HomeMy WebLinkAboutBuilding Permit 00-0576
CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
DATE RECEIVED
7- 7.00
DIRECTIONS
SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN
BEFORE PERMIT IS ISSUED (Please Print or Type and sign at bottom)
2. Of. r.: ADDnc:.:>S
3. LEGAL DESCRIPTION
/3
LOT
ADDITION
333/ 'VA~b
BLOCK I
VAle 8fXJN-
s.vJ
CII<-
1. White
2. Pink
3. Yellow
File
City
AppIcant
Permit No. -.00 '1I'1ti-
1. DATE
7/1 J60
1f!./
BUILDING INFCa1A nON
11. SIZE OF STRUCTURE
(Height) (Width) (Depth)
12. NO. OF STORIES
PID ?,e:;-III- 0/3-0
(Address)
.. OWNER (Name)
IJ~ M~z
5. ARCHITECT (Name)
8. BUILDER
(Address)
(Name)
(Address)
~~
,. TvPE OF WORK
New Construction 0
Chimney CJ Misc.
8. PROPERTY AREA OR ACRES
Sq. Ft.
Fireplace 0
Alterations 0
Septic 0
Addition 0
~
Dec~
Finish Attic 0
Re-roofing 0 Porch 0
Re-siding 0 Finish Basement 0
9. PROPERTY DIMENSIONS
Width Depth
1 O. CULVERT SIZE
Yes No
13. TYPE OF CONSTRUCTION
(Tel. No.) 14. FLOOR AREA APPORTIONMENT USE
~~ 4<-(0 t1f(pi
(Tel. No.)
(Tel. No.)
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS
SEATS
16. PROJECT COSTNALUE
17. COMPLETION DATE
I hereby certify that I have fumished information on this application which is to the best.,gf 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
:Uilding offlcIaI can re;? ~~. ~urthennore, I hereby e9ree thet the city officiel or a designee may enter upon the property 10 pertonn '?i ;~ons.
~ S9lIII&n License No. DIIt
- -
SETBACKS: Required
Actual
FOR ADMINISTRATIVE USE
USE OF BUILDING
BUILDING DEPARTMENT VALUATION
Front
Back
Side
leES A/I!-
,
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
PERMIT VALUATION 2/~.L!) ~
TYPE OF CONSTRUCTION: I II III IV V
Occupancy Group A B E F HIM R S U
Division 1 2 3 4
Permit Fee................................... $
City:
(.,1..'2~
40.4("
1.(1)tJ
Plan Check Fee ............................. $
State Surcharge ............................. $
Penalty....................................... $_
Plumbing Permit Fee .. ... .. . .. .. .. . .. .. .... $
Mechanical Permit Fee ..................... $
1)~
l' -
This
By
Issued
Side
MATERIAL FILED WITH APPLlCA nON
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 ........................... $
SAC ......................................... $
Collective Street Fee . .. .. .. .. .. ... ... ... ... $
Sewer Tap ..................... ......... ..... $
$
Pressure Reducer .......................... $
Meter Hom ................................... $
Water Meter ................................. $
Sewer & Water Connection Fee ........... $
Water Tower Fee .... ......... ........ ...... $
Water Tap ........... ........................ $
Builder's Deposit ............................ $
Other......................................... $
Total Due .............................. $-'-fJ :3.71
Paid l~'l ! Receipt No. ~'1 Sb5
Date .1! I ~1t)O By ~ Ol<\-
in the above application and accompanying documents is in accordance with the City Zoning Ordinance and may proceed as requested. This document when
nstitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy. a Certificate of Occupancy must be issued.
Date
24 hour notice for all inspections (952) 447-9850
Special Conditions if any
.... ...... ..--.............. ..-
.............".....,;"....,............... ,., .. ...-.."-.- .-.'--.'
~
Residential Building Pe.l .lJ..lit Checklist
Deck Additions to Single Family Homes
BY@
Date: ?-7- 2etc:PC:>
Building Pe.nJt # PIll:
Site Address 13'51 ~ l.e ~
Zoning:
Legal: L ( :1 B ,
Subdivision: V~ ~
Existing Structure: YES or NO
CONFORMS TO ZO~lNG
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'
W-Af~
10'
CI()'
)''1'
. Rear Yard
25'
ANY PROPOSED DECK NOT MEETING 111]!; ABOVE CRITERIA MUST BE REFERRED TO llL1!.
PLANNING DEPARTMENT. ALso, ANY DECK ON A LOT" 1111 A SUSPECTED BLUFF, OR ANY
OItU.R UNUSUAL CIRCUMSTANCE MUST BE REFERRED TO ltU. PLANNING DEPARTMENT.
Tms L~CKLIST MUST BE COMPLETED AND INCLUDED IN 111]!; BUILDING PERMIT FILE TO
MAINTAIN A RECORD OF 111]!; REVIEW.
L:\TEMPLA TE\DECKCHCK.DOC
... . ...
~
;. ~
It
PRIOR LAKE
INSPECTION
RECORD
SITE ADDRESS 3J.JJ IIala Qy.
TYPE OF WORK Dt2c(,
USE OF BUILDING S Ff)
PERMIT NO. (flJ.. Ot;"7(, DATE ISSUED ") ,)-200
BUILDER ~_l\ \.oJ- . c.J4o.f8c.7
NOTE: THIS 'IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF
BUILDING AND INSPECTION
It INSPECTOR DATE
FOOTING /U?', flf/(J1J,
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
~..
FINAL ~~ \b ~l~O /),
~ ~
Call between 8:00 and 9:00 A.M. for all nspectlons
FOR ALL INSPECTIONS 447-9850
ADDRESS
333/
DATE.H TIME
SCHEDULED ~770 / 3; 30
{)(1/~ 02/r
CITY OF PRIOR LAKE
INSPECTION NOTICE
OWNER
CONTR.
PHONE NO.
PERMIT NO.
1)-57fo
o FOOTING
o FOUNDATION
o FRAMING
f- ~SULATION h~ - y
~ ~!NAL J/CC4-
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
~
t\S -\0' i.ofC.ft'.~ .4e-~
~ORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK,. CALL FOR REINSPECTION BEFORE COVERING
Inspector. ~ -~ Owner/Contr.
CALL ~7-9860 FOR TbE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH &: SAFETY/
INSNOTI
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
533/
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
~ FINAL
o SITE INSPECTION
COMMENTS:
DATE TIME
SCHEDULED
/#~~Iofl jd.' j='~
tI~ CWe.
CONTR.
p~ - D-S7('
PERMIT NO. ~. - t:J - 578
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 GASLlNE AIR TST
o
l. ~i~iiL (;'11\ Sta.irs. e.k("~e.cl4b ~. J,.r~c..o
2, Pl'o\"~P Ifo-J2 te:c.i{
~
r
\ f?P-:i:l 7/f5
"'" c.lo~
~---
~
---------.. ~
y=,'''-P ~~~JL ~ \
+:i.loP '5
---
o WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
)( CORRErn CALL FOR REINSPECTION BEFORE COVERING
Inspector.(J~'/ Owner/Contr:
CAL~60 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTl