HomeMy WebLinkAboutBuilding Permit 01-0340
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
4-1-3-01
: ~;::. ~::y I PERMIT NO. 0'/- 02 A,.., I
3. Yellow Applicant '0 ~
(Please type or Print and sign at bottom)
ADDRESS
ZONING (office use)
PUP
/$;]-05- //}IJoJdu,[ It
Tr
LEGAL DESCRIPTION (office use only)
LOT "3 BLOCK 2.. ADDITION THE W I LOS z.. ND
PIDz5- 3Z3-0zA - 0
OWNER
(Name)
m /J:!_e PertV
/
95;)'-~-d43C>
(Phone)
SCL-me--
(Address)
BUILDER
(Namp\ C' " ~
(Contact Name)
(Address)
(Phone)
(Phone',
~eCk
o Fireplace
TYPE OF WORK
o New Construction
OPorch
OAddition
ORe-Roofing
ORe-Siding
OUtility Connection
DLower Level Finish
DAlteration
o Mise_
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 comet. 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 Ioca11aws 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
ente~u~..~'_"OrmneededinspeCtions_ // /Z.s, {;, I
X ~ _ 1 ..,/ ~ /t'..
~gnature Contractor's License No. Date
$
$
$
$
$
$
$
$
$ ?c::...... B"
I Permit Valuation
I Permit Fee
I Plan Check Fee
I State Surcharge
I Penalty
I Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
I Gas Fireplace Permit Fee
?f/60G .c9t
/5" ~ .25
-<((;.ul
(( I OC)
Park Support Fee
SAC
#
#
$
$
$
$
$
$
$
$
I Water Meter Size 5/8"; 1";
I Pressure Reducer
I Sewer/Water Connection Fee
I Water Tower Fee
I Builder's Deposit
I Other
I TOTAL DUE
#
#
C/f{tAA:::i'V
-f ~~~~~.J
I Receipt N_o. _~'1 ':> I ..,
By av
I Paid I yh3_. 'IS IQ
I Date '1-~1--V1
-L(- "2.J- 01
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 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.
Date Special Conditions, if any
24 hour notice for all inspections (952) 447-9850. fax (952) 4474245
Planning Director
,-
Residential Building Permit Checklist
Deck Additions to Single Family Homes
BY:(}~
Date: c..(. ~ <; _ "2~CJ/
Building Permit #
Site Address
PID:
t...o.. ~ (:::It.. <JL
Zoning:
Legal: L )
B "2
Subdivision: kJt'lc4;. '2J
Existing Structure: YES or NO
CONFORMS TO ZONING
ORDINANCE
/'""'
~
NO
Yard Setbacks: NOT APPLICABLE
MEETS CODE
Requirement
Proposed
o Side Yard
10'
I .
kit? lo.y
tJl4
~O
(~if aJ.....~~~.u5... .;)u.......~, 3{1' ::~l2: a stn;et
, - -, I"-'J )
U.l ..................:..:..:. xc.i. 6:
10 Side Yard
10
10'
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 SUSPECTED BLUFF, OR ANY
OTHER UNUSUAL CIRCUMSTANCE MUST BE REFERRED TO THE PLANNING DEPARTMENT.
Tms CHECKLIST MUST BE COMPLETED AND INCLUDED IN THE BUILDING PERMIT FILE TO
MAINTAIN A RECORD OF THE REVIEW.
L:\TEMPLA TEIDECKCHCK.DOC
..,
PRIOR LAKE
INSPECTION
RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS /520.5 WOOD DUC,!::- 7J2/1/L-
TYPE OF WORK Dee.;::::.
USE OF BUILDING R-65 /1/1<.
PERMIT NO. ()/- ()34{) DATE ISSUED 4- - 23 -(J /
BUILDER /V}/.e:6 PtSA?/2,V PHONE # ZZb - z930
NOTE: THIS IS NOT A PERMrrFOR ANY OF THE INSPECTIONS BELOW
. THE PERMIT IS BY SEPARATE DOCUMENT
, FOOTING I 'b .~;:;ECTOR I s-J /4 r:~E
PLACE NO CONCRETE UNTIL ABO*E HAS BEEN' SIGNED
I I
1% ~rh--f I f!:) \ ( () I
Call between 8:00 and 9:00 A.M. for ai/Inspections
FOR ALL INSPECTIONS (952) 447-98~O
I FINAL
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
DATE
9----7---0/
,
/;JJJcd-~
TIME
;l r' ~JQ
ADDRESS
15"aus-
OWNER
CONTR_
PHONE NO.
PERMIT NO.
/-346
o FOOTING 0 PLUMBING RI
o FOUNDA TIDN 0 MECH RI
o FRAMING 0 WATER HOOKUP
o INSULATION ;J-f( 0 SEWER HOOKUP
1>. p1'INA~ L/C--L '-- 0 PLUMBING FINA~
r t 0 SITE INSPECTION 0 MECH FINA~
o EXlGRAD/FI~L1NG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINA~
o GAS LINE AIR TST
o
COMMENTS:
./
~ORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WOR.K'cC1~~ FOR REINSPECTION BEFORE COVERING
Inspector: ~ I~ Owner/Conlr:
CA~L 447-9850 FOR THE NlxT INSPECTION 24 HOURS IN ADVANCE.
V
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
I/VSNOrJ