HomeMy WebLinkAboutBuilding Permit 01-0314
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec'd
4---5-0/
e or rint and si at bottom
ADDRESS
I. White File
2. Pink City
). YellDw Applicant
ZONING (office use)
/S/~1 WOOD
au (!,Ie:.- 77GI7 I l.-
PUD
LEGAL DESCRIPTION (office use only)
LOT 34BLOCK )
ADDITION W/t.-OS :-s /U)
PID ~5 -337- 034-0
OWNER
(Name)
(Phone)
(Address)
BUILDER'
(Name) LAND/mAGE5
(Address) Z07H 51.
(Phone) /:'5/- '137- n,~,/
(,12..-.3&P3 -3,(PS ~'-L-
NS
TYPE OF WORK
o New Construction
ORe-Siding
OLower Level Finish
~eck
o Fireplace
o Misc.
OPorch
ORe-Roofing
OAddition
OAlteration
OUtility Connection
PROJECT COST IV ALUE (excluding land) $
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 to perfo needed inspections.
x
Signature
Permit Fee $
Plan Check Fee $
State Surcharge $
Penalty $
Plumbing Permit Fee $
Mechanical Permit Fee $
Sewer & Water Permit Fee $
Gas Fireplace Permit Fee $
our Building Permit When Approved
~
Date
207.. 0/ '/1 ~
7f s/O' I
"Date
Contractor's License No.
3,000.00
Park Support Fee # $
SAC # $
Water Meter Size S/8"; I"' $
,
Pressure Reducer $
Sewer/Water Connection Fee # $
Water Tower Fee # $
Builder's Deposit $
Other .A " $
TOTAL DUE ~4--/3-0 I $ 1~5.3h
This is to certify that the request in the above application and accompanying documents is in accordance with the City Zoning Ordinance and m 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 uotice for all inspections (952) 447-9850. fax (952) 447-4245
^
Residential Building Permit Checklist
Deck Additions to Single Family Homes
BY:
Date: 4--..5 -0 /
Building Permit #
Site Address /51ft? 9 wooo
Legal: L 34- B I
Existing Structure:~r NO
PID: 25-3S7- 03c.f-O Zoning:
()U<!..I=- -ne-
'PUO
Subdivision: W1l-05 3/12.0
I CONFORlVIS TO ZONING
ORDINANCE
YES
NO
Yard Setbacks: NOT APPLICABLE Requirement Proposed
MEETS CODE
. Side Yard 10'
(25' if abutting a street, 30' if abutting a street y
in Cardinal Ridge)
. Side Yard 10' y
. Rear Yard 25' 'y
ANY PROPOSED DECK NOT MEETING THE ABOVE CRITERIA MUST BE REFERRED TO THE
PLANNING DEPARTMENT. ALso, ANY DECK ON A LOT WITH A SUSPECTED BLUFF, OR ANY
OTHER UNUSUAL CIRCUMSTANCE MUST BE REFERRED TO THE PLANNING DEPARTMENT,
TillS CHECKLIST MUST BE COMPLETED AND INCLUDED IN THE BUILDING PERMIT FILE TO
MAINTAIN A RECORD OF THE REVIEW,
L:\TEi'vlPLA TE\DECKCHCK.DOC
..
PRIOR LAKE
INSPECTION
RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS ISIls2'\ Wod Du~',::" \t-c...,\.
TYPE OF WORK _D.....~
USE OF BUILDING SF:D
PERMIT NO. DATE ISSUED l.{-/2 - 200 (
BUILDER L~ i \M"'tO " .
NOTE: THIS IS NOT "A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
FOOTING
PLACE NO CONCRETE UNTIL' ABOV
I".... I
5
HAS BEEN SIG
I
INSPECTOR
I FINAL
I ~.\)~ ~O(
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS 447-9850
..
."
ADDRESS
15"11./1-
DATE TIME
SCHEDULED d..- ,?;;... -() I If .;C/(J
()) 000 [) u (..Je-
CITY OF PRIOR LAKE
INSPECTION NOTICE
OWNER
CONTR.
PHONE NO.
PERMIT NO.
1-3)4
o FOOTING
o FOUNDATION
o FRAMING
t\./~~~TIONDCL-r:-
r' ~ 0 SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
COMMENTS:
(Jose 0\*!/
/
~ORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORREC
Owner/Contr:
CALL FOR REINSPECTION BEFORE COVERING
Inspector:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
INSNOTl