HomeMy WebLinkAboutBldg Permit 01-0810
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
I
Date Rec' d
1. White File I PERMIT NO tY
2. Pink City . I r /') O;~~
3. Yellow Applicant _ /.4 {/ 0 .,f.:.;,/
\.. C:lease type or print and si2D at bottom}
.,"V\DDRESS
\5- 3 ~t, rAir IdtlAlJ) SkP"(,S ~I s.~
LEGAL DESCRIPTION (office use only)
LO~ BLOCK I ADDITION WdlVh e 0/ A/;,r,../~f.s
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X~=e~R !1i&h4'r/' -+ J"~rt'n S- VfJ~t'T.
(Address) (.$ ~ &,? ~"I- k """'''' sl tJrt" S ;;.).
, (BUILDER
(Name)-.D/?I/ /.D .5C//.-"1' rT rO ~..sr .
(Contact Name) DA 1/ /D ..5'ch'/,,? 17T
(Address) ;J/d / 7 h t"/~ LJ,.-. S j~ ~~t'r:
)l(Deck
(TYPE OF WORK
j
1s r eI~. PIDcts'-:'; ~ "'I..t!J /J.::J - t1J
(phone) t::tJ";;1- ~.tI/tJ - .1;(5-/ t!J
SEe ?,.,'orj~A'~
(Phone) ~~-..y~ -- 7.-t.$'3'
(Phone) t;;1 Nz - g;;es-- &.1 Iff! J
/1'1". tf& - .:? 7 #J
o New Construction
ORe-Siding
OPorch
ORe-Roofing
o Misc.
OLower Level Finish
o Fireplace OAddition OAlteration OUtility Connection
PROJECTCOSTIVALUE (excluding land) $ e: dtlt:J !!!!
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
authorized agent for the above-mentioned property and that all construction will conform to all existing state and local laws and will ,.." ...d 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
;7$)/~:ections. c:2'7~- 7-J?~/
I/" ~gnature) Contractor's License No. . _(l'Yate,....)
Permit Valuation , I Park Support Fee # $
\D ,~ . C!:lO
I '2S'.'2.~ I SAC # $
el.t.I I I Water Meter Size 5/8"; 1"; $
~ . c)d I Pressure Reducer $
I Sewer/Water Connection Fee # $
I Water Tower Fee # $
I Builder's Deposit $
I Oilier 1_~~q3 \ $
I TOTALDUE P1Y ,;z:?,l'U $ J..oq..c,(P
Permit Fee $
Plan Check Fee $
State Surcharge $
Penalty $
Plumbing Permit Fee $
Mechanical Permit Fee $
Sewer & Water Permit Fee $
Gas Fireplace Permit FJ $
n Beco es Your Building Permit When Approved I
/-I?-~r
.
/Paid ~fo
I Date <l-~ -0 I
I
Receipt No.l.I 0 ~ Ol '='
Bv S~ '
Date
This is to certify that the request in the above application and accompanying documents is in accordance with the City Zoning Ordinance and may "0. .".j as requested. This document
~=:W"'C_"-",C7i;~_md~W- __,,~~__w
". . lanning Director Date cial ConditIons, if any
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
/
White - Building
Canary - Engineering
Pink - Planning
Th. ('.nl., of th. tlk. ('ounlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAMEOFAPPLlCANT~d '--~ ~
APPLICATION RECEIVED /-Ig -() /
. I
The Building, Engineering, and Planning Departments have reviewed the building permit
application f05;t~,~ aC~~S:J?~ Ir
Accepted
Accepted With Corrections ~
......
Denied
Date:
~men~: /' IJ,
~~k
J / () (/
J-+-t:t.-oXCh~
~ ~ -
"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 be valid."
