HomeMy WebLinkAboutBuilding Permit 00-0676
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
5-.:/)'1~
3. LEGAL DESCRIPTION
LOT 5( BLOCK 4
ADDITION ~mrrk.&v\ lU-
1. DATE
'1 I Cl/07)
(.J r-r lL, ~ ~-\
PID cQS'- (J/6-0LB-Q
~ \'-~ d N)L Mll)I\)
4. OWNER (Name) (Address) (Tel. No.)
, \ ; YY\ I 1"""0 V\I ~v\ Ii N D. S <"2)~ ~; Y'cl.J-,
5..ARCH~r ~ 3NaZ~-q70() -~~l I' 1{'17-grli1.1
~~~ '\ (Name) (Address) (Tel. No.)
-~':""'-\1~ J rO"J~I\I'~t:- __ tftl7-~2
1P'''UI'~: Fireplace 0 Septic 0 <J Dec~ Re-roofing 0 Porch 0
New Construction 0 Alterations 0 Addition 0 Finish Attic 0 Re-siding 0 Finish Basement 0
Chimney 0 Misc.
8. PROPERTY AREA OR ACRES
Sq. Ft.
9. PROPERTY DIMENSIONS
Width Depth
1 O. CULVERT SIZE
Yes
No
1. White
2. Pink
3. Yellow
(p
11. SIZE OF STR
(Height)
(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
tion hich is to the best of my knowledge true and correct. I also certify that I am the owner or authorized agent for
nfo to all existing state and local laws and will proceed in accordance with submitted plans. I m awa that the
ore, hereby agree that the city official or a designee may enter upon the property to perfo ons.
()
x
License No.
FOR ADMINISTRATIVE USE
SETBACKS: Required
Actual
Front
Back
Side
Side
BUILDING DEPARTMENT VALUATION
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
USE OF BUILDING /') ~
/~ /4//'<-
PERMIT VALUATION
2~. t:!:I/:I"'
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................................... $
MATERIAL FILED WITH APPLlCA liON
SOIL TESTS a ENERGY DATA a
PILING LOGS 0 PERCOLATION TESTS 0
PLANS & SPECS 0
SURVEY 0
PLOT PLAN 0
SETS
COPIES
Plan Check Fee ............................. $
~?# ZS-
I./. o. ~
~
Amount Brought Forward .. .. .. .. . .. .. .. ... $
Park Support Fee ........................... $
SAC ......................................... $
Collective Street Fee .. .. .. .. . .. .. . .. .. ..... $
Sewer Tap ..................... ......... ..... $
$
City:
State Surcharge............................. $
Penalty....................................... $
Plumbing Permit Fee ....................... $
Mechanical Permit Fee ..................... $
\II.Y
~.~
P ressu re Reducer .. .. .. . .. .. .. .. . .. .. .. .... $
Meter Horn... .. .. .. .. . .. .. .. .. . .. . .. .. . .. .... $
Water Meter ................................. $
Sewer & Water Connection Fee ........... $
Water Tower Fee ........................... $
Water Tap ................................... $
Builder's Deposit ............................ $
Other......................................... $
Ce . t f Occu tTotal Due .............................. $ /03. 7 I
1C8 eo pancy ~ ()~ '
Paid l 1 Receipt No. ~ Ci{ a 'J
Issued -
This is III C8l1ify 1hat lho request in lho lIIxMl application and accompanying docurnonl> is in llCCOIdance _lho ::';..ing~~ ~ ~ ~. This document-.
signed by the CIty Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate a:. ;::ncy must be issued.
City Planner
Date
Special Conditions if any
24 hour notice for all inspections (952) 447-9850
~ PR10
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~L,;'.,+' ; <.' ,.1': .~ ';~.~.,,' ">i,_\,,!"~.,^_.i_"'u;~ :;......~~'
.''- ,,'" ',.,.' ;~.~~:'~.~~;.., ,~~e.~~""UJr!;::~ou-_~y'~..::a~f,' ~' :,~," .,' ~'~l..
",," -"".". ,,- " ", ,', ,-,- .' - '. -"'", ,,', .., ", '-' ....,.< -....-'....,>'...'-, /". . '- ....':..:...r.:... ":,,," ....... '. . , ",'-'. . ":,,. . . ..-
PROPERTY OWNER: :r".,(S' I rtJw}y.i ~ft:,
ADDRESS: 53D1 8rlJf1l&.S ,/,'tlt! SEe
-prlof' l_~ AIM
TELEPHONE NUMBERS: W - '$2 - 1T. '/1-()tJ
SIGNATURE: II j::: f7a.j.~ ~
LEGAL DESCRIPTION:
PID NUMBER:
1. The _~~~~~..:,~jP1l!t:.~.. The site plan must identify
dimensions of both existing and new structures, and the distance from any lot lines.
2. The property owner must sign an agreement, prepared by the Ci!y, holding the City
harmless from any damages incurred if the deck is placed inaccurately on the site, or
of it irifringes on any setback requirements or easements.
3. The property owner shall pay a $$0.00 rd for the staffreview according to the
adopted fee schedule.
Once a request is reviewed, the staff will schedule a field inspection and review all
available information. The Planning Director and Building Official will then make a
determination of whether the requirements may be waived. -
l ~ \j ~dwgi~2~o~ I ~e.
