HomeMy WebLinkAboutBuilding Permit 00-0703
,
r rn~ I CITY OF PRIOR LAKE
D ~ ..c:." . BUILDING PERMIT,
i ._ . 2000 TEMPORARY CERTIFICATE OF
! illIJ:ZONING COMPLIANCE
\. ~TILITY CONNECTION PERMIT
1. DATE
lP/2-8/UXx:>
Q,a~D
3. LEGAL DESCRIPTION
LOT 3 BLOCK 2
ADDITION ~i'\uJOOA ~
m7.atr" q;;':4J;)'.~3'Cj
(Address) (Tel. No.)
.
~1
DIRECTIONS
SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN
BEFORE PERMIT IS ISSUED (Please Print or Type and sign at bottom)
2. SITE ADDRESS
4o~1- W~V
~l\D<:re. CVU,..
t..L \Z..
PID Z~-lbb-cx:R- 0
4. OWNER (Name)
--r.;;;.~c...e.'"T. d
~A.
5. ARCHITECT
(Name)
(Tel. No.)
6. BUILDER
DAV~\)
~eau.l
(Address)
't3S'l ~ So.. ':>L
11\w k:k..JI'l,u 9s-z.. <.j.Y7. <nu-
7. TYPE OF WORK Fireplace 0 Septic 0 Deck~ Re-roofing 0 Porch 0
New Construction 0 Alterations 0 Addition [j Finish Attic 0 As-siding 0 Finish Basement 0
ChimneyO Misc. ~c..k:bY\~ ~
8. 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 all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the
building offi . revoke this p it for just cause. Furthermore, I hereby agree that thE! city official or a designee may enter upon the property to perlorm )leaded inspections.
X~' t.?11..lJ.?~
59'ature License No. t ..
(Name)
FOR ADMINISTRATIVE USE
SETBACKS: Required
Actual
Front
Baok
Side
BUILDING DEPARTMENT VALUATION
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
PERMIT VALUATION
1500.-
USE OF BUILDING
I
RES A-/rE:-
I
TYPE OF CONSTRUCTION: I II III IV V
Occupancy Group A B E F HIM R
Division 1 2 3 4
Permit Fee .............. ..................... <t
S U
City:
4~.50
~I.S':>
,,1""
Plan Check Fee ............................. <t
State Surcharge ............................. <t
Penalty ....................................... <I:
~
Plumbing Permit Fee ....................... <I:
Mechanical Permit Fee ..................... <I:
Gas Firepl
This App
By
Side
1. White
2. Pink
3. Yellow
File
City
Applicant
Permit No. O{).()7r2~
.
BUILDING fIf'ORMA TION
11. SIZE OF STRUC'lURE
(Height) (Width) (Depth)
12. NO. OF STORIES
13. TYPE OF CONSTRUCTION
14. FLOOR AREA APPORTIONMENT USE
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTF
SEATF
16. PROJECT COSTNALUE
17. COMPLETION DATE
MATERIAL FILED WITH APPLICATION
SOIL TESTS 0 ENERGY DATA 0
PILING LOGS 0
PLANS & SPECS 0
SURVEY 0
PERCOLATION TESTS 0
SETS
COPIES
PLOT PLAN
o
Amount Brought Forward .................. $
Park Support Fee .... ....................... .'I';
SAC ......................................... $
Collective Street Fee ........ ........ ....... !l:
Sewer Tap ................................... $
$
City Planner
Dale
24 hour notice for all inspections (952) 447.9850
Special Conditions W any
Pressure Reducer .......................... $
Meter Horn ........... ........................ $
WalerMeler ................................. $
Sewer & Water Connection Fee ........... $
Water Tower Fee ........................... $
Water Tap ................................... $
Builder's Deposit ............................ $
Other ......................................... $
Paid TV (l.e "j' t............ ~~~~i~; ~o$
Date ~.W(Jl) 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 proceed a 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 0 cupancy must be issued.
80.1~
~! (17)
Certificate of Occupancy
Issued
~~
DO'010J
Thr C'fllln of lhr L.kr Count"..
While - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLI~T
NAME OF APPLICANT T€-rrll fY\..lJILDil- ~: \)0. .,rcJ
APPLICATION RECEIVED n. l:Jy ()'i( . NCllJlJ ~..- -hcrn ')
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
40~d W~IY\ 'tb-nrl~L l..tr---:' n~,
Accepted
Accepted With Corrections .....----
Denied
(2j)tJ-
p~,~O Dc,.-'{
Date:
~ur
~!(c)!co
Reviewed By:
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."
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.
Residential Building Permit Checklist
Deck Additions to Single Family Homes
BY: Q2-[) (q.-
Date:
8 ((o/eo
Building Permit #
Site Address
PID: 2..5 -(Ge., .=7-0 Zoning: Q2.Z.SD
Legal: L '3
B "l-
Subdivision:
d:> (2-"\-(,,-> ~ (;V~r.
Existing Structure:~ NO
CONFORlVIS TO ZONING
ORDINAL~CE
(~I
NO
~~ D~(c...
Yard Setbacks: NOT APPUCABLE I Requirement
MEETS CODE
Proposed
Side Yard
(25' if abutting a street, 30' if abutting a street
in Cardinal Ridge)
,. Side Yard
I .
.
10'
10'
Rear Yard
25'
ANY PROPOSED DECK NOT MEETING THE ABOVE CRITERIA MUST BE REFERRED TO THE
PLAl'fflIl'lG DEPARTMENT. ALSO, ANY DECK ON A LOT WITH A SUSPECTED BLUFF, OR ANY
OTHER UNUSUAL CIRCUl'tISTANCE MUST BE REFERRED TO THE PLANNING DEPARTMENT.
Tms CHECKLIST MUST BE COMPLETED AND INCLUDED IN THE BUILDING PERj'y[IT FILE TO
MAlNT AlN A RECORD OF THE REVIEW.
L:\TEvlPLA TEIDECKCHCK.DOC
...
PRIOR LAKE
INSPECTION
RECORD
SITE ADDRESS 40 f3Z- uJ.A0or-J ffio.o&C; (2..
\
TYPE OF WORK R..ee>~b-'\ D~ .
USE OF BUILDING RE-S df<- ,
PERMIT NO. 00 -()703 DATE ISSU'ED B/ro/Ct:;
. I
BUILDER bA\Jll::> ~~ ~1''B9Z.S-
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF
BUILDING AND INSPECTION
INSPECTOR
DATE
, FOOTING I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
'~ING1 I I
- l
I FINAL
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:
DATE TIME
SCHEDULED ~ . Q::) A 7'1.
40~2. uJA~ ~D0e C\ R-
CONTR.
PERMIT NO.
\\JLL<Ar.e:- Iii YJ/'iDt'6vJ,fS,
. ~
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
)s: Rep~,...,,&J\
!".::.,.-. t,"""
V fbR.J. YI C.A',I.oN
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
&L .k." ~ ~ ~,J> "^ ~
.A",,-,,- A.-<A.J~.V v i)----
I
o WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: ~( Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
(NSIVOTl
~
lh-{tle~
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS 4682.
W~on
v
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
N
~ l+OlA.<;r;
. - ~
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. I ( It
11) .
------
c0~ M t~
~,----' V)
---
cUcl<~
/
-----
TIME
Lb:30
0-"703
o EXIGRAD1FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
'/ /I
2.-8' '3 '['2
lNSNOTl
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
9!JY2
~9'd_
</
CONTR.
OWNER
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
.-B"'I'INAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
/J /
L/--eC /<=-
DATE TIME
/#r~
/?,," e Ci--
V
CZJ -- ?tJ-3
o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
./"? ;1 /
( O/"'7P /_~
,
/"
/ /"?/
~ ~ / "S-€-
--_.~-- ,
."
/1/
~/ /.p - /
.-/
~_r-"
ri/., --
~~RK SATISFACTORY. PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK~;A~ ~ REINSPECTION BEFORE COVERING
Inspector: /t/C/'/~nerIContr:
....-
--
CALL 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
U<SNOn
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HIULTH & SAFETY!