HomeMy WebLinkAboutBuilding Permit 00-0435
QATE RECEIVED CITY OF PRIOR LAKE
BUILDING PERMIT,
. TEMPORARY CERTIFICATE OF
" II. 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. SlTE ADDRESS
/LJo3/ g (ue.b; I'd T r~::u) NF
3. LEGAL DESCRIPTION
LOT X'
ADDITION tJ\~_O I
4. ~ER ( ((Name)
I , 'I (' "-q <
5. ARCHITECT (Name)
BLOCK
t\l \\~
~
6. BUilDER
!UA- ,"\I ( tt
7. TYPE OF WORK
New Construction LJ
(Name)
La~7P f
Fireplace 0
I A~rations LJ
LtJ " ( r \ f)06
..
Chimney 0 Misc.
8. PROPERTY AREA OR ACRES
Sq.Ft.
1. DATE
~ //51(7)
I fi-
t PID d 5'"... 3'-13 - OO~-O
g ~ MlD.N
jYl (tddreSS) ar-:? ~ (Tel. No.)
O^-S /? ~ ~~ CfoJ ~ CJ 1~L.l
(Address) \dt'2.~. (Tel. No.)
rY'\'u.. 'I 19 -7G~O
(Address) (Tel. No.)
~4 fCiP;1i p~ \IV (P~~-'ffi,
Septic 0 Deck 0 Re-roofing 0 Porch 0
Addition LJ Finish Attic LJ Re-siding LJ Finish Basement LJ
9. PROPERTY DIMENSIONS
10. CULVERT SIZE
1. White
2. Pink
3. Yellow
File
City
Applicant
Width
Depth
Yes
No
Permit No.
00 -043::>
BUILDING INFORMATION
11. SIZE OF STRUCTURE
(Height) (Width) (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
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
~he... a,b,o. ve nt/One roperty and thaI all construction will conform 10 all existing slale and local laws and will proceed in accol1lance with submitted p.lans. I am aware that the
X: . ~ I c /~r just cause. Furthermore, I hereby agree that the city official or a designee may enter upon the property to pe5lJ~:"e:..tions.
r( Signature License No. ' \J ~
SETBACKS: Required
Actual
Front
BUILDING DEPARTMENT VALUATION
USE OF BUILDI"! ?
,0
AJ ~
,
TYPE OF CONSTRUCTION: I II III IV V
Occupancy Group A B E F HIM R S U
Division 1 2 3 4
Permit Fee ................................... $
Plan Check Fee............................. $
State Surcharge ............................. $
Penalty ....................................... $
Plumbing Permit Fee ....................... $
Mechanical Permit Fee ..................... $
Sewer & Water Permit ...................... $
Amount Brought Forward .................. $
Park Support Fee ........................... $
SAC ......................................... $
Collective Street Fee ....................... $
Sewer Tap ................................... $
$
FOR ADMINISTRATIVE USE
Back
Side
Side
MATERIAL FILED WITH APPLICATION
SOIL TESTS
LJ ENERGY DATA
o
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
PERMIT VALUATION
2~t5o::>. ~
PILING LOGS LJ PERCOLATION TESTS LJ
PLANS & SPECS 0
SURVEY 0
PLOT PLAN 0
SETS
COPIES
City:
7t/. ?~
~~
/ :1/19
Pressure Reducer .......................... $
Meter Hom ................................... $
Water Meter ................................. $
Sewer & Water Connection Fee ........... $
Water Tower Fee ........................... $
Water Tap ................................... $
Builder's Deposit ............................ $
Other......................................... $
~otal Due ..C:;O"................... $ 7lP, 0 0
Paid 7~ Receipt No. TI b a;;l
Issued .
Date ~ By {
Th~ ~ 10 _tv tha.the request In the above application and accompanying documents ~ In accordance with the City Zoning l1li~~Y proceed as ; ~ Th~ documenl when
sg !Iv> City F I ""001_ a temporary C~~ ~ compliance and alklWs 15~ ~7~~te!-= =~~
lanner Date ~ -- Special Conditions if any ,
uilding Permit 'Ct/'len Approved.
Date '::J"2~ '7~
--
24 hour notice for all inspections 447-9850
0lJ -0 t} 3(
The Center of the Like Country
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT \ o..,t-\\f 0.. \ lcJ,. f'\Os,,( fL\?~ \
APPLICATION RECEIVED .\i\n..M dJi II; ~ d D(\ D
(-)
The Building, Engineering, and Planning Departments have reviewed the building permit
applicationfo~ constructi~~~~ctivity which is propose':. at:
(-4. (i\~ i') I \ -'" "I" , ·
! , .~l l )~. ", ,1".1'''..\ ' ,/
I ) ". H \ ,\.. . r_) 1 , ',J \ r it \
Accepted
Accepted With Corrections
NE
V'
Denied
Reviewed By:
Date: --.?- z. .~
.5 c::.. p ...
~'V\.?-e &,.~ Sc:. ~ ~ ~ ')...f;' Fr PI'"&1A1
~}-~'tv r.)v...e-/~'D''-U ~ ~;~ I_
{0pv~ <ti~lc.A '\ 2:> (JUMPY ~~ ~
~~ ~1:~ VJ~_ .fY'~ <h'J {~~J~ I
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.1I
REQUIREMENTS FOR SWIMMING POOLS
PRIOR LAKE CITY CODE
SUB SECTION:
403.500 MINIMUM REQUIREMENTS: .
(1) Pools shall not be located within ten feet (10') (measured horizontally) from underground or overhead
utility lines of all types.
