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F PR/ CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd i c
A ° TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
A. P AND UTILITY CONNECTION PERMIT
U lrj
4'A'N ESO1t* I. White File /
2. Pink City PERMIT NO < 7 3/0
3 Yellow Applicant i
(Please type or print and sign at bottom)
ADDRESS ZONING (office use)
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LEGAL DESCRIPTION (office use only)
LOT 6 BLOCK 3 ADDITION LOA 15 .S..--....;1- PID 1 5 - 3 0 Z . 073. 6
OWNER � ` - M . +} �� . ( h ) C952 x, r3 1 � — � ` 4Z
(Name) � 11 Pone
r
(Address)
BUILDER )( J `J 7/ s 3 9"r 0
(Company Name ` �R n4_ =-a - (Phone
(Contact Name) c- v.5:5.cr ? (•,- -- (Phone)
d --- (Address) 0 A-1e �J1�.R�Jc 5..tYrf gi 0 1.0 `'�` .`.. /1'�1 3 C (2
TYPE OF WORK ❑ New Construction ['Deck ['Porch [Me-Roofing ❑ Re- Siding ['Lower Level Finish ❑ Fireplace
DAddition ❑Alteration ['Utility Connection
I ❑ Misc.
CODE: DI.R.C. DI.B.C.
Type of Construction: I II 1I IV V AB PROJECT COST /VALUE $
Occupancy Group: A B E F H I M R S U (excluding land)
Division: 1 2 3 4 5
I her .y ertify th - - ■ mished information on this application which is to the best of my knowledge true and correct. 1 also certify that 1 am the owner or authorized agent for the
above ntto, i property an 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
officia . . n r. oke thi pe • t for just cause Furthermore, I hereby agree that the city official or a designee may enter upon the property to perform needed nspections.
x. 1 1" ►��l Z.
N
Stgnatu Contractor's License No. Date.
Permit Valuation Park Support Fee # $
I 0 -
Permit Fee $ k U Z ,-ZS� SAC # $
Plan Check Fee $ Water Meter Size 5/8 "; 1 "; $
State Surcharge $ c - - Pressure Reducer $
Penalty $ Sewer /Water Connection Fee # $
Plumbing Permit Fee $ Water Tower Fee # $
Mechanical Permit Fee $ 6 4. Builder's Deposit $
Sewer & Water Permit Fee $ Other $
Gas Fireplace Permit Fee $ TOTAL DUE �I
+ l,� Aky) 511411.2 $ 7.1 /.
.. Y
This A� r ica ion % �, s Your Building Permit Whe App oved Paid (1/"Lt i - 5 fr Receipt No. Q 0
Ar Date 5 -lci -1 )-- By /
Lithi Building Officia Date
This is to ce that the r . test in the above application and accompanying doe ents i in accordance with the City Zoning Ordinance and may proceed as requested. This document
when signe , . the ity '1 net c nstitutcgx temporary Certificate of Zoning c mplian • and allows construction to commence. Before occupancy, a Certificate of Occupancy must be
issued / _
. ,I -II A � S 4- (L
Planni - . Date Special Conditions, if any
24 hour notice for all inspections (952) 447 -9850, fax (952) 447 -4245
4646 Dakota Street Prior Lake, MN 55372
MAY -10 -2012 65:13 From:952- 707 -3702 Paee:2'2
REQUIREMENTS FOR SWIMMING POOLS
PRIOR LAKE CITY CODE
SUE SECTION:
403.500 MINIMUM REQUIREMENTS:
(1) Pools shall not be located within ten feet (10') (measured horizontally) from underground or overhead
utility lines of all types.
(2) Pools shall nor be located within any private or public utility, drainage, walkway or other easement.
(3) Construction of pools shall be undertaken so as to avoid hazard, damage or considerable inconvenience
to adjacent property.
(4) The lot owner shall be liable for damages to any business or private property caused during pool construction.
(5) To the extent feasible, back flush water or water from pool drainage shall be directed onto the owners' property
or onto approved public drainage ways, and shall not drain onto adjacent private land. Drainage onto public streets
or other public drainage ways shall require permission of the appropriate local City officials.
(6) Any pool lighting shall be directed toward the pool and not toward adjacent property.
(7) The pool area shall be enclosed with a non - climbable type fence a least five (5') in height to prevent
uncontrolled access to the pool area, and the fence shall have a gate self - closing, and self- latching with the latch
inaccessible to small children and at least four feet (4') from the ground level. The fence shall be completely
installed and pass inspection before &Ming the pool.
(8) All wising, installation of heation units, grading, installation of pipe or other construction shall be subject to
inspection.
(9) Nuisances, such as undue noise, lighting of adjacent property, health and safety hazards, damage to vegetation
on adjoining property, and the like, shall not be permitted.
(10) Filling of pools from fire hydrants or other public facilities shall require the permission of the appropriate
local City officials,
(1 I) If protective 5' fence is not maintained, water from pool shall be removed immediately,
I UNDERSTAND THE FOREGOING AND AGREE THAT THE SWIMMING POOL WILL NOT BE FILLED WITH
WATER UNTIL ALL OF THE ABS VE REQUIR NTS ARE SATISFIED. ^�
SIGNATURE OF OWNER AIL% ' � DATE 5 r - l 2_
POOL CONTRACTOR Performance 4 ool & Spa DATE j — 1
ADDRESS 1890 Wooddale Drive Woodbury, MN 55125
The City reserves the right to order (Jai writing) the removal of the water in the event any of the above conditions are not
satisfied.
Do01 conn
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P R 1 R LAKE O BUILDING AND INSPECTION
INSPECTION RECORD
SITE ADDRESS 3611 gdBe#ar
NATURE OF WORK fist "W M) SW%MPUWC/ POOL,
USE OF BUILDING S
PERMIT NO. - y DATE ISSUED 5.11 12.
CONTRACTOR _ // PHONE. WS. 3
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR DATE
FOOTING 4, r
FOUND • ION (Prior to Backfill)
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
11111.110111 ,
fas / 1!
ELECTRICAL
AIM
HEATING (if required)
GAS LINE AIR TEST PA 4„ Wiz_
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
FINALS
GRADING (Prior to Sodding)
BUILDING
ELECTRICAL
MOW
HEATING
DO NOT OCCUPY UNTIL ABOVE HAS BEEN SIGNED
NOTICE
This card must be posted near an electrical service cabinet prior to rough -in inspections
and maintained until all inspections have been approved. On buildings and additions
where no service cabinet is available, card shall be placed near main entrance.
FOR ALL INSPECTIONS (952) 447 -9850