HomeMy WebLinkAboutBldg Permit 00-0404 Deck
CITY OF PRIOR LAKE
INSPECTION NOTICE SCHEDULED
ADDRESS {&9(6"" ~;cx..y1~
ffe TIE
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o ~LATION
~~~~~L
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
cpO - Ot.(Ocf
o EXIGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
~tte. C\D olve. 1-, ~~~c.~~v;y
()~ IAJate>~'~
~~-(bo~~
o WORK SATISFACTORY, PROCEED
o COR~CT ACTION AND PROCEED
o COR ~RK, CALL FOR REINSPECTION BEFORE COVERING
Inspect : Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INmOTl
s/n/aD
CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
DATE RECEIVED
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. White
2. Pink
3. Yellow
File
City
Applicant
Permit No.
00 -04-04-
1. DATE
BUILDING INFORMATION
11. SIZE OF STRUCTURE
(Height) (Width) (Depth)
3. LEGAL DESCRIPTION
~\()(' ~~
BS" - 30~ - ()l~-O
12. NO. OF STORIES
LOT
ADDITION
~
Ll)Q..b:
13. TYPE OF CONSTRUCTION
14. FLOOR AREA APPORTIONMENT USE
(Tel. No.)
~<:.:Sw Colt-
(Tel. No.)
6. BUILDER
(Name)
(Address)
~~\~~ ~~e<;
7. TYPE OF WORK
11
(Tel. No.)
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS
Deck
Finish Attic 0
Re-roofing 0 Porch 0
Re-siding 0 Finish Basement 0
SEATS
16. PROJECT COSTNALUE
Fireplace 0
Alterations 0
Septic 0
Addition 0
New Construction 0
Chimney 0 Misc.
8. PROPERTY AREA OR ACRES
Sq. Ft.
Width
Depth
10. CULVERT SIZE
Yes No
17. COMPLETION DATE
9. PROPERTY DIMENSIONS
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 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
building icial can r v ke this permit for ju I us. Furthermore, I hereby agree that the city official or a designee may enter upon the property to per10rm needed inspections.
X 6"-1'- 00
License No. Dele
FOR ADMINISTRATIVE USE
SETBACKS: Required
Actual
Front
Back
Side
BUILDING DEPARTMENT VALUATION
Side
MATERIAL FILED WITH APPLICATION
SOIL TESTS 0 ENERGY DATA 0
PILING LOGS 0 PERCOLATION TESTS 0
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
PERMIT VALUATION :13000 I () 0
USEOFBUILDI~ Afrz
TYPE OF CONSTRUCTION: I II III IV
Occupancy Group A B E F HIM
Division 1 2 fI) 4
Permit Fee ................................... $
i3) S U
7'f. 7,S
Lf8.51
/, '50
City:
Plan Check Fee ............................. $
State Surcharge............................. $
Penalty ....................................... $
s\'O'lAtP
Plumbing Permit Fee ....................... $
Mechanical Permit Fee ..................... $
Sewer & Water Permit ...................... $
Gas Fireplace Permit ....................... $
This ~me~ourBUilding Permit When ~ro~.
By ~~1- Date 5/ ~ "D
Certificate of Occupancy
Issued
PLANS & SPECS 0
SURVEY 0
PLOT PLAN 0
SETS
COPIES
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 .............................. $ I.
Paid o. S
Date
This is t certify that the request in the above application and accompanying documents is in accordance with the City Zonin Ordin nee and may procee
sign b th ,Ian r constitutes a temporary certi8.~'fJ OPliance and allows construction to commence. Before occupancy, a Certifica
City Planner ~ Special Conditions ff any
24 hour notice for all inspections 447-9850
00 .() ~O/V
The C("nler or the Lake Counlry
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT C.hr' ~t-o?l\e-1 ~\adQ,
APPLICATION RECEIVED -\V\()..l..f 1'111'\ a. Of) 0
Accepted
Accepted With Corrections
Denied
Reviewed By:
Comments: ~E A rJ
INht2 mA-77oAJ
J)EVt:-
OtJ 7ft E
"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."
~ D -'okat"
The Center of the Lake Country
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APP~ICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT (~~(\ ~l'() 'Ph~ f ~~\oclQ
APPLICATION RECEIVED ~~'/\CU /. I \ '1 Yo a 000
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/ b ';1/ S,~I mptfTl~lw(. ~'tJ
Accepted \ / . Accepted With corrections
-
Denied
Q.fJIJ- ~
Date: q;-{;)-'3/ Q)
I
Reviewed By:
Comments:
liThe 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."