16200 Eagle creeK Ave. ~.E.,-Prior Lake, Minnesota 55372-1714 / Ph. (612) 447-4230 / Fax (612) 447-4245
AN EQUAL OPPORTUNITY EMPLOYER
PLAT
DRAWING
5307 BROOKS \...u~CLE, PRIOR LAKE
LOT 8, BLOCK 4, BROOKSVaLE HILLS 2ND
.1 Burnet
. '1. Title
Order No: 98-29897
-
~
f
PD
1" = 30'
BROOKS Lu.<CLE
90.00
.
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,
t..
36
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=
II)
....
SPLIT
L LEVEL
.r KAME
DOUBLE
GARAGE
8
=
II)
....
.-21-. A
- 76
------------------------
10
.
90.00
~A."DI
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~k..;..r.,.Nt..'>l......n~-........'!>...~';'~ ~. .1" l'l""' U"f
1~~,:t.. Ift.- if_, '...........-.;~ 1 'f
A.ecclav"'.-I~~ Sbtcll;
PIll On.... No& a Survey
--rIle\ocadon of Ibe iIIIpIO . .. .. 11'" OIl ......... -1PflIO-- ud ...1Iued OIl
YiIuaI. i...... of .... pn:miIeL TIle.............. rn. die NCocd pial or couaay
.., ., L 11Iis cJrawia. iI (or W~ s-pClIIIlIllIlIIauId.. be... u a..",.,.. k
docs nol coud..... a IiIIliIity of die co.apIIIY IIllI iI ...... (or IIIOItpJe JIUI1lOIII OIIIy..
1.,.-_~l......"...I'VI~.
T'.........................,......,~ ~
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B/{if3
Residential Building Pe~ uJt Checklist
Det:k Additions to Single Family Homes
Date: eo. >- ~
Building Pe4u.dt #. Pill:
Site Address 5307 g~ Cr"
Zoning:
Legal: L
B
Subdivision:
Existing Structure: YES or NO
CONFORl\1S TO ZO~.l.NG
ORDINAi~CE
,....,..---...
(~
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'
10'
I (g ,
G, C-( (
. Rear Yard
. 25'
ANY PROPOSED DECK NOT MEElllofG 1.t1J!. ABOVE CRl.1.i..RIA MUST BE REFERRED TO Lt1J!.
PLANNING DEPARTMENT. ALSO, ANY DECK ON A LOT ,,"un ASUSPEL.1.i..J) BLu,rr, OR ANY
Ouu,R UNUSUAL LIJ:<.CUMSTAJ."lCE MUST BE REFERRED TO U1J!. PLAI'lNING DEPARTMENT.
Tms CHECKLIST MUST BE COl\'IPLETED AND INCLUDED IN 111J!. BUILDING PER1VIIT FILE TO
MAINTAIN A RECORD OF THE REVIEW.
L:\Thv!PLA TE\DECKCHCK.DOC
'<.
-
PRIOR LAKE
INSPECTION
RECORD
Cr.
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS 5Mt"J ~ t5~~
TYPE OF WORK ~ l
USE OF BUILDING 5PD
PERMIT NO. 00. (;&1 (p DATE ISSUED 9 . ~ - ~~
BUILDER .' I t-Qt-vlol:" rc1.~ i./C{7 -f3fJ;CfY
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR DATE
FOOTING 6--. FI"?'1/~
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
~
FINAL
~ ) )
ef} 9/25/&0
Call between 8:00 and 9:00 A.M. for all Inspections
FOR ALL INSPECTIONS 447-9850
" . " ..
DATE TIME
CITY OF PRIOR LAKE ~ /. ./
INSPECTION NOTICE SCHEDULED '-'2.~!111J 9: co
ADDRESS 530 7 f3t2..co ~ C ~ ~
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOU.mA TION
o F~G~
o IWLATION
: :ITE ~NSP 1&
COMMENTS: MEet
o PLUMBING RI
o MECH RI
o WATER HOOKU
o SEWER HOO
o PLUMBIN
o MECH F.
o - ~ 7f.r,
o EXIGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o ~c.....
~RK SATISFACT RY, PROCEED
o CORRECT ~~ D ROCEED
o CORRECT .: [ C L F EINSPECTION BEFORE COVERING
Inspector: l Owner/Contr:
9ALL "~-9850 FOR tHE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH &I SAFETY!
INSNOTl
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS .E ?x::iJ
~~
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING 0 PLUMBING RI
o FOUNDATION 0 MECH RI
o FRAMING 0 WATER HOOKUP
o INSULATION 0 SEWER HOOKUP
~FINAL 0 PLUMBING FINAL
/ SITE INSPECTION '- '- 0 ~ECH ~I~AL ,
COMMENTS: W~ () --
. . rAT':
!f3.96 ~JfJ
<,4 ~-r:
TillE
6 -(..7(,
o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
SD
~
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~ - 1'. ~t4. (..;J ~ ~ c.- 0
J ~~ill ~ 1(~~".
. ,it' l
t:t t~iL Ii -0 ..
P.Y~
o WORK SATISFACTORY, ;f"OCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector:
~(
Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
INSNOTl
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH &; SAFETY!