HomeMy WebLinkAboutBuilding Permit 02-0475
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(Please tvP~ or Print and sign at bottom)
ADDRESS
.33/7
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
L White File
2. Pink City
3. Yellow Applicant
Date Rec'd
5-2 -02-
I PERMITN<l" 02--0475 I
I
rOX' 779/ L-
77<A / L-
LOT 2- BLOCK
LEGAL DESCRIPTION (office use only)
"THe NIl-OS F/ FTH //DDN.
/ ADDITION
PID 25-':;75- 002.-0
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[ IRe-Siding
IJ:lWNER "'
(Name) Sr xstt .. ~ '----~'^A ~ ~:" ~""'P"""6'-
'Address) .~-:::,\\ srtJ.... \~ \\ -\yc:.,\ ("\\.A)
BUILDER
(Namr\
(Contact Name)
(Address)
TYPE OF WORK
DMisc.
,
(Phone)
(Phone)
o New Construction
)!eck
o Fireplace
OAddition
DAlteration
ZONING (office use)
1</
[ JUtility Connection
I
I hereby certify that I have furnished information on this application which is to the best of my knowledge true and correct. I also cert:i y 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 pt >ceed 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 I ,fficiat or a designee may
~t~~r: :~~~Q~::~ Contraoor's License No. 4/10 102-/
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I Receip~Nd.4',-;.D~
Bv ()-(r-/
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I Permit Valuation
I Permit Fee
I Plan Check Fee
I State Surcharge
I Penalty
I Plumbing Permit Fee
I Mechanical Permit Fee
I Sewer & Water Permit Fee
I Gas Fireplace Permit Fee
OPorch
ORe.Roofing
DLower Level Finish
PROJECTCOST/VALUE (exdudingland) S
$
$
$
$
$
$
$
$
2,&00. ~^
(:1.2~
'1,:>- . of
1.00
Park Support Fee
#
#
SAC
Water Meter
Size 5/8"; 1";
I Pressure Reducer
I Sewer/Water Connection Fee
I Water Tower Fee
I Builder's Deposit
lather
I TOTAL DUE I't/"UET> S.:f,'fLl
/ l~ oJ-b
. &)-- I f)- d--
#
#
This Application Becomes Your Building Pennit When Approved
I Paid
I Date
Building Official
Date
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 is requested. This document
when signed by the City Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a eer mcate 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
----.-----~-.-.-...-.---1-
BW
Residential Building Permit Checklist
Deck Additions to Single Family Homes
Date:
5-2-02-
Building Permit # Pill: 2.5<:375 -()() Z -0 Zoning: ILl
Site Address 33/7 ?oX pq / L- 7Je/J / L-
Legal: L Z B I Subdivision: IHC WI t.-O-S
Existing Structure:@r NO
-m
~)
CONFORlVIS TO ZONING
ORDINA1~CE
YES
N1
I Yard Setbacks: NOT APPLICABLE
MEETS CODE
o Side Yard
(25' if abutting a street, 30' if abutting a street
in Cardinal Ridge)
10 Side Yard
10 Rear Yard
Requirement
ProPfsed
10'
21'
10'
S~' I
(SO (I
25'
ANY PROPOSED DECK NOT MEETING THE ABOVE CRITERIA MUST BE REFERRED TO THE
PLANNING DEPARThIENT. ALSO, ANY DECK ON A LOT WITH A SUSPECTED BLUFF, OR II NY
OTHER UNUSUAL CIRCUMSTANCE MUST BE REFERRED TO THE PLANNING DEPARTMEN".
Tms CHECKLIST MUST BE COMPLETED AND INCLUDED IN THE BUILDING PERMIT FILE"O
MAINTAIN A RECORD OF THE REVIEW.
L:\TE/v!PLA TEIDECKCHCK.DOC
"_'___I__"'___'_'M~_____'_____
..
PRIOR LAKE
INSPECTION
RECORD
SITE ADDRESS .3 3 /7 ;:::0)( 7):J / L-- ~ I L-
TYPE OF WORK oe~
USE OF BUILDING /Pf5S rJ/~
PERMIT NO. fJZ-04-75 DATE ISSUED
BUILDER R:d7Ht;;VP'G..IZ-CfGe:- PHONE # 44~7_ 5~35'
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPEC"\QR ~_ DA1 E
, FOOTING I ,~{\ w...a I ~ ~h~1
PLACE NO CONCRETE UNTIL ABOVE t1AS BEEN ~rIED
, FRAMING I 'D \JfM.v{ I 1/8-/ D ';L
\ I l I
I 1:> \)I)A.U\ I 1 bA o~'
Call between 8:00 and 9:00 A.M. for all ins~ctions
FOR ALL INSPECTIONS (952) 447-9850
DEPARTMENT OF
BUILDING AND INSPECTION
, FINAL
"
CITY OF PRIOR LAKE
INSPECTION NOTICE
TIME
7-"'30-?- /I.T-
37;;/7 rox /~ IY
DATE
SCHEDULED
ADDRESS
PHONE NO.
PERMIT NO.
I
0?-?(7.J I
OWNER
CONTR.
o FOOTING
o FOUNDATION
o FRAMING
~TION [kdL
o SIT:E INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXIGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
OJ::....
,
~K SATISFACTORY, PROCEED
o CORRECT: ACTION AND PROCEED
o CORRECT WOR .<, CALL FOR REINSPECTION BEFORE COVERING
Inspector: ~.~ Owner/Contr:
CALL 447-9850 FO~ THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
JNSNOTJ