HomeMy WebLinkAboutBuilding Permit 03-0770
~~
DAIE..flFC'::FI\lFn
CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Permit No.
1. White File
2. Pink City
3. Yellow Applicant
/p- 4-() j
03-0770
1. DATE
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
55z8 .ol/eY"IQ?~ en'de -;:St=;
6. BUILDEr. dName) (Address)
VA I eU roo~' -6PA5
3DI -Ie. fl-(..'fOr:: -~-. I- I
-ai.>\.....j!)6V'.Ic::- ,...,IV
7. TYPE OF WORK Fireplace LI Septic [j DecK LJ Re-roofing 0 Porch [j
New Construction LI Alterations LJ Addition 0 Finish Attic 0 Re.siding 0 Finish Basement LJ
ChimneyCl Misc. IN,(,,"cnund -:5t0\"""",NL.. 'PooL
8. PROPERTY AREA OR ACRES 19. PROPERTY DIMENSIONS 110. CULVERT SIZE
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 p rty 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
building official can toke this ~it for just cause. F~re, I hereby agree that the city official or a designee may enter upon the property to perform needed insp.:ectlons.
X ~. ~ 4,~.o~
.-- Signature' License No. Dale
3. LEGAL DESCRIPTION
LOT 1 0 "LOCK
ADDITlON (~1::1:> I fJ p..L ~ laC; e.
4. OWNER (Name) .
JA~. W@d ~ :5e1-&:e.6
5. ARCHITECT (Name)
SETBACKS: Required
Actual
Front
BUILDING DEPARTMENT VALUATION
USE OF BUILDING
:s: F:- ./J_
~,2.03
BUILDING INFORMATION
11. SIZE OF STRUCTURE
(Height) (Width) (Depth)
PID dS~ 33S"tJ(()-{'1
Gth M~~TioN
(Address) (Tel. No{ q5l)
55ze, ~VlllQk elV"< ~ ~-to. S.(..ze,
(Address) (Tel. No.)
12. NO. OF STORIES
13. TYPE OF CONSTRUCTION
14. FLOOR AREA APPORTIONMENT USE
(Tel. No.)
15. NUMBER OF OCCUPANTS OR SEATS
(q6Z)f'R<t'l<t2:lo )((1/.3
OCCUPANTS
SEATS
16. PROJECT COSTNALUE
-II/2tOoo.00
17. COMPLETION DATE
FOR ADMINISTRATIVE USE
Back
Side
MATERIAL FILED WITH APPLICATION
SOIL TESTS 0 ENERGY DATA 0
PILING LOGS Cl PERCOLATION TESTS Cl
Side
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
PERMIT VALUATION
PLANS & SPECS 0
SURVEY 0
SETS
COPIES
PLOT PLA"
/
Cl
TYPE OF CONSTRUC110N: I II III IV V
Occupancy Group A B E F HIM R S U U'" / City:
Division 1 2 3 4 ~ V~)
t-.v~................. $ ~1Jr!JtJ, IJO
4~,e ............................. $ /~P. zS;-
State Surcharge ............................. $ ,,~I) 0
Penalty ....................................... $
Plumbing Permit Fee ....................... $
Mechanical Permit Fee ..................... $
Sewer & Water Permit ...................... $
Gas Fireplace Permit ....................... $
Amount Brought Forward .................. $
Park Support Fee ........................... $
SAC ......................................... $
Collective Street Fee ....................... $
Sewer Tap ................................... $
$
Pressure Reducer .......................... $
Meier Horn ................................... $
Water Meter ................................. $
Sewer & Water Connection Fee ........... $
WaterTowerFee ........................... $
Water Tap ................................... $
Builder's Deposit ............................ $
Other ......................................... $
Thi~catiOn Be.comes YO'f ~Iding Permit ~ ~~ved.
By ..1...........,11 =;t~1 ~ Date ~
Certificate of Occupancy
Paid T/~~ji?.........~~~~i~;. 0$
Date (,. 11. tJ J By
est in the abo~lication and accompanying documents is in aecoman,e with the City Zoning Ordinance and may ~~ s requested. This document when
itutes, ".,' .J; Ce0:lr~~omPlianceandr~n~c~;~:m:n'. Betoreoccupancy, a Cr7 of Occupancy must be issued.
Date ./ Special Conditions ~ any
Issued
24 hour notice lor all inspections 447-9850
.v~1
Th.. (-..nIt" of lhrl.."" Counlry
White - Building
Canary - En'lineering
~ .....r...,,. _ .....anmnO ~
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
J
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C:-:::J ':.-I-L,J "-....)
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
. .' /l,)
,;:5.":'J I (l..~
Accepted
'L.
