HomeMy WebLinkAboutBldg Permit 01-0604
(Please tyP.e or Drint and sign at bottom)
ADDRESS
/5071
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
t--/r-o/
I, White File
2. Pink City
3 Yellow Applicant
/)PP/lL.OOS 19 '77ZA-1 '-
LEGAL DESCRIPTION (office use only)
LOT 3 BLOCK
/ ADDITION ..eASP'86~ R./O~13 3 Je.t:)
~v/ 0h~.....-,
+'p~htP5~
OWNER,.....
(Name) ;:;;':j.p fi/J J. '""h
I
(Address) /t:;O?1
BUILDER
(Name.
(Contact Name)
(Address)
TYPE OF WORK
DMisc.
D New Construction
DLower Level Finish
PID 2.5-31./2-00.3-0
y
12--- /J/ ~
(Phone)
7"'7"t7- C;y J> :$
(Phone)
(Phone)
~eck
D Fireplace
OPorch
OAddition
ORe-Roofing
OAlteration
PROJECT COST IV ALUE (excludin~ land) $
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
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
;ter~~ec~ C::--/9'--O/
? Signature ~- Contractor's License No. Date
I Permit Valuation
I Permit Fee
I Pian Check Fee
I State Surcharge
I Penalty
I Plumbing Permit Fee
I Mechanical Permit Fee
I Sewer & Water Permit Fee
\ Gas Fireplace Permit Fee I
/j .
This A
$
$
$
$
$
$
$
.- $
1,00. -
(_0. \0
~ Or."
.,g S
$
$
$
$
$
$
$
__ AJ " _0\ $
~i." \ $ /00.01
I ~~per~
Park Support Fee
SAC
#
#
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
I Water Meter Size 5/8"; 1";
I Pressure Reducer
I Sewer/Water Connection Fee
#
Water Tower Fee
#
Builder's Deposit
I Other
I TOTAL DUE
I Paid
I Date
/tJO.OI
r.. ?-/. I'J/
, .
Date Special Conditions, if any
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
BY: Kb k-
Residential Building Permit Checklist
Deck Additions to Single Fam{ BOis
Date GJ!ICf I () I
Pill: r i 0. L Zoning:
Building Permit #
Site Address
Legal: L
Subdivision:
Existing Structu
@
Yard Setbacks: NOT APPLICABLE
MEETS CODE
Requirement
" Side Yard
(25' if abutting a street, 30' if abutting a street in
Cardinal Ridge)
I" Side Yard
'" Rear Yard
" Townhouses
10'
10'
25'
Must be consistent with
approved plan for
development
f2/5[)
NO
Proposed
10.B9
I
~O 1-
~d+
- I
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 BillLDING PERMIT FILE TO
MAINTAIN A RECORD OF THE REVIEW.
L:\TEMPLATEIDECKCHCK.DOC
~
PRIOR LAKE
INSPECTION
RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS /507/ /J7:?P/tUJOSJ7 71Z--.
TYPE OF WORK Pe:&c-
USE OF BUILDING /Ze5 ~ L
PERMIT NO. Ol-{)(OOL/ DATE ISSUED 0-/'l~OI
BUILDER .s~f'!tCN Ct+\Z-OM'f PHONE # 440 -54-h5
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
I FOOTING I Z~OR I '11:;- 7 ;~T~
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SiGNED
.s I I
I FINAL
I f>1, 1111't/tI'1;
i. .
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (952) 447-9850
0" TE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
t/~/'I-07-- II."
ADDRESS
/~(:17 / /fJ?/?/ft-ooJ# IX-
OWNER
CONTR.
PERMIT NO. Of - (0 'I
PHONE NO.
o FOOTING 0 PLUMBING RI
o FOUNDATION 0 MECH Rl
o FRAMING 6eJ{l) 0 WATER HOOKUP
o INSULATION 0 SEWER HOOKUP
~FINAL 0 0 PLUMBING FINAL
o SITE INSPECTION 0 MECH FINAL
o EXlGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
COMMENTS:
(I~~
~ORK 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!
UlSHOTJ