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Tho Conlo' of lho Lib Counlry
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT fJcuvld ,Y/~.{df' (:4fl4l~
.'-
APPLICATION RECEIVED /- /~ - C) /
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
~.. ,/'~ '--t-
53 0(, - ;-L'2!:1.-('~/"J}U (\. )1(J'2t2-:j f r-
Accepted
~
Accepted With Corrections
.'
,/
Denied /:1 /-1
~eViewed By: ~~- ~
COjf'~~IS~... ~ _ n () .
''11V vvT-r"Y. ~ ~_,., k
Date:
7 /3e/e (
{~~ ~,
)
:..
liThe 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 Of cancel the provisions of this code or other
ordinances of the jurisdiction shall not be valid. II
'"
..t.
PRIOR LAKE
INSPECTION
RECORD
h.,'r IQuJlA_ ~.}ec. t Ii--
DEPARTMENT OF
BUILDING AND INSPECTION
.
SITE ADDRESS 53 &;lD
TYPE OF WORK ~
USE OF BUILDING 51='{:)
PERMIT NO. (f)/- O&>/{) DATE ISSUED 7-lC,-?eo(
BUILDER fb.\J~& S~-f- C01' ,-0- PHONE # '-1'2.- e1';- 2fCtI
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR I DAJE
~ FOOTING I ,ef.J, I ~ M /0 I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
MM'" I I
, FINAL
Call between 8:00 and 9:00 A.M. for all Inspections
FOR ALL INSPECTIONS (952) 447-9850
DATE TIME
CITY OF PRIOR LAKE 2-2(
INSPECTION NOTICE SCHEDULED
ADDRESS S3(PCe ~"t-(~ ~
OWNER CONTR.
PHONE NO. PERMIT NO. 01 "6~(O
o FOOTING o PLUMBING RI o EXIGRAD/FILLING
o FOUNDATION o MECH RI o COMPLAINT
o FRAMING o WATER HOOKUP o FIREPLACE RI
o INSULA~l o SEWER HOOKUP o FIREPLACE FINAL
~ FINAL <-- o PLUMBING FINAL o GASLINE AIR TST
o SITE INSPECTION o MECH FINAL 0
COMMENTS:
.~ SATISFACTORY, PROCEED
o CORR AC ION AND PROCEED
o COR EC RK, CALL FOR REINSPECTION BEFORE COVERING
Owner/Contr:
L:L 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTl
Residential Building Permit Checklist
Deck Additions to Single Family Homes
BY:
Date:
7-lf ~ I
-::;~ 0h~
Building Permit #
Site Address
PID:
53GG
Legal: L
B
Subdivision:
Existing Structure: YES or NO
CONFORMS TO ZONING
ORDINANCE
YES
NO
I Yard Setbacks: NOT APPLICABLE
MEETS CODE
· Side Yard
(25' if abutting a street, 30' if abutting a street in
Cardinal Ridge)
· Side Yard
Requirement
Proposed
10'
10'
· Rear Yard
25'
· To~ouses
Must be consistent with
approved plan for
development
ANY PROPOSED DECK NOT MEETING JrtJ!. ABOVE CRITERIA MUST BE REFERRED TO lrtJ!.
PLANNING DEPARTMENT. ALso, ANY DECK ON A LOT WITH A SUSPECTED BLUFF, OR ANY
OTHER UNUSUAL CIRCUMSTANCE MUST BE REFERRED TO lrtJ!. PLANNING DEPARTMENT.
TIns CHECKLIST MUST BE COMPLETED AND INCLUDED IN THE BUILDING PERMIT FILE TO
MAINTAIN A RECORD OF uu. REVIEW.
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6l.ACCEPTED WITH CORRECTIONS AS NOTED
n NOJ..AC~rED~CORREGT& RESUBMtT
These comments are for your information. All work shall be done
in full compliance with all applicabie building & zoning code re-
quirements including items not specifically nntA(J ir tbis re'..iew.--'-
~t:t:tJTI;'IS pLAN SET dN SITE AT ALL riMES.
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464-0002
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