HomeMy WebLinkAboutBuilding Permit 00-0749
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CITY OF PRIOR LAKE
BUilDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
1. White
2. Pink
3. Yellow
File
City
Applicant
f3 'IB '00
Permit No. 00 -1 ~
DIRECTIONS
SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN
BEFORE PERMIT IS ISSUED (Please Print or Type and sign at bottom)
12. SITE ADDRESS
i rt Lj d. b R.t ~ rl. bl LJ..-n-.4. C ~T'l ~
6 -
1. DATE
9;./o~ ICf)
j(1
BUILDING INFORMATION
11. SIZE OF STRUCTURE
(Height) (Width) (Depth)
3. LEGAL DESCRIPTION
I \ BLOCK LJ
I .LkiTlr"Ln N.AQ ~
. .,
14. OWNER (Nam~ , )
f\n,(hCLeC '2. Kc..JL/
15. ARCHITECT (Name)
6. BUILDER (Name)
12. NO. OF STORIES
cQ."-.<l'l-~-O
2-rCl ~
f!.1d4JLZJ~ ('-t
.. (Tel. No.)
LOT
PID
~5l.~
13. TYPE OF CONSTRUCTION
ADDITION
rn~ess)
(Address)
14. FLOOR AREA APPORTIONMENT USE
J ,4d{;
(Address)
(q~ )T~-b"b(P\
~If- l.12... f6ZZ.. ~StJ
Re-roofing LI Porch LI
Re-siding LI Finish Basement LI
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS
~IC
Fireplace LI
Alterations LI
Septic LI Dec~
Addition LI Finish Attic LI
SEATS
16. PROJECT COSTNALUE
7. TYPE OF WORK
New Construction LI
Chimney LI Misc.
18. 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 property and that all construction will conform to aU existing state and local laws and will proceed in accordance with submitted plans. I am aware that the
~Uil~VOk . permit for jU1i:se. Furthermore, I hereby agree that the city official or a designee may enter upon the property to pe~l :;er(yp;tions.
License No. - CIte -
17. COMPLETION DATE
FOR ADMINISTRATIVE USE
SETBACKS: Required
Actual
MATERIAL FILED WITH APPLICATION
Side SOIL TESTS 0 ENERGY DATA 0
PILING LOGS 0 PERCOLATION TESTS 0
PLANS & SPECS 0 SETS
SURVEY 0 COPIES
PLOT PLAN 0
Front
Back
Side
BUILDING DEPARTMENT VALUATION
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
PERMIT VALUATION ~l)
~e.
USE OF BUILDING\2
U:>,
TYPE OF CONSTRUCTION: I II III IV V
Occupancy Group A B E F HIM R
Division 1 2 3 4
Permit Fee ...................................:t
Amount Brought Forward .................. $
Park Support Fee ........................... $
SAC ......................................... $
Collective Street Fee .... ........ ........... $
Sewer Tap ................................... ~
$
City:
S U
C.?"2..~
'-10 , c.{ (,
I . /->0
Plan Check Fee ............................. :t
State Surcharge ............................. :t
Penalty ....................................... :t
Plumbing Permit Fee ................... .... $
Pressure Reducer .......................... $
Meter Horn ... ............. .... ............... <t
Water Meter ................................. <t
Sewer & Water Connection Fee ........... 4-
WaterTowerFee ........................... 11'
Mechanical Permit Fee ..................... :t
c~r2J uu
~~.(}~;,~i~~.~..~1t VJIj.~ro'lOl!..
:Ie:' Dat. ~- .t. L-~i)
Water Tap ................................... q:
Builder's Deposit ............................ $
Other .........................................11'.
Paid ~o~~ ~i..............~~~~,~;~o. 3~~t6' \
I~u~ ~
Dat. 'X~ ftm BYl~h
ThiS IS to certify that the request In the above application and accompanYIng documents IS In accordance WIth the City ZOning 6rdlOanJ and may proceed s r uested ThiS document when
Signed by the City Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence Before occupancy, a Certificate ccupancy must be ISSUed
City Planner
Date
SpecJaI Conditions if any
24 hour notice for all inspections (952) 447-9850
_"_ -0".
--~-." --
.
BY:Gt5
Residential Building Permit Checklist
Deck Additions to Single Family Homes
Date: ~-2l-<-"
Building Permit #. PW:
Site Address I7q 2. G. Ql..~ wo odi..
Zoning:
Legal: L
B
Subdivision:
Existing Structure: YES or NO
CONFORMS TO ZONING
ORDINANCE
&
NO
. Yard Setbacks: NOT APPLICABLE
MEETS CODE
. Side Yard
(25' if abutting a street, 30' if abutting a street
in Cardinal Ridge)
. Side Yard
Requirement
Proposed
10'
10'
10
. Rear Yard
25'
&~
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 AL'IY
OTHER UNUSUAL CIRCUMSTANCE MUST BE REFERRED TO THE PLANNING DEPARTMENT.
THIS CHECKLIST MUST BE COMPLETED AL'ID INCLUDED IN THE BUILDING PERMIT FILE TO
MAINTAIN A RECORD OF THE REVIEW.
L:\TEMPLA TEIDECKCHCK.DOC
PRIOR LAKE
INSPECTION
RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS J]c.t2L.J~~ ('1..(..
TYPE OF WORK ~cC
USE OF BUILDING 'S'FD
PERMIT NO. DATE ISSUED ~-1"")-?oC.JCl
BUILDER Mr~\o...P~ 2~ - '33~b
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR DJlTE
I FOOTING I /./-/ I ~/OJ
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
,~ I I
, FINAL
jffr f/6~tf
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS 447-9850
",
ADDRESS
/ 7~.2r:.
DATE TIME
SCHEDULED ~~~~
L c!c. e~CJo d C-l-
CITY OF PRIOR LAKE
INSPECTION NOTICE
OWNER
V
CONTR.
PHONE NO.
PERMIT NO.
~o-7</P
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
.R"'INAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXIGRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
COMMENTS:
G~~fc. ~ j
/
-.......
/' --------- , ------<')
/_/ /r.,/ )
\. ( Yc.;:S--e..- // /e- ~
~ -
~ORK SATISFACTORY, PROCEED
~~'~RRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REI PECTION BEFORE COVERING
#-
Inspector:
,
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH .l SAFETY!
INS1lOTI