HomeMy WebLinkAboutBuilding Permit 00-0670
CITY OF PRIOR LAKE
BUILDING PERMIT,
a. . 'WV\ 'f I4PORARY CERTIFICATE OF
... UIW ZONING COMPLIANCE
At-. !Jl.).ITILlTY CONNECTION PERMIT
I ~DJ:~Jn{)
,
'12--1 SO
'I :;:
1. White
2. Pink
3. Yellow
File
City
Applicant
Permit No.
00-(,'10
DIRECTIONS
SPACES NUMBERED . J '. _ '\. ___
BEFORE PERMIT IS ISSUED (Please Print or Type and sign at bottom)
2. SITE ADDRESS
<~c..:z,~
W \ \\/'\\1\.1 'RI!' (", r- h 17'-/,,:. \
BUILDING INFORMATION
11. SIZE OF STRUCTURE
(Height) (Width) (Depth)
3. LEGAL DESCRIPTION
LOT "1 BLOCK
WI \ \C'\,^l~
12. NO. OF STORIES
ADDITION
\ ~t
\
A'I:::>~I\\
PID 0lS'- I C\X" ~ [")\ ^~ C'\
13. TYPE OF CONSTRUCTION
',OWNER ^^~Name) _
I' \ \ ,-itS
5. ARCHITECT (N me)
(Address) . \..
3l.32.. ~W
(Address)
~ (Tel. No,)
M.HJ.~ No) ,~
14. FLOOR AREA APPORTIONMENT USE
6, BUILDER
(Name)
(Address)
(Tel. No.)
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS
.se...~
7. TYPE OF WORK Fireplace a Septic 0 Deck)f
New Construction a Alterations 0 Addition 0 Finish Attic'6 '
Chimney 0 Misc. 1:=_)1. o.~ ..,. Q ~ 01 .aLE I'll\. E l\. tr
8. PROPERTY AREA OR ACRES 19. PROPERTY DIMENSIONS 110. CULVERT SIZE
Sq. Ft. Width Depth Yes No
I hereby certify that I have fumished information on this application which is to the best of my knowledge true and correct. J also certify that I am the owner or authorized agent for
the above entioned property and that all structij'on will conform to all existing slate and Jocal laws and will proceed in accordance with submitted plans. I am aware that the
b din ffi al can rev~this pennit for ju t use. F hermore, I hereby agree that the city officiaJ or a deSign,ee may enler upon the property to perform needed inspections.
X /. lr-::, 7 - 1-lr~ <.)Ll
\ ~ - license No. Date
Re.roofing 0 Porch 0
Re-siding LJ Finish Basement 0
SEATS
16, PROJECT COSTNALUE
17, COMPLETION DATE
FOR ADMINISTRATIVE USE
SETBACKS: Required
Actual
MATERIAL FILED WITH APPLICATION
Front
Back
Side
Side
SOIL TESTS
o ENERGY DATA
I'l
BUILDING DEPARTMENT V ALUA TION
OFF STREET PARKING
SPACES REa.
SPACES ON PLAN
PERMIT VALUATION _./..Jtr)J"V"'\
PILING LOGS 0 PERCOLATION TESTS 0
PLANS & SPECS I'l SETS
USE OF BUILDING ~ Arll"<
SURVEY
PLOT PLAN
[j COPIES
I'l
TYPE OF CONSTRUCTION: I II III IV V
Occupancy Group A B E F HIM A
Division 1 2 3 4
Pennit Fee ................................... $
S U
Cit(:
Amount Brought Forward .................. $
Park Support Fee ........................... $
SAC ............,...,.........,.,.,.......... $
Collective Street Fee ...... ................. $
Sewer Tap ................................... $
$
Plan Check Fee ............................. $
StataSurcharge ............................. II:
Sl./.Ot>
'35-'10
.a~
Penalty. ........ ............. ................. t
Plumbing Permit Fee ....................... <r
Mect1anical Permit Fee ..................... It
Sewer & Water Pennit ...................... $
~:s f)~:rrnit J.."........~;I~i~~.;e:1t W].~1froved
BY~~ Oat. -'?~
Certificate of o~ancy
Issued
c,......\)
'Of'Z- , cro
Pressure Reducer .............,............ $
Meter Horn ,............... .,.. .... .... ....... $
Water Meter ................................. $
Sewer & Water Connection Fee ........... $
Water Tower Fee ........................... $
Water Tap ................................... $
Builder's Deposit ............................ $
Other ......................................... $
Tolal Due ..................,........... $ AA."C:;
Paid eq . 'ir R.cejp~'1
Dal. e. {. 6 iJ BY~
This is to certify that the request ~n the above applicatio~ and accom~anying ~uments is in accordance. with the City Zoning Ordi~ance and may pro:c.eeei4s requested. This doc~ment when
signed by the City Planner constitutes a temporary Certificate of ZOning compliance and allows construction to commence. Before occupancy, a CertiflcaM of Occupancy must be ISStied.
