HomeMy WebLinkAboutBuilding Permit 00-0772
DATE RECEIVED
CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
~~~/lJO
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
'~'160
1. DATE
~ftJ4 /00
~\mpkJn~ ~e ~W
3. LEGAL D~RIPTlON
LOT 01. BLOCK d PID ~S-3~-()6'-t)
ADDITION Wll.Jht ~?0'f\.Clls I S"\ AOON ~
....nJttv..tl4onor ~~ (T5;.rA-
5. ARCHITE~(Name) (Address) (Tel. No.)
'i).,~" (Name)
~":'~';\;'
S~\~
(Address)
(Tel. No.)
7. TYPE OF WORK
New Construction a
Septic 0
Addition a
. '"
Dec~
Finish Attic a
Re-roofing 0 Porch 0
Re-siding a Finish Baseme~
Fireplace 0
Alterations a
Chimney 0 Misc.
8. PROPERTY AREA OR ACRES
Sq.Ft.
9. PROPERTY DIMENSIONS
Width Depth
1 O. CULVERT SIZE
Yes No
1. White Fl.
2. Pink Cit)
3. Yellow Apph
Permit No. I1JJ . 0777-
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. COMPLt: lIuN DATE
/Jtlll 2f!)o I
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
~ fflcfal ~'1JjJ: cause. Furthem1ore. 1 hereby agree lhal the city offlclal or a daslg:~:.ntar upon the property to 7~~ons.
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 .. .. .. .. . .. .. .. .. . .. .. .. ... $
ti
:'.:.,;.--,..:.~
FOR ADMINISlRA liVE USE
SETBACKS: Required
Actual
Front
Back
Side
Side
BUILDING DEPARTMENT VALUATION
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN ,.v
PERMIT VALUATION .." ~ /JOt', IJtJ
USE OF BUILDING
MtG
rw
TYPE OF CONSTRUCTION: I II III IV ~
Occupancy Group A B E F HIM UY' S U
Permit Fee ..........~~~~..~...~.~~... $ I;J. 'I, 75
5'/, ",
3"S"~
City:
Plan Check Fee ............................. $
State Surcharge ............................. $
Penalty ....................................... $.
Plumbing Permit Fee ....................... $
Mechanical Permit Fee ..................... $
i/(),OO
Sewer & Water Permit ...................... $
MATERIAL FILED WITH APPLICATION
SOIL TESTS LJ ENERGY DATA 0
PILING LOGS 0 PERCOLATION TESTS 0
PLANS & SPECS 0
SURVEY a
PLOT PLAN a
SETS
COPIES
Gas Fireplace Permit ....................... '$ ~I , , tJ Water Tap ................................... $
This ~ BecQrnes~g Permit ~~ ~~ved. Builder's Deposit ............................ $
By ~ . L jI'".E Date ~ 0'1 Other ......................................... $
Cortilk:ato of Occupancy Pald T~q:"*""~:~;" $ ~-:-
Issued ~
Date ~. 3/..:..f)C) By .
This is to certify that the request in the above application and accompanying documents is in accordance with the City Zoning Ordinance and may proceed s 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
Dale Special Conditions if any
24 hour notice for all inspectio~ 447-9a:0
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. .
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.........-...-......-..-........-.... .. ~...- .......- --,'--.
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Residential Building Pe.l udt Checklist
Deck Additions to Single Family Homes
BY: ~ . . ~ ~
~ 7.vtfLN
Building PeA udt # PW: Z,S - 308 - OO"-D Zoning:
Site Address /1, "'0 S'1M..pK/~' AVIS~/.41E ~.~.
p.e..,~ L./l.14.e ~&"",,I\S _-So-rA 55"31 z..
I
Legal: L 2- B Z, Subdivision: .., .
'4...JC :>, . 8 ~.....~
Date: t2 J ~
cV~4T(J a
fiNO$
.;.
Existing Structure: YES o@
CONFORMS TO ZO~LNG
ORDINANLE
YES
K
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'
· Rear Yard
I
27. 11
10' ~
. 25' ~
ANY PROPOSED DECK NOT MEETING 1 J:1J!j ABOVE ClU 1 J!.RIA MUST BE REFERRED TO 1.tlJ!;
PLANNING DEPARTMENT. ALso, ANY DECK ON A LOT'" 1.111 A SUSPEL. .lJ:!..D BLUFF, OR ANY
OTHER UNUSUAL 1..1.KCUMSTANCE MUST BE REFERRED TO 111J!. PLANNING DEPARTMENT.
Tms L.~CKLIST MUST BE COMPLETED Ai'1D INCLUDED IN H1J!,; BUILDING PERMIT FILE TO
MAINTAIN A RECORD OF THE REVIEW.
L:\! ~LA TE\DECKCHCK.DOC
'.
,,"..",,?, "'~'
BY:
Residential Building PeA wit Checklist
Basement Finish or Interior Alteration to Single Family Homes
~~
Date:
P/~iY'tJO
Building PeA u..ait # PID: 2~-!tctl -oel. - <) Zoning:
Site Address I~ "It. 0 SlNwftL-INS A.&)e, S,U).
-pa..lOA. LA."-C I M.\~toJcs.""A. 5S3?L
Legal: L,:( B ~ Subdivision:
Existing Structure: YES or NO
CONFORMS TO ZO~lNG
ORDINANCE
YES
Is this an expansion of the existing footprint or
building height?
YES
Refer to Planning
Is the prop~~lj located within the flood plain?
Refer to Planning
Does the alteration include any additional kitchens?
Refer to Planning
Does the proposed alteration include any outside
entrances other than patio doors?
Refer to Planning
Is the proposed use of the finished space or
alteration for anything other than a normal single
family home (office, group home, day care, etc.)?
Refer to Planning
. '~'~'. .~._= ,,?~Y'-
-
I
NO
NO
y.
X
)(
X
X
THIS L.t1J!;CKLIST MUST BE COl\'IPLETED AND INCLUDED IN 1 tl!; BUILDING PERMIT FILE TO
MAINTAIN A RECORD OF Itl!; REVIEW.
L:\l~MPLA TE\AL TCHCK..DOC
f":
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DEPARTMENT OF
BUILDING AND INSPECTION
PRIOR LAKE
INSPECTION RECORD
SITE ADDRESS I {.p 7 ~ 0 S l t\A P K I kJS AJ5~€" 9.1JJ,
NATURE OF WORK -n~ i. ~5E M.-€)JT- Fi"'lSH
USE OF BUILDING ~ ~('f2-
PERMIT NO. ()O.0177. DATE ISSUED ~~(&l
CONTRACTOR .fA(l.,'( M.~.Joa..- PHoNe 9s-z.- ~tl{/-319S
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUM_,ENT . f.. /
~ FOOTING INSP~ u ~E
V
PLACE NO CONCRETE UNTIL ABO~~ HAS BEEN SIGNED
ROUGH - IN~
~.~M
~.,~~
1>~t\nu4
1, ~~~
~~~~ ~.~1161
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
FINALS
.~ ~A)(lPl\_,
!/]/lY
yv;J
/VV
UNTIL ABOVE HAS
NOTICE
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.
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST
BUILDING (L. L.
ELECTRICAL
PLUMBING
HEATING
DO NOT OCCUpy
.~.
4 ,f:::1C) r.
A-.- ';u '.0 {
4, .2:2.~ {
j ~1 O{
I
A.\/}.1\e\
~~Ll
.s' <0
~./i\
BEEN SIGNED
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECT;ONS (612) 447-9850
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CITY OF PRIOR LAKE
INSPECTION NonCE
DATE TIME
SCHEDULED - 4' - 3,()~
>lN1al4& ~
ADDRESS
l760
OWNER
CONTR.
PHONE NO.
m- 712..
PERMIT NO.
[] FOOTING
[] FOUNDATION
D FRAMING
D J)lSULA TION, ,
,2I"'"FINAL V( ~
D SITE INSPECTION
[] PLUMBING RI
D MECH RI
[] WATER HOOKUP
[] SEWER HOOKUP
[] PLUMBING FINAL
[] MECH FINAL
D EXIGRADIFILLlNG
D COMPLAINT
o FIREPLACE RI
D FIREPLACE FINAL
D GASLlNE AIR TST
o
COMMENTS:
~
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(I (he
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.~ -.........
~~
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J1'WORK SATISFACTORY. PROCEED
D CORRECT ACTION AND PROCEED
D CORRECT WORK. CALL FOR REINSPECTION BEFORE COVERING
Inspector. vvr OwnerlContr.
CALL 447-9850 FQR: THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
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