HomeMy WebLinkAboutBuilding Permit 00-0975
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORAR\;CERTIFICAJE OF ZONING COMPLIANCE
AN~UTILITY CONNECTION PERMIT
I. White File
2. Pink City
3. Yellow Applicant
Date Rec' d
II. Z- 00
PERMIT NO. 00.0975
,
(Please type or print and sign at bottom)
ADDRESS
llo557 ~Lnrt LA~~ I rr\.~\ ~r;r\r k f\l}o) fYln. 5~:~? d_
LOT I BLOCK I
LEGAL DESCRIPTION (office use only)
ADDITION
OWNER
(N ame)
ZONING (office use)
1?15D
S<LOf+
l600s c.O\.lnt~;Wrf.ID Z5~3 Ie - 001- 0
(f;e" t- Z:8z. - LZ- f Z-
(Phone) Cj' 5~ - 41.1- '7 - ~ 1 5{P
55,317-
Wi Jc.J-rn~
ue.. ~])tGLOn b- .bbiS~l
J{P5.57 ~ILn(L IF\Jc)e.: \rail 'iJr~o~ lJ4~,-mn~
(Address)
BUILDER ~ ~ ^ V
(Name) , ~
(Address) I q 4 ~ ,
:) l\)-e..Y\ ..~o n (Phone)
Norrnonda,~'Rd .1'Y"~or l....i4~J Inn. 5 ':1,~1d._
TYPE OF WORK
o New Construction
~Deck
o Fireplace
OPorch
ORe- Roofing
o Misc.
OLower Level Finish
OAddition
OAlteration
ORe-Siding
OUtility Connection
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 property to perform nee d inspections.
X ~/~ C. . t
Signature
Gas Fireplace Pcu-uit Fee
~
/ l~ A M~
r: .. n ~ YO,": Building Permit When Approved TOTAL DUE //- 6-00
/ /f-7-'ZA>o Paid /~S. q~ ReceiPJ!ll3~57
cial Date Date //... 8~OO By r-#'
This is to certify that the request in the above application and accompanying documents is in accordance with the City Zoning Ordinance and mal 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.
P\:..uuit Fee
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water PCJ.1Uit Fee
Planning Director
$
$
$
$
$
$
$
$
PROJECT COST /V ALUE (excluding land) $
"c:I:)o. OC,)
Contractor's License No.
B'7.;2~
~I
2,DO
Park Support Fee
SAC
#
#
Water Meter
Size 5/8"; I";
Pressure Reducer
Sewer/Water Connection Fee
Water Tower Fee
Builder's Deposit
Other
Date Special Conditions, if any
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
jO- "j,I- 00
Date
#
#
$
$
$
$
$
$
$
$
$ /45. f(P
to.
BY: fJ
Residential Building Permit Checklist
Deck Additions to Single Family Homes
Date: II,.. Z - rJ0
-.
Building Pe" udt #
Site Address /(, 55'7
PID: ZS".3-/t} ...tJ()I-l) Zoning: ~/SO
0"'//1/0 ~~ ~,-".
Legal: L
B
Subdivision:
Existing Structur~r NO
CONFORlVIS TO ZONING
ORDINANCE
"/)
~
NO
: Yard Setbacks: NOT APPLICABLE
MEETS CODE
· Side Yard
(25' if abutting a street, 30' if abutting a street
in Cardinal Ridge)
· Side Yard
Requirement
Proposed
10'
It-I
10'
7/1
1~ (
· Rear Yard
25'
ANY PROPOSED DECK NOT MEETING THE ABOVE CRITERIA MUST BE REFERRED TO THE
PLANNING DEPARTMENT. ALso, ANY DECK ON A LOT WITH A SUSPECIJ!.D BLUFF, OR ANY
OTHER UNUSUAL CIRCUMSTANCE MUST BE REFERRED TO THE PLA1'fNING DEPARTMENT.
Tms CHECKLIST MUST BE COMPLETED Ai~D INCLUDED IN THE BUILDING PERl"nT FILE TO
MAINTAIN A RECORD OF THE REVIEW.
L:\TEJ\ilPLA TE\DECKCHCK.DOC
. .."
e
-./.
PRIOR LAKE
INSPECTION
RECORD
SITE ADDRESS linS s7 ~ivJ La.k~ It:a.. \
TYPE OF WORK ~l"k.
USE OF BUILDING S~D
PERMIT NO. 00. Or?.$" DATE ISSUED 11-7- Z/:JOO
F\ t ft. c{q'l-e\.5~ -
BUILDER \ ,""ib~ ,sk C&l\. 282 -2'1 , 2.-
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
FOOTING " -g.Lla.vct II )1r.}f)O
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SI~NED
~l.l.
FINAL
VVV1
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS 447-9850
?/- /{,{-tJZ t
'"
.,/1/0 " ..
CITY OF PRIOR LAKE
INSPECTION NonCE
SCHEDULED
ADDRESS
,~m rS(~ci ~/u.
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o JNSULATION/) .(/
I2rFINAL I/.{C ~
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
DATE TIME
4 ,.!'y'"qt,
nr,
rv - 17S'
o EXlGRADIFILUNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASUNE AIR TST
o
..---
~
/' /' / ,~r
I LJ UuC
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'-- ---------
R....:"--~
< 'I )
('-l /
~WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WOR~L FOR REINSPECTION BEFORE COVERING
Inspector. V I( OwnerlContr.
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
INSNOTl
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI