HomeMy WebLinkAboutBldg Permit 00-0904
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
,oA~
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULA;tIQN f
ii.FINAL , ll)r. c..
tJ- SITE INSPECTION
COMMENTS:
S~HED LED 1/ / DAj oPj. nME
. / f
M 'lli:.
CO~' ~. "
PERMIT NO.
lYJ-090((
,
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
(~Jl.t. ~ Ie ~()e. .\. I\"'-Q.('.f,'v;~/
' .
o WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRE~ALL FOR REINSPECTION BEFORE COVERING
Inspector: lV!f,,/ Owner/Contr:
,CALL ~o FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTl
171 .ill~T~ri:li,v~
v!
1\\1 -..11
i' \ I
_. u______.-_.,
CITY OF PRIOR LAKE
BUILDING PERMIT,
. T~MPORARY CERTIFICATE OF
ii ,I;! ZONING COMPLIANCE
-A'ND UTILITY CONNECTION PERMIT
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. DATE
/0.4'00
Z923
3. LEGAL DESCRIPTION
"
Fo/t
/K/f/t.--
PuSO
LOT
BLOCK Z.
7716 WIL-O$
PID 2S .. z..Q1- 01Z,-0
ADDITION
4. OWNER
(Name)
(Address)
(Tel. No,)
5. ARCHITECT
(Name)
(Address)
(Tel. No.)
',.
'~ " ~:>t:~~~
: .~.. ... ~~
(Name)
(Address) (Tel. No.)
H7-S<;"ZS'
~- Cac.~.,~~ E;
L:>AP/~
.,(,. h~~
,./, Fireplace 0 Septic 0 Deck)(
'^' Alterations 0 Addition 0 Finish Attic 0
Re-roofing 0 Porch 0
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
File
ity
J\pplicant
(Depth)
14. FLOOR AREA APPORTIONMENT USE
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS
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 construction will conform to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the
~"";'" 'OJ~" 7~ F"'...~~, ''''''''' "'" 'ho'''' ci, """" m' ""':::..., "PO"~' pro"",. "rlo~",,", d 10 _.
FOR ADMINISTRATIVE USE
SETBACKS: Required
Actual
Front
Back
Side
Side
BUILDING DEPARTMENT VALUATION
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
PERMIT VALUATION
~ .....f'
USE OF BUILDING
<
~~
TYPE OF CONSTRUCTION: I II III IV V
Occupancy Group A B E F HIM R
Division 1 2 3 4
Permit Fee ................................... $
MATERIAL FILED WITH APPLICATION
SOIL TESTS 0 ENERGY DATA 0
PILING LOGS 0 PERCOLATION TESTS 0
PLANS & SPECS 0
SURVEY 0
SETS
COPIES
PLOT PLAN
o
8'1 :~S
S(",11
z.oo
Amount Brought Forward .................. $
Park Support Fee ........................... $
SAC ......................................... $
Collective Street Fee ....................... $
Sewer Tap ................................... $
$
S U
City:
Plan Check Fee ............................. $_
State Surcharge ............................. $
Penalty ....................................... $
Plumbing Permit Fee ....................... $
Mechanical Permit Fee ..................... $
~ .A'~
~.oo
Pressure Reducer .......................... $
Meter Horn ................................... $
Water Meter ................................. $
Sewer & Water Connection Fee ........... $
Water Tower Fee ........................... $
Water Tap ....... ..... ............. .......... $
Builder's Deposit ............................ $
Other ......................................... $
Total Due .............................. $ / as- ~
Paid / 4-6"~ tf b Receipt No. 3{B~4
Issued ~ . /
Date /0 </2-. r/C/ 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 const~utes a temporary Certificate of Zoning compliance and allows construction to commence_ Before occupancy. a Certificate of Occupancy must be issued.
Sewer & Water Permit ...................... $
Gas Fireplace Permit ....................... $
This ~t~mes IWJJ:.8triIding Permit When Approved.
By ~~ Date J()-,?-'Z'tJ^"
Certificate of occupalC
City Planner
Date
Special Conditions n any
24 hour notice for all inspections (952) 447-9850
o () , 0 q Qt>"
White - Building
Canary - Engineering
Pink - Planning
The Cenler or the Lake Country
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
FeB6!30,eN, DAVID
,
10-4'00
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
Z.CJZ3 Fox 1Jf?A/ I -
Accepted
Accepted With Corrections ~
Denied /~1 // ~
Reviewed ~?1/-
Comments: (I
Date: It) , 9 -'lL;)d tf.
~ ~ Da.c.l<:.. kCo- J --A-
"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."
.. .. ." -;"'-.. -.
"__.~.' ._. ~~ _'~ 0" . .-..;......~_~..__.. ,.'. .--. ...... ;
........-.0'......_.,....... _. - . ~.. '.'. ... ._ ;.-. ".. ..'~-
...
Residential Building PeJ. IJ.Jit Checklist
Deck Additions to Single Family Homes
BY:C}
Date: (8 _ tV
Building Permit # PID:
Site Address -Z" '2. ~ +Q><. \~ -~
Zoning:
Legal: L
B
Subdivision:
Existing Structure: YES or NO
CONFORMS TO ZONING
ORDINANCE
~ -,
/{Y
NO
Yard Setbacks: NOT APPLICABLE
MEETS CODE
Requirement
Proposed
. Side Yard
(25' if abutting a street, 30' if abutting a street
in CardiIial Ridge)
. Side Yard
10'
---
10'
$t::)'
:$S/
. Rear Yard
25'
At'fY PROPOSED DECK NOT MEETING THE ABOVE CRITERIA MUST BE REFERRED TO InL
PLAi'fflING DEPARTMENT. ALSO, ANY DECK ON A LOT "'l1n A SUSPECTED BLUFF, OR Al'fY
OTHER UNUSUAL CIRCUMSTANCE MUST BE REFERRED TO THE PLANNING DEPARTMENT.
Tms CHECKLIST MUST BE COMPLETED Al'lD INCLUDED IN THE BUILDING PERl\tlIT FILE TO
MAINTAIN A RECORD OF THE REVIEW.
L:\TEMPLA TE\DECKCHCK.DOC
//
/' '
-" -----
PRIOR LAKE
INSPECTION
RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS L7:2~ F~ Ic,t'/ Tto.o\
TYPE OF WORK (\Ja\oJ \:)~k..
USE OF BUILDING S~.b
PERMIT NO. 00 .0904- DATE ISSUED /0 - 'i - '2.~o
BUILDER.D~ ~r-e {~^-- 'Icf?-892r
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
.I,SPECTOR I DATf
FOOTING I (~ .. VUM..a I I ,/ ;)..7/ eo
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN'SIGNED
~ I I
1
FINAL
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS 447-9850