HomeMy WebLinkAboutBuilding Permit 01-0422
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec'd
5.'-{"0/
1. White File
2. Pink City
). Yellow Applicanl
I PERMIT NO. 01-04-],../..---1
1'1'1/11/ rlt.-e 00 - 0 z.""
(Please !We or Drint and sim at bottom)
ADDRESS
ZONING (ollie. use)
K../SD
jC,71<:j' WII'IDf~~
t-IfNe
LEGAL DESCRIPTION (ollice use only)
LOT /3 BLOCK 3 ADDITION W/(..[)6)UV6(' f Pdti/O! 2tJ.J)
PID 2,S'33Y -032..-0
OWNER
(Name)
q/u&S 6J,JT.
z..35t/~ 1E;/)f'rE... /WE;
(Phone) h Iz.,- 4t"e; - 52.. 7h
FII12MIN67lJAl .!5~ovl-
(Address)
BUILDER
(Name) SAf.1F;,
(Contact Name)
(Address)
(Phone)
(Phone)
"
~eck
o Fireplace
TYPE OF WORK
OPorch
OAddilion
ORe-Roofing
ORe-Siding
o New Construction
OAlteralion
OUti1ity Connection
DLower Level Finish
o Mise,
PROJECT COST/VALUE (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 I".WI''';--J' d that all construction will conform to all existing state and loca11aws and will proceed in accordance with
submitted plans. I am aware that ,1Pe bu' . g 0 can re\oke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may
enteruponthe)rA'"m~_:_'"'' insp ons~
X r/~~ ~ ~e"./...
./ '" - ~ t" Signature )~ Contractor's License No, ( Date------'
---- --
# $
# $
$
$
$
$
$
$
$ //5.2"
2.IJOC>.od
(,?Zt!7
(Jt:;'.O(
i. d7C/
I Park Support Fee
I SAC
WaterMeter Size 5/8"; 1";
I Permit Valuation
I Permit Fee $
I Plan Check Fee $
I State Surcharge $
IP~a1~ $
I Plumbing Permit Fee $
Mechanical Permit Fee $
Sewer & Water Permit Fee $
I Gas Fireplace Permit Fee $
~
r'" ) -'?ecof1.Your
;:U~~BuilWng~~~:~7ved
~~~~ci& Dm
Pressure Reducer
I Sewer/Water Connection Fee
I Water Tower Fee
I Builder's Deposit
lather
I TOTALDUE~~ 5-1-()/
#
#
,
I paid, ~ 5 ,c:rI-Co
I Date~J
I Receipt No.'3CJS q.3
Bv fJC ~
.
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 t_...l'~'_) Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be
issued.
Date Special Conditions, if any
14 hour notice for all inspections (951) 447..9850, fax (951) 447-4145
Planning Director
By6f)
Residential Building Permit Checklist
Deck Additions to Single Family Homes
-
Date: ~ -?- ?~r
Building Permit # PID: Zoning:
Site Address M711 LUr ~ f...a, ..-L.
Legal:L /3 B '3 Subdivision: tJ,f~ ~2.~
Existing Structure: YES or NO
CONFORMS TO ZONING
ORDINAJ.'{CE
YES
NO
Yard Setbacks: NOT APPLICABLE
MEETS CODE
" SideYard
(2S-LL ..!.''':''~~eJ w. ..............., 3jO ~""'Q.Li.i~~g a ~LIt:t:l,.
in, C~':';n~ 1 Ridge)
I" Side Yard
'" Rear Yard
Requirement
Proposed
10'
to I
Go '2. I
10'
25'
/66 I
ANY PROPOSED DECK NOT MEETING THE ABOVE CRITElUA MUST BE REFERRED TO THE
PLANNING DEPARTMENT, ALsO, ANY DECK ON A LOT WITH A SUSPECTED BLUFF, OR At'IY
OTHER UNUSUAL CIRCUMSTA1'ICE MUST BE REFERRED TO THE PuNNING DEPAR'ThIENT,
Tms CHECKLIST MUST BE COMPLETED Al'lD INCLUDED IN THE BUILDING PERi'vIIT FILE TO
MAINTAIN A RECORD OFTHE REVIEW.
.
T ,'\ I .";'Vlt=:~ ~7';:::\;J2'::Z::ICK.:2-:~=-
~
PRIOR LAKE DEPARTMENT OF
. BUILDING AND INSPECTION
INSPECTION
RECORD
SITE ADDRESS J111J3 "'J~""J- III Lc... Q.
TYPE OF WORK ~Cc" J '2..' X ?n '
, .
USE OF BUILDING <:Fh
PERMIT NO. () 1- 04-2-2. DATE ISSUED
BUILDER ..f].,'(fl<::, -;:,.1.. (,/2-t/C,7-627(..
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
I FOOTING I 0 :NSPECTOR I 5'/ 3 ;/~/
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
I~ I I
, FINAL
"
r/ //1'
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS 447-9850
L-{ . ~()<-1
I
I
J
I
"
'\
DATE TIllE
CITY OF PRIOR LAKE
INSPECTION NonCE
SCHEDULED
.4'-2 -{)'f
ADDRESS
/t1!q
IA/I H~S"r bl4.
OWNER
PHONE NO.
CONTR.
PERMIT NO.
/ - q;..J...
o FOOTING
o FOUNDATION
o fRAMING
o INSULAT10~ " If
piNAL (/(<-(1.,
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXlGRAD/FlllING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASllNE AIR TST
o
COMMENTS:
/~ -~)
/ / f~7/
\ /)(P-~ r;
"'- --------
"'WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT ~~K, .~l FOR REINSPECTION BEFORE COVERING
Inspector. /I1/! OWnerlContr:
CALL "7.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH'" SAFETYI
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