HomeMy WebLinkAboutBldg Permit 01-0549
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
(Please tyPe or print and sie;n at bottom)
ADDRESS
Ib1:.1/ Blllld L~j( 7,..;/ Sf
pro.,r L. J<<-
L White File
2 Pink City
3. Yellow Applicant
tn N SS J72..
LEGAL DESCRIPTION (office use ooly)
LOT 5BLOCK I ADDITION WI<<.--f)~E?Jf I?IJNOS Z(IIO
OWNER
(Name) Je."OM~ E. G/~J/'r
(Address) I{"~I Blind L<k<lrl. SE
BillLDER
(Name) (J..,,,, /,,,.lJ. j,~ "'~"u-
(Contact Name)
(Address)
TYPE OF WORK
o Misc.
o New Construction
DLower Level Finish
Date Rec' d
- tf. () /
'01-05+'1
I
ZONING (office use)
Je./ SLJ
PID ?_~ -.?"1 ,- {)I)S - 0
fr.u L.k. f/?JIJ
(Phone) qSJ.. Lf'10 -/7J 2..
(Phone) QS2 .'('i<J ./U'2.
(Phone)
~Deck
o Fireplace
OPorch
ORe.Roofing
OAlteration
OAddition
ORe.Siding
OUtility Connection
I hereby certify.that I have furnished information on this application which is to the best afmy 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
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 UPy: =" to perform needed inspections.
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SilitDature Contractor's License No. Date
I Permit Valuation
I Permit Fee
I Plan Check Fee
I State Surcharge
I Penalty
I Plumbing Permit Fee
I Mechanical Permit Fee
I Sewer & Water Permit Fee
I Gas Fireplace Permit Fee
PROJECTCOST/VALUE (excluding land) $
4.ftce .~A
$
$
$
$
$
$
$
$
q 'l . '25"
1'\.~.21
2..~
I Park Support Fee
I SAC
I Water Meter Size 5/8"; I";
I Pressure Reducer
I Sewer/Water Connection Fee
I Water Tower Fee
I Builder's Deposit
lather
I TOTAL DUE
I Paid
I Date
/~z.~
" .~. tl.'
#
#
#
#
$
$
$
$
$
$
$
$
$ /(,Z.-+(p
I ReceiotW.3 7~(; f'
Bv ;' Y#
/
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 all inspections (952) 447-9850, fax (952) 447-4245
B<<6
Residential Building Permit Checklist
Deck Additions to Single Family Homes
Date: G:,- ~ - 200
Building Permit # f.')( I' PD;l: ....1.
Site Address {~(, 9 (JOI~ l.cJI......(\).
Legal: L.r::;; B ( Subdivision:
Zoning:
W('I~~ ?J
Eliisting Structure: YES or NO
CONFORMS TO ZONING
ORDINANCE
YES
NO
Yard Setbacks: NOT APPLICABLE
MEETS CODE
Requirement
Proposed
- Side Yard
(2'j" ~i~:'I\.'''L:'''':O .:rS1reet. 30' if~hllttift8 d :SLfee[';
Cardinal Ridge)
I- Side Yard
I- Rear Yard
- Townhouses
10'
?7'
S"S- r
2~f
10'
25'
Must be consistent with
approved plan for
development
ANY PROPOSED DECK NOT MEETING THE ABOVE CRITERIA MUST BE REFERRED TO THE
PLANNING DEPARTMENT. ALSO, ANY DECK ON A LOT WITH A SUSPECTED BLUFF, OR ANY
OTHER UNUSUAL 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:\TEMPLATE\DECKCHCKDOC
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PRIOR LAKE
INSPECTION
RECORD
SITE ADDRESS ~ {JL- l i-
TYPEOF WORK '[;;p r fr , p/ x.. 2J-/ (
USE OF BUILDING C;.r:-I) _, _
PERMIT NO. nt. ()c~44 DATE ISSUED 0...... 'T-cZJeJl'
BUILDER lIQ~r- f QS'2-ll'/O -lt37
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF
BUILDING AND INSPECTION
,
I FOOTING I g;P.E<:TOR 1/'/1../0 ~TE
iPLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
l~ I I
I FI~AL
.Hi/f
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS 447-9850
, 1_
'J//1/b1
I
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
/669/
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
)I!l""FINAL
/ 0 SITE INSPECTION
COMMENTS:
(2c~
DATE TIME
SCHEDULED ~~~
/~;." d bh ;;;.
CONTR.
PERMIT NO.
o PLUMBING RI
o MECH Rl
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MEcH FINAL
o/-~Yl
o EXlGRADIFILUNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
~/
r;r-<f"
/
g;:-
,-.
---- -----
hire
-----
~
/' C'/ - ~
"- I 0 -J -c..
~ORK SATISFAC~EEO
/D'CORREcT ACTION AND PROCEED
o CORRECT WORK.;:~ ':~EINSPEcTION BEFORE COVERING
Inspector: /~ Owner/Contr:
---
--
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
"""""