HomeMy WebLinkAboutBuilding Permit 00-0701
CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
~1
DATE RECEIVED
6./0 .00
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
~ r
3. LEGAL DESCRIPTION
'l
BLOCK I
~ yil-l- /too mO.v
(Address)
5. ARCHITECT
C.
(Name)
(Address)
6. BUILDER
(Address)
(Name)
~~~
7. TYPE OF WORK
New Construction ('J
",^~..r "J'lO,( k'e.maS',...rw p, L.
Septic ('J
Addition 0
Deck
Finish Attic 0
Fireplace CJ
Alterations D
Chimney 0 Misc.
8. PROPERTY AREA OR ACRES
Sq. Ft.
9. PROPERTY DIMENSIONS
Width Depth
L White
2. Pink
3. Yellow
File
City
Applicant
Permit No.
00-D70/
1. DATE
<6'- 10 -0\:)
~.1
BUILDING INFORMATION
11. SIZE OF STRUCTURE
(Height) (Width) (Depth)
12. NO. OF STORIES
PID ?~-3'-2.-t)o8-0
13. TYPE OF CONSTRUCTION
(Tel. No.)
14. FLOOR AREA APPORTIONMENT USE
(Tel. No.)
(Tel. No.)
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS
9sJ -4 c.{7-09S
SEATS
16. PROJECT COSTNALUE
Re-roofing LJ Porch LJ
Re-siding LJ Finish Basement LJ
1 o. CULVERT SIZE
Yes No
17. COMPLETION DATE
I hereby certify that I have furnished Inf rmation 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
tioned p and that al nstruction will conform to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the
building offici I evo e this permit fo . st cause. Furthermore, I hereby agree that the city official or a designee may enter upon the property to perform needed inspections.
"'..l'")II,,?3~L- ~-IO -DC
license No. Date
SETBACKS: Required
Actual
Front
Back
BUILDING DEPARTMENT VALUATION
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
PERMIT VALUATION '3~. 00
USE OF BUILDING
TYPE OF CONSTRUcnON: I II III IV V
OccupancyGroup A B E F HIM R S U
Division 1 234 -1A .....,C
Permit Fee................................... $~
Plan Check Fee ............................. $ 4-S. .159
State Surcharge ............................. $ \ .. 5""0
Penalty .......................... ..... ........ $
Plumbing Permit Fee ....................... $
This A
By
Issued
FOR ADMINISTRATIVE USE
Side
MATERIAL FILED WITH APPLICATION
SOIL TESTS 0 ENERGY DATA 0
PILING LOGS 0 PERCOLATION TESTS 0
PLANS & SPECS 0 SETS
SURVEY 0 COPIES
PLOT PLAN 0
Side
City:
Amount Brought Forward .................. $
Park Support Fee ........................... $
SAC ......................................... $
Collective Street Fee ....................... $
Sewer Tap ................................... $
$
e"vO . b(
\tJ<-lfJ
Pressure Reducer .......................... $
Meter Horn ....... .... ........................ $
Water Meter ................................. $
Sewer & Water Connection Fee ........... $
Water Tower Fee ........................... $
Water Tap ................................... $
Builder's Deposit ............................ $
Other ......................................... $
Total Due .............................. $
Paid '{4
1-z.4-9> 4-
.:tCl~
This is to certify that the request in the above application and accompanying documents is in accordance with the City Zoning Ordinan and may proceed a r
signed by the City Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate
City Planner
Date
24 hour notice for all inspections (952) 447.9850
Special Conditions ~ any
Residential Building Permit Checklist
\ WeCk Additions to Single Family Homes
BY: f[)t~ Date:
Building Permit # PID: Zoning:
Site Address
Legal: L 8 B r
Existing structure@ NO
I CONFORMS TO ZONING
ORDINANCE
Subdivision: ,/ II
/,/'--06 (free..
d 1(-(
( Ai:JOr7(dN,
YES
NO
Yard Setbacks: NOT APPLICABLE Requirement Proposed
MEETS CODE
. Side Yard 10'
(25' if abutting a street, 30' if abutting a street ~
in Cardinal Ridge)
. Side Yard 10' 'LC;,rs
. Rear Yard 25' (O~
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
MAINTAIN A RECORD OF THE REVIEW.
L:\TEMPLA TEIDECKCHCK.DOC
..,
PRIOR LAKE
INSPECTION
RECORD
SITE ADDRESS 4-7fj(P P/l,e7JeIOC:Z6 C/-r-.
TYPE OF WORK 06~~
USE OF BUILDING /26.5 /lIre....
.
PERMIT NO. 0 0 . 0 70 I DATE ISSUED
BUILDER ,eO OC &e60K:. htI/'j60
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF
BUILDING AND INSPECTION
8 '/0. Dc)
, , INSPECTOR DATE
I FOOTING I fbrl I r/Z-~d1
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
~ .. I I
I FINAL I tll/vY I "). [5/00\
Call between 8:00 and 9:00 A.M. for all Inspections
FOR ALL INSPECTIONS 447-9850
'\
CITY OF PRIOR LAKE
INSPECTION NOTICE
OA TE TIME
s..;s- -tJLf
SCHEDULED
ADDRESS
47U
,al-Jy~t' ct
OWNER
CONTR.
PERMIT NO.
CO-o 7() (
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULA TIONO 1/
~ FINAL at.
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
jd WORK SATISFACTORY. PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT~OR REINSPECTlON BEFORE COVERING
Inspector: Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INVIOTI