HomeMy WebLinkAboutBldg Permit 00-0580
CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
QAT~ R~C:~IV~Q
1. White File
2. Pink aly
3. Yellow .'Applicant
7 - 1.00
OQ.D5f;fJ
Permit No.
1. DATE
I 11/0()
JI../
DIRECTIONS
SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN
BEFORE PERMIT IS ISSUED (Please Print or Type and sign at bottom)
BUILDING INFORMATION
11. SIZE OF STRUCTURE
(Height) (Width) (Depth)
144-18 BLU€B[t~.t>T~AlL U~
12. NO. OF STORIES
3. LEGAL DESCRIPTION
LOT 3 BLOCK J PID 25'-.310 -n03-0
ADDITION K 1\/011 H J ("i--
(Name) (Address) (Tel. No.)
ti.12.~ B()TLc2.. S-<\ 1"\ E qt;2 - 44'-15"12..
5. ARCHITECT (Name) (Address) (Tel. No.)
6. BUILDER (Name) (Address) (Tel. No.)
13. TYPE OF CONSTRUCTION
14. FLOOR AREA APPORTIONMENT USE
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS
SEATS
16. PROJECT COSTNALUE
Deck1!('"'
Finish Attic 0
Re-roofing 0 Porch 0
Re-siding 0 Finish Basement 0
Septic 0
Addition 0
Fireplace 0
Alterations 0
Chimney 0 Misc.
8. PROPERTY AREA OR ACRES
Sq.Ft.
17. COMPLETION DATE
10. CULVERT SIZE
Yes No
9. PROPERTY DIMENSIONS
Width Depth
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
:Uildin9 official can r"e t~is permit for just use. Furthermore, I hereby agree that the city official or a designee may enter upon the property to perform need ins actions.
if! "l ~~No.
FOR ADMINISTRATIVE USE
MATERIAL FILED WITH APPLICATION
SOIL TESTS 0 ENERGY DATA 0
PILING LOGS 0 PERCOLATION TESTS 0
SETBACKS: Required
Actual
Side
Side
Back
Front
BUILDING DEPARTMENT VALUATION
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
PERMIT VALUATION ?, ont'"'
.
L-e;.5 k/ L..
.
PLANS & SPECS 0
SURVEY 0
SETS
COPIES
USE OF BUILDING
PLOT PLAN
o
TYPE OF CONSTRUCTION: I II III IV V
Occupancy Group A B E F HIM R S U
Division 1 2 3 4
Amount Brought Forward .................. $
Park Support Fee ........................... $
SAC ......................................... $
Collective Street Fee ....................... $
Sewer Tap ................................... $
$
City:
(, "2 .~ S
l/O .'1.
I . OC)
Permit Fee ................................... $
Plan Check Fee ............................. $
State Surcharge............................. $
Penalty ....................................... $
Plumbing Permit Fee ....................... $
Pressure Reducer .......................... $
Meter Horn ................................... $
Water Meter ................................. $
Sewer & Water Connection Fee ........... $
. .I~
~_n(
1-
Mechanical Permit Fee ..................... $
Sewer & Water Permit ...................... $
Water Tower Fee ........................... $
Water Tap ................................... $
Builder's Deposit ............................ $
Other ......................................... $
Total Due .............................. $ /03 7J
Paid 103...., I Receipt No. 37 & 1 ~
Issued Date 7_ ~ (/1/ BY~ -
This is;fj that the request in the above application and accompanying documents is in accordance with the City Zoning Ordinance and may pr~ r~uested. This document when
signed ity Planner const~utes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy. a Certificate of Occupancy must be issued.
) City Planner Date Special Conditions n any
Thi
By
24 hour notice for all inspections 447-9850
OD JO~<[O
The Center of the L.ke Country
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
13~ER-1 Ge8G
, I
7-7.00
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/#98 I3Lf.J6(31)eO 7Je
Accepted ...x::::.-
Accepted With Corrections
Denied
(2.
Date:
"")- ") -2ococ)
Reviewed By:
Comments:
liThe 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."
-.-.......-... ,.' ..... .....
........_-.~....._-~....~_.. -' . ~--,.....:- .-,'--' ,-", ,."-
..
Residential Building PeJ. uJt Checklist
Deck Additions to Single Family Homes
BY:
Date:
Building Permit # Pill: ~S-.3I() - 003-0 Zoning: jfi! I
Site Address /441S t!li-VG'N~~ ~
Legal: L
.3
B
I
Subdivision: ICl-JtJ6 Hlt--t..,.
Existing structure@- NO
CONFORlVIS TO ZONING
ORDINANCE
'9
~ ~
NO
. Rear Yard
Requirement Proposed
10'
3& f
10' 3Z, ,
25' ("I)'
Yard Setbacks: NOT APPLICABLE
MEETS CODE
. Side Yard
(25' if abutting a street, 30' if abutting a street
in Cardinal Ridge)
. Side Yard
ANY PROPOSED DECK NOT MEETING in.!!. ABOVE CRITERIA MUST BE REFERRED TO Itl.J!.
PLANNlNGDEPARTMENT. ALSO, ANY DECK ON ALOT\\'un A SUSPECTED BLUFF, OR ANY
01 tl.J!.R UNUSUAL CIRCUMSTANCE MUST BE REFERRED TO THE PLANNING DEPARTMENT.
Tms CHECKLIST MUST BE COMPLETED Al'lD INCLUDED IN THE BUILDING PERl\UT FILE TO
MAINTAIN A RECORD OF THE REVIEW.
L:\TElYIPLA TE\DECKCHCK.DOC
- ...
...
PRIOR lAKE
INSPECTION
RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS ~ "Dll&Vl\t-c1. \'t-
TYPE OF WORK Da.~C:.
USE OF BUILDING SFD
PERMIT NO. (J 0.. 0 t:;tx) DATE ISSUED 7 - 7 - ,oc;)o
BUILDER 5ut l&.r-
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PI:RMIT IS BY SEPARATE DOCUMENT
, FOOTING I I~~OR 11f I~ ,~DATE
I .
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
~~~ I I
I FINAL
JJ&- I R.Jf
, .
1/,1 /17 J~
j
,
J
,
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS 447-9850
DATE TIllE
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
l ~ ,!.!Z J!{L
ADDRESS IL/L\ 'f ~ ---?llJf.b\t~ " J r:
OWNER CONTR.
PHONE NO.
PERMIT NO.
00 ,<;a?
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION f....7
J6 FINAL QQ:., - c.
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
COMMENTS:
.1. W- ccni\i~u.1I"- ~~l ~~ '~c~i- Ao~L\
Z~ r~t +0 ~ {~,.,--
{ (" A.
l \ ~ +N.- +~'L~
~ - - -
o WORK SATISFACTORY, PROCEED
)( CORRECT ACTION AND PROCEED
o CORRECT WORK. CALL FOR REINSPECTION BEFORE COVERING
Inspector: 0 ~ Owner/Contr:
C~-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE..
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH &: SAFETY!
INSNOTl