HomeMy WebLinkAboutBuilding Permit 00-0597
,
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
t~~.., ~
rl~~ ~
CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTI9N PERMIT
~D~ Ie()
1
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1. White
2. Pink
3. Yellow
DATE RECEIVED
,./f · 00
Permit No.
\ ~ N. 6.
(:~'
BUILDING INFORllinON
11. SIZE OF STRUCTURe.
(Height) (Width) (Depth)
3. LEGAL DESCRIPTION
I
12. NO. OF STORIES
LOT
B.OCK
-t II...""
,
4
~....
---
PID ~ s.- 3 J1 ,.01",..0
~t>
, "~IP.W"...N.,.",..EE..l'.. _',' J . (tJa")B, )
.4~ W~'De~
13. TYPE OF CONSTRUCTION
ADDITION
(AdPie.SJ) .J
/'1'171 r,'1(e ~I<L 1l<. nJ f
5. ARCHITECT
(Name)
(Address)
(Tel. No.)
Lf1S'''0703
(Tel. No.)
14. FLOOR AREA APPORTIONMENT USE
6. BUILDER
(Name)
(Address)
(Tel. No.)
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS
7. TYPE OF WORK
New Construction a
Chimney a Misc.
8. PROPERTY AREA OR ACRES
Sq.Ft.
Fireplace a
Alterations a
Septic a
Addition a
~
Dec'R)(.
Finish Atti~ "'
Re-roofing a Porch a
Re-siding a Finish Basement a
SEATS
16. PROJECT COSTNALUE
9. PROPERTY DIMENSIONS
Width Depth
1 O. CULVERT SIZE
Yes No
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
:uilding 07~ktJ.a;!f~~~,}(f,~,rthermore, I hereby agree that the city official or a designee may enter upon the property to perfo~ needed i~;ons.
Signature License No. ~.,.
FOR ADMINISTRATIVE USE
SETBACKS: Required
Actual
Front
Back
Side
Side
MATERIAL FILED WITH APPLICATION
SOIL TESTS a ENERGY DATA a
BUILDING DEPARTMENT VALUATION
~~
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
PERMIT VALUATION
DOc::::r? -
PILING LOGS a
PLANS & SPECS a
SURVEY a
PLOT PLAN a
PERCOLATION TESTS a
SETS
COPIES
USE OF BUILDING
TYPE OF CONSTRUCTION: I II III IV V
OccupancyGroup A B E F HIM R S U
Division 1 2 3 4
Permit Fee................................... $
City:
Amount Brought Forward . ... .. .. . ... .. .... $
Park Support Fee ........................... $
SAC ......................................... $
Collective Street Fee .. .. .. . .. .. .. .. .. ... ... $
Sewer Tap ................................... $
$
Pressure Reducer .......................... $
Meter Horn. .. .. .. .. .. .. . .. .. .. .. .. .. .. .. . .... $
Water Meter ................................. $
Sewer & Water Connection Fee ........... $
Plan Check Fee ............................. $
State Surcharge............................. $
Penalty....................................... $
Plumbing Permit Fee .. ... .. .. .. . ... ... . .... $
Mechanical Permit Fee ..................... $
-C+.15'
4 1>. S,
I.. 50
Sewer & Water Permit ....... .............. $ Water Tower Fee .. .. . ... .. .. .. ... ... .. .. ... $
. ............... $ ~/ Water Tap ................................... $
, ~
This g Permit If) Builder's Deposit ............................ $
By Date Other ......................................... $ l!:>
Certificate of Occupancy , Total Due .............................. $ \ 2- "t , +
Paid f'LA- ~ ~ ~ Receipt No. 1>1 ~ tJ. S
Issued t ~
Date 7, (-t a7 By ~
This is to ...0, J.i that the request in the above application and accompanying documents is in accordance with the City Zoning Ordinance and may proceed as requested. This document when
signed by the City Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be issued.
City Planner
Date
Special Conditions if any
24 hour notice for all inspections (952) 447-9850
'-~, ' "'<"~"~' '"""""""",."
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1
Residential Building Permit Checklist
Deck Additions to Single Far.Y Home, .
(2 0 Jcl- Date:"7 , <\ f ()p
BY:
Building Permit # ~_ ~ i1
Site Address
PID: -
Zoning:
Legal: L
B +-
Subdivision:
,,/ /'
~I>c. ~\~
~ ~
(~
~
.~.
Existing Structure: YES or NO
CONFORMS TO ZO~lNG
ORDINANCE
NO
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'
~7(
10'
. Rear Yard
25'
3et
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
MAINTAIN A RECORD OF THE REVIEW.
L:\TEMPLA TE\DECKCHCK.DOC
- ...
...
PRIOR LAKE
INSPECTION
RECORD
SITE ADDRESS /44 7 4 l2.K..6 LK- / ~
TYPE OF WORK 06CK-
USE OF BUILDING K~S fi/R....
PERMIT NO. (J7J .0597 'DATE ISSUED
BUILDER (/\It//3~K
NOTE: J"HIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT '
DEPARTMENT OF
BUILDING AND INSPECTION
7. /4 - 0 ()
I~~EC.TOR D~E
FOOTING @;)- fllJ7/tnJ
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
:ERBJlrJ~ .'
. ,.,
FINAL r vy/ Lt-~~01
Call between 8:00 and 9:00 A.M. for all Inspections
FOR ALL INSPECTIONS 447-9850
"I
--
DATE nilE
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
~ "1.:.0'1
ADDRESS
11{'-I71.{ (j4t, ~ frI
OWNER
CONTR.
PHONE NO.
PERMIT NO.
q}..- S7l7
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION D
.if-1iNAL 'Ct/[
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
/~/D'~'" 2:'~\
( (~ ~. rILL? )
\ .- ~
" ~
- ---
~RK SATISFACTORY. PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT W~~ C~ FOR REINSPECTION BEFORE COVERING
Inspector: ( V r Owner/Contr:
I .
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH &: SAFETY!