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,� CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
c.. E TEMPORARY CERTIFICATE OF ZONING COMPLIANCE G //./5'
AND UTILITY CONNECTION PERMIT
lkN E SO
I. White File
2. Pink City PERMIT NO. /5 6321
3. Yellow Applicant S
(Please type or print and sign at bottom)
ADDRESS
I4112.� �� F ZONINGO(office use)
LEGAL DESCRIPTION(office use only)
LOTZ1 BLOCK I ADDITION I j- oN3 'r 1xx_5 PID 24313 427.0
OWNS ,,
(Name) 6L N *—S-05 + MO6 (Phone)(W 12) 73 1, s&3
(Address) 1472g ! 1-,m B0,1nf04P .1 Mi N W
BUILDER
(Company Name)`1-c'1R � R.±atas- (Phone)(657Y775--3546
(Contact Name) W 4 Ns 1?_4,-- (Phone)
(Address) 2 AA/WC/145 L AN5F
tet. :, ., .wvvKJ ,
TYPE OF WORK JNew
['Addition
['Deck ❑Porch ORe-Roofing ['Re-Siding ❑Lower Level Finish 0 Fireplace
['Alteration ['Utility Connection
CODE: I.R . I.B.C. 0 Misc: .�n `G % z._ 18` 0
x
Type of onstntction: I II III IV V AB
Occupancy Group: ABE F HI MR SU PROJECT COST/VALUE $1 1 /41::45
Division: 1 2 3 4 5 (excluding land)
I hereby.- ', at I.. - , 'hed 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-menti.. • .roperty an. 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 r: ... this....1 or just cause. Furthermorehereby agree that the city official or a designee may enter upon the property to perform needed inspections.
x � , I ‘. ...
Signa Contractor's License No. ` ��'e
Permit Valuation / f 000, ;l0 Park Support Fee # $
Permit Fee $ /6 Z SAC # $
Plan Check Fee $ Water Meter Size 5/8"; 1"; $
State Surcharge $ O 0 Pressure Reducer $
Penalty $ Sewer/Water Connection Fee # $
Plumbing Permit Fee $ Water Tower Fee # $
Mechanical Permit Fee $ 54- E V Builder's Deposit $
Sewer&Water Permit Fee $ �J C/ Other $
Gas Fireplace Permit Fee $ TOTAL DUELMl 6-«_ / $ 2-Z r_ 7 5-
This A, „ .'o
, •co , s Your Building Permit ' n App,.ved Paid c��/r 126 Receipt No.� 7
3
r fiA Date la `/e-14- By
��� 4 (_
Building Official Da--
This is to certify .t the equest in the above application and accompanying ments. in accordance with the City Zoning Ordinance and may proceed as requested. This document
when signed by i' -constitutes a temporary Certificate of Zonin comp' and allows construction to commence. Before occupancy,
issued. p cy,a Certificate of Occupancy must be
6-
PlanninThrector Date
Special Conditions,if any
24 hour notice or all i spections(952)447-9850,fax(952)447-4245
4646 Dakota Street S.E.,Prior Lake,Minnesota 55372
.00 4k-
V
M'NNESotl' by
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
IN-GROUND SWIMMING POOL
•
NAME OF APPLICANT Peirdraleommec , OLI.
t cm
APPLICATION RECEIVED '• i/• as
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
Accepted r✓ Accepted With Corrections •
0/01Reviewed By Date 4-7/Bir
Comments:
Read the Pool handout
ifControl erosion and maintain clean streets at all times r `
3. Install 5' high fence and self closing, self latching gate must be installed and pass an
inspection before filling pool with water.
4. Electrical inspection must be approved before use of pool.
"The issuance or granting of a permit or approval of plans, specifications and computations shall not be
construed to be a permit for, or an approval of, any violation of any of the provisions of this code or of
any other ordinance of the jurisdiction. Permits presuming to give authority to violate or cancel the
provisions of this code or other ordinances of the jurisdiction shall not b valid."
