HomeMy WebLinkAboutBuilding Permit 01-0483
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Q?lease ~ or orint and sism at bottom)
ADDRESS
ty L II
+ ~1",\f)-rI..j'-1
I. While File
2. Pink City
J. Yellow Applicanl
LEGAL DESCRIPTION (office use only)
LOT hLOCK 4- ADDITION ijouO I III 5 V1AlJOe.... 4 lit
OWNER
(Name)
S"\N-.r C- l'
S/l'i.\~(J
~oS~
(Address)
BUILDER
(Name\
(Contact Name)
folf-( LLlP \"
(phone)
c.. A ~ C v..... ~ '\
..:r YIt ^"- ~ I<. vY.) ~
~ ') ('l l- V,..rl) ~ ~
(Address)
TYPE OF WORK
o New Construction
OLower Level Finish
o Misc.
Date Rec'd
S-/r:O!c
./
I PERMIT NO. O~H;31
f
. 'ZONING (0_ use)
~I
/'
,
PID 2S '12...4-~ 0+0-0
(Phone)
(phone) e..r. 2 . ~ 1 t..{ ~ ~ Ie., LI
JifJeck
( 0 Fireplace
OPorch
OAddition
ORe-Roofing
OAlteration
OUti1ity Connection
PROJECTCOSTIVALUE (excluding land) $
ORe-Siding
I hereby certifY that I have furnished information on this application which is to the best of my knowledge true and conect. 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 revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may
;ter~~ormltd~sp~ 5>--, ~ --0 /
L / Signature Contractor's License No. Date
I Pennit Valualion
I Permit Fee
I Plan Check Fee
I State Surcharge
I Penalty
Plumbing Pennit Fee
Mechanical Permit Fee
$
$
$
$
$
$
$
$
':?~.~)
i/7.1tJ
-?I.IT ./
.rr,
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 TOTAL DUE Mt..t,ez:J
. --
I Paid
I Date
- 1'1.,. t:> 'If
,~ - ;::}..'~ -(') I
# $
# $
$
$
# $
# $
$
$
S-Z/-D/ $ ~q. ~PJ
I _ I
I ~~ei~/i~/"OL'-.t
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 notiee for an inspections (952) 447-9850, fax (952) 447-4245
.
Bt? I>
Residential Building Permit Checklist
Deck Additions to Single Family Homes
Date: :5 - (?-() /
Building Permit # PID: Zoning: 1< I
Site Address IL/~II ~{)t;~
Legal: L Lf B 4 Subdivision: ~ L..j~
Existing Structure: YES or NO
CONFORMS TO ZONING
ORDINAi~CE
YES
NO
I Yard Setbacks: NOT APPLICABLE
MEETS CODE
. Side Yard
(25' if abutting a street, 30' ifabutting a street
in Cardinal Ridge)
Side Yard
Requirement
Proposed
10'
4cr;-
I .
I .
10'
'2-'5"
40
Rear Yard
25'
Ai'lY 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 DEP ARTMENT.
Tms CHECKLIST MUST BE COMPLETED AND INCLUDED IN THE BUILDING PERr"IIT FILE TO
MAINTAIN A RECORD OFTHE REVIEW.
L:lTEMPLA TE\DEC:KC:HrK noc:
..
PRIOR LAKE DEPARTMENT OF
BUILDING AND INSPECTION
INSPECTION
RECORD
SITE ADDRESS lY.'2.\ \ 'l,^^,,'"^\J .Jtv...p
TYPE OF WORK Ikc~ . 17.\..() (~.'
USE OF BUILDING <sr:::{)' ~ - .
PERMIT NO. 0-,.0 1{63 DATE ISSUED 5'-2(-CLJoI
BUILDER ~_ ~. c./2-nc.{-~U14
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
I FOOTING". I ~..\l~oR I.- ~r;(
PLACE NO CONCRETE UNTIL ABOVE!. HAS BEEN 31GNED
,~ I I
/
/ I
~o;r'j"
I
I
I
, FINAL
#?/f
Call between 8:00 and 9:00 A.M. for all Inspections
FOR ALL INSPECTIONS 447-9850
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS / ~-2//
,
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
~INAL
)IQ SITE INSPECTION
DATE TIllE
SCHEDULED ~ij"
~~~ &e-
CONTR.
PERMIT NO. ..1/1/- 9P?
Cl PLUMBING RI
o MECH RI
o WATER HOOKUP
Cl SEWER HOOKUP
Cl PLUMBING FINAL
Cl MECH FINAL
o EXlGRADlFILLING
Cl COMPLAINT
o FIREPLACE RI
Cl FIREPLACE FINAL
o GASLINE AIR TST
Cl
COMMENTS:
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----
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Cl WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
Cl CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: ~OwnerlC(Jnlr:
--
CALL 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH" SAFETY!
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