HomeMy WebLinkAboutBuilding Permit 00-0649
~
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
7/QI/OD
7- ZtJ -tJo
BUILDING INF
11. SIZE OF STRUCT
(Height) (Width
(Depth)
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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LOT
PID ~-11)~-O14-{)
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(Address) (Tel. No.)
/t,~t0~~d>L-6/L.t~ '-/fi-~9K
(Address) (Tel. No.)
12. NO. OF STORIE';
3. LEGAL DESCRIPTION
\ 'cl BLOCK
~ \ (:\ - Am\Q
~" (Name)
" "..SA-LL::::t 3A~..JblA:-
5. ARCHITECT (Name)
13. TYPE OF CONSTRUCTION
ADDITION
14. FLOOR AREA APPORTIONMENT USE
_~ (Name) (Address) (Tel. No.) 15. NUMBER OF OCCUPANTS OR SEATS
jI '" r.f~~' ~,~((.~. ~~1' ~~) Q JJL ~ _,. OCCUPANTS
~,", FireplaceCJ SepticCJ ~ W)( Re-roofingCJ '--Porch~:;:;;. SEATS
Altera~ns (J Addition (J _Finish Attic (J Re-siding (J Finish Basement (J 16.~ COSTNALUE
Chimney (J Misc. 1<S'Pc...~ ( ~
8. PROPERTY AREA OR ACRES 9. PROPERTY DIMENSIONS 10. CULVERT SIZE 17. COMPLETION DAT~
Sq. Ft. Width Depth Yes No ~
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
~Ullding ofliclat can rev ", this perm~ "" j use. . F~~;;::' helllby agree that lI1a city official or a desig:.~::nter upon the propel1y 10 pe~o
FOR ADMINISTRATIVE USE
SETBACKS: Required
Actual
Front
Back
Side
Side
MATERIAL FILED WITH APPLICATION
SOIL TESTS (J ENERGY DATA (J
PILING LOGS (J PERCOLATION TESTS (J
PLANS & SPECS (J SETS
BUILDING DEPARTMENT VALUATION
USE OF BUILDING I~
VYL
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
SURVEY
(J COPIES
PERMIT VALUATION
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PLOT PLAN CJ
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....................................... $
~ '2 .--ZS-
40 · c.(1t
I, &0
Amount Brought Forward . .. . .. .. .. .. .. .... $
Park Support Fee ........................... $
SAC ......................................... $
Collective Street Fee .. .. . .. .. .. .. .. .. ...... $
Sewer Tap .... ...................... .... ..... $
$
Pressure Reducer .......................... $
Plumbing Permit Fee .. .. .. ... .. . ... .. .. .... $
Meter Horn. .. .. .. .. .. .. .. .. .. .. .. . .. .. . .. .... $
Water Meter ................................. $
Sewer & Water Connection Fee ........... $
Water Tower Fee ........................... $
Water Tap ................................... $
Builder's Deposit ............................ $
Other ......................................... $
Total Due .............................. $--'-03. 7.J
Paid I ~ 3.7 / Receipt No. ..:l9asv ~
~sued
Date 7-2,~tJ By /II/~
is to ",,-;/, I that the request in the above application and accompanying documents is in accordance with the City Zoning Ordinance and may proceed ~ed. This document when
1 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 ..................... $
City Planner
Date
Special Conditions if any
24 hour notice for all inspections (952) 447-9850
)
,
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By:(j1;)
Residential Building Permit Checklist
Deck Additions to Single Family Homes
Date: 7";(-~
Building PeA udt #
Site Address I~ 1'i
Pw:
~~~
Zoning:
Legal: L
B
Subdivision:
Existing St. ...ctur'@r NO
CONFORl\1S TO ZONING
ORDINA1~CE
CJs NO
Requirement Proposed
10'
* ~
10' L(t(
. 25' 551
i Yard Setbacks: NOT APPUCABLE
MEETS CODE
· Side Yard
(25' if abutting a street, 30' if abutting a street
in Cardinal Ridge)
· Side Yard
· Rear Yard
ANY PROPOSED DECK NOT MEE1UiG 1.t1J!. ABOVE CR.ll~RIA MUST BE REFERRED TO 1.t1J!.
PLAL'fNING DEPARTMENT. ALSO, ANY DECK ON A LOT ~U.t1 A SUSPELIJ!.JJ BLu.ltl'", OR AJ."fY
01.ttl.R UNUSUAL CIRCUMSTAJ.'iCE MUST BE REFERRED TO 1~ PLAl"fNING DEPARTMENT.
Tms CHECKLIST MUST BE COi\iIPLETED AND INCLUDED IN l..t1..1!. BUILDING PERi"fiT FILE TO
MAINTAIN A RECORD OF THE REVIEW.
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L:\ l.t:J.VrPLA TE\DECKCHCK.DOC
,./'..
PRIOR LAKE
INSPECTION
R.ECORD
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS Jlal,~ ~t4Q.~SI~
TYPE OF WORK D,rlc
USE OF BUILDING SF" \'\
PERMIT NO. JU' oft - D E ISSUED 2:27-/~
BUILDER . .
NOTE: THIS I NOT A PERMIT F ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR DATE
FOOTING ~. 71~1 / Ire
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
~
FINAL
4,
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.
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS 447-9850
..... "*
DA -E TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
e Z'i;tJ -Ar
ADDRESS 1~~3q &~:dL ~
OWNER
CONTR.
PHONE NO.
PERMIT NO.
tJ - t/; tf9
o FOOTING
o FOUNDATION
o FRAMING
A INSULATION I'?t\\
FINAL \(:!5)
o SITE INSPECTION
COMMENTS: d~
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
~4
l<1WORK SATISFACTORY, PROCEED
/ ri CORRECT ACTION AND PROCEED
:s::07CT~: FOR REINS::,:n:EFORE COVERING
CALL 447-9860 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTl
CITY OF PRIOR LAKE
INSPECTION NOTICE
DATE TIME
SCHEDULED 7/z-sloo AIT:
~bK~/D~ d.e:~~
ADDRESS I" ~ 3 9
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING 0 PLUMBING RI 0 EXIGRADIFILLING
o FOUNDATION 0 MECH RI 0 COMPLAINT
o FRAMING 0 WATER HOOKUP 0 FIREPLACE RI
o INSULATION 0 SEWER HOOKUP 0 FIREPLACE FINAL
o FINAL 0 PLUMBING FINAL 0 GASLlNE AIR TST
~ SITE INSPECTIONJ 0 MECH FINAL , 0
COMMENTS: 61e.-l F""l' E3>(tS--rr r:J., n~
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o WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
::~CT h}A~L FOR REINS:::::FORE COVERING
CALL 447-9860 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH cI: SAFETY!
INSNOTl