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of NRiO�P CITY OF PRIOR LAKE BUILDING PERMIT, Date ec'd
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
it
AND UTILITY CONNECTION PERMIT q/774 L
2rink City
ti
I. While File PERMIT NO. /4 _?..33
��NNESO�� .
3 Yellow Applicant
(Please type or print and sign at bottom)
ADDRESS Zr (office use)
LEGAL DESCRIPTION(office use only)
LOT BLOCK ADDITION PID
OWNER , <,-,
+ 691.2.— !I� ( - 3(to� �
(Name) Li l_ `)TrZ A S�-IN (Phone)
(Address) 1 4 q -"2__ b cv
BUILDER 4O2CST7 c- /�� C S 2 '" �O' l 3
(Company Name) (Phone) _
(Contact Name) A-T
(Phone) (D C z _15- Z-
(Address) gel a ji[i„G4
TYPE OF WORK ❑New Construction ['Deck ['Porch ORe-Roofing ❑Re-Siding ['Lower Level Finish ❑Fireplace
['Addition DAlteration ['Utility Connection
gMisc.
i-Lvv— 6-fr-w.4-0 Pc.h.„..A
CODE: /J I.R.C. I.B.C.❑
Type o t •struction: I II III IV V A BPROJECT COST/VALUE $ 7a0 • 0��
Occupancy Group: ABE F HI MR SU (excluding land)
Division: 1 2 3 4 5
I I hereby certity that I have furnished information on this application which is to the best of my knowledge true and cotTect. I also certify that I am the owner or authorized agent for the
above-mentioned pro •Ty 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 i ermit for ist cause. Furthermore,I hereby agree that the city official or a designee may enter upon the property to perform needed inspections.
XDate
Si ature Contractor's License No.
Permit ValuationPark Support Fee # $
( OrOOO
Permit Fee $ ( :LC-LC- SAC # $
Plan Check Fee $ Water Meter Size 5/8"; 1"; $
State Surcharge $ C- Pressure Reducer $
Penalty $ Sewer/Water Connection Fee # $
Plumbing Permit Fee $ Water Tower Fee # $
Mechanical Permit Fee $ 4. Builder's Deposit $
Sewer&Water Permit Fee $ Other $
Gas Fireplace Permit Fee $ TOTAL DUE $ 2_7.-1 s 1 S
This App;,' i i /,e : 'es 't. Building Permit Wh Ap oved 7 14 Paid �� e---(W4F- Receipt No. -^1�,'�( �D
Date c - - t("1- By G7'�`�
Building, _....," Da
This is to certify at th r quest in the above application and accompanying documents is ' accor• nee with the City Zoning Ordinance and may proceed as requested. This document
when signed C'y ot.er ores a,irmporary Certificate of Zoning complian and ows construction to commence. Before occupancy,a Certificate of Occupancy must be
issued r'/
ning Al
Dar Special Conditions,if any
— 24 r notice for all inspections(952)447-9850,fax(952)447-4245
4646 Dakota Street Prior Lake,MN 55372
Residential Building Permit Checklist
Swimming Pool Additions to Single Fa ily Home
kY: Date: 1 z ) 4-
Building Permit# PID: , Zoning:
Site Address lc.2Z DD��.-Legal: L B Subdivision:
Existing Structure: YES orO
CONFORMS TO ZONING
1(11-
NO
ORDINANCE
IN-GROUND SWIMMING POOL Requirement Proposed
Yard Setbacks: NOT APPLICABLE
MEETS CODE
• Side Yard 5',25' or 30' i
(25' if abutting a street, 30' if abutting a street in
G
Cardinal Ridge) --5 `
• Side Yard 5'
3 .) f
• Rear Yard 10' g' r_...._.....-- 1
• Not to be located within 6' of any principal
structure or frost footings, including deck
footings. cga,
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
NATURE OF WORK 0.1 C .>,....‹:'
USE OF BUILDING A-�--
PERMIT NO. k4 DATE ISSUED f I4
CONTRACTOR 1:79-e -Ic -) PHONE ‘751-- ��o - (
INSTALL EROSION CONRTOL AND MAINTAIN CLEAN STREETS AT ALL TIMES
INSPECTOR NDATp
FOOTING
Ramensw (Prior To Backfill)
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
ATER/SEPTIC
FRAMING
11111.116.... TiEfir •eirdeier rel/C6c" PiS
ELECTRICAL
HEATING
alinniree
GAS LINE AIR TEST a4JIMMINIMMIIMBIER
COVER NO WORK UNTIL THE ABOVE HAS BEEN SIGNED
011111111111M saint
FINALS
GRADING ( PRIOR TO SODDING)
BUILDING 21.5//
ELECTRICAL
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