HomeMy WebLinkAboutBuilding Permit 00-0673
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
a~')}'/~/~ 9
3. LEGAL DESCRIPTION
\
~
LOT
DATE RECEIVED CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
1. White
2. Pink
3. Yellow
File
City
Applicant
Permit No. 6Jt:J- ~/-~
1. DATE
T3~t':~4/;-d / r. 7? 8
c:s-
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BUILDING INFORMATION
11. SIZE OF STRUCTURE
(Height) (Width) (Depth)
12. NO. OF STORIES
BLOCK
t-\-, \-'-
PID
-z 5-~lD ~o4'-O
13. TYPE OF CONSTRUCTION
l.LrJdp.,
(Na~
'7r/2~
(Name)
(Address)
/~~ ~J?k;/fd/;.:.
(Address)
(Tel. No.)
5i5~-~ -O~ '79
(Tel. No.)
14. FLOOR AREA APPORTIONMENT USE
7. TYPE OF WORK
New Construction CJ
Chimney CJ Misc.
8. PROPERTY AREA OR ACRES
Sq.Ft.
ADDITION
6. BUILDER
(Name)
(Address)
(Tel. No.)
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS
I
Fireplace c:J Septic c:J Dec)j(
Alterations CJ Addition c:J Finish Atti~"'"
Re-roofing c:J Porch c:J
Re-siding c:J Finish Basement CJ
SEATS
16. PROJECT COSTNALUE
9. PROPERTY DIMENSIONS
Width Depth
1 O. CULVERT SIZE
Yes No
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
the above mentio ed 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
~Idlng 0 . ~ke lhis penn~ for just cause Furthermore. I hereby e9'" thaI the city official or a desig=e~oenter upon the property to perfo~~
SETBACKS: Required
Actual
FOR ADMINISTRATIVE USE
Front
Back
Side
Side
MATERIAL FILED WITH APPLICATION
SOIL TESTS CJ ENERGY DATA CJ
:~::::::::m::;oN-+k
I
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
PERMIT VALUATION
PILING LOGS CJ
PLANS & SPECS CJ
SURVEY CJ
PERCOLATION TESTS CJ
SETS
COPIES
q (X!)~ -
PLOT PLAN
c:J
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 Su rcharge ............................. $
Penalty....................................... $
Plumbing Permit Fee ....................... $
Mechanical Permit Fee ..................... $
City:
Amount Brought Forward ... .. .. .. .... ..... $
Park Support Fee ........................... $
SAC ......................................... $
Collective Street Fee .. .. .. . .. . .. . ... .. .. ... $
Sewer Tap ................................... $
$
.32.. 00
20. 8.J::L
I <:)0
Pressure Reducer .......................... $
Meter Horn ................................... $
Water Meter ................................. $
Sewer & Water Connection Fee ........... $
Water Tower Fee ........ ................... $
Sewer & Water Permit ...................... $
:::~W". ..f.......~...~:~.;.:~~ / '" I ~
By ~ Dam ~~1I
v ( ,
Certificate of Occupancy
Water Tap ................................... $
Builder's Deposit ............................ $
Other ..... ............................... ..... $
Total Due .............................. $ 5 3. ~
Paid '5~ 30 Receipt No. sSC>64
Date sb}g; By rLlJlrI
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 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.
Issued
City Planner
Date
Special Conditions if any
24 hour notice for all inspections (952) 447-9850
Residential Building Permit Checklist
Deck Additions to Single Family Homes
BY: ~ i~ Date: fS ( 7- ( Dv
Building Permit #
Site Address
co- (;13
PI0:
Zoning: ~ \
Legal: L
B
Subdivision:
Existing Structure: YES or NO
CONFORMS TO ZONING
ORDINANCE
YES
NO
. Side Yard
(25' if abutting a street, 30' if abutting a street
in Cardinal Ridge)
. Side Yard
Requirement Proposed
10'
3,'
10'
25' {~ \
Yard Setbacks: NOT APPLICABLE
MEETS CODE
. Rear Yard
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
MAINT AIN A RECORD OF THE REVIEW.
L:\TEMPLA TE\DECKCHCK.DOC
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PRIOR LAKE
INSPECTION
RECORD
\~ 40cr &.u&13 ~ 12." I~ ~. 6-
DEL'L _
\2€-C; AI (Z.
DATE ISSUED
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS
TYPE OF WORK
USE OF BUILDING
PERMIT NO. 00- Co 73
BUILDER --&AIL'1 5RAuN
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
( ;
f:;( '- ! CO
INSPECTOR DATE
FOOTING fA- · . '? J Jj I txJ
PLACE NO CONCRETE UNT'IL ABOVE HAS BEEN SIGNED
~
FINAL
4 . /
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Call between 8:00 and 9:00 A.M. for all inspection' '7 .
FOR ALL INSPECTIONS 447-9850
. .. . :"..
, ...
\
DATE TIME
CITY OF PRIOR LAKE ~~ 9:do
INSPECTION NOTICE SCHEDULED
ADDRESS /~L/c, 9 711 fA. ~bl teJ. 7,<2. ,
OWNER CONTR.
PHONE NO. PERMIT NO. r b?J D/t.. ,
o FOOTING 19r- s~e ~ ~
o PLUMBING RI o EXIGRADIFILLING
o FOUNDATION o MECH RI o COMPLAINT
o FRAMING ~ o WATER HOOKUP o FIREPLACE RI
o INSULA TIO o SEWER HOOKUP o FIREPLACE FINAL
,a, FINAL o PLUMBING FINAL o GASLINE AIR TST
o SITE INSPECTI o MECH FINAL 0
COMMENTS: r ,. F". f~
L.L, : '1'>J:;.--c..K- f
I!!!!!II!J - -"" -- .'~.- .. - .._- .
------~- - ..-
~~
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v=: p, P.
~ WORK SATISFACT , OCEED
o CORRECT A ION AND PROCEED
:s:o:~CT ~::R RSNS=::EFORE COVERING
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH cI: SAFETY/
INSNOTl