The URL can be used to link to this page

Home My WebLink AboutBuilding Permit 00-0806 ~t I D fi ~iii-uw ~ J.~~ C~~~~~I~:R~~~E . . "I\IIPORARY CERTIFICATE OF .... : ZONING COMPLIANCE \__._. ." AI ; TILlTY CONNECTION PERMIT 1. DATE 55 10 ?JOO ~ 1. White 2. Pink 3. Yellow File City Applicant ~Mo n().~ Permit No. DIRECTIONS SPACES NUMBERED~ J:WAloI-1.' ,"'__. __, .____... BEFORE PERMIT IS ISSUED (Please Print or Type and sign at bottom) 2. SITE ADDRESS I b()')9 3. LEGAL DES9~IPTION LOT .bJ --:P il ( rr BUILDING INFORMATION 11. SIZE OF STRUCTURE (Height) (Width) (Depth) (' .a rn b rMJ6 . 0 BLOCK ,:) ~ ,''C"i ("-fool 0 _ ............ 12. NO. OF STORIES PID j~,,,,\- ooq- O{)(.,{) h alJ,l 11 Q'NJ.. 13. TYPE OF CONSTRUCTION ADDITION 4. OWNER L,.., (Name) :\A,^:~'" k. (Address) it, ~'7 (Tel. No.1 J'I A._ \.., v' ~ ,.". ~.. V' ......" (Tel. No.) r.,IL- 41.f?- 5.~17 14. FLOOR AREA APPORTIONMENT USE 5. ARCHITECT (Name) (Address) (Address) (Tel. No.) /fb.-::l- I ~oy f)-e0 I....... A' ~ 0,..... IJ./ &.<~ f ~ J(,. Fb. }...~ ~.'v,. \.... Ir2~ "M~. '" 7. TYPE OF WORK ! Fireplace Q Septic [j Deck I)( As-roofing LJ Porch 0 New Construction 0 Alterations 0 Addition 0 Finish Attic iJ' Re-siding 0 Finish Basement 0 6. BUILDER (Name) 15. NUMBER OF OCCUPANTS OR SEATS OCCUPANTS SEATS 16. PROJECTCOSTNALUE Chimney 0 Misc. B. PROPERlY AREA OR ACRES 19. PROPERTY DIMENSIONS 110. CULVERT SIZE Sq. Ft. Width Depth Yes No I hereby certify that I have fumished 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 bUil:mial cp.n revoke this rjrmit feg just cau~. Furthermore, I hereby agree that the city official or a designee may enter upon the property to perform needed inspections. X IkL ./~_ A L 10 n;L 199q " <;?/~-ocJ Signature License No. Data 17. COMPLETION DATE FOR ADMINISTRATIVE USE SETBACKS: Required Actual MATERIAL FILED WITH APPLICATION SOIL TESTS o ENERGY DATA [J Front B,ok Side Side PILING LOGS 0 PERCOLATION TESTS 0 BUILDING DEPARTMENT VALUATION OFF STREET PARKING SPACES REO. SPACES ON PLAN PERMIT VALUATION PLANS & SPECS 0 SURVEY [J PLOT PLAN 0 SETS COPIES MY( USE OF BUILDING -s/J It .-0..2> 1'1f'JO - TYPE OF CONSTRUCTION: I II III IV V Occupancy Group A B E F HIM R Division 1 2 3 4 Permit Fee .............. ..................... $ Amount Brought Forward .................. ~ Park Support Fee ........................... ot SAC ......................................... $ Collective Street Fee .... ................... $ Sewer Tap ................................... ot City: S U GQ50 2, 'h. &, S ,q~ Plan Check Fee ............................. $ Slate Surcharge ............................. $' Penalty .................. ..................... $ Plumbing PennitFee ....................... $ $ ~~ Pressure Reducer .......................... ~ Meter Horn.. ................................. ot Water Meter ................................. $ Sewer & Water Connection Fee ........... ~ WaterTowerFee ........................... ot Water Tap ................................... $ Builder's Deposit ............................ ~ Other ....................................,.... .-t- F;() 00 Paid T/;;;:..ii..........~~~~i.~~$ ~1t:,'J DatefI!J.ll.orl By ~ 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~s requested. 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 ..................... $ it ....... .............. $' .. ,..............1' ~..I Perm" W~frf~ This Appli By .WAIVEt. 