C~yPlanner
Dale
Special Conditions W any
24 hour notice for all inspections (952) 447.9850
.-."" "-'-" -.
---~._---- -".
.
Residential Building Permit Checklist
Deck Additions to Single Family Homes
BY: \i?R
Date:
7- ?(~ ~coc
Building Permit # oct>.c.."e>
Site Address
PID:
Zoning:
Legal: L
B
Subdivision:
Existing structur@or NO
R~~..... ~ 'Dee/..... S___ S.~ ~l~~
CONFORMS TO ZONING
ORDINANCE
YES
NO
I Yard Setbacks: NOT APPUCABLE
MEETS CODE
. Side Yard
(25' if abutting a street, 30' if abutting a street
in Cardinal Ridge)
. Side Yard
Requirement
Proposed
10'
10'
I. Rear Yard
25'
A..'lY PROPOSED DECK NOT MEETING THE ABOVE CRITERIA MUST BE REFERRED TO THE
PLAJ.'lNING DEPARTMENT. ALso, ANY DECK ON A LOT WITH A SUSPECTED BLUFF, OR AL'lY
OTHER UNUSUAL CIRCUMST AL'ICE MUST BE REFERRED TO THE PLANNING DEPARTMENT.
Tms CHECKLIST MUST BE COMPLETED AL'ID INCLUDED IN THE BUlLDING PERMIT FILE TO
MAINTAIN A RECORD OF THE REY1EW.
L:\TEMPLA TE\DECKCHCKDOC
~~
White - Building
Canary - Engineering
Pink - Planning
Thr C..nlt'r of fht' Lab Counlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT M-e~(\ ~
APPLICATION RECEIVED ~ ) \ 'rt 1 ~ A )'<.# Q Q>lJO
d .
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
"$0 -0 ~ LA. )'. '. \ 11'11~~ '" ".1-- 10'" l I
Accepted
Accepted With Corrections
Y-
Reviewed By:
13~~
IV
Date:
7-7/-"2 CJOd
Denied
Comments:
/2-r,~
~ bpr f:- ~Qd
, -
"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."
~PRIOR LAKE
INSPECTION
RECORD
..
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS
TYPE OF WORK ~c.J:::...
USE OF BUILDING S'F()
PERMIT NO. 00-(.,,70 DATEISSUED '7-")/-'ClO9
BUILDER l'''tt3.L..'-(1'-l ~fo-.1D~ Pl-\~ +-<f'1- 5e,,0
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
!.JIll ",...\ ~ . ~,j---
(Z'XIl",.'
INSPIiCTOR
DATE
I FOOTING I ,C" I' ~ ')
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
,~ I I
, FINAL
/ ~ ..-
//0/- /i'/7/jI
Call between 8:00 and 9:00 A.M. for all Inspections
FOR ALL INSPECTIONS 447-9850
,
'\
CITY OF PRIOR LAKE
INSPECTION NOTICE
DATE TIME
SCHEDULED /Oh#
. , f
36J'.2 t.LJ//k~ &fiC4 7Y1
ADDRESS
OWNER
CONTR.
PHONE NO.
PERMIT NO.
C)eJ-670
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
,.B1'INAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXIGRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
COMMENTS: /J /
//eyt!C
~ I
/'/....-L~
/
ffil/
~ v/ 1':-
~ .-------------
. I:~;:,/~(j P/~ ')
"t; JRK SATIS';;;;T~RY, PROCEED ./
/ d-cO~ ACTION AND PROCEED_---------
o CORRECT WORK, CALL F REINSPECTION BEFORE COVERING
Inspector:
...-'" Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQU1REMENTSARE FOR YOUR PERSONAL HEALTH'" SAFETY!
tHSNOTl
CITY OF PRIOR LAKE
INSPECTION NOTICE
DATE TIME
SCHEDULED
7- :U-?OoO
ADDRESS '3(.,:''"2.. \.J,\\tn<')~~r--
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
la7FINAL
r SITE INSPECTION
COMMENTS:
Ir
\A(5,J
11 \~\t
I~ I
t !
~
k-\')'-'1
CONTR.
PERMIT NO.
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXIGRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
Xl \k" 't 1'"..J.....~ \:At.~
5~ f,.o'16"'(
( i '-..../
,., -eJ"V'. ~ ~ .
I
I
I
\ II
J 1> _ .? 13
Af~. su.
Gr
~
o WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK. CALL FOR REINSPECTION BEFORE COVERING
~,
Inspector:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE,
OwnerlContr:
CODE REQUlREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
INSNOTJ