REQUIREMENTS FOR SWIMMING POOLS
Fitio
SUB SF
' r tiESafi. "
�1) rows sna1111OL DC 1oeatC(1 W1111111 Lell 1CCl Flo ) meas LLrell norizolllany)nom unuergrouuu or oVellleao
utility lines of all types.
(2) Pools shall not be located within any private or public utility,drainage,walkway or other easement.
(3) Construction of pools shall be undertaken so as to avoid hazard,damage or considerable inconvenience
to adjacent property.
(4) The lot owner shall be liable for damages to any business or private property caused during pool construction.
(5) To the extent feasible,back-flush water or water from pool drainage shall be directed onto the owners'property
or onto approved public drainage ways,and shall not drain onto adjacent private land. Drainage onto public streets
or other public drainage ways shall require permission of the appropriate local City officials.
(6) Any pool lighting shall be directed toward the pool and not toward adjacent property.
(7) The pool area shall be enclosed with a non-climbable type fence at least five(5')in height to prevent
uncontrolled access to the pool area,and the fence shall have a gate self-closing, and self-latching with the latch
inaccessible to small children and at least four feet(4')from the ground level. The fence shall be completely
installed and pass inspection before filling the pool.
(8) All wiring,installation of heating units,grading,installation of pipe or other construction shall be subject to
inspection.
(9) Nuisances, such as undue noise,lighting of adjacent property,health and safety hazards,damage to vegetation
on adjoining property,and the like, shall not be permitted.
(10) Filling of pools from fire hydrants or other public facilities shall require the permission of the appropriate
local City officials.
(11) If protective 5' fence is not maintained,water from pool shall be removed immediately.
I UNDERSTAND THE FOREGOING AND AGREE THAT THE SWIMMING POOL WILL NOT BE FILLED WITH
WATER UNTIL ALL OF THE ABOVE REQUIREMENTS ARE SATISFIED. 0/0/5SIGNATURE OF OWNER � f "�C✓ DATE
POOL CONTRACTOR �� �,, 1Alma ICY/
�i� p�N��I� C L - 341 ��
ADDRESSM .�j-:&s.k k.t hl(03
The City reserves the right to order(in writing)the removal of the water in the event any of the above conditions are not
satisfied.
POOLCODE.DOC
Residential Building Permit C cklist
imming Pool Additions to Single Fa y Home
BY: it Date: (7 / cc--
67
Building Permit • PID: Zoning:
Site Address ( 7 �,, ,2 ... ./- ���
Legal: L B
Subdivision:
Existing Structure: YES or 0
ixo
CONFORMS TO ZONING NO
ORDINANCE
hA 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) /i
• Side Yard 5'
l 4-
• Rear Yard t10' j
0 6 —30 . '
• No toi located within 6' of any principal
(s, cAire or frost footings, including deck
o•,. •gs. p20 S
ABOVE GROUND SWIMMING POOL Requirement Proposed
Yard Setbacks: NOT APPLICABLE ! f
MEETS CODE c .at,m 0 � iQ,i.,,,�
• Side Yard ti/ �t 5,',?6' or 0' '" `y7
(25' if abutting a street,30' if abutting s eet in /
Cardinal Ridge) 1
• 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 /474 Q /G•
NATURE OF WORK /A/ S / pi/ pain..
USE OF BUILDING
PERMIT NO. __ DATE ISSUED • •
CONTRACTOR 1Ord e,MAAMS AdG PHONE 7 775. i 4o
INSTALL EROSION CONRTOL AND MAINTAIN CLEAN STREETS AT ALL TIME
IMPECTOR DATE
FOOTING 1E iff.3 ;S
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
liOMMINIMNOMMINIPIC
FRAMING
INSULATION SiVelay 7,t2
ELECTRICAL
HEATING
GAS LINE AIR TEST 6saiiiineimmeja
COVER NO WORK UNTIL THE ABOVE HAS BEEN SIGNED
1.1111.11111~110LAT+F
FINALS
GRADING ( PRIOR TO SODDING)
BUILDING 8i ,(As y
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