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1st PR I��
CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
EAN1
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION ��• 1
PERMIT �.
jlk'NESDC
1.white Fie /t,7
2. Pink City PERMIT NO. /¢ U
3.Yellow Applicant •
(Please type or print and sign at bottom)
ADDRESS ' ZONING(office use)
/11377 / c. n cI- .i,e g• 1
LEGAL DESCRIPTION(office use only) l 22�'�Q
LOT V, BLOCK j ADDITION �'(tp( ill i i ... T k -u U i l--tc— PID 3 f Z . .DUO •b
OWNER ( I(Name) J( \r d AI is'e,in 24-k (Phone) f,Q
-„713-.3 WSAu-
(Address) 11+3 77 1'? tn r�TWE I ricrr- /.e 5538
BUILDER ff 11 /f q� ry� `JG
(Company Name) Vi.l I � ”I S GpJ S i. i (Phone) 7.5-d---8 `�7p0
(Contact Name) atie ia..4.v�/ (Phone) i /2— 723-- 5943
(Address) 2C)( 0'454— ((('�'"f" Ia . 8 unt S✓i l l-E' mm.- ... --s--
33 2 7
TYPE OF WORK "New Construction ['Deck ['Porch ❑Re-Roofing ❑Re-Siding ['Lower Level Finish 0 Fireplace
ddition ['Alteration ['Utility Connection i Si
,
CODE: .R.C. DI.B.C. ❑Misc: &ilt IJ. 1 nS.Li 1 S I Iva/4J l/y/14,I JIN %/
Type of Qonstruction: I II III IV V A B
Occupancy Group: A B E F H I M R S U PROJECT COST/VALUE $ 02 5O"0f1
Division: 1 2 3 4 5 (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 revo e this permit for just cause. Furth ore,I hereby agree that the city official or a designee may enter upon the property to perform needed inspections.
Signature Contractor' cense No. Date '
Permit Valuation (0, CO 0. 00 Park Support Fee # $
Permit Fee $ Iz5 Z.. SAC # $
Plan Check Fee $ . . Water Meter Size 5/8"; 1"; $
State Surcharge $ 0 0Pressu user $
Penalty $ Sewer/Water Connection Fee # $
Plumbing Permit Fee $ Water Tower Fee # $
Mechanical Permit Fee $ 5274 5) Builder's Deposit $
Sewer&Water Permit Fee $ Other $
Gas Fireplace Permit Fee $ TOTAL DUE 'M ; til.' C 1.5, i47- $ 4,2,,, 1 . to
This Ap- ation : '..a .. , BuildingPermit Wh Ap oved Paid •2_7-.t Receipt No. :( -42-4/
, tit AA. � �� Date I22 By �.
Building Official
This is to cc,. that the e. est in -abo,e application and accompanying documen is in a, ordance with the City Zoning Ordinance and may proceed as requested. This document
when sig , . the Ci n' •, .titu;s a tennporary Certificate of Zoning compli. ce an.allows construction to commence. Before occupancy,a Certificate of Occupancy must be
issued.
Planning Director Date Special Conditions,if any
24 hour not: . or all ins.ections(952)447-9850,fax(952)447-4245
4646 Dakota Street S.E.,Prior Lake,Minnesota 55372
PRIG
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4'NNfso*
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
IN-GROUND SWIMMING POOL
NAME OF APPLICANT
(7,11- 61/
� POOL- �� -r/94
APPLICATION RECEIVED e, Zl 14--
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
Accepted ✓ Accepted With Corrections
Reviewed By _____,O ) Date
if .cc.
Comments:
1. Read the Pool handout
2. Control erosion and maintain clean streets at all times
3. Install 5' high fence and self closing, self latching gate must be installed and pass an
inspection before filling pool with water.
4. Electrical inspection must be approved before use of pool.
"The issuance or granting of a permit or approval of plans, specifications and computations shall not be
construed to be a permit for, or an approval of, any violation of any of the provisions of this code or of
any other ordinance of the jurisdiction. Permits presuming to give authority to violate or cancel the
provisions of this code or other ordinances of the jurisdiction shall not b valid."
Residential Building Permit Checklist
Swimming Pool Additions to Singl Family omes
BY:
441,Alk Date: I 4
Building Permit#
P . Zoning:
Site Addressp , )
Legal: L B
Subdivision:
Existing Structure: YES o _/
CONFORMS TO ZONING NO
ORDINANCE
IN-GROUND SWIMMING POOL Requirement Proposed
Yard Setbacks: NOT APPLICABLE
MEETS CODE
• Side Yard 5',25' or 30'
(25' if abutting a street, 30' if abutting a street in 0 f
Cardinal Ridge)
• Side Yard 5'
• Rear Yard 10'
4C)`
• Not to be located within 6' of any principal
structure or frost footings, including deck
footings. (°
ABOVE GROUND SWIMMING POOL Requirement Proposed
Yard Setbacks: NOT APPLICABLE
MEETS CODE
• Side Yard 5',25' or 30'
(25' if abutting a street, 30' if abutting a street in
Cardinal Ridge)
• Side Yard 5'
• Rear Yard 8'
• Not to be located within 6' of any principal
structure.
ANY PROPOSED SWIMMING POOL NOT MEETING THE ABOVE CRITERIA MUST BE REFERRED TO
THE PLANNING DEPARTMENT. ALSO,ANY POOL 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.
J:\FORMS\Pool planning checklist 2007.DOC
•
PRIOR LAKE DEPARTMENT OF
BUILDING AND INSPECTION
INSPECTION RECORD
SITE ADDRESS t1131-1 C.
NATURE OF WORK i 9
USE OF BUILDING
PERMIT NO. l 2 -901 DATE ISSUED
CON
TRACTOR �(A r --s rA. PHONE 44-z.- z5 4714, 3
INSTALL EROSION CONRTOL AND MAINTAIN CLEAN STREETS AT ALL TIMES
INSPECTOR DATE
FOOTINGS 9(1-{,' (y
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
FRAMING
1111111111111111111 Mikrisf7y Ofearir
ELECTRICAL
11.1111111.1.
HEATING
GAS LINE AIR TEST i "
COVER
( PRIOR
ELECTRICAL
NO
TO WORKSODDING)UNTIL THE ABOVE HAS BEEN SIGNED
MI �
FINALS
BUILDING
HEATING
DO NOT OCCUPY UNTIL ABOVE HAS BEEN SIGNED
NOTICE
This card must be posted near an electrical service cabinet prior to rough-in inspections and
maintained until all inspections have been approved. On buildings and additions where no
service cabinet is available, card shall be placed near main entrance.
FOR ALL INSPECTIONS (952) 447-9850