HomeMy WebLinkAboutBuilding Permit 01-0429
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
1. White File
2. Pink City
3. Yellow Applicant
Date Rec'd
S-r~() /
q?lease ~ or nrint and sim at bottom)
ADDRESS
tJ.l> "If W/lCrYAJ &Or.~ CtZ~1 f". ~"/l.. Uke, /iliff
LEGAL DESCRIPTION (office use only)
LOT hLOCK / ADDITION Gk3RI/lII1/~oO wesr
OWNER
(Name) h~PA/E
(Address)
BUILDER
(Name)~"""""".D
M/LLke
L_ F~~#~JI/
(phone)
ZONING (office use)
tez.s.D
PID 45~/kb-/)tJ4-rO
(1 $' z.- !fCf7 - 6 7"..$
1
(Contact Name) 'T ' ,
(Address) ~iJ6'"'"7- C~:U&1~o .sr.. s: e;
(Phone) ~~Z - "fC47- B?~~
(phone) '1 'I ';
TYPE OF WORK
o Misc.
r>,ruo#ll.. ~ir 1,1'2- 2tl() .- "'l3b1
OLower Level Finish
~Deck OPorch
,tZ6~#-. ~ J.,~ #
o Fireplace OAddition
ORe.Roofing
OAlteration
o New Construction
PROJECTCOSTIVALUE (excluding land) S
ORe-5iding
OUti1ity Connection
1 hereby certify that I have furnished information on this application which is to the best of my knowledge lI1Ie and correct. I also certify that I am the owner or
authorized agent for the above-mentioned r'-rwni 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 just cause. Forthermore, I hereby agree that the city official or a designee may
\ter7r:;~~;:;;rkte~ ~/8/e/
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
/]
tiOnZ:YOWBuildin;~~~~~
cia! Date '
$
$
$
$
$
$
$
$
J.70'>.n1
'~.lO
:?l.~
. es-
I Park Support Fee
I SAC
I WaterMeter SizeS/8f!; 1";
I Pressure Reducer
I Sewer/Water Connection Fee
I Water Tower Fee
I Builder's Deposit
I Other
I TOTAL DUE
I Paid
I Date
100,U ,
_<--,<i-o I
# $
# $
$
$
# $
# $
$
$
$ /()(). 0/
-, - -"--
I ReceiJltNo.;2'1~ lc<'~
Bv 0
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) 4474245
BY:
dduL-
Residential Building Permit Checklist
Deck Additions to Single Family Homes
Date: 5-9- 0 I
^
Building Permit #
Site Address
PID: 25-/(,(,- 004--0 Zoning: 1€z.5D
Legal: L 4- B /
Existing Structure: @orNO
Subdivision: ~//IIWooO tAl6S,
CONFORMS TO ZONING
ORDINANCE
~/:-
YES
NO
Yard Setbacks: NOT APPLICABLE
MEETS CODE
Requirement
Proposed
o Side Yard
(25' if abutting a street, 30' if abutting a street
in Cardinal Ridge)
'0 Side Yard .
10 Rear Yard
10'
10'
25'
A..'iY 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.
TillS 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
SITE ADDRESS ~ql/ \J~~ It c,.. .
TYPE OF WORK ~$1 r'.D.... r" I/)
USE OF BUILDING 5 P ~ .
PERMIT NO. nJ-04-Zq DATE ISSUED '):-{o.a.sl
BUILDER '~~~~
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF
BUILDING AND INSPECTION
.,
,
INSPECTOR
DATE
I FOOTING. I tx.'<Ct, I
PLACE NO CONCRETE UNTIL ABOVE HA'J BEEN SIGNED
,~ I I
v
/'I
'FINAL "
(f17
"
Call between 8:00 and 9:00 A,M. for all Inspections
FOR ALL INSPECTIONS 447-9850
"
/
/'
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
4 tfl4:
OWNER
PHONE NO.
[] FOOTING
[] FOUNDATION
[] FRAMING
[] jlSULA TION
.JTFINAL
[] SITE INSPECTION
COMMENTS:
DATE TIllE
SCHEDULED {p.1 . 0 I
Wa.~ ~,;~"-
CONTR.
PERMIT NO.
01 - 0'129'
[] PLUMBING RI
[] MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
C EXlGRADlFILLING
C COMPLAINT
o FIREPLACE RI
C FIREPLACE FINAL
o GASLlNE AIR TST
o
-.
~...v,,~,
7-- ./-./
"
/
/'
~RK SATISFACTORY, PROCEED
C CORRECT ACTION AND PROCEED
C CORRE K, CALL FOR REINSPECTlON BEFORE COVERING
Inspector'
CA -
o FOR THE NEXT INSPECTION U HOURS IN ADVANCE.
Owner/Contr:
EQUlREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/
IN$IKlTl
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
5'-(0. '1t!YY
OWNER
~O'tt{ ~ ~t~ C\-,
u a
CONTR.
ADDRESS
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
)IQlITE INSPECTION
COMMENTS:
_D""k- p \11....
~ S;~-4t
o PLUMBING Rl
o MECH Rl
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXIGRAD/FlLlING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
~ GASLINE AIR TST
MIl..J.cl...q..c; €YtS;j.,'t.." &lc
"
I S~ d- {6C'....tr-CI\A
o WORK SATISFACTORY, PROCEED
o CORRrJi;ET N AND PROCEED
o CORRE , CAll FOR REINSPECTION BEFORE COVERING
Inspector:. Owner/Contr:
---
CAll 447-9860 FOR THE NEXT INSPECTION U HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH It SAFETY!
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