HomeMy WebLinkAboutBldg Permit 01-0739
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
{-II '-0 /
; ;i:~' ~:~ I PERMIT NO. Of ~ (Y!30
3. Yellow Applicant 1
(Please!}'Pe or vr ot and sign at bottom)
; ~DDRESS
I ~7D~, W',nd60r Lane tf-
. yriCY LctKt...
LEGAL DES :RIPTION (office use only)
LOT 1.4t!L::>cK 3 ADDITION NIL.tJGe.lJ8:0 P6tJoi) 21\11')
,
ZONING (offie,,,,,)
!e-IS D
PID 2.c:;- - 33~. ()3s-0
'-%':e~U1(\")tc, t .Kil'YlOCrlL1 ('fJS-CLfJS. (Phone) (qSJ) 'Jd-&~ 4lPILP
(Address) 1~ID3 vJlnd~:Dr -L(JJ)c CE. ,r-~IOr UL!<L
BUILDER
(Name)
(Contact Narr e)
(Address)
TYPE OF Wl)RK
o Misc.
(Phone)
(Phone',
o New Construction
)toeck
ORe-Roofing
ORe-Siding
DUtility Connection
I hereby certify ~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 Ifor 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
;~;~)peny;erfOrm dediDspections. Contractor's License No. 1 ~~
"-'
I Permit Valuatic n
I Permit Fee
I Plan Check Fe,
I State Surcharge
I Penalty
I Plumbing Pern it Fee
I Mechanical Pel mit Fee
I Sewer & Wate~ Permit Fee
I Gas Fireplace I 'ermit Fee
DPorch
DAdditioD
DLower Level Finish
o Fireplace
DAlteration
PROJECT COST IV ALUE (excluding land) $
$
$
$
$
$
$
$
$
1.8cO.0")
CD3. ''''I
4 J , (')~
q{)
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
#
#
Park Support Fee
SAC
#
#
I ZflP~esYomBUildin?:;;:;;;d
) Ui1~ Jfficial Date
,
$
$
$
$
$
$
$
$
$ I()t;;: 0 q
/(J~- Or
. -;-~/t;)..()1J
I
I ReceiD#Jo-,-4tJ/4-/
BYh~
I
I Paid
lDate
This is to certify tho t 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.
'lanning Director
Date Special Conditions, if any
24 hour Dotice for all inspections (952) 447-9850, fax (952) 447-4245
By.Q15
Residential Building Permit Checklist
Deck Additions to Single Family Homes
Date. 7~ IIl-O /
Building Permit # (j fro 7'] 1 Pill: Z-r- ~ 3 3S ~o:iJ -0 Zoning: ~/.J 0
SileAddress 1&'763 ft//NDSO!L- LJ
Le~al:L /1 B .3 Subdivision: W(t.-O~S 1"(/ VOj ~
Ejisting Structure~ NO
Ce~FORMS TO ZONING
OrINANCE
. Y. rd Setbacks: NOT APPLICABLE
MEETS CODE
YES
NO
Requirement
Proposed
" Side Yard
(2~ ' if abutting a street, 30' if abutting a street in
Cardinal Ridge)
Side Yard
10'
N
I"
I" Rear Yard
10'
q~'
/00'
- I
25'
" Townhouses
Must be consistent with
approved plan for
development
AI' Y PROPOSED DECK NOT MEETING THE ABOVE CRITERIA MUST BE REFERRED TO THE
Pl i\NNING DEPARTMENT. ALSO, ANY DECK ON A LOT WITH A SUSPECTED BLUFF, OR ANY
01 HER UNUSUAL CIRCUMSTANCE MUST BE REFERRED TO THE PLANNING DEPARTMENT.
Tl IS CHECKLIST MUST BE COMPLETED AND INCLUDED IN THE BUILDING PERMIT FILE TO
MJ ,!NT AIN A RECORD OF THE REVIEW.
V TEMPLATEIDECKCHCK.DOC
..
PRIOR LAKE
INSPECTION
RECORD
SITE ADDRESS /0703 WINDSOK LANe:
TYPE: OF WORK 06C1~
USE JF BUILDING RLS 4(/2.....
PER~~IT NO. ()!- 0'7~/1 DATE ISSUED --;-16 -0 I
BUILpER (jI:lSSC:V PHONE #
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT .IS BY SEPARATE DOCUMENT
DEPARTMENT OF
BUILDING AND INSPECTION
-
'FOCTING I)k. I ~. I ?/;;S/OJ
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
I P..,.iloi......'" I I
INSPECTOR
DATE
I FIN~,L
-
I/V}/ /
L{ ~:;-O L(
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (952) 447-9850
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE SCHEDULED ~l-v-OY
ADDRESS /G )0 '"3, WIV1),,,c...L1A.
OWNER CONTR.
PHONE NO. PERMIT NO. J-73q
o FOOTING o PLUMBING RI o EXlGRAD/FILLlNG
o FOUNDATION o MECH RI o COMPLAINT
o FRAMING o WATER HOOKUP o FIREPLACE RI
o INSULATION J o SEWER HOOKUP o FIREPLACE FINAL
p<-FINAL OZ:. t..,- O PLUMBING FINAL o GASLlNE AIR TST
o SITE INSPECTION o MECH FINAL 0
COMMENTS:
-------
/ r
( /^ J(lY-
\ l-/-
~
~
(>~; ^ )
r/~ /
/
./
-----
wr'.WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: $ Owner/Conlr:
CALL 447.9850 FOR THE NElCT INSPECTI<:lN 24 HOURS IN ADVANCE,
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH.l SAFETY!
'''SHan