HomeMy WebLinkAboutBuilding Permit 00-0757
s~~
QATF RFr.F'VFn 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. (Y() =7<7
I DIRECTIONS
SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN
BEFORE PERMIT IS ISSUED (Please Print or Type and sign at bottom)
12. SITE AigE731 /3tMl kvk y;L
'ek, to
S' U;7r Lk /I"
BUILDING INFORMATION
11. SIZE OF STRUCTURE
(Height) (Width) (Depth)
3. LEGAL DESCRIPTION
12. NO. OF STORIES
BLOCK {
ADDITION {A/rc....~.::. .P/Vt/./S 2~ Az)o
I'!,J;lWNER 1./ / (Name) ,I (Address) / I "7 J ,... (Tel. No.) 7
1190r ,I-,'r-t>"ycikevICh JG13f&,u{ Jak frl->c.. LNO-J10
15. ARCHITECT (Name)
6. BUILDER (Name)
LOT
'1
PID 2,,- 33i.1'- 00"1--0
13. TYPE OF CONSTRUCTION
14. flOOR AREA APPORTIONMENT USE
(Address)
(Tel. No.)
(Address)
(Tel. No.)
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS
7. TYPE OF WORK
New Construction 0
Fireplace 0
Alterations 0
Septic 0
Additlon LI
Deck,lJr
Finish Attic 0
Re-roofing 0 Porch 0
Rs-siding 0 Finish Basement 0
SEATS
16. PROJECT COSTNALUE
Chimney 0 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 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
bui\Pi'>ll </licial can revoka lt1is pannit 1<1 ih;' FUrJ/'ermore: I)'ereby agrea lt1at tha city official or a designee may entar upon tha property to partonn naeded inspections.
X::::2h,Q""dA..- ,J..' 4-f~.d'O.__ Og. J'1 no
Signaiure License No. Date
17. COMPLETION DATE
FOR ADMINISTRATIVE USE
SETBACKS: Required
Actual
Front
Back
Side
Side
MATERIAL FILED WITH APPLICATION
SOIL TESTS CI ENERGY DATA CI
PERMIT VALUATION
-u:::>oo.. -
PILING LOGS CI
PLANS & SPECS CI
SURVEY LJ
PLOT PLAN CI
PERCOLATION TESTS 0
SETS
COPIES
BUILDING DEPARTMENT VALUATION
f
/If/<-
OFF STREET PARKING
SPACES REO.
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
Permit Fee ................................... $
S U
City:
Amount Brought Forward .................. $
Park Support Fee .... .... ................... $
SAC ......................................... $
Collective Street Fee ....................... $
Sewer Tap ................................... $
$
Pressure Reducer .......................... $
Meter Horn ................................... $
Water Meter ................................. $
Sewer & Water Connection Fee ........... $
WaterTowerFee ........................... It:
Water Tap ................................... $
Plan Check Fee ............................. $
State Surcharge ............................. $
Penalty....................................... $
Plumbing Permit Fee ....................... $
"2., 'Z-S"
~.~c.
\,00
Mechanical Permit Fee ..................... $
Certificate of Occupancy
Builder's Deposit ............................ ll;
Other ......................................... It:
Total Due .............................. L..1"~. .., I
Paid 1037/ RecaiptNo. 'SiZ-<f5
- ~/
Date U2.i/dO 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 as ~eqY'ested. This document when
signed by the City Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be issued.
. ................ $
This AppU
6y
/ /
ha~;~o
City Planner
Date
Special Conditions ff any
24 hour notice for all inspections (952) 447.9850
BY: . (l() [+-
Residential Building Permit Checklist
Deck Additions to Single Family Homes
Date: g('Z3/00
Building Permit # PID:
Site Address 1(,"17,( (3L/tVC.Arc...:'3'" Tf'-
Zoning:
Legal: L
B
Subdivision:
Existing Structure: YES or NO
CONFORMS TO ZONING
ORDINANCE
YES
NO
I 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'
I"
I.
10'
25"
/
lo() f
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.
Tills CHECKLIST MUST BE COMPLETED AND INCLUDED IN THE BUILDING PERMIT FILE TO
MAINTAIN A RECORD OF THE REVIEW.
L:\TEMPLA TEIDECKCHCK.DOC
PRIORLAKE
INSPEC liON
RECORD
SITE ADDRESS I" 7 ~ I BLWeJ ~(<.!r TfL
TYPE OF WORK DrS=-fC-
USE OF BUILDING rzL's l1-'/iL
PERMIT NO. OD - -, S 7 DATE ISSUED
BUILDER rGo{J... L.IICJ.I^,Y'1I't:-6vrc-/-I-
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF '
BUILDING AND INSPECTION
I J
B/z<, /00
,
INSPECTOR
DATE
I FOOTING ~ p~ I ~ 'l;;drDl
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
~ I I
I FINAL
71J/.
, J
/,,2/..5'/0'/
Call between 8:00 and 9:00 A.M. for all Inspections
FOR ALL INSPECTIONS 447-9850
'"
ADDRESS
/67)/
DATE TIME
SCHEDULED ~~Ljf~~
.~ cl ~kfr
CITY OF PRIOR LAKE
INSPECTION NOTICE
OWNER
CONTR.
PHONE NO.
PERMIT NO.
0) -?0 /'
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
~L
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXIGRAOIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
COMMENTS:
~)
L /1//--eC
~~-?':r
~ 7/
( C;; / /c,/ c:.-
~ ---
..........-......-.-..., ~
~.. ~~~
/' ~/'.. ,,---/'
fL/cJe.. ~#
\... / <. ../
"ORK SATI~TORY. PROCEED
h ~~RRECT ACTION AND PROCEED
o CORRECT WORj. ~/#EINSPECTION BEFORE COVERING
Inspector: p'U/ ,.?- Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
--
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOfl