEATS
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 a the owner or authorized agent for
property and that all construction will conform to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the
voke this permit for just cause. Furthermore. I hereby agree that the city official or a designee may enter upon the property to perform needed inspections.
FOR ADMINISTRATIVE USE
License No.
Front
Back
Side
BUILDING DEPARTMENT VALUATION
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
USE OF BUILDING
.-
,€.6S /1/'<
/
PERMIT VALUATION
!i:(J(r).O 6
.
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:
if? ?r;-
u<.{. BY
2.50
Plan Check Fee ............................. $
State Surcharge ............................. $
Penalty....................................... $
Plumbing Permit Fee ....................... $
Mechanical Permit Fee ..................... $
~
Sewer & Water Permit ...................... $
Thi
By
com Your Building Permilli~en ~5l.Y~'
Date I' I 't 7
Certificate of Occupancy
Issued
Side
Date
MATERIAL FILED WITH APPLICATION
SOIL TESTS 0 ENERGY DATA 0
PILING LOGS 0 PERCOLATION TESTS 0
PLANS & SPECS 0 SETS
SURVEY 0 COPIES
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 ........... $
Water Tower Fee ........................... $
Water Tap ................................... $
Builder's Deposit ............................ $
Other ......................................... $
Total Due .............................. $
Paid Receipt No.
Date
24 hour notice lor all inspections 447-9850
Special Conditions if any
The Center of the Like Country
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/
Denied J )
Reviewed By: Lt- /}f .:Jf'7J()AJ
Comments: -'Z~ f2-I; /YUJ So j
30 io E>Jtlb' Ct)je/ra~ -DiL
Accepted
Accepted With Corrections
7- 13 --77
~,io ~.L,U de-
Date:
.'
t
"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."
"
ClCl,. 8(03
Thr Crnlrr or the t.kt Country
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
-0-0/\/ L- 6- V 6!2-bNr::.
'7 112/99
/ I-
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
5881 CAI<!O/iY/lt.- RIOGt6 7R-.
Accepted
Accepted With Corrections -/
Denied
Reviewed By: ~
Date: 7 - I S- - 7 7
Comments:
I. ~ an ~tkc~ ~~
t. Sef~ ~J~c-h.('e-J ~~f ~
"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."
2422 Enterprise Drive
Mendola Hehjjhls, /-AN 55120
1(612) 681-1914 FAX:681-9488
I <325 Highwoy 10 N.E.
[lIoine. MN 504J4
(612) 183-1660 FAX:78J-188J
Certifica te of Survey for: HOMES BY CHASE
/
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-: englnusr ng
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~e(JFAf P"v 2
LANQ SVAvtYOASi . (l\'1l UfG!hEERS
lAND PlAliNl:A9. lANOSCAr( ARCI1In:CTS
./
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10
BENCH MARK _/~
rop OF PIPE -- "
ELEV.'-'929.07 \D
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28.9
8
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!9.62" (q~~:9)
. '1.01'\6'29 W.....
N01E: PIWPOSEO CRADES SHOWN PER GRADING PLAN 8Y: J.R. HILL 58.... v . PflOPOSED HQWSE EL E'VI\ TION
N01E: 8UILOINC DIMENSIONS SHOWN ARE FOR HORIZON1AL AND V!;RTICAL LOCA 110N '(' 2 .z
Of STRUCTURE' ONLY. SEE ARCHITEC[\JAL PLANS FOR BUILDING AND LOWEST FLOOR ELEVATION; . 'J. 7
IOUNDATION DIMENSIONS. TOP Of BLOCK ELEVATION: 1'1- J/. 3
NOT~; ~'~R~~~g~.ICT~?'S~'~A'tiiG~'~~O~O~~s T~E~~p~~~L~~~D S~C1~~~S HLgJS~Y THE GARAGE SlAB ELEVATION; r; YO. Z
PROPOSED IS NOT THE RESPONSiBILITY OF THE SURV[YOR.
q4 ,~lsi ']
-~
N01E: 1HIS CERllflCATE DOES NOT PURPOR1 TO SHOW EASElAnn5 01HER 1H..N
THOSE SHOWN ON THt RECOROEO PLAT.
x 000.00
( 000.00 )
DENOTES EXISTING ELEVATION
DENOTES PROPOSED (~(VA TlON
DENOTES DRAINAGE ..NO UTILITY EASEMENT
DENOTES DRAINAGE FLOW DIRECTION
DENOTES MONUMENT
DENOTES OFFSET "Ue
N01E: CONlRACTOR MUST VERIFY DRIVEWAY DESIGN.
NOIE; 8EARINOS SHOWN ARE 9ASEO O'i AN ASSUo,IEO 0.0. HIM
--
---
---a-
WE HEHE8Y CERTiFY TO HOMES BY CHASE THAT THIS IS A TRUE AND CORRECT REPRESENTATION OF A
SURVEY OF THE BOUNDARIES 0.:
LOT 9, BLOCK 2, CARDINAL RIDGE FIRST ADDITION
SCOTT COUNTY, MINNESOTA
Ir DOES l'lOT PURPORT TO SHOW IMPROVEMEIHS OR ENCHRQACHMENTS,
UNDER MY DIRECT SUPERVISION THIS 6TH DAY O. FEB.. 1996.
EXCEPT AS SHOWN, AS SURVEYEO BY ME OR
/)
NGINEERlNG, P.A.
19828
SCALE : 1 INCH :=< .30 FEET
1077 95002.02 SWK
PRIOR LAKE
INSPECTION RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS SB?J=t Car~: vu-JL f.\"~ Tr- .
NATURE OF WORK "?c,rc..v.. ~ Der\.<::....-
USE OF BUILDING SFD
PERMIT NO. cfl-~3 DATE ISSUED 7-(5-'17'
CONTRACTOR L .fv , ,..e...--"L-
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR DATE
~ l~f. ~~~ql
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
1~,
- '1-ot '}
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
~ I I
FINALS
DO NOT OCCUpy UNTIL ABOVE HAS BEEN SIGNED
NOTICE
This card must be posted near an electrical service cabinet prior to rough-in inspections
and maintained until all inspections have been approved. On buildings and additions
where no service cabinet is available, card shall be placed near main entrance.
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (612) 447-9850