HomeMy WebLinkAboutBuilding Permit 00-0936
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
(Please t}'t!e or vrint and sign at bottom)
ADDRESS
/63(, {,
FIAN t{'AJ lil','J
PVlHI. LArc-
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Uu.
Date Rec'd
., 2.aw
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......
I Whi<, ,;t, I PERMIT NO. 0
2. Pink City
). Yellow Applicanl
LEGAL DESCRIPTION (office use only)
LOT t/ BLOCK ~ADDITION R f7'J/l/It;; vi' ()~ -IJ; / k ;)fJd
OWNER
(Name)
Dt.:vl) ..
/63(; 1
(Address)
BUILDER
(Name)
00,", + It"':
feMe" h"v!.,,,,
'(:/",,,, /(,,...
PID J-.5 O/ro O(j-e.
(Phone) 9'r"2-'ZZ(; -<:::;;;>'fb
1fA\ 'J n l I,
,rYlo/l I)r(,
C,,'" ~t(Jc-hb~
(Phone)
"(r;;2.-'i'lD -+750
(Address) /'>06(; J?./JlJwAer Or/v6: S"AVA,'lL fIt-. S-Ss7~
TYPE OF WORK 0 New Construction 12$Jeck OPorch ORe-Roofmg
OLower Level Finish
o Fireplace
,OMisc,
ORe-Siding
OAddition OAlteration OUtility Connection
PROJECT COST/VALUE (excluding land) $ 'f;. Do 0
1 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 building official can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may
;teru73eQ:;to;~rft--,iit$ons ~O() I b /1 0 /b/II/~600
8LL..L- - Signature M.J!!.77JN Contractor's License No. 'Date
$
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5'f."0 I
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I Permit Fee
I Plan Check Fee
I State Surcharge
I Penalty
I Plumbing Permit Fee
I Mechanical Permit Fee
I Sewer & Water Permit Fee
I Gas Fireplace Pern;it Fee
/} _(I ,
~rBUilding;;;~7;=<t
Building ~ticia1 Date
.
I Park Support Fee
I SAC
I Water Meter Size 5/8"; 1";
I Pressure Reducer
I Sewer/Water Connection Fee
I Water Tower Fee
I Builder's Deposit
Other $50<JS? ril'lIV'e;e..
#
#
#
#
$
$
$
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$
$
S'q~q 5'
~ tl3g~;)..
$89.95"
/0- .7'-1~O 0
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This is to certify that the request in the above application and accompanying documents is in accordance with the City Zoning Ordinance and may proceed as 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.
Planning Director
Date Special Conditions, if any
24 hour notiee for all inspeetions (952) 447-9850, fax (952) 447-4245
REQUEST FOR WAIVER OF SURVEY REQUIREMENTS
I PROPERTY OWNER:
I ADDRESS:
I TELEPHONE NUMBERS: I
I SIGNATURE:
I
I LEGAL DESCRIPTION:
I PID NUMBER:
(:lA,,,I, f:"lilIeN MD~I.~rL
If.J61 F/A,.K":" 71..,1 p,.~w_ t./C4,
.(, /2- - 3';) ~ - O"J. '/;).
9f'z.-'fYO~O
rYn r: ~
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
ACTION
ygl APPROVED 0
COMMENTS: +r" ~ .........- ,...,.,
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,
DENIED
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JL.:" .c;t;:J' ~
If) 1/ t/ ,..J
BY:
1,lhandpptsl"lai,er,do"
16200 Eagle ueeK Ave, ~,E,. Prior Lake. Minnesota 55372-1714 / Ph (612) 447-4230 / Fax (612) 447-4245
^N EQ\ 1M. OrrOBTlINIT'{ EM PI OVFJ{
~~
DO.oq3~
Th..r..nlnoflheL.krCounlry
White . Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
(1'105HeK..) F,e ONTI Sf?- c"ON':::' I/<-.
l ;
/(). /fo . 00
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/03&/ FRANKLIN I!<.AIL-
Accepted
Accepted With Corrections
x
Denied
Date:
(0 -(9'- ?oC)
v~
~
(2:~t~ ~p~ ~ <w-l- /
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Reviewed
"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."
"
PRIOR LAKE
INSPECTION
RECORD
SITE ADDRESS 1I.~{1J1 F~l,-,-- \It-
TYPE OF WORK ---DP" k:: II.( X i '<; ~ J
USE OF BUILDING~ ~ D
PERMIT NO. () (; D 93&' DATE ISSUED
BUILDER .ft-,..,J.,......J- 9)'2 - 4'" 0 -/7<.>0
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF
BUILDING AND INSPECTION
9 ~N~PECTOR OAT)'
, FOOTING I IfAJ _ I { ~ /1,(1
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
V~/ I I
1!5r,
, FINAL
.
1/t1I-?tJ/~
. I
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS 447-9850
"
ADDRESS
ItA 30 /
DATE TIME
SCHEDULED 10-(3-0) I} - -r;
hl2/,j(/,'JAJ (I--
CITY OF PRIOR LAKE
INSPECTION NOTICE
PHONE NO.
CONTR.
PERMIT NO. /-161- issued..-
OWNER
COMMENTS:
o PLUMBING RI 0 EX/GRAD/FILLING
o MECH RI 0 COMPLAINT
o WATER HOOKUP 0 FIREPLACE RI
o SEWER HOOKUP 0 FIREPLACE FINAL
o PLUMBING FINAL 0 GAS LINE AIR TST
o MECH FINAL 0
<;;;;+c:::.- ~ )0-"'; DerJ'-P,/
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
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o WORK SATISFACTORY, PROCEED _&_~_
o CORRECT ACTION AND PROCEED 10 "=f~
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
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Inspector:
Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE,
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/
INSNOTl
ADDRESS
1ft,3~1
DATE TIME
, SCHEDULED 10'.30 -o~~
t:rL1}rJJ< I; tJ JV
CITY OF PRIOR LAKE
INSPECTION NOTICE
OWNER
CONTR.
PHONE NO.
PERMIT NO.
0-- Lj 3 (:;"
o FOOTING 0 PLUMBING RI
o FOUNDATION 0 MECH RI
o FRAMING ~ WATER HOOKUP
o JNSULATIl2!'l ( SEWER HOOKUP
~NAL 'V e--/.... PLUMBING FINAL
o SITE INSPECTION 0 MECH FINAL
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
~~
. ,~~_...' ,
,<"
')
0_'''-
~ WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR 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!
lNS/VOTJ