HomeMy WebLinkAboutBldg Permit 01-0543
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
(Please!VD~ or Drint and si2l1 at bottom)
ADDRESS I
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LEGAL DESCRIPTION (office use only)
~
LOT I BLOCK \ ADDITION ,,--\V"LM d-
OWNER \) ~ ^ D " .'--\.--
(Name), lu (K) U\.A.A..-,
(Address) ,~9..t' j cbrL-l ~ \" roi \
BUILDER
(Name)
(Contact Name)
(Address)
I.White File
2. Pink City
3. Yellow Applicant
1=>( I or lot-1
Prv Pz,dt
PID
Date Rec'd
I - 54, J
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(Phone) Cfi9-- LJClu- 32Y1Y
'5~,7;).
(Phone)
(Phone)
OLower Level Finish
o Fireplace
jgbeck~'xlh' OPorch
OAddition
ORe-Roofing
OAlteration
TYPE OF WORK
o New Construction
o Misc.
PROJECTCOST/VALUE (exdudingland) $
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
authorized agent for the above-mentioned property and that all construction will conform to all existing state and local laws and will proceed in accordance with
SU~d plans I am aware that the budding official can revoke thIS permIt for JUst cause Furthermore, I hereby agree that the CIty official or a designee may
~te :n:e~:; tr;~;~ons {-pI do I
.... I) sigriature Contractor's License No. Date
\..../
Permit Valuation
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fI'f. 2~
4S- or
Permit Fee $
Plan Check Fee $
State Surcharge $
Penalty $
Plumbing Pennit Fee $
I Mechanical Permit Fee $
I Sewer & Water Permit Fee $
I Gas Fireplace Permit Fee $
~/~AF"7l:1
~1) ~/I~ (P I 0
Building Official ate
1.00
I Park Support Fee
I SAC
I Water Meter Size 5/8"; 1 ";
I Pressure Reducer
I Sewer/Water Connection Fee
I Water Tower Fee
#
#
#
#
$
$
$
$
$
$
$
$
$
\tS'."2~
z,9 Goto +
j Builder's Deposit
lather
I TOTAL DUE
I Paid
I Date
liS .z.",
r.Jd &> I
f' ,
Receipt No.
Bv ~If-
This is to certify that 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.
Planning Director
Date Special Conditions, if any
24 hour notice for an inspections (952) 447-9850, fax (952) 447-4245
BY:
Residential Building Permit Checklist
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PID I Z -
: onmg:
Building Permit # t:> 1-5'1-3
Site Address
~c)<)~ Ce'<-~A 'c.JooC)
Lt;gal: L B
Subdivision:
E~sting Structurl(~'--'~r NO
CONFORMS TO ZONING
O;RDINANCE
~
NO
Yard Setbacks: NOT APPLICABLE
MEETS CODE
Requirement
Proposed
- Side Yard
(25' if abutting a street, 30' if abutting a street in
Cardinal Ridge)
,- Side Yard
,- Rear Yard
- To~ouses
10'
10'
Z.s'
56 r
+0'
25'
Must be consistent with
approved plan for
development
ANY PROPOSED DECK NOT MEETING THE ABOVE CRITERIA MUST BE REFERRED TO THE
PL,\NNING DEPARTMENT, ALSO, ANY DECK ON A LOT WITH A SUSPECTED BLUFF, OR ANY
OTHER Ul'WSUAL CIRCUMSTANCE MUST BE REFERRED TO THE PLANNING DEPARTMENT,
TIns CHECKLIST MUST BE COMPLETED AND INCLUDED IN THE BUILDING PERMIT FILE TO
MAINTAIN A RECORD OF THE REVIEW.
L:\TEMPLA TEIDECKCHCK.DOC
PRIOR LAK-E
INSPECTION
RECORD ~
SITE ADDRESS 6" S ;-" ~". W~a'D I~
TYPE OF WORK ~ J
USE OF BUILDING ~ AI rz- / I
PERMIT NO. c;/.. 543 DATE ISSUED (,. (,{ 0 (
BUILDER rl1l'11[ Ho15/f.:5re:-AI 'I .
NOTE: THIS IS N T A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF
BUILDING AND INSPECTION
, FOOTING I ();NSPEr:fOR I k I {{ j; I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
~ I I
, FINAL
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~ f?/ ;27/CY/
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS 447-9850
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
5""SS'b
OWNER
PHONE NO.
0" TE TIME
SCHEDULED ~~~~
echrU/ood Y
CONTR.
PERMIT NO. O/-'s'7(]'
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
~ITE INSPECTION
COMMENTS:
/: /" -'"'"' ?,/
1/(?r.K- / o~RJ/ e-/~
~ = /
/
/'
/~
\. ( /6Se
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MEcH FINAL
o EXlGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
//~)
// /ro /"
-----
--- -
kORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: ~ Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
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