HomeMy WebLinkAboutBuilding Permit 01-0530
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec'd
.5.3/-0/
1. White File
2. Pink City
3, Yellow Applicant
(Please type or print and siJtD at bottom)
ADDRESS
/683/ !Jf~,dS ;WE-
. .'
LEGAL DESCRIPTION (ollice use only)
LOT 10 BLOCK t./ ADDITION
,
OWNER
(Name)
(Address)
TYPE OF WORK
o New Construction
o Mise,
DLower Level Finish
PROJECfCOSTIVALUE (excluding land) S /61z...
(phone)
/"
JZl6eck It)!. /'/ OPorcb
ORe.Roofing
PID
ZONING (offic:euse)
R./ S[:)
f S-z -If t.J~ . S-Sl 3
wz- (,'1- ~7'=-
t;'(2-?P9/~g~'5
5i!f;U'f ,
ORe.Siding
OUtility Connection
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
autho . agent for the above~mentioned r. -l"w...J and that all construction will conform to all existing state and local laws and will proceed in accordance with
submitted s. 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
;te~ prope lO:;?;:YYre'Y"l/;n",ections. ../t(3G-Z02 Z6c..J/L/ .~- 30..0/
(I . ~ Contractor's License No. Date
y
I Pennit Valualion
I Permit Fee
I Plan Check Fee
I Stale Surcharge
Penalty
Plumbing Pennit Fee
Mechanical Pennit Fee
$
$
$
$
$
$
$
$
'''00.-
s-4. ..
; ~.(O
. ..,...
ding penm~~f;~d
Date
o Fireplace
OAddition
OAlteration
#
#
#
#
'$
$
$
$
$
$
$
$
$
$0.-
/3't.8S
I ReceiptNo~'f"'6""
Bv q..C.../
U
'Ibis is to certify that the request in the above app1ication and accompanying documents is in accordance with the City Zoning Ordinance and may proceed as requested. This document
wilen signed by the City Planner constitutes a :......Y.........i Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be
issued.
I Park Support Fee
I SAC
I Water Meter Size 5/8"j l"j
I Pressure Reducer
I Sewer/Water Connection Fee
I Water Tower Fee
I Builder's Deposit
I Other ...,A, vefJ..
I TOTAL DUE
I Paid J~q. 1r5
I Date "-I-n i
Planning Director
Date Special Conditions, if any
24 hour nntice for all inspeclions (952) 447.9850, fax (952) 447-4245
REQUEST FOR WAIVER OF SURVEY REQUIREMENTS
}) IfJ--VZ: t-A-4-~ ~.
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~<-2 ~ '7'70.-5- S/ 5
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//t ~ fA
(/ l. );%t- i;?i I ,;
/ L~ /6 .;?L~c~ "Y 5'~"'17h' /h/t:;,,-L
-'
I PROPERTY OWNER: I
I ADDRESS:
I TELEPHONE NUMBERS: I
I SIGNATURE:
I
I LEGAL DESCRIPTION:
I PID NUMBER:
1(/688/)
A request to waive the survey requirements will be accepted only for the construction of
decks. Prior to the review of this request, the property owner must provide
reasonably reliable evidence in the field of what he/she believes are the property
boundaries. This request must also be accompanied by the following information:
1. The deck must be drawn on a site plan to scale. The site plan must identify
dimensions of both existing and new structures, and the distance from any lot lines.
2. The property owner must sign an agreement, prepared by the City, holding the City
harmless from any damages incurred if the deck is placed inaccurately on the site, or
of it irifringes on any setback requirements or easements.
3. The property owner shall pay a $50.00 fee for the staff review according to the
adopted fee schedule.
Once a request is reviewed, the staff will schedule a field inspection and review all
available information. The Planning Director and Building Official will then make a
determination of whether the requirements may be waived.
For Office Use Only
1:\h~nd.D)lts\'Vai~er.doc;..
16200 Eagle \...reeK Ave. ~.E., Prior Lake. Minnesota 55372-1714 / Ph. (612) 447-4230 / Fay. (612) 447.4245
AN EQUAL OPPORTUNITY EMPL.OYER
Residential Building Permit Checklist
Deck Additions to Single Family Homes
BY: t.IJ H
Date:
Building Permit # PID:
Site Address 1(, rn ( l.ferVS Ave
Legal: L t> B 4
Zoning:
'?P-t~ r Subdivision:
I ;:)d> '7(1
Existing Structurr~r NO
CONFORMS TO ZONING
ORDINANCE
~
NO
Yard Setbacks: NOT APPLICABLE
MEETS CODE
Requirement
Proposed
. Side Yard
(25' if abutting a street, 30' ifabutting a street in
Cardinal Ricllte)
. Side Yard
10'
10'
30 (
'3 z.1
. Rear Yard
25'
10'
. Townhouses
Must be consistent with
approved plan for
development
~'
ANY 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 DEPARTMENT.
THIs CHECKLIST MUST BE COMPLETED AND INCLUDED IN THE BUILDING PERMIT FILE TO
MAINTAIN A RECORD OF THE REVIEW.
L:\TEMPLATEIDECKCHCK.DOC
~
PRIOR LAKE
INSPECTION
RECORD
1(P~B{ L7~5 .4/JC
D~ C--K
fZ.~<:. A- "- ,
DATE ISSUED .. ~~f !o I
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS
TYPE OF WORK
USE OF BUILDING
PERMIT NO. 8r- S?:t-?
BUILDER Goot> N~,> ~~..;.. \
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR DATE
I FOOTING Itf;-. 15/~{ I 0 (
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
I~ I I
I FINAL
//J.~
Call between 8:00 and 9:00 A.M. for all Inspections
.. FOR ALL INSPECTIONS 447-9850
'~II~l.0
I
I
I
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
If. WI L)/,.J"l ~
CONTR.
OWNER
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION!) I,
~NAL ~,'-
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
r
/IO~
( J.
(f . /
vr V
I
DATE nile
~-(r
I -SJ D
o EXlGRADlFILUNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASUNE AIR TST
o
~RK SATISFACTORY. PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector. ..14/ (P-/t47 OWnerlContr.
gALL ..7-8850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
"""""
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!