HomeMy WebLinkAboutBuilding Permit 01-0343
(Please tvtH:. or urint and sign at bottom)
ADDRESS
I UlLdJl2J
'v-, \ .. "A
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
LaV,L Im;\
LOT 3 BLOCK
LEGAL DESCRlPTION (office use only)
J
Date Rec' d
4-zo-Q I
~. ~;::. ~::y I PERMIT NO. () 1_ 0"2. A ~ I
3_Yellow AppliC4tlt ~...::J
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ADDITIO_N W II ,l)1=:e,I-J~,Cs::; p()@-.?
OWNER
(Name) '\::) 0. {\ ..-. (VIa (Y ;
(Address) \ l n I 0 103
BUILDER
(Name)
(Contact Name)
(Address)
TYPE OF WORK
o Misc.
1\, -" \.<. .
hoJ<.~ Ie'.
p., \ ; (Ie\
o New Construction
~eck
ZNO
.
-
PID 25-33~-O(l.7,-o
ZONING (office use)
R..\5D
Yr:or Lo.k...
(Phone) qf'),;t - '-/ L.J7- ."'. at, <.J
(Yll\. \
(Phone)
(Phone)
o Fireplace
OPorch
OAddition
DAlteration
,~5.~ 7-'d-.
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 ot2c.al can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may
enter up~ ~rty to perform needed inspe . ns.
X i'( ) ~ \.2...... ___ I.-\'~,,)-hl
Signature -...- Contractor's License No. Date
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
DLower Level Finish
ORe-Roofing
PROJECfCOST/VALUE (exc1udingland) $
2 .bOO. C!lO
$ 'ID"t. '2.r
$ CfS-.OI
$ 1.06
$
$
$
$
$
,
s Your Building Permit When Approved
l/.21--')eo1
Date
Park Support Fee #
SAC #
I Water Meter Size 5/8"; l"j
I Pressure Reducer
I Sewer/Water Connection Fee #
I WaterTowerFee #
I Builder's Deposit
I Other
I TOTALDUEMaF() +.2,3.0/
$
$
$
$
$
$
$
$
$ 1/5.Zb
I Paid
I Date
//5.ZfB
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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.
Planning Director
Date Special Conditions, if any
24 hour notice for all inspections (952) 447,9850, fax (952) 447-4245
ByQiJ
Residential Building Permit Checklist
Deck Additions to Single Family Homes
Date:
;/-'-23'
('r-
Zoning:
Building Permit # . rJ//" lW): l
Site Address ll.o ~ V, 3 (";::>{ ('l.A.eJl C c
Legal: L S
B
(
Subdivision:
W;l~":, ?~
'"2-
Existing Structure: YES or NO
CONFORMS TO ZONING
ORDINANCE
YES
NO
Yard Setbacks: NOT APPLICABLE
MEETS CODE
. Side Yard
(25' if ol:m";n\, a street, 30' if abutting a street
iu -:.'" uUl.J..Ridge)
. Side Yard
Requirement
Proposed
10'
~(~
10'
cf{)'+
(
. RearYard
25'
(,.4
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 AL'IY
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:\TEMPLATEIDECKCHCK.DOC
..
PRIOR LAKE
INSPECTION
RECORD
SITE ADDRESS I (pl.JJ {17 ~ ?/.,..,J la-(<:e [;.
TYPE OF WORK DPr Ie- { '2.. f X 2 ( ,
USE OF BUILDING S'n,
PERMIT NO. n 1- 034 '5 DATE ISSUED tj.. 'Z. ~ - ~/'
BUILDER ~ ~ C(l/7-5'ZOeJ
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF
BUILDING AND INSPECTION
, FOOTING I 't~~SPECTOR I slslolDATE
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
I I
I FINAL
I MI) I 5.Y1~J/
Call between 8:00 and 9:00 1..pJ.I;or all inspections
FOR ALL INSPECTIONS 447-9850
.,
,(-.291J'1
@1L...J /uP... 'P~; I
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
/~{,(, 3
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL /')::d(
o SITE INSPEtTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
~I FI/~ (l.1.1!~
-[ IfY.ib.,> a..r 11,."
/.7)/C~+ .6v1..l ..ur II
..
DATE Tille
d- JC-I)
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
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cl/J:;Oc 11-7,'i
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~RK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT Wo;K.~R REINSPECTION BEFORE COVERING
Inspector: ~ Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE..
CODE REQUIREMENTS ARE FOR YOUR PERSONAl. HEALTH & SAFETY!
JNSNOTJ