HomeMy WebLinkAboutBldg Permit 01-0570
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
~'7'O/
(Please t'(t!e or or nt and sign at bottom)
ADDRESS
; ~,~'~ ~:;y I PERMIT NO. O/-057,OJ
3. Yellow Applicant
/7/2& 7Vt€-ON/V
/7 Vt;;!VU6
:56
LEGAL DES :::RIPTION (office use only)
ZONING (offi,,"",,)
1<./
LOT q BL :::>CK 3 ADDITION W 000 Jel () cS 6 6<-"'51/1 / i-~' / ST PID 25 -2-80 - 03Q-O
,
OWNER
(Name)
L r; <- ~e "" - .-....... (Phone) -.9c, J, ~ 41- Is-An
n l2.k --In (' ()r".\u ~ \Ie.,
I hereby certify tl ,at 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
authorized agent for the above-mentioned Y~~Y_HJ 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
enter upo'}lj'e P' 't'~') perform needed inspections.
X 4";7". . .6-l--0\
" . -
$
$
$
$
$
$
$
$
(rl3'OI $
17
i:AtioPurBuilrung2~~w:;::oved
~)fficial Date r
I
This is to certify tho : 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 :ity Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be
issued.
(Address)
BUILDER
(Name'
(Contact Narr e)
(Address)
(Phone)
(Phone)
TYPE OF WI)RK
~eCk
o Fireplace
ORe-Roofing
OAlteration
o New Construction
OPorch
OAddition
DLower Level Finish
o Misc.
PROJECT COST IV ALUE (exclurung land) $
Signature
Contractor's License No.
I Permit Valuatic n LI. CVl. (y")
I Permit Fee $ :'51.-0-;-
I Plan Check Fe, $ ~'>.~
I State Surcharge $ .80
I Penalty $
I Plumbing Perm It Fee $
I Mechanical Pel mit Fee $
I Sewer & Water Permit Fee $
I Gas Fireplace I ermit Fee $
Park Support Fee
SAC
#
#
I Water Meter Size 5/8"; 1";
Pressure Reducer
Sewer/Water Connection Fee
#
#
I Water Tower Fee
I Builder's Deposit
I Other
I TOTAL DUE ~
Paid
Date
0/4.0/3
~,-/2--11 I
llanning Director
Date Special Conditions, if any
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
ORe-Siding
OUtility Connection
Date
Q4.Q3
, /
~/
B'tr;;f3
Residential Building Permit Checklist
Deck Additions to Single Family Homes
Date (;, -gJ - Zaer
B~i1ding Permit #
Si~e Address
Pill:
Zoning:
Le ~al: L C(
B 3
Subdivision:
E~isting Structure: @or NO
CONFORMS TO ZONING
ORDINANCE
YES
NO
. Yard Setbacks: NOT APPLICABLE
MEETS CODE
". !U. ':.:..J --.,.
(2: ' if abutting a streeyO' if abutting a street in
1- -Canlmal fudge)
I. Side Yard
I. Rear Yard
. To~ouses
Requirement
Proposed
10'
sq(
10'
3C( I
25'
~'
Must be consistent with
approved plan for
development
A!\ Y PROPOSED DECK NOT MEETING THE ABOVE CRITERIA MUST BE REFERRED TO THE
PL \.NNlNG DEPARTMENT. ALSO, ANY DECK ON A LOT WITH A SUSPECTED BLUFF, OR ANY
OT IIER UNUSUAL CIRCUMSTANCE MUST BE REFERRED TO THE PLANNING DEPARTMENT.
TIllIs CHECKLIST MUST BE COMPLETED AND INCLUDED IN THE BUILDING PERMIT FILE TO
W INTAIN A RECORD OF THE REVIEW.
L:\' 'EMPLATEIDECKCHCKDOC
"
"
PRIOR LAKE
INSPECTION
RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
SITE flDDRESS ...L.Jl.2-t, Il'>\Q1A-\..... Au...P
TYPE )F WORK ~ f:'O ~~ I?:'K IS I
USE <1F BUILDING' <) ~{J
PERMIT NO. ()(.0570 DATE ISSUED (}; - ~ -?_,..,(
BUILD::R ~c:.&...' I Q<.(7-J-sa?
NOTE THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
IN\lfECTOR , DATE
I FOOTING I er I 7//f;/~1
F LACE NO CONCRETE UNTIL ABOVE HAS BEEN Si'GNED
I~ I I
I FINAL
P b/7~/;'\ '
Call between 8:00 and 9:00 A.M. for all Inspections
FOR ALL INSPECTIONS 447-9850
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
/7/'zh
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
..Il-'FlffAL
o SITE INSPECTION
COMMENTS:
/""
;0;t~
DATE TIME
SCHEDULED ~~
%, d"'L ;b ~
CONTR.
PERMIT NO.
o PLUMBING RI
o MEcH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o ~H FINAY
/' /ec/c:::
6/- ~70
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
/' /
/ ?J ~
{ L/ (,---
-~
/"'~ / ~
k4 )
-----'"
-----.
/ /"
( /~~ J-<:
~O~TnRV pP,Qrccn
/0 \cORRECT ACTION AND PROC ED
o CORRECT WORK C FO REINSPECTION BEFORE COVERING
Inspector:
~
OWner/Contr:
CALL 447.9850 FOR THE NEXT INSPECTION 2. HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH 4 SAFETY!
lNSNOfI