..
-'
/'
PRIOR LAKE DEPARTMENT OF
BUILDING AND INSPECTION
INSPECTION
RECORD
SITE ADDRESS /&;8/5 SI/VtPKI!LiS 4/& S:~,
TYPE OF WORK ^-lEA] J)EC!C-
USE OF BUILDING . ~S, AlrZ...
PERMIT NO. O(),(j404- DATE ISSUED S!11/CJd
BUILDER -.KEY LAN D rtoW\..c~ ., ,
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR DATE
I FOOTING I/~, 1613~D
_PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
. I I
I
I
I
I FINAL
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS 447-9850
\
\
\
\
\.
NOV 21 '96 11:16AM
P.l
D =U1l1lnQR8 a Q" (1111111
LMID I"LANNEIlB. IMlDSC,.,.E WHI1Em
2422 El'lterp'rille Drive
Mendata Helvtltll, MN 55120
(8'2) 8.1-1"& FAX:I.'-1488
625 Hlg"'WD~ 1 a N.E.
BIQine. )A" 5S~34
(812) 783-1880 FAX: 783-1883
KEYlAND HOMES
18815 SIMPICINS ~VENU( 31542-11
Certificate of Survey for:
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9..'/ :.....rv 51.
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BENCH MARK ~~",
TOP OF PIPE: --'"
ELEv.""
a~NCH M
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APPROVED
PLANNING DEPT
5/7~
ate_
3""~1
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912.?
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10
NOTE: PROPOSED CRADES SHDM! PER CUDlNC PLAN 8l't Sl(~ HAR't'E'r'
"'!:ITE': SUIlOINO llllllE"'SfONS SIo40WN ,,~ '011 HOIUZC>>lTAL AND ~nC"l lacATlClN
CIf' STRUCTURES DNLY. HE ARCHlTEl;T1JAL ,.LANa rOR IULDING AND
F'OVNOA TION OIMEMSlO~S.
NOTE: NO SPECIFIC SOIlS INIlESTlGATlCH HAS 8EEP4 CO~~EtiD 0IiI THIS LOT aT ntE
SUA~R. TllE $VlTASllIl'r 01 SClILS 'fa SUPPORT THe: PCQF'IC HOUS!!:
PMOI"OSED IS NOT THE: RESPClNSlI!IlUl1' Cjl' niL SUR\IE1'tlR.
1II01E; THIS c:1;RTlFlCATE DOES NOT PUIlPOlllT TO SHOW [&5DlENlS Dll1fR 'J1oIAN
1HCSE SWOWN C/Il Tt4E '-CCORO€'Q PlAT.
NOlEl COI'IT'R"CT~ MUST 'tERIN DRI\IE\'VA'r DESlQIll.
~OTEI Bf:.tJlINCIt' $HDWN A~E e~ all _N AISU.-EO DATU__
PROPosm I.mus~ ~L~Y.&TlOtL
LOWEST F'LOOR ELEVA nON: 9.5 ,. I
Top OF BLOCK E:LEVA 110N: !J,.,.. '3
CARACE SLAB ELEVA nON: 'i 5"$. 9-
. 000.00 DE/IlO'l'!S DCISlINC ELE'tA'TION
( 000.00 ) DENOTES PROPOSED ELEVAllON
- - - gfr(OTEIi D~~IIiI.CE AND U'OUlT EASEMENT
DltNOT!:S OllAINAGE now DIREt:'tION
. OENOTE, NONUW~T
a DQIIOTES OFfSET HUB
we: HEREBT CERTIF"'r' TO I<ETI.AND HOMES THAT THIS 1:5 A TflUE AND CORRE'CT REPRESENTATION or A
SURVEY OF' THE: BOUNOARIE:S OF:
LOT 2. BLOCK 5, F'IRST ADDITION TO WESTBURY PONDS
SCOTT COUN,..,.. MINNfSOT~
IT DOES NOT PURPORT TO SHOW IMPFtOVEMENTS OR ENCHROACHMENTS. EXCEPT AS SHOWN. AS SURVEYED BY ME O~
UNDER MY DIFilE'CT suprRVlSION THIS 6TH DAY OF NOVEMBERJ, leSeI.
~"'" Vi'''' J JI.. ='.~(,
SCALE ~ 1 INCH = 30 FEET p.VJ ~R.,J....
1419
96494.00 P"H
~
rJohn e. La~n, L.S. Rltg. No. 19828
tead
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