HomeMy WebLinkAboutBuilding Permit 00-0793
~~
.Q.I.lTl:"l:l!I=r:l:"I,,~n
~/311(fV
CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
I. White File
2. Pink City
3. Yellow Applk
Permit No. 1) 0 . rr7!J3-
1. DATE
DIRECTIONS
SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN
BEFORE PERMIT IS ISSUED (Please Print or Type and sign al bottom)
2. SITE ADDRESS
/6:;7/.::> 81-1/'10 ,.L./J,i::6
3. LEGAL DESCRIPTION
b
BLOCK
LOT
ADDITION
4. OWNER
6REti.
IV I L,n;::;,p Ai e:.s..s
(Name)
GoBl..lI~~c.H
(Name)
5. ARCHITECT
S. BUILDER
(Name)
Se:L.F
7. TYPE OF WORK
New Construction 0
8-30-00
77<19/,-, R/SD
BUILDING INFORMATION
11. SIZE OF STRUCTURE
(Height) (Width) (Depth)
12. NO. OF STORIES
/
PONOS
PID 25-.33f3- tJDt,-()
2 NLJ A-D/JAJ.
13. TYPE OF CONSTRUCTION
(Address)
S~lll^E As A8D<<
(Address)
(Tel. No.)
*'hl-Io:}2Jf
(Tel. No.)
14. FLOOR AREA APPORTIONMENT USE
(Address)
(Tel. No.)
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS
Rs-roofing 0 Porch 0
Rs-siding 0 Finish Basement LJ
SEAT~
Fireplace 0 Septic 0 Deck $I(
Alterations 0 Additlon 0 Finish AWc 0 .
16. PROJECT COSTNALUE
Chimney 0 Misc.
8. PROPERTY AREA OR ACRES 19. PROPERTY DIMENSIONS 110. CULVERT SIZE
Sq. F1. 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 cOlTect. 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
buildin icial can revo'is p~it 7 jlst Cjuslj9 Furthermore, I hereby agree that the city official or a designee may enter upon the property to pertorm needed inspections.
X ..IiIt'U'MAt. dAM .30. ZlJbO
~ ~~ ~~. ~ ~
SETBACKS: Required
Actual
Front
BUILDING DEPARTMENT VALUATION
USE OF BUILDING
e~> A//L
,
TYPE OF CONSTRUCTION: I II III IV V
OccupancyGroup A B E F HIM R S U
Division 1 2 3 4
Permit Fee ................................... $
Plan Check Fee ............................. 4:
State Surcharge ............................. $
Penalty.......................... ............. $
Plumbing Permit Fee ....................... $
Mechanical Permit Fee ..................... $
17. COMPLETION DATE
FOR ADMINISTRATIVE USE
e,ok
Side
MATERIAL FilED WITH APPLICATION
SOIL TESTS 0 ENERGY DATA CJ
PILING LOGS 0 PERCOLATION TESTS 0
Side
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
PERMIT VALUATION ~ ,."...-i
PLANS & SPECS 0
SURVEY LJ
PLOT PLAN 0
SETS
COPIES
City:
Amount Brought Forward .................. $
Park Support Fee ........................... $
SAC ......................................... $
Collective Street Fee ....................... $_
Sewer Tap ................................... $
$.
91.75"""
~4:P.lf
1... ~(:)
~\.~tl
~.
Pressure Reducer .......................... $
Meter Horn ................................... $
Water Meter ................................. $
Sewer & Water Connection Fee ........... $.
Water Tower Fee ........................... $
Water Tap ................................... $
Builder's Deposit ............................ $
Other ......................................... $
Paid T/~D? 09.............~~~~i.lk.;.. $;; Je-rt
Issued rfiJ- .n
Date 9-"-- (TV By .,.1 ~
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.€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 Certifi~a' of Occupancy must be issued.
i1ding Permit ~n ,red.
Dat. C:? -~
City Planner
Dale
Special Conditions if any
24 hour notice lor all inspections 447.9850
.. ". ~..... ..
----..-.-- -".
_._,- _. ., - .-. ...'- ,
Residential Building Permit Checklist
Deck Additions to Single Family Homes
By:Q/-),
Date: <9 -'fl. ?acC)
Building Permit # PID:
Site Address 1....//<; 1$1..--01.. kklL \.r-.
Zoning:
Legal: L
B
Subdivision:
Existing Structure: YES or NO
CONFORMS TO ZONING
ORDINAL~CE
~
NO
Yard Setbacks: NOT APPUCABLE
I.\'IEETS CODE
Requirement
Proposed
. Side Yard
(25' if abutting a street, 30' if abutting a street
in Cardinal Ridge)
Side Yard
10'
I.
I. Rear Yard
10'
281/"-11.'
1(,0 +-
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'!Y
OTHER UNUSUAL CIRCUMSTA,'ICE MUST BE REFERRED TO THE PLAl'INING DEPARTMENT.
Tms CHECIQ.,IST MUST BE COMPLETED AJ'ID INCLUDED IN THE BUILDING PERil-lIT FILE TO
MAINTAIN A RECORD OFTHE REV1EW.
LlThvlPLA TEIDECKCHCKDOC
..
PRIOR LAKE
INSPECTION
RECORD
SITE ADDRESS /(,7 It) Kff'.'IADO rk 7I
TYPE OF WORK ~r Ie. -
USE OF BUILDING ~ ~n
PERMIT NO. /)n. 0 1q3
v '/
BUILDER ~,I..... (.' I-rr- L.
"--
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT /D IE
INSPECTOR _ J I ~E
, FOOTING I~. I t{J~1 t/)
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SI~NED
, FRAMING I I
DEPARTMENT OF
BUILDING AND INSPECTION
DATE ISSUED
p., -'7 ( - ?OcV'
--------
I FINAL
1/11 fJ
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS 447-9850
t{'J.q-uy
"
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
/(,115" {11t...d u,kl_
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION/)__I
~INAL f~'fL
o SITE INSPECTION
COMMENTS:
/"
I ('
\ -
CONTR.
PERMIT NO.
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
~
J
I U'::> C--
----
---------
DATE TIME
q -).fW
{)O-?f'}
o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
..=.:-~
r-~, )
r'~ ,/
------
o WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WO'}l't w9 REINSPECTION BEFORE COVERING
Inspector: f r 1../ Owner/Contr:
,
CALL "7-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/
INSNOTJ