HomeMy WebLinkAboutBuilding Permit 00-0794
DATE RECEIVED
8/21100
CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
DIRECTIONS
SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN
BEFORE PERMIT IS ISSUED (Please Print or Type and sign at bottom)
2. SITE ADDRESS
r:;'1J.J- H,JJ,., u,f> Cd
/5v/5 jJ, ft...~., It)."c J/ N.,tc.} j.... 'Iyer).'-"?
7. TYPE OF WORK Fireplace 0 Septic 0 O~ Re-roofing 0
New Construction LJ Alterati~, rA~dition LJ ~~iSt"f A'5, LJ __ Re-siding LJ Finish Basement LJ
ChimneyO Misc. J ~ C '-.;) v\ l.".......-
18. PROPERTY AREA OR ACRES 19. PROPERTY DIMENSIO~ 110. CULVERT SIZE
Sq. Ft. Width Depth Yes No
I hereby certify that I have fumished infonnation 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 confonn to all existing state and local laws and will proceed in accordance with submitled plans. I am aware that the
building offiCi,1 can revoke this pennit for just cause. Furthennore, I hereby agree that the city official or a designee may enter upon the property to perfonn needed inspections.
X /1,A.' 10..7t--- )00 ell{ ,rb'l ,y-"J./-c,
Signature License No. Date
3. LEGAL DESCRIPTION
to
LOT
BLOCK
~f'-S
ADDITION
4. OWNER
J,''1
5. ARCHITECT
t+ t'nnGN
(Name)
A"J/tw)
(Name)
6. BUILDER
(Name)
r
SETBACKS: Required
Actual
Front
BUILDING DEPARTMENT VALUATION
USE f~I~ING A/~
~ /'
TYPE OF CONSTRUCTtON: I II III IV V
Occupancy Group A B E F HIM R
Division 1 2 3 4
Permit Fee ................................... .'1:
Plan Check Fee ..................... ........ $
State Surcharge ............................. $
Penalty...................... ................. $
Plumbing Pennit Fee ....................... $
1. DATE
trJ.h <l
~- \
) [
PID
12,-013"'0 10-0
"1:
(Address)
)7J).. H../J r'1 C/'.f.>
(Tel. No.)
'NU{,l)
(Address)
(Tel. No.)
(Address)
(Tel. No.)
FOR ADMINISTRATIVE USE
Back
Side
Side
1. White
2. Pink
3. Yellow
File
City
Applicant
Permit No. _() 0 .07!fA::.
BUILDING INFORMATION
11. SIZE OF STRUCTURE
(Height) (Width) (De,Ptl)l
>( )Lj b
12. NO. OF STORIES
13. TYPE OF CONSTRUCTION
14. FLOOR AREA APPORTIONMENT USE
16. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS
SEATS
16. PROJECT COSTNALUE
17. COMPLETION DATE
MATERIAL FILED WITH APPLICATION
SOIL TESTS 0 ENERGY DATA 0
OFF STREET PARKING PILING LOGS LJ PERCOLATION TESTS LJ
SPACES REO. PLANS & SPECS D SETS
SPACES ON PLAN 3.-.0 . (!)cJ SURVEY LJ COPIES
PERMIT VALUATION ::j,e~..~ PLOT PLAN LJ
-c. ,~,
S U
7475"'
<{ 8 SCj
( .';-1')
Amount Brought FOlWard .................. $
Park Support Fee ............. ........ ...... $
SAC UUUUU'UU".U'muuuuumuu $
Collective Street Fee ....................". $
Sewer Tap ................................... $
$
City:
~
Pressure Reducer .......................... $
Meter Hom ....... ...... ...................... $
Water Meter ................................. $
Sewer & Water Connection Fee ........... $
Water Tower Fee ........................... $
Mechanical Permit Fee ..................... $
ate Permit ...../........... $
G Firepl . P ~i~~.~e:itl'f&;""""',l,V"'"'-~
Date 17.L'i-~
Water Tap ................................... Cl::
Builder's Deposit ............................ $
Other ......................................... 't
Total Due .....................u.mm $ /7_~ f4-
Paid /2 ~ fl4- Receipt r,J/.3 P'-Z-f!;:
Date '7.,s--dV By 41
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 rJ. r~uested. This document when
signed by the City Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificatl of Occupancy must be issued.
Issued
City Planner
Date
24 hour notice for aU inspections (952) 447-9850
Special Conditions ff any
REQUEST FOR WAIVER OF SURVEY REQUIREMENTS
. I PROPERTY OWNER: .:TAf'I~c; S- /hVt:>~u.J S
I ADDRESS: "2,"2.- #-r-7">PE:.N /)4!'< r..z:~ 5,€
---'>R,pJR. L .1A;M,J . ~S-~ ..., 2-
I TELEPHONE NUMBERS: 95"2.- - t.('I? -/'-?~ I
1'W)q~- tJtA'J-=......~F) 6
I SIGNATURE: . ~ . -c::::::::- ~ ~ I
I'~ I
I LEGAL DESCRIPTION:
I PID NUMBER: 1;l.J- () "1 ..3 - 0 Ie - 0
~. "ib. ~a71
A request to waive the survey requirements will be accepted only for the construction of
decks. Prior to the review of this request, the property owner must provide
reasonably reliable evidence in the field of what he/she believes are the property
boundaries. This request must also be accompanied by the following information:
1. The deck must be drawn on a site plan to scale. The site plan must identify
dimensions of both existing and new structures, and the distance from any lot lines.
2. The property owner must sign an agreement, prepared by the City, holding the City
harmless from any damages incurred if the deck is placed inaccurately on the site, or
of it irifringes on any setback requirements or easements.
