HomeMy WebLinkAboutBldg Permit 01-0902
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
6 rffp .0 I
(Please type or print and sign at bottom)
ADDRESS
/5't9fol
LEGAL DESCRIPTION (office use only)
LOT'3 BLOCK I ADDITION
OWNER
(Name)
,-5fe/V e
(Address)
.....Cy~mp/
Ii} ;Id:s
Date Rec'd
I. White File I PERMIT NO
2. Pink City . () I
3 . Yellow Applicant I.
PI<- wll
. ;
/
(Phone)
RarJv
f
./'
c,W-kP (P/easl1/lt Va~~d)
1"2 a r"l.,
(Phone)
(Phone)
~~ I A)~ J-.[1?
Leb~
BUILDER
(Name)
(Contact Name)
(Address)
TYPE OF WORK
Dee I( COnS f I"u(f-}O.--
o New Construction
o Misc.
DLower Level Finish
PROJECT COST IV ALUE (excluding land) $
~Deck
o Fireplace
o Porch
ORe-Roofing
PID 85"- ~1jL/-003-0
<15;), ~h r'f$q t;
61:J- ~o q -~1lJ
ORe-Siding
DUtility 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 r "I;. '.is permit for just cause. Furthermore, I hereby agree that the city official or a designee may
;ter upon th~~rm ne ded i ections. 8 -/6 ... 0/
Signature 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 F~ce Permit Fee $
'A -' p-;.~~:::
uil<9! Official Date
,
:5 ~"Of? . r<)?
e3.ZS
54-j/
;.60
DAddition
OAlteration
#
#
