HomeMy WebLinkAboutBuilding Permit 00-0665
~~
DATE RECEIVED CITY OF PRIOR LAKE
/ )'rn') BUILDING PERMIT,
'7 3 I UVTEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
DIRECTIONS
SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN
BEFORE PERMIT IS ISSUED (Please Print or Type and sign at bottom)
12. SIT, C;;:Q ~
AN ~ 1\0 ~
~{~
.9 llY\
3. LEGAL DESCRIPTION
LOT h BLOCK
lAl \\\tfu~
~
;q1'et
1. While
2. Pink
3. Yellow
File
City
Applicant
Permit No.
co - (,0,-
1. DATE
'7 hi / on
.
(</5D
BUILDING INFORMATION
11. SI~E OF STRUCTURE
(Height). ..... .~~".' (Depth)
12. NO. OF STORIES
A-M\..I
PID ~S- 1 tlC{-OIS-O
13. TYPE OF CONSTRUCTION
ADDITION
14. OWNER (Name) (Address)
"1";... +::rntllP lhV.~9 1;/",. Ail>.
15. ARCHITECT (Name) (Address)
6. BUILDER (Name) (Address)
Ib'-lS"O W"bs,-ltrc+
f<'~ J. Hc.r-\-." \"1) k CoM,+- Pr,or ~~E'-
7. TYPE OF WORK J Fireplace 0 Septic 0 Deck Re-roofing 0 Porch 0
New Construction 0 Alteration~.p Addition C? Finish A~i"" 0 Re-siding 0 Finish Basement 0
Chimney D Misc. ~ o~ C' J. <\OJ 7v \ ,,-\--i. f'V'tI
18. PROPERTY AREA OR ACRES ... I~. PROPERTY D~ENSIONS - - i10. CULVERT SIZE
Sq. Ft. Width Depth Yes No
I hereby certify that I have fumished infonnation on this application which is 10 the besl 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 off ial ca evok this ennil for just cause. Furthermore, I hereby agree that Ihe cily official or a designee may enter upon the property to perfonn needed inspections.
c.,L\;;1 [) 'i<, - ) - of)
x
-~-
(Tel. No.)
1441- ~,cz.q
I
.14. .1=L.:dOR AREA APPbRTIONMENT USE
(Tel. No.)
(Tel. No.)
15. NUMBER OF OCCUPANTS OR SEATS
yU,l-~ (S5>
OCCUPANTS
SEATS
16. PROJECT COSTNALUE
17. COMPLETION DATE
License No.
Dole
FOR ADMINISTRATIVE USE
Water Tap ................................... $
Builder's Deposit ............................ $
Other ......................................... $
Total Due .............................. $
Paid I t'\ <-, l' Receipt No _~ (\ '1 7
Date ) BY~}
the above application and accompanYIng documents IS In accordance with the City Zonrng rdlOance nd may proceed rested. ThiS document when
tas a temporary Certificate of Zonrng compliance and allows construction to commence Before occupancy, a Certificate f upancy must be ISSUed
SETBACKS: Required
Actual
Front
Back
Side
BUILDING DEPARTMENT VALUATION
OFF STREET PARKING
SPACES REQ.
SPACES ON PLAN
USE OF BUILDING '~
TYPE OF CONSTRUCTION: I II III IV V
Occupancy Group A B E F HIM R
Division 1 2 3 4
Pennit Fee .................. ................. $
Plan Check Fee ............................. !I:
PERMIT VALUATION
'2.".,....
.
.}.,
S U
City:
State Surcharge ............................. $
Penalty ....................................... $
Plumbing Pennit Fee ....................... $
&2.2.")
L/O.'-I'
J ,06
Mechanical ParmitFee .....................!t.
c-vO
&(~ I 00
Issued
This is to certify thaI the
signed by the City Plan r c
I
i
C.
