HomeMy WebLinkAboutBldg Permit 00-0845
CITY OF PRIOR LAKE
INSPECTION NOTICE SCHEDULED
ADDRESS 15"f"11 ~ thdsL rt',1
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
COMMENTS:
(l.t~'!:e..ite. G\ "
o \i)lktr I'\A. ~~ J..
G~ ,,~
CONTR.
PERMIT NO.
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
f~e ~E
~ -- ~C
o EXIGRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
,.." ,,~ .in ~ '^' o..c.~ ~V; \rv
o
(. -S -0 (
o WORK SATISFACTORY, PROCEED
o COR~CT ACTION AND PROCEED
o COR =tr?RK, CALL FOR REINSPECTION BEFORE COVERING
Inspect : CD Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTl
CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND 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
\ SIT?'
3. LEGAL DESCRIPTION
LOT ~ BLOCK.1
ADDITI;fl1f;:' WI LDS 3 rd Add.iiion
4.~ na(~ard 11~ II (AddreSS)( ~ 'is 5/'7;;:")
5. ARCHITECT ~N~me) Ub- "5'7?'(p (Address) (9sJ..") l/'l?)..oStf
6.'~ . tme) (Address) (~) . fL 12 : '7 g~ N~'q '2. (p S-
f\wkl L,kttll (S~ ~ sik)
7. TYPE OF WORK" Fireplace 0 Septic OL>eck 0 Re-roofing 0 Porch 0
New Construction 0 Alterations 0 Addition 0 Finish Attic 0 Re-siding 0 Finish Basement 0
DATE RECEIVED
7- /8 ,()O
WaDel
1. White
2. Pink
3. Yellow
File
City
App.t
Permit NO..-IJO. 094-5
1. DATE
7/[JJ+!OO
BUILDING INFORMATION
11. SIZE OF STRUCTURE
(Height) (Width) (Depth)
f).uc\( 'ro', \
PID ~5-307-036-0'
12. NO. OF STORIES
13. TYPE OF CONSTRUCTION
14. FLOOR AREA APPORTIONMENT USE
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS
SEATS
16. PROJECT COSTNALUE
10. CULVERT SIZE
No
9. PROPERTY DIMENSIONS
Depth
Yes
17. COMPLETION DATE
ation 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
construction will conform to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the
st cause. urthermore, I hereby agree that the city official or a designee may enter upon the properly to perlo ede'_ecz:z;>
x
FOR ADMINISTRATIVE USE
License No.
SETBACKS: Required
Actual
Back
Side
Front
BUILDING DEPARTMENT VALUATION
OFF STREET PARKING
SPACES REO.
USE l:~ILDIfr!1- /1 It.
I
TYPE OF CONSTRUCTION: I II III IV V
Occupancy Group A B E F HIM R S U
Permit Fee ..........~i~~~i~~..~...~...~..~... $ 7lJ, 7~
Plan Check Fee ............................. $~ . t:;<j
State Surcharge............................. $ I' .::s-U
SPACES ON PLAN
PERMIT VALUATION
3./VX) . (!) a
City:
Penalty ....................................... ~
Plumbing Permit Fee ....................... $
Mechanical Permit Fee ..................... $
rf!;o
~.'v
i1ding Permit ~n Aljproved.
DateJ-11~
Issued
Side
MATERIAL FILED WITH APPLICATION
SOIL TESTS 0 ENERGY DATA 0
PILING LOGS 0 PERCOLATION TESTS 0
PLANS & SPECS 0 SETS
SURVEY
PLOT PLAN
o COPIES
o
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.
12-4. fJ4-
,
Date 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 proceed as requested. 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 n any
oo.OBtS
The Center of the Lake Country
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
f)BW/l~1 DAVID
- -
9'/6 .r/D
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/.!5/77 W 000 OVer ~
. .
Accepted
Accepted With Corrections
A
Denied <:::::7
Reviewed B : /'
Ufll~~
-....,
Date:
7- (Cf.-~
~.J2~~
"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."
.. '. '.. -":-"_. - ~
"---":.' ~-, ~. -"-
"
BYCJ!?
Residential Building Permit Checklist
Deck Additions to Single Family Homes
Date: 7''- / 'f -- ~t:O.
Building Permit # _ () nPID
Site Address J SI Tl W6CJC}(...0l-u~<..c... l'J--
Zoning:
Legal: L
B
Subdivision:
Existing Structure: YES or NO
w.
NO
CONFORMS TO ZONING
ORDINANCE
-, Yard Setbacks: NOT APPLICABLE
MEETS CODE
· Side Yard
(25' if abutting a street, 30' if abutting a street
in Cardinal Ridge)
· Side Yard
Requirement
Proposed
10'
10'
'Z cf/ 't..... I
57'
· Rear Yard
25'
Ai~Y PROPOSED DECK NOT MEETING THE ABOVE CRITERIA MUST BE REFERRED TO THE
PLAt"fflING DEPARTMENT. ALso, ANY DECK ON A LOT 'WIHl A SUSPECTED BLUFF, OR ANY
OTHER UNUSUAL CIRCUMSTANCE MUST BE REFERRED TO THE PLANNING DEPARTMENT.
Tms CHECKLIST MUST BE COMPLETED At'l'D INCLUDED IN Hi.!!. BUILDING PERMIT FILE TO
MAINTAIN A RECORD OF THE REVIEW.
L:\TEMPLA TE\DECKCHCK.DOC
/',../
c'
PRIOR LAKE
INSPECTION
RECORD
SITE ADDRESS J5L77 ~ Drv.. (<;"" , (,'
TYPE OF WORK ~lC2.\.D ~...~
USE OF BUILDING S t- 1 'J
PERMIT NO. ()O.084-b DATEISSUED 7-/7-Zmo
BUILDER Dp v.kil 4-V7-a48 '-r
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF
BUILDING AND INSPECTION
~ryR
J FOOTING W c... I ~ V V, I q /l_9(
PLACE NO CONCRETE UNTIL ABOVE UAS BEEN SIGNED
~~ I I
DATE
~ FINAL
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS 447-9850
. ., ..
. J.