HomeMy WebLinkAboutBuilding Permit 00-0648
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DATE RECEIVED
CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
7.2~'OO
DIRECTIONS
SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN
BEFORE PERMIT IS ISSUED (Please Print or Type and sign at bottom)
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ADDITION Jet15 /J AeI otib 31!P
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5. ARCHITECT (Name) (Address) (Tel. No.)
3. LEGAL DESCRIPTj>N
LOT ~
PID
?&;-Yfz -- oz.,I--O
BLOCK
'i. (Name) (Address) (Tel. No.)
':J __( vi _ ~7
/~: I~k/;v ~ 37911.,,/~NClSI- 1~~J7'i/
'...~. Fireplace CJ Septic CJ DecIC Re-roofing CJ Porch CJ
's~n.Jhtion CJ Alterations CJ Addition CJ Finish Attic CJ Re-siding CJ Finish Basement CJ
Chimney CJ 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
BUILDING I
11. SIZE OF STRUC
(Height) (W."', (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
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 roperty and 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 offici e ke thi It for just cause. Furthermore, I hereby agree that the city official or a designee may enter upon the property to perform needed inspections.
... ~~NO '7jj1lj
, "
FOR ADMINISTRATIVE USE
x
SETBACKS: Required
Actual
Front
Side
Side
Back
BUILDING DEPARTMENT VALUATION
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
PERMIT VALUATION C~, t:!JC)
USE OF BUILDING
- .
t:GS R;/12-
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 APPLICATION
SOIL TESTS CJ ENERGY DATA CJ
- PILING LOGS CJ PERCOLATION TESTS CJ
PLANS & SPECS CJ
SURVEY CJ
SETS
COPIES
PLOT PLAN
CJ
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Amount Brought Forward ... .. ... ..... ..... $
Park Support Fee ........................... $
SAC .................................... ..... $
Collective Street Fee . ... .. .. .. ... .. .. .. .... $
Sewer Tap ..................... ......... ..... $
$
City:
Plan Check Fee ............................. $
State Surcharge ............................. $
Penalty....................................... $
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Plumbing Permit Fee ....................... $
P ressu re Reducer .... .. . .. .. .. .. .. .. .. .. ... $
Meter Horn. .. .. .. .. .. . .. .. .. .. .. .. . .. . .. .. ... $
Water Meter ................................. $
Sewer & Water Connection Fee ........... $
Water Tower Fee .. .. .. . .. .. .. .. .. .. . .. ..... $
Water Tap ................................... $
Builder's Deposit ............................ $
Other ......................................... $
Total Due .............................. $-1/)3. 71
Paid / 1J3.-J I Receipt No. 38043'
Issued
Date "7. '? 7. ()() By AU.--
This is to certify that the request in the above application and accompanying documents is in accordance with the City Zoning Ordinance and may pr~equ~ed. 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.
Mechanical Permit Fee ..................... $
. ing Permit When AP1J..rQ.v~'d
Date ?-1.1-~
24 hour notice for all inspections (952) 447-9850
Special Conditions if any
City Planner
Date
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Residential Building PeI.u.Jt Checklist
Deck Additions to Single Family Homes
B/26.
Date:
Building Pe~.uJt # PID: 2S' J'/z,... lJ21" 0 Zoning: Jt.I.so
Site Address 3e/l IK/u.t:;t:t/WtnJt:).$T.
Legal: L 4-
3
B
Subdivision:
Existing struc:tnr@r NO
GO
NO
CONFORMS TO ZO~1.NG
ORDINANCE
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'
/~I
10'
tfO'
· Rear Yard
25'
3~, "s-
ANY PROPOSED DECK NOT MEETING 1m.. ABOVE CRITERIA MUST BE REFERRED TO 1 ~
PLANNING DEPARTMENT. ALso, ANY DECK ON A LOT ~ 1.111 A SUSPE\...1 J!.D BLUFF, OR AJ"lY
o l.tlJ!.R UNUSUAL CIRCUMSTANCE MUST BE REFERRED TO .1 n~ PLAJ~NING DEPARTMENT.
Tms \...~CKLIST MUST BE COMPLETED AND INCLUDED IN 1.t1~ BUILDING PERlVIIT FILE TO
MAINT AIN A RECORD OF THE REVIEW.
L:\TENIPLA TE\DECKCHCK.DOC
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PRIOR LAKE
INSPECTION
RECORD
SITE ADDRESS ~( W;I~l~&?
TYPE OF WORK tDr(;: "Z'ft~
USE OF BUILDING 5FJ:::/
PERMIT NO. _ ()O' O~+r DATE ISSUED ,-2?- 200(;7
BUILDER · i~ 7 - J 197
,
NOTE: THIS IS OT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF
BUILDING AND INSPECTION
INSPECTOR DATE
FOOTING ~,.. ?/t?-f?lt7D
, .
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
~
FINAL Il:r, Jf:M/~
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS 447-9850
1 '.
\
DATE TIME
CftYOFP~OR~ oJ?~'J
INSPECTION NOTICE SCHEDULEO ~. :;?:{O
ADDRESS 3'g II 1J.); 1101J J uJV,d
PHONE NO.
CONTR.
PERMIT NO. .Jf]J ... Q (:f/ f
o PLUMBING RI J f 0 EXlGRADIFILLING
o MECH RI \Y' 0 COMPLAINT
o WATER HOOKUP 0 FIREPLACE RI
o SEWER HOOKUP 0 FIREPLACE FINAL
o PLUMBING FINAL 0 GASLlNE AIR TST
o MECH FINAL 0
OWNER
o FOOTING
o FOUNDATION
o FRAMING ~
~NSU~IONr (~\ ,.
FINAL LJe-~
o SITE INSPECTION
COMMENTS:
~
~~
--
~WORK SATISFACTORY, PROCEED
I 0 CORRECT ACTION AND PROCEED
o CORRECT WO~ FOR REINSPECTION BEFORE COVERING
Inspector: I. Qwner/Contr. .
CALL 447-9860 FOR THE NEX! INSPECTION 24 HOURS IN ADVANClb
CODE l/EQuJREMENTSARll FOR YOUR PElISONAL HEALTH & SAFETY!
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