Dale
24 hour notice for all inspections (952) 447-9850
Special Conditions if any
Side
MATERIAL FILED WITH APPLICATION
SOIL TESTS 0 ENERGY DATA 0
PILING LOGS 0 PERCOLATION TESTS CJ
PLANS & SPECS 0 SETS
SURVEY
o COPIES
-'"
PLOT PLAN Cl
Amount Brought Forward .................. $
Park Support Fee ........................... $
SAC ......................................... $
Collective Street Fee ........ .... ........... $
Sewer Tap ................................... $
$
Pressure Reducer .......................... $
Meter Horn ... .... ............................ $
Water Meter ................................. $
Sewer & Water Connection Fee ........... $
WaterTowerFee ........................... $
16";...., I
-"."- ....-- .'
---..---'-- -"-
""_- '_.~'_._""_'_." . "__ "" _ _ ~_. .'. n
.
By:Vf?
Residential Building Permit Checklist
Deck Additions to Single Family Homes
Date:
Building Permit # bo~ &.(."s PID:
Site Address 11.9"2.."\ "l.l..........
Zoning:
Legal: L
B
Subdivision:
Existing Structure: ((fJ or NO
~Q
-------
~
.. 0:::;., -;z........ ~ c..-..J;.......,
CONFORMS TO ZONING
ORDINA.L~CE
NO
I Yard Setbacks: NOT APPUCABLE
MEETS CODE
. Side Yard
(25' if abuttjng a street, 30' ifabutting a street
in Cardinal Ridge)
Side Yard
Requirement
Proposed
10'
I.
I. R=Yard
10'
25'
ANY PROPOSED DECK NOT MEETING THE ABOVE CRITERIA MUST BE REFERRED TO THE
PLANNING DEPARTMENT. ALSO, ANY DECK ON ALOTWITHASUSPECTED BLUFF, ORAl'll'
OTHER UNUSUAL CIRCUMSTANCE MUST BE REFERRED TO THE PLANNING DEPARTMENT.
Tms CHECKLIST MUST BE COMPLETED AJ'ID INCLUDED IN THE BUILDING PERiHIT FILE TO
MAINTAIN A RECORD OF THE REVIEW.
L:\TEMPLA TEIDECKCHCK.DOC
.,PRIOR LAKE
INSPECTION
RECORD
SirE ADDRESS /tc13Zl 'Z1M Au-e.
TYPE OF WORK '[),.. (' k:.. fb,~A.J-
USE 01= BUILDING <;;;Pr)
PERMIT NO. f'X) ~ ~".<;
-
BUILDER -t-f'r!)~
NOTE: THIS ISNOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
..
DEPARTMENT OF
BUILDING AND INSPECTION
DATE ISSUED .8 -"Z - "2~
INSPECTOR
DATE
I FOOTING I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
l~lIL~ I I
I FINAL
-~ ~ ~
#47 r~z/cy
Call between 8:00 and 9:00 A.M. for all Inspections
FOR ALL INSPECTIONS 447~9850
/'\
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
COMMENTS:
SCHEDULED
\0f3l~
ELt'<1
CONTR.
PERMIT NO.
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
() 0 MECH FINAL
Ke?~~
~~
~
o WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
DATE
U, I <>0 A.,.
AV6
TIME
Co ' (,,,~
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
1"'-:
l)~.
~
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
n-,
Inspector:
Owner/Contr:
/
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
ADDRESS
/GJ>.z9
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
~INSPECTION
COMMENTS:
/'\
/J /
V -{(?C(c
-----
/
1..--./
{C./oSe
\
...........
OA TE TIME
SCHEDULED ~~
g~ 4e
CONTR.
PERMIT NO.
a:? -C6':S-
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXlGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
~pk4
,
,~~~
/.-? /p /
~
-
~ORK SATISFACTORY. PROCEED
~ C~ORRECT ACTION AND PROCEED
o CORRECT WO:~ '7(t/OR REINSPECTION BEFORE COVERING
Inspector: /t/~ Owner/Conlr:
CALL "7-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE;,
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/
INSNOTI