HomeMy WebLinkAboutBldg Permit 00-0527
CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
1.~Aiz %'/00
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2/'10
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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
/4/, Ztp
5;e1 o~6
;e/oqe
3. LEGAL DESCRIPTION
LOT
/0
2-
~~/fr6;6 MUS
PID
BLOCK
1. White
2. Pink
3. Yellow
Permit No.
BUILDING INF&TION
11. SIZE OF STRUCTURE
(Height) (Width) (Depth)
12. NO. OF STORIES
13. TYPE OF CONSTRUCTION
(Address)
~ON 1'/626 t?<-,J1.e..
(Address)
5. ARCHITECT
(Name)
6. BUILDER
(Name)
(Address)
14. FLOOR AREA APPORTIONMENT USE
(Tel. No.)
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS
Fireplace D
Re-roofing D Porch D
Re-siding D Finish Basement D
SEATS
16. PROJECT COSTNALUE
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 offi . ! can evoke 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.
X 6-2:' -00
7. TYPE OF WORK
New Constructio
Chimney D Misc
8. PROPERTY AREA OR ACRES
Sq.Ft.
10. CULVERT SIZE
Yes No
Signature
FOR ADMINISTRATIVE USE
License No.
Date
SETBACKS: Required
Actual
Side
Front
Back
BUILDING DEPARTMENT VALUATION
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
PERMIT VALUATION
f6aJ,go
USE OF BUILDING
.eEs
~/,e
TYPE OF CONSTRUCTION: I II III IV
Occupancy Group A B E F ..I;! I M
Division 1 2 Q) 4
Permit Fee ................................... $
S U
City:
2'. 0'0
t~b5
,50
Plan Check Fee ............................. $
State Surcharge ............................. $
Penalty ....................................... $
~o
,,\-vf'\
Plumbing Permit Fee ....................... $
Mechanical Permit Fee ..................... $
Sewer & Water Permit ...................... $
Gas Fireplace Permit ....................... $
This Appption B~comes Yo~r Building Permit When Approved.
By ~ ~~ Date ttJ/;;..w!OO
Certificate of Occupancy
Issued
17. COMPLETION DATE
Side
MATERIAL FILED WITH APPLICATION
SOIL TESTS D ENERGY DATA D
PILING LOGS D PERCOLATION TESTS D
PLANS & SPECS D
SURVEY D
PLOT PLAN D
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 ........................... $
Date
This is to certify that the request in the above application and accompanying documents is in accordance with the City Zoning 0 inance d may proceed as
signed by the City Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of
City Planner
Date
24 hour notice for all inspections (952) 447-9850
Special Conditions H any
VA {}!3 ~1
White - Building
Canary - Engineering
Pink - Planning
The Center of the Lake Country
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT J-< e.;\ '\1-\ Lo.. 1$.( J{\
APPLICATION RECEIVED :r\.~ d '" N-\ 1 d () 0 0
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/Lfbaro "End/" 121('~ (ynxl- (l./e
Accepted Accepted With Corrections X
,
Denied
Reviewed By: ~? ~/.'J Date: t:,pto It) 0
Comments: R.6"A:C ~~ IV A JJ 0 -"-OrAl AND ^LL 1ftiE'
1 N r=;; ~ PJ'\ A-1"c 0 J-.1 0 ~ f1tE: API' eo'; et> PI- AtJ s .
~€ A"-' 0 ~t\I\. Il I 'S. 8~ ~ (),.,) lftE"
l)~ ht!>Tl NJCS:. M.or-J€ ,
"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."
If] ,052-7
Th. C.nl.r of Ih. Lak. Counlfy
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT J< eA thL ().. r;~Of'"
APPLICATION RECEIVED :Jl.J('\L.. ';;) a ~ ~ <9mrD
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/4{,aro~rid/,_ :gid~~~ NE
Accepted
Accepted With Corrections
Denied
Reviewed By:
{!g.
Date:
Comments:
"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."
.-
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PRIOR LAKE
INSPECTION
RECORD
SITE ADDRESS jL./rod-(P $1l.1/.?LC R/a::,e C:]; MG',
TYPEOFWORK.--:D~<!..1~ ~O~I~JS ONLY.
USE OF BUILDING e~. Air<..
PERMIT NO. 00 rO 527 . DATE ISSUED 1o/d-t,,!oC
BUILDER ~rrft L.AJfs-orJ
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF
BUILDING AND INSPECTION
INSPECTOR
DATE
I FOOTING ~U(, 4~~. *1 b I
_.. PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
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OIrtltlcate -'1-
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UVEY FOR :
OESCR I BED AS :
.La ke ,
H & E Builders
LotlO, Block 2, CARRIAGE HILLS 2ND ADDITION, City of Prior
Scott County, Minnesota and reserving easements of record.
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FOOTAGE
15, 693:1:
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PROPOSED ELEVATIONS
Top of Foundation
Garage Floor
Basement Floor
Aprox. SeHer Service flev.
Proposed EI ev.
Existing Elev.
Drainage Directions
Denotes offset Stake
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OENCJlt.1ARK, TNH @ &id1e Ri(,,~t 8.
.500' N of' CC<1C~nl('"
E1E'\1 = '138.03
.. q 27.5
. q27.'
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MIN. SETBACK REOUIREMENTS
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SCALE: I Inch. 30 Feet
Fron t - 30 lIouse S I de - '0
near - 30 Garage SI de - 10
. 0
Plannln" En"In..r'",,' SlIr"'yl""
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JOB NO:
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BOOK: PAGE:
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Date ~(1..3,11:-
CAOD F' lE: mfG. CIlK.
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