Accepted With Corrections
Denied
Reviewed By:
Date:
Co ( II .D?::>
.
k
Comments:
"The issuance or granting of a permit or approval of plans, specifications and
computations shall not be construed to be a permit for, or an approval of, any violation of
any of the provisions of this code or of any other ordinance of the jurisdiction, Permits
presuming to give authority to violate or cancel the provisions of this code or other
ordinances of the jurisdiction shall not be valid."
Th~ C~nlff nf th~ L.k~ ('ountry
~lte - Buildin;>
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
()t1/L- /J~~
L, - ct;-o ~
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
.!5:L) ~ {[}~k abv
Accepted
Accepted With Corrections ~
Denied
Reviewed By:
Comments: 7&v--t
~~." '::(~/-J Date:~! I q /()3
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W~&r.~(J ~~-
"The issuance or granting of a permit or approval of plans, specifications and
computations shall not be construed to be a permit for, or an approval of, any violation of
any of the provisions of this code or of any other ordinance of the jurisdiction. Permits
presuming to give authority to violate or cancel the provisions of this code or other
ordinances of the jurisdiction shall not be valid."
REQUIREMENTS FOR SWIMMING POOLS
PRIOR LAKE CITY CODE
~~J~ ~ ~ ~a; ']
SUB SECTION:
403.500
MINIMUM REQUIREMENTS:
By
..~
(1) Pools shall not be located within ten feet (10') (measured horizontally) from underground or overhead
utility lines of all types.
(2) Pools shall not be located within any private or public utility, drainage, walkway or other easement.
(3) Construction of pools shall be undertaken so as to avoid hazard, damage or considerable inconvenience
to adjacent property.
(4) The lot owner shall be liable for damages to any business or private property caused during pool construction.
(5) To the extent feasible. back-flush water or water from pool drainage shall be directed onto the owners' property
or onto approved public drainage ways, and shall not drain onto adjacent private land. Drainage onto public streets
or other public drainage ways shall require permission of the a~~.v~.;ate local City officials.
(6) Any pool lighting shall be directed toward the pool and not toward adjacent property.
(7) The pool area shall be enclosed with a non-climbable type safety fence at least five (5') in height to prevent
uncontrolled access to the pool area, and the fence shall have a gate self-closing, and self-latching with the latch
inaccessible to small children and at least four feet (4') from the ground level. The fence shall be completely
installed before filling the pool. ,MuSt- ~S [~sfEcT/6A ^~O ~. R. I.
(8) All wiring, installation of heating units, grading, installation of pipe or other construction shall be subject to
inspection.
(9) Nuisances, such as undue noise. lighting of adjacent property, health and safety hazards, damage to vegetation
on adjoining property, and the like, shall not be permitted.
(10) Filling of pools from fire hydrants or other public facilities shall require the permission of the a~~.v~.;ate
local City officials.
I UNDERSTAND THE FOREGOING AND AGREE THAT THE SWIMMING POOL WILL NOT BE FILLED
WITH WATER UNTIL ALL OF THE ABOVE REQUIREMENTS 4AfE SATISFIED.
SIGNATURE OF OWNER lAJ,L>~ a L ~ DATE 6. //I'O~
POOL CONTRACTOR ./k___ DATE q;' (~. OQ
/"
ADDRESS
93Z!3 oll~'wk: 0.rc -66
The City reserves the right to order (in writing) the removal of the water in the event any of the above conditions
are not satisfied.
POOL~ Eagle Creek Ave. S.L Prior Lake, Minnesota 55372-1714 / Ph. (612) 447-4230 / Fax (612) 447-4245
AN EQUAL OPPORTUNITY EMPLOYER
..
PRIOR LAKE
INSPECTION
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS SJt~~<l~ ~ ~.e;.
TYPE OF WORK IN-G, · ~
USE OF BUILDING ~. .1:>. - -
PERMIT NO. 03~0770 DATE ISSUED ~.. 0
BUILDER . 4i PHONE # .. ,~
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELO~
THE PERMIT IS BY SEPARATE DOCUMENT ,., ~
r-- ~ PLAC.A\.ENT of Poot.. SiOCv.JAu...s ~IIlSPECTOR i~ i/1-Ce DATE
~, FOOTING I w I (p- Z-D~ U) l
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
. .
. ~ FRAMING~lm ~~ 5' ~J+ - I I
~~ A,.j...:J.- ~T~ C""N '5E"' Af;PE:D 7b fboL-
'FINAL I J
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (952) 447-9850
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
<",-:::-R% CJt./W k~
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
,a-ffNAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
f?k;{~1 L// rte,
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C:J-
TIME
L1 \ -77D
o EXIGRAD/FtLLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
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~ORK SATISFACTORY, PROCEED
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.
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CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!