HomeMy WebLinkAboutBuilding 01-0819
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
e - /-0 /
i~t f:,,_ I PERMITNO:-:~~;7
ZONING (office use)
/:!JSP
/5220
OR Ie /2100;6 (!;/ tC-. U-(5 S 6
LEGAL DESCRIPTION (office use only)
LOT ~ BLOCK I ADDITION O/'H:::- -€IO
aT IS( /to o;J~
PID 25-0
OWNER
(Name)
-;> J4-r~y t- -
(J e-J H_ C-
(Phone)
(Address)
BUILDER
(Name)
(Contact Name)
~ tu1II.L-
(Phone) &'/;;.. - 7/ '?, ~ 7/0 t'
(Phone)
(Address)
~6"
TYPE OF WORK
o New Construction
DPorch
OLower Level Finish
DAddition
o Re.Roofing
OAlteration
ORe-Siding
OUtility Connection
o Misc.
PROJECT COST IV ALUE (excluding land) S
rnished 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 th a ve-mentioned property and that all construction will conform to all existing state and local laws and will proceed in accordance with
are that the uil 'ng official can revoke this permit for just cause. Furthermore, I hereby agree that the city 0 cial or a designee may
to pe~ n de . spections. -s:-
Signature Contractor's License No.
/'/"LL- Ie:::> '
S' / ,:; I
/ .
x
Permit Valuation
Permit Fee
$
$
$
$
$
$
$
$
/300. -
47. '10
?',I /2,
~5
Park Support Fee # $
SAC # $
Water Meter Size 5/8"; I"; $
Pressure Reducer $
Sewer/Water Connection Fee # $
Water Tower Fee # $
Builder's Deposit $
Other ~ 1"7 ..a........... tlk .~v...u- $ SO. c90
TOTAL DUE v $ / L 1.~8
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
I ~~:. f~~~~Q-d ~iptNO ~ I
/ '
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
REQUEST FOR WAIVER OF SURVEY REQUIREMENTS
SIGNATURE:
S-lfI/.e.h.,) I Pi:
PROPERTY OWNER:
ADDRESS:
TELEPHONE NUMBERS:
LEGAL DESCRIPTION:
~ / 0,,4 /G '40&6- (!;:T /sr
PID NUMBER:
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 staffreview 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.
ACTION
BY:
APPROVED
COMMENTS:
, /
1:\h,mdp,uts\\yaiver.doCf-- /
16200 Eagle Ueek Ave. ~.L Prior Lake, Minnesota 55372-1714 / Ph. (612) 447-4230 / Fax (612) 447-4245
AN EOIIAL orrJORTI. INITY EMPLOYER
""
PRIOR LAKE
INSPECTION
RECORD
/522.0 OI1t:- /2/Dr3& CJR~~6 56
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS
TYPE OF WORK
USE OF BUILDING as,A- R-
PERMIT NO. CJI- 091-9- DATE ISSUED
BUILDER j:)t./ 0 WI t/f-,; PHONE # 0/2 - 7/3 - 7/08
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
I FOOTING I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
1- I I
I FINAL I I
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (952) 447-9850