(2) Pools shall not be located within any private or public utility, drainage, walkway or other easement.
(3) Construction of pools shall be undertaken so as to avoid hazard, damage or considerable inconvenience
to adjacent property.
(4) The lot owner shall be liable for damages to any business or private property caused during pool construction.
(5) To the extent feasible, back-flush water or water from pool drainage shall be directed onto the owners' property'
or onto approved public drainage ways, and shall not drain onto adjacent private land. Drainage onto public streets
or other public drainage ways shall require permission of the appropriate local City officials.
(6) Any pool lighting shall be directed toward the pool and not toward adjacent property.
(7) The pool area shall be enclosed with a non-climbable type safety fence at least five (5') in height to prevent
uncontrolled access to the pool area, and the fence shall have a gate self-closing, and self-latching with the latch
inaccessible to small children and at least four feet (4') from the ground level. The fence shall be completely
installed before filling the pool.
(8) All wiring, installation of heating units, grading, installation of pipe or other construction shall be subject to
inspection.
(9) Nuisances, such as undue noise, lighting of-adjacent property, health and safety hazards, damage to vegetation
on adjoining property, and the like, shall not be permitted.
(10) Filling of pools from fire hydrants or other public facilities shall require the permission of the appropriate
local City officials.
I UNDERSTAND THE FOREGOING AND AGREE THAT THE SWIMMING POOL WILL NOT BE FILLED
WITH WATER UNTIL ALL ~1iE ABOVE REQlJl.KEMENTS ARE SATISFIED.
SIGNATUREOFOWNE.J~/~ ~ DATE 64'';:;<9
~// DAlE 0~"/YO
/(/)JI gt/~bl>j 'il!:
POOL CONTRACTOR
ADDRESS
AJ2~
/3"; ~ :-
L~ (b
ll1N
r-- /"""'" '.:) ') 'J
..::;. ~ j co<....
The City reserves the right to order (in writing) the removal of the water in the event any of the above conditions
are not satisfied.
POOLC~ Eagle Creek Ave. S.E., Prior Lake, Minnesota 55372-1714 / Ph. (612) 447-4230 / Fax (612) 447-4245
A:\ EQL.-\L opporrrV-';[TY E\lPLOYEP.
OO-of>~
Thr Crnlrr of lhr Lakr Country
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAMEOFAPPLlCANT '~_lraJ L(2J'\d~( ~
APPLICATION RECEIVED ~\~ ~ -Lf in) d D(l J
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
J .LJ CD. t'-:?u)~ ,'oi ,d \ ~ \ N E
Accepted
Accepted With Corrections :><..
Denied
rA~<2
~
Date:
~~
Reviewed By:
Comments:
I.~~\~
2. 00 flol- t:;'U ~l Y),'/-L.. ~ ()1..:t..U +tu.. S.s~
"~ k~q. ~'^' l.....$iX2.d~ ~ ~
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.1I
PRIOR LAKE DEPARTMENT OF
. BUILDING AND INSPECTION
INSPECTION RECORD
SITE ADDRESS I~D~\ ~~r-ci . \ t-ail
NATURE OF WORK ~\
USE OF BUILDING ~FD
PERMIT NO. no ~ 0 4-3~ DATE ISSUED G, -2" 2~
CONTRACTOR lJo.:\'\lt-oJ, ~~~Q~ Pt\O~e" s~ - ~% .
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
5!1z!tJ1 br-, 5//5/~ 4 5/;r;/{j1) f3t,
6 /J-/~ ftt, lo/S/Ob ~ 7/~h /~ ~J
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
&UJ. 1K:tc., ~ ~ -h ~ 61. f/!/17b
J(I?/tto ih-. y/9/blJ pi-/
FOOTING
--
ELECTRICAL
Moc-J.kAf9~ COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
~j~ ~
&fote.. 1=',' \\:~ ~,^4t.. tpool w,~ ~\~ J FIN A L S
.......,
.~
.
71 C;-~/!J ~
, I
~FJ
I=LECTRICAL
..
~\k~\ ~~~~Ca7lUc':~dl~:.'~O;I~~VE HAS BEEN SIGNED
This card must be posted near an electrical service cabinet prior to rough-in inspections
and maintained until all inspections have been approved. On buildings and additions
where no service cabinet is available, card shall be placed near main entrance.
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (612) 447-9850
ADDRESS
1~().31
DATE TIME
SCHEDULED l/.JII1c z-
&,,,~ ~.
CITY OF PRIOR LAKE
INSPECTION NOTICE
OWNER
CONTR.
PHONE NO.
PERMIT NO.
~(J-L/3S
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
!1 FINAL
o SITE INSPECTION
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 GAS LINE AIR TST
o
COMMENTS:
?~ ~ bJtJ..d ,/~
~~p~~~~~
~4~~ ~ ~.
I'~
.~ ~
~~.
~ W-~,
" WORK SATISFACTORY. PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK. CALL FOR REINSPECTION BEFORE COVERING
~r
Inspector:
Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYl
INSNOTI