HomeMy WebLinkAboutBuilding Permit 00-0564
::7;700
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
/(,;,700 fkj~d>pv LClJt/~
3. LEGAL DESCRI~N
LOT ~. BLOCK
ADDITION tv-, \,.:,~,,J~\L~
4. OWNER (Name)
5. ARCHITECT
(Name)
6. BUILDER
(Name)
L- '::) ~ Hl if/..JW
7. TYPE OF WORK
New Construction CJ
Chimney 0 Misc.
8. PROPERTY AREA OR ACRES
Sq.Ft.
Fireplace 0
Alterations CJ
G,
fi~~
(Address)
(Address)
(Address)
c..CW c; if- .
Septic'LJ Deck K
Addition 0 Finish Attic ~ ..
9. PROPERTY DIMENSIONS
Width Depth
1. White
2. Pink
3. Yellow
..
Oty
Applicant
Permit No.
00,.05(,4-
1. DATE
'7 )' ? (!:Jt!' 0
It. JS,O
BUILDING INFORMATION
11. SIZE OF STRUCTURE
(Height) (Width) (Depth)
12. NO. OF STORIES
PID -ZS-338- Olh-O
?,fV...Q
Side
City:
1 ,6 ~~
~()r) A~
1, ~s"rr
(III
Plumbing Permit Fee .... ... .. .. ... .. ... .... $
13. TYPE OF CONSTRUCTION
(Tel. No.)
14. FLOOR AREA APPORTIONMENT USE
(Tel. No.)
(Tel. No.)
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS
tJlJ1~
Re-roofing 0 Porch 0
Re-siding 0 Finish Basement 0
1 O. CULVERT SIZE
Yes No
SEATS
16. PROJECT COSTNALUE
17. COMPLETION DATE
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 officia n oke th;K!ji~ just cause. Furthermore, I hereby agree that the city official or a designee may enter upon the property to perform needed inspections.
X " ~ Q, er 7---h"' :?~
. Signature - License No. . . Date
I
SETBACKS: Required
Actual
Front
BUILDING DEPARTMENT VALUATION
USE OF BUILDING
~6S A/L
FOR ADMINISTRATIVE USE
Back
Side
MATERIAL FILED WITH APPLICATION
SOIL TESTS 0 ENERGY DATA CJ
PILING LOGS 0 PERCOLATION TESTS CJ
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
PERMIT VALUATION I" If Of!) · ~
TYPE OF CONSTRUCTION: I II III IV V
OccupancyGroup A B E F HIM R S U
Division 1 2 3 4
Permit Fee................................... $
Plan Check Fee ............................. $
State Surcharge............................. $
Penalty ....................................... $
t6, 7r;
J:J - .., II
: 7tJ
PLANS & SPECS CJ
SURVEY 0
SETS
COPIES
PLOT PLAN
CJ
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 .............................. $ 7(,.L!f
Paid 'q c... ,0 Receipt No. *J."K(ffltI
Issued - . \ . ....W' J
Th' . .ty th~ /'""I^ abo I" d . doc . . rda .th th c~atze ~ Irdl. tt.lnDd By ~
IS IS to certi at the rec"!lest 1e ve app alion an accompanYIng uments IS In acco nee WI e Ity oning11 Inance an may proceed as uested. This document when
signed by the City Planner :on temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of pancy must be issued.
City Plan . Date Special Conditions if any
24 hour notice for all inspections (952) 447-9850
o>o~~
Tht' ('t'nlt'r of lht' Lab Counlry
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
L J HeNNeN
7,/ sjM
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/~ 700 W (NOS{)~ LN.
.
Accepted Accepted With Corrections X
Denied ~/ J -
ReViewedBVt1__)~<;fs:::::. Date: /-y~
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.1I
'.'".-.~~~-,..._.....w.~....~'_''' _ ;. ~.,;" .... _ __....__.
~
BY: (fl.
Residential Building Permit Checklist
Deck Additions to Single Family Homes
Date: ;:::t S -2oc:!:)
Building Peau.dt #. PIll:_
SiteAddress 14,/C)6 Cc)t~ :t:..-
Legal: L B Subdivision:
Zoning:
Existing Structure: YES or NO
CONFORMS TO ZO~lNG
ORDINANCE
YES
NO
1 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'
of:-
C>~
ok...
· Rear Yard
25'
ANY PROPOSED DECK NOT MEETING THE ABOVE CRITERIA MUST BE REFERRED TO 1.tU!.
PLANNING DEPARTMENT. ALso, ANY DECK ON A LOT \\i 1111 A SUSPE\" I J!.D BLUFF, OR ANY
01 nJ!.R UNUSUAL LU<.CUMST ANCE MUST BE REFERRED TO litE PLANNING DEPARTMENT.
Tms CHECKLIST MUST BE COMPLETED AND INCLUDED IN 111~ BUILDING PERMIT FILE TO
MAINTAIN A RECORD OF II1J!. REVIEW.
L:\lbMPLA TE\DECKCHCK.DOC
...-----
... -..
'<i
."
PRIOR LAKE
INSPECTION
RECORD
SITE ADDRESS Ilq{rJeJ l0,'~ ~,
TYPE OF WORK ~c..\'.. ( 0 X, lo
USE OF BUILDING CS{: D
PERMIT NO. (2{J.. 05ft;4-- DATE ISSUED'" 7-!-~
BUILDER LA ~ ~_.. ~
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF
BUILDING AND INSPECTION
CITY OF PRIOR LAKE
INSPECTION NonCE
SCHEDULED
ADDRESS
! G 700 !A/fl1dsu-y ~
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
D FRAMING
o INSULA TIONrl-, . f J /
I FINAL 1/""1l
o SITE INSPECTION
o PLUMBING RI
o MECH RI
D WATER HOOKUP
o SEWER HOOKUP
D PLUMBING FINAL
o MECH FINAL
COMMENTS:
DATE TIME
4r)-(J,
.(X>- - q; '-l
D EXIGRADIFILLlNG
o COMPLAINT
D FIREPLACE RI
o FIREPLACE FINAL
D GASLINE AIR TST
o
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~RK SAnSFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT ~OR RElNSPECTION BEFORE COVERING
Inspector. -f.-..f.I OwnerlContr.
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
/NSNOTl