HomeMy WebLinkAboutBldg Permit 00-0693
1 Mi6~ TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE SCHEDULED
ADDRESS .?'1() l( ~S~~
OWNER CONTR.
PHONE NO. PERMIT NO. 00 <I ~tt5
o FOOTING o PLUMBING RI o EXIGRAD/FILLING
o FOUNDATION o MECHRI o COMPLAINT
o FRAMING o WATER HOOKUP o FIREPLACE RI
~SU~L o SEWER HOOKUP o FIREPLACE FINAL
FINAL o PLUMBING FINAL o GAS LINE AIR TST
o SITE I SPECTION o MECH FINAL 0
COMMENTS:
(~..lLL l'~ ~Oe. .k. 1\v..Q.c".(.\'V;~/
- I
o WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRE~ALL FOR REINSPECTION BEFORE COVERING
Inspector: V~~ Owner/Contr:
,CALL ~o FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH .{ SAFETY!
INSNOTl
7. TYPE OF WORK Fireplace 0 Septic 0 Dec~ Re-rooling 0 porgjfljf'
New Construction 0 Alterations 2- AdditiOnij... Finish Attic 0 Re-siding 0 Finish Baserrfe~ 0
Chimney 0 Misc. P I!f!;t:.-I
8. PROPERTY AREA OR ACRES 9. PROPERTY DIMENSIONS . 10. CULVERT SIZE
Sq. Ft. Widty Depth Yes No
I he,.r '.' ,;;, ",,:u ; . , -tUmished' 0 . on this application which is to the best 01 my knowledge true and correct. I also certify that I am the owner~r thorized agent lor
e above mentione rop a onstruction will conlorm to all existing state and local laws and will proceed in accordance with submitted plans. a~are that the
buildin evok p it I lfjusj.cause. Furthermore, I h~agree that the city official or a designee may enter upon the property to pertorrn n ede nspections.
.'. ;....... /C-~ ~-zr1 ~ a fJ C(')
nature /' License No. ( ~te
OFF STREET PARKING PILING LOGS 0 PERCOLATION TESTS 0
SPACES REO. PLANS & SPECS 0 SETS
SPACES ON PLAN SURVEY 0 COPIES
PERMIT VALUATION fLooo. - PLOT PLAN 0
QATE RE&E!YEQ CITY OF PRIOR LAKE
J j. BUILDING PERMIT,
0' CI r'f7'\ TEMPORARY CERTIFICATE OF
~ C U U 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)
.,," r.'SI rE ADDRESS ~ -QQ. . J/f c-
~ .::> /0 if ~5dEL -) T
3. LEGAL DESCRIPTION
l
?a~5
1. DATE
&/B/im
, /
'(7-1
L'0'.,,;
. PID -z.~ .. ,?>oCS .. 00 I -0
\ ~ ~b . .
LOT \ BLOCK
ADDITION VV~~~
II
~NER'-' )..,J.(NN~ame) .' I fi.. (Address)
/ - ~.JYI'.../ s;;.'~ Ff!42. 3"'1oL/
''-so ARCHITECT (Name) (Address)
1./ (Tel. No.).y..
/<.:LS ~EL _$1- Sv--J
(Tel. No.)
4-40 -2-3$10
(Tel. No.)
6. BUILDER
(Name)
(Address)
FOR ADMINISTRATIVE USE
SETBACKS: Required
Actual
Side
Front
Back
Side
BUILDING DEPARTMENT VALUATION
USE OF BUILDING
e~t7
f
TYPE OF CONSTRUCTION: I II III IV V
Occupancy Group A B E F HIM R
Division 1 2 3 4
Permit Fee ................................... $
1. White
2. Pink
3. Yellow
File
City
Applicant
Permit No. OO~3
BUILDINZ............... MATION
11. SIZE OF STR
(Height) (.,-" (Depth)
12. NO. OF STORIES
13. TYPE OF CONSTRUCTION
14. FLOOR AREA APPORTIONMENT USE
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS
SEATS
16. PROJECT COSTNALUE
17. COMPLETION DATE
MATERIAL FILED WITH APPLICATION
SOIL TESTS 0 ENERGY DATA 0
Plan Check Fee ............................. $
State Surcharge ............................. $
Penalty ....................................... $
Plumbing Permit Fee ....................... $
C. 7...zS
40.+~
\.()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 ......................................... $ -1 I
Total Due .............................. $-L.fJ.3 . ~
Paid 1 CD .11 Receipt No. ~ <x 08b
Issued . ~. ~
Date (JD By
This is to certify that the request in the above application and accompanying documents is in accordance with the City Zoning 0 inance and may proceed a eq' ed. This document when
signed by the City Planner constttutes a temporary Certificate 01 Zoning compliance and allows construction to commence. Belore occupancy, a Certificate Occ pancy must be issued.
S U
City:
Mechanical Permit Fee ..................... $
.... $ /' I
ing Perrntt Whe~1afd' ~
ate ~ 0
I
Certificate 01 Occupancy
City Planner
Date
Special Conditions ~ any
24 hour notice lor all inspections (952) 447-9850
Building Permit #
Site Address
Residential Building Permit Checklist
Deck Additions to Single Family BOjS
Date: f5 (~ I CO
00..013 PID: Zoning:
By:~A
Legal: L \
B \
Subdivisiou: tAJt'st~~ V~~ · sr-
~,..,~' ,'~
~~ NO
Existing Structure: YES or NO
CONFORMS TO ZONING
ORDINANCE
Yard Setbacks: NOT APPLICABLE
MEETS CODE
Requirement
Proposed
. Side Yard
(25' if abutting a street, 30' if abutting a street
in Cardinal Ridge)
. Side Yard
10'
10'
lO\
. Rear Yard
25'
6" "\ \
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.
THIS CHECKLIST MUST BE COMPLETED AND INCLUDED IN THE BUILDING PERMIT FILE TO
MAINT AIN A RECORD OF THE REVIEW.
L:\TEMPLA TE\DECKCHCK.DOC
PRIOR LA.KE
INSPECTION
RECOR
SITE ADDRESS '39() t/ /4s17lEL 5'r S"'; SEE ()().. 729
TYPE OF WORK ~~ / '" .
USE OF BUILDING f2-GS A-/IC '-. ~
PERMIT NO. OO~' G q ~ DATE lSSlJED ~/B./tJl)
BUILDER !?hI#~ . DA-N 5cNh~ f I -,
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DO,~",~,~~NT DAT~
FOOTING I yt) I ~ I '1// rJO
PLACE NO CONCRETE UNTIL ABOVrHAS BEEN S~G"ED
I~ I ~ I
r- Cc>~oNS Cb - -rz.-,'
J FINAL" I I I
DEPARTMENT OF
BUILDING AND INSPECTION
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS 447-9850
~a5 II)..€- -b fDr.1. ~ .s~ I?-.MDO ~LV
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