HomeMy WebLinkAboutBuilding Permit 01-0375
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
(Please!VDe or orint and sUm at bottom)
ADDRESS
314q ~ ~ YO\~
1. White File
2. Pink City
3. Yellow Applicant
LEGAL DESCRIPTION (office use only)
LOT \~ BLOCK I ADDITION /Jar -#\\).J(1IJd
~".-f:J
Ii~+()-'
Oaks 2, t\f!..
~':e~R -Erit, J<"1/11NJ! ... ..bmJ(f 3<!.h~tlA
(Address) JI4Cl .5hCl~ 6M. :+b;1\1
~(i'nW~+1/)r\
BUILDER l IJ -
(Name) vYI f}1\ PA~ ,~#1d5
(Contact Name) IJCV\.
. (Address) 4/'1Cj ttht:.lA i)y,'Uf
TYPE OF WORK
o Misc.
o New Construction
oLower Level Finish
(phone)
Date Rec'd
ZONING (office use)
R ISfJ
PID;)S -07/-t)lf-o
(Phone) lnS:hl~~ .LJCf'6'?J
(Phone)~I:l- ?..8'if-6~5
::)~J;)-~
oPorch
ORe-Roofing
ORe-Siding
FROJECTCOSTIVALUE (excluding land) S loot:,-
oUti1ity Connection
faIjtJJ...
~eck
o Fireplace
oAddition
oAlteration
I hereby certify that I have furnished information on this application which is to the best of my knowledge troe 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 loca11aws and will proceed in accordance with
submitted plans. I am aware that the building official can revoke this permit for jwt cause. Furthermore, I hereby agree that the city official or a designee may
;reru4:ZD~dedinspections. ~[;D~l.f3:;'7 I.JIt~/t!)1
I Signan:l/e Contractor's License No. Date
Permit Valuation
Permit Fee
I Plan Check Fee
I State Surcharge
I Penalty
I Plumbing Pennit Fee
Mechanical Permit Fee
Sewer & Water Pennit Fee
$
$
$
$
$
$
$
$
3o~.-
t>~. z. -;-
54.\\
I.~
I Park Support Fee
I 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 TOTALDUE
I Paid t~ ~/2
Date /. 2tJ~(J I
# $
# $
$
$
# $
# $
$
$
$ (~B.~"
I Rer:e}~/4-<!T
Bv If" '-' '
uildingPermit~ 17d
~
I
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 ______.._. Before occupancy, a Certificate of Occupancy must be
issued.
Planning Director
Date Special Conditions, if any
24 hour notice fer all inspections (952) 447-9850, fax (952) 4474245
.'
Residential Building Permit Checklist
;J IJf'l Deck Additions to Single Fam, Homes
f-V T Date: f/3u/of
BY:
Building Permit # ~/- '37<:)
Site Address .. {.L c-
oJ T'f ;;>(f,lfi>r
Legal: L B
PID:
~ . r:.o tQ.,^<".
Lov~
Subdivision:
Zoning:
Existing Structure: YES or NO
~,
~
CONFORMS TO ZONING
ORDINANCE
Yard Setbacks: NOT APPLICABLE
MEETS CODE
Requirement
" Side Yard
(25' if abutting a street, 30' if abutting a street
in Cardinal Ridl/:e)
I" Side Yard
I" Rear Yard
10'
10'
25'
1/50
NO
Proposed
17 '
50'f-
t
4(J:) f
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.
THIS 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
3( 44 5'HA0Y Cove ~''''1".
'DEe- t::: \.
lZ-€.S A !t<..
,
DATE ISSUED
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS
TYPE OF WORK
USE OF BUILDING
PERMIT NO. 0/- 375
BUILDER MANI..E-'f
NOTE: THIS IS~OT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
. ,
4/50/6/
, .
INSPECTOR
DATE
I FOOTING I ~ 2/~ I t./- /7- D j
PLACE NO CONCRETE UNTil ABOVIE HAS BEEN SIGNED
~r.tl~ I I
, FINAL
Call between 8:00 and 9:00 A.M. for all Inspections
FOR ALL INSPECTIONS 447-9850
"
~. .
CrtY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
.5'!if9
OWNER
PHONE NO.
~ FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
DATE
TIME
SCHEDULED fl/7)O/
.
~ r!mx fif,
J
CONTR.
J!:tJtJ
PERMIT NO. _ 9
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
<74fi..t._ 2..7;::;-
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
COMMENTS: ;Pl::;~
'.. f'lL At k /')1 ,J--- ~ 01 'e{.
h~)(& ~/Ai';4
. \. \ .
rrrl '\
I
C() t1C/&Te.---
~K SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK CALL FOR REINSPECTION BEFORE COVERING
Inspector.
OwnerlContr:
E NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
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