HomeMy WebLinkAboutBuilding Permit 00-0766
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J)AT" R"r.~ CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
1. White
2. Pink
3. Yellow
File
City
Applicant
Permit No.
00 '11~ C.
4~'PlP
3. "LEGAL DESCRIPTION
LOT ~ BLOCK;)... PID
ADDITION _ v/!! ..() H~ m ~
<owe: /'J-d.'?:.:) ";ofh!tJJiM;,.J f3 ~ c,,/ lL,:5e'JO)
5. ARCHITECT (Name)
fA) ftbO,v
BIZ- ~I f-
,vC:-
fJ-lJ / ~
/2-1--:>1/
BUILDING INFORMATION
". SIZE OF STRUCTURE
(Height) (Width) (Depth)
DIRECTIONS
SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN
BEFORE PERMIT IS ISSUED (Please Print or Type and sign at bottom)
Vl--~-f
12. NO. OF STORIES~
13. TYPE OF CONSTRUCTION
(Address)
(Tel. No.)
t/1"'tl-
t1'J.L17
14. FLOOR AREA APPORTIONMENT USE
6. BUilDER
(Name)
(Address)
(Tel. No.)
15. NUMBER OF OCCUPANTS OR SEATS
~
OCCUPANTS
7. TYPE OF WORK
Fireplace LI
Alterations 0
Septic 0
Addition 0
De<:RjlJ-.
Finish Attih'O
Re-roofing 0 Porch 0
Rs-siding 0 Finish Basement LI
SEAT"
New Construction 0
Chimney 0 Misc.
8. PROPERTY AR';A JR ACRES 19. PROPERTY DIMENSIONS} II )1'0. CULVERT SIZE
Sq. Ft. IS Lf 0 Widlh~ I DepthsS t 1)11 I Yes No
I hereby certify that I have fumished 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 tor
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
buil~icial can revoke this permit for jus use. Furthermore, I hereby agree that the city official or a designee may enter upon the property to perform needed inspections.
X )~,...... Cf,
." Signature
16. ;J;ECn::tr
17. OoMPLErlON DATE
License No.
0.10
FOR ADMINISTRATIVE USE
SETBACKS: Required
Actual
Front
Back
Side
Side
MATERIAL FILED WITH APPLICATION
SOIL TESTS 0 ENERGV DATA 0
PILING LOGS LJ PERCOLATION TESTS 0
BUILDING DEPARTMENT VALUATION
USE OF BUILDING
fl (:;5'
A/12...
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
PLANS & SPECS 0
SURVEY 0
SETS
COPIES
PERMIT VALUATION
<((/7tJO.C1)
PLOT PLAN
o
TYPE OF CONSTRUCTION: I II III IV W
OccupancyGroup A B E F HIM cI3:l S U
Division 1 204
Permit Fee ................................... $_
City:
Amount Brought Forward .................. $
Park Support Fee ........................... $
SAC ......................................... $
Collective Street Fee .... ................... $
SewerTap ................................... $
$
Plan Check Fee ............................. $
State Surcharge ............................. $
Penalty .................. ..................... $
Plumbing Permit Fee ....................... It:
Mechanical Permit Fee ..... ................ $
51. tJD
2,S".{O
,g~
Sewer & Water Permit ...................... <t
0.....0
s!~~ 0;;
Pressure Reducer .......................... $
Meter Horn ................................... $
Water Meter ................................. $
Sewer & Water Connection Fee ........... $
WaterTowerFee ........................... $
Gas Fireplace Permit ....................... <t
Issued
Date ~lf By ~ J
This is to certify that the request in the above application and accompanying documents is in accordance with the City Zoning 0 inance nd may proceed as estad. 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 upancy must be issued.
Water Tap ................................... $
Builder's Deposit ............................ $
Other ......................................... $
Tolal ue .............................. $. mr-::~ 4
Paid 'if1. '1S- Receipt No. 3fr d k:>l
This AppJi9ation Be~m~You~ijuilding Permit WhLep Approved.
By ~ -:j~'" Date ll"1.:J'S/"o
Certificate of Occupancy
City Planner
Date
Special Conditions ff any
24 hour notice for all inspections (952) 447-9850
Residential Building Permit Checklist
Deck Additions to Single Family Homes
BY: ~e mOl
Date: 8(z.s/oo
Building Permit #
Site Address
Legal: L 3
PID:
Zoning:
B
Z-
Subdivision:
Gtrt..A.lt..J vJooD w85\'
Existing Structure:c:@or NO
CONFORMS TO ZONING
ORDINANCE
~ES)
NO
K:EP LAcS}II'--E:'}JT ~qL-
Yard Setbacks: NOT APPLICABLE Requirement Proposed
MEETS CODE
"
Side Yard
(25' if abutting a street, 30' if abutting a street
in Cardinal Ridge)
Side Yard
10'
I"
I"
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 ANY
OTHER UNUSUAL CIRCUMSTANCE MUST BE REFERRED TO THE PLANNING DEPARTMENT.
THIS CHECKLIST MUST BE COMPLETED AND INCLUDED IN THE BUILDING PERMIT FILE TO
MAINTAIN A RECORD OF THE REVIEW.
L:\TEMPLA TEIDECKCHCK.DOC
PRIOR LAKE
INSPECTION
RECORD
SITE ADDRESS L/(J 8"~ uUA<;D rJ 'B(L{O<!'~ (2, f2. 10, ~ I
TYPE OF WORK DE c..rc- (2..e:-P t....-/l...Q...e:M-....S',rr
USE OF BUILDING R..cu, A.:/ rL
PERMIT NO. Do~1't-'" DATE ISSUED g/~s/()o
,
BUILDER 9 LA. a ~e CJt 1'2...-- ./I.- Lj~o -4 -z...Lf7
NOTE: THIS IS NeT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF
BUILDING AND INSPECTION
INSPECTOR
DATE
, FOOTING ~1511 f-\~ I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
~ I I
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
~t'6
OWNER
PHONE NO.
D FOOTING
D FOUNDATION
D FRAMING
D INSULATION
o FINAL
~E INSPECTION
COMMENTS~
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---
DATE TIME
SCHEDULED ~~~~
WC/C~__ ,4fp CJ-
CO~. -
PERMIT NO.
OCJ - ?~c:.
D PLUMBING RI
D MECH RI
D WATER HOOKUP
D SEWER HOOKUP
D PLUMBING FINAL
D MECH FINAL
D EXIGRAD/FILLING
D COMPLAINT
D FIREPLACE RI
D FIREPLACE FINAL
D GASLINE AIR TST
D
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-------
.-
j(' WORK SATISFACTORY, PROCEED
lci ~ORRECT ACTION AND PROCEED
D CORRECT WOR'S; ~~ ~EIN~PECTION BEFORE COVERING
Inspector: rt/t/' ~ Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
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