01" '$.U'Il. vey Issued City Planner Date Special Conditions ff any 24 hour notice for all inspections (952) 447-9850 ~~ (fO -0701--- ThOi' ("..nln of lh" L.b Counll')' White - Building Canary - Engineering Pink - Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED ~ Dc_Q..V ( ~iY\~t-_ 6, dUUC\ The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: \tD50Q CCl.mbn~~_ (\\,..~ ~ ~ Accepted P!? Accepted With Corrections Denied Reviewed By: ;z.o#j- ~ j)~ / Date: ~CLr. $A.~o 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." REQUEST FOR WAIVER OF SURVEY REQUIREMENTS PROPERTY OWNER: I ADDRESS: I TELEPHONE NUMBERS: I I SIGNATURE: I LEGAL DESCRIPTION: L,,'1<- ,\Al""-: "'" L-... /t,1)~9 2/>,~l....,)..._ J J 00<:;9' fiA_ j.,,_, \.. ~ _ .-.A ,'V" ~ YYLI A . , .dI...A--_ -L. A- PJZ.\olL Ac.l2e<;. '2. r::? Ai> 0 PID NUMBER: A request to waive the survey requirements will be accepted only for the construction of decks. Prior to the review of this request, the property owner must provide reasonably reliable evidence in the field of what he/she believes are the property boundaries. This request must also be accompanied by the following information: 1. The deck must be drawn on a site plan to scale, 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 City, 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 $50.00 fee 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. For Office Use Only BY: 1:\h~ndAUts\",ai~er.do<;- 16200 Eagle L.reeK Ave. ::>.E.,Prior Lake, Minnesota 55372-1714 1 Ph. (612) 447-4230 1 Fax (612) 447-4245 AN EQllAL OPPORTl lNITY EMPLOYER 0( PRIOR LAKE INSPECTION RECORD DEPARTMENT OF BUILDING AND INSPECTION SITE ADDRESS \10 osl (A/v\\3(2..I{)~ CU<.. TYPE OF WORK D~c. t::- , USE OF BUILDING i1 (J,(J(" i<-~ A/r2- PERMIT NO. [)(). O~_ DATE ISSUED BirD /00 BUILDER N6/ [tflA-/"v ~ C7->s-r +42..-lsCl'B . NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT I INSPECTOR DATE , FOOTING I ~. I ~/.9~ PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED ~ I ,. ?4ft~. , I J l , FINAL /%tJ , Call between 8:00 and 9:00 A.M. for all inspections FOR ALL INSPECTIONS 447-9850 CITY OF PRIOR LAKE INSPECTION NOTICE SCHEDULED DATE 736/0;/ a.-dr, ~p. c;-. V TIME ADDRESS /6tJ,-~ OVVNER CONTR. PHONE NO. PERMIT NO. 6!l::J -?a o FOOTING o FOUNDATION o FRAMING o INSULATION o FINAL "xSITE INSPECTION COMMENTS: o PLUMBING RI o MECH RI o WATER HOOKUP o SEWER HOOKUP o PLUMBING FINAL o MECH FINAL o EXIGRAOIFILLING o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GASLlNE AIR TST o ~~~/ {:::~/5'~'!~ ~. ~ / / A / ---1/ ! r /cd-f" ,,---= - ...........----- \" >~/J r-:y Jt:. /;. ~ORK SATISFACTORY, PROCEED o CORRECT ACTION ANO PROCEED o CORRECT WORK, C~:;?R REINSPECTlON BEFORE COVERING Inspector: ~c.-V Owner/Conlr: CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY! INSNOTJ CITY OF PRIOR LAKE INSPECTION NOTICE OATE SCHEOULEO tP~b/dd I fo05'1 ~f;f2-[ f:)GE (?~~us (\ - . - - " lJ..~ CONTR. TIME A,r; ADDRESS OWNER ~(lD , PHONE NO. PERMIT NO. o FOOTING o FOUNDATION o FRAMING o INSULATION o FINAL ;tf SITE INSPECTION o PLUMBING RI o MECH RI o WATER HOOKUP o SEWER HOOKUP o PLUMBING FINAL o MECH FINAL o EX/GRAD/FILLING o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GAS LINE AIR TST o COMMENTS: ;[)~ I~~ ~.. .n.T; v ~~ ,Ai ~ ~ ~ -J....-..- Ai~ -.1ttt ~~" ..,~ ::;;!1;: -to ~(~ ,.,..,.~ /~,~~; r ~~\ .:;t, CJ.....tUv.'^-.t. / tf'l_ ~ er AJ-/~ 0./.-.0 ~ 11. - ~- .",r i- -;- -J' _J/trY\d ) . J{,~ ~ ~~~~ ~d <I-r, p".,,& _ J()I_&" ~ Ire ~ _ Ll/J-J l~_ ~ ~ ~,~~ ~_ 0-1<-... 0.-0 ~. o WORK SATISFACTORY, PROCEED o CORRECT ACTION AND PROCEED o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING ~r Inspector: Owner/Contr: CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY! /NSN()Tl