3. The property owner shall pay a $50.00 fee for the staff review according to the
adopted fee schedule.
Once a request is reviewed, the staff will schedule a field inspection and review all
available information. The Planning Director and Building Official will then make a
determination of whether the requirements may be waived.
For Office Use Only
ACTION
a- APPROVED 0
/ COMMENTS: J.'<.~.j ~J)
BY: Q(J\
DENI~ ~ n
@-.) . OrJr . t'/ iA,Q
----
1:\h~ndAUts\"Iai~er.do<;..
16200 Eagle \..reeK Ave. ::>.E.. Prior Lake. Minnesota 55372-1714 / Ph. (612) 447-4230 / Fax (612) 447-4245
AN tQl JAL OPPORTl lN1TY EMPL.OYER
~1
DO-01Qk'
Th..nm'..rorlh..I._k..Counlry
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT 130\2, ,l), TI "'" A. r-"
S /Z I I C-o
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
Accepted
Denied ~
Reviewed ~
Comments:
Accepted With Corrections X
~--
- ~ Date: 8 - 2.cf . 7 n::;:JO
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"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."
..... .u' ..
----..-.-. -'-
^
BfdJ
Residential Building Permit Checklist
Deck Additions to Single Family Homes
Date: 7'{ -a-- ')
Building Permit # PIll;. r. __
Site Address 5'922. 1~.'cAJl..c.c...... ~
Zoning:
Legal: L
B
Subdivision:
Existing Structure: @>r NO
CONFORMS TO ZONING
ORDINA1~CE
~.
~
NO
.
I Yard Setbacks: NOT APPLICABLE
MEETS CODE
. Side Yard
(25' if abutting a street, 30' ifabutting a street
in Cardinal Ridge)
. Side Yard
Requirement
Proposed
10'
10'
2'5+/ '10+ !
1<'1><'1> ( I
J
. Rear Yard
25'
At'IY PROPOSED DECK NOT MEETING THE ABOVE CRITERIA MUST BE REFERRED TO THE
PLAl'lNING DEPARTMENT. ALSO, ANY DECK ON A LOT WITH A SUSPECTED BLUFF, OR ..\1'IY
OTHER UNUSUAL CIRCUMSTAc'!CE MUST BE REFERRED TO THE PLANNING DEPARTMENT.
Tms CHECKLIST MUST BE COMPLETED ..\1'!D INCLUDED IN THE BUILDING PERi"IIT FILE TO
MAINTAIN A RECORD OF THE REVIEW.
L:\TEMPLA TEIDECKCHCKDOC
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. THIS DRAWING SHOULD
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" EY.ISTING OR FUTURE · 7 .
IMPROVEMENTS I Sulle 210 . 0800 Frallce Avenu. So. . Edln., MN 60436 . (Ol2) D2H20D
SEE NOTICE BELOWI
-
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1---- I ~-'..c;1/
Legal Des~rlpllon: L, r
PLAT DRAWING
(THIS IS NOT A SURVEY)
10. '7.-" \c lJ~AL",\ OA[r"
ISlr
Property Address:
S~ 7'(. t-h),[;-n 0", h- Cr:r.r:Y"
I(
! -:: 40 I
rJ?
.00
c:u
~ 0
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Sy ~
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THIS DRAWING SHOULD
No'r BE RELIED UPON
Fon LOCATING ANY
EY.ISTING OR FUTURE
nVIPROVEMENTSI
SEE NOTICE BELOWI
If;;' "
,HH~ '1r
',_".:_;._,:.,':',:,-0'<':".
jV~'l~?f-r cl Ld, Ir?
.-{' 7) r '<( ...,,-( s
'.)4.c-WI, OIL, p/>I-
'..'rHIS DRAWING SHOULD
. NO'r BE RELIED UPON
FOn LOCATING ANY
/ EXISTING OR FUTURE
. IMPROVEMENTSI .
SEE NOTICE BELOW!
rJ
"The lac allan 01 the Imp(ovemenls shown on this drawing ere approximate end are basad on a vlsuallr,3pecllon ollhe premises.
The 101 dimensions are taken lrom the record plel or counly records. This drawing Is lor Informallonal purposes end should nol
be used 89 a survey, It does not constitute a liability of tho company and Is Intended for morlgage purposes only."
"
FTr, 1011 (f'!!nnl
..
PRIOR LAKE
INSPECTION
RECORD
SITEADDRESS SQa2 H\'~ ~ lJ-'
TYPE OF WORK L:::€.ck. I V X 2 r..J '
USE OF BUILDING $'PD
PERMIT NO. 00-0794- DATE ISSUED Cy'-I-Ccnc..:>
BUILDER .~ 'bd\'\~,^
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
. THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF
BUILDING AND INSPECTION
INSPECTOR
DATE
I FOOTING I /!r;. I ~!J5./tn l
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
I I i
xY.LL-' ~OO-J>:=1q F~/?~
'FINAL I I
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS 447-9850
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
.5? z. "Z-
HI !WEN t:> A1'-S Ct /Q.
OWNER
CONTR.
PHONE NO.
~OOTING ~
if] FOUNDATION '({)I
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
PERMIT NO.
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
DATE TIME
9/1lS/tJtJ 9: #0
tJ - 71'-1
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
i./- 1f"Z,," ,.I..Jt ~ Z-L/'f.J~ - .rh-
.....:..(J - ~'
~ ,.AI (l .
Z- ,,-"- J .. r ~~.
o WORK SATISFACTORY, PROCEED
It CORRECT ACTION AND PROCEED
I 0 CORREC~W , CALL FOR REINSPECTION BEFORE COVERING
Inspector: I, Owner/Contr:
.J;
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.,
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
INSNOTl