HomeMy WebLinkAboutBuilding 01-0386
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
5/~1
LEGAL DESCRIPTION (office use only)
LO~O BLOCK 3
ADDITION llderttJe.
(; ~_r-S Cl ,.;
OWNER 'J2 d
(Name) a 1J y
(Address)
Date Rec' d
1. White File
2. Pink City
J. Yellow Applicant
5 - / -0 )
I PERMIT NO. Ot...O_3fJ~ I
}VeL
3g-{)3Cj
PID
(Phone) 95 ;;) - LILlO - 3Lf 85
BUILDER
(Name)
(Contact Name)
(Address)
(Phone)
(Phone)
TYPE OF WORK
o New Construction
o Lower Level Finish
~eck
o Fireplace
OPorch
ORe-Roofing
ORe-Siding
PROJECT COST IV ALUE (excluding land) $
OAddition
OAlteration
OUtility Connection
o Misc.
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 building official can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may
enter upon the pr//)~?fenj nee,d inSpeCtions..
X ~~ ... 5-9-0
Contractor's License No. Date
Permit Valuation 3:"''''''40 0
Permit Fee $ B~ .2S'"
Plan Check Fee $ '5</. ( I
State Surcharge $ l . t:;-f)
Penalty $
Plumbing Permit Fee $
Mechanical Permit Fee $
Sewer & Water Permit Fee $
Gas Fireplace Permit Fee $
ur Building Permit When Approved
U--7a//
,
Date
Park Support Fee # $
SAC # $
Water Meter Size 5/8"; I"; $
Pressure Reducer $
Sewer/Water Connection Fee # $
Water Tower Fee # $
Builder's Deposit $
Other "....~r"'I $
TOTAL DUE ~-2-01 $ 13~. 9~'(o
Paid
Date
I~ J;-~J
I ~eiEt q~q5-~ "t
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 requested. 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.
Planning Director
Date Special Conditions, if any
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
o \-os&to
White - Building
Canary - Engineering
Pink - Planning
Thf' eeRier or the Lakt Counlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT 1<~y G IY)../d ~n;O bd
APPLICATION RECEIVED 5- /-0 J
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
S/~1 LuY/l/dhtllJ1 (L-t- ~T
'/
Accepted
Accepted With Corrections
Denied ~
Reviewed B
:rz;~~ M
~~. L2~1
Date:
r -I -z."ol'
"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."
Residential Building Permit Checklist
De~k Additions to Single Family Homes
By[j?13
Date: ~- I - 'l..eo I
Building Permit #
Site Address 5/2/
Pill:
4,). ; .""J. he- c.. J....
~
Zoning~
Legal: L 20
B
'5
Subdivision: <...)..\..~_<zH,J<:' ~ po,,,,J >' '2..... J...
Existing Structure: YES or NO
CONFORL"IS TO ZONING YES NO
ORDIN.Al~CE
Yard Setbacks: NOT APPUCABLE Requirement Proposed
MEETS CODE .
. Side Yard 10'
{2S' if !tbdl:L.u~ do ::iD.eeL, Ju.1fi1jUttIDg a street --ze (
inCarS4Bel R.;.d~o;:; J--
. Side Yard 10'
52-
. Re:rr Yard 25'
2 G.. \
ANY PROPOSED DECK NOT MEETING THE ABOVE CRITERIA MUST BE REFERRED TO THE
PLANNING DEPARTMENT. ALSO, ANY DECK ON A LOT WlTH A SUSPECTED BLUFF, OR ANY
OTHER UNUSUAL CIRClThlST.~'1CE MUST BE REFERRED TO THE PLANNING DEPARTiVIENT.
THIS CHECKLIST MUST BE COMPLETED AND INCLUDED IN THE BUILDING PERi'rIIT FILE TO
MAINTA1N A RECORD OF THE REVIEW.
r ..\TEMJlLA TE\J)]:c;=:e.C.1:iC:1(.DGC
..t
PRIOR LAKE
INSPECTION
RECORD
QJ.
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS ..5/:).7 w..jV\ct It\CMN\
TYPE OF WORK Dee lc...
USE OF BUILDING SFD
PERMIT NO. Dt~ 03~(o DATE ISSUED 1/ 5' -I ~ ~/
BUILDER c;OAA u-~ 440- 3C./ef')
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
~NSP DATE
I FOOTING I I 5, /gr. d J
PLACE NO CONCRETE UNTIL A VE HAS BEEN SIGNED
I~ I I
I FINAL I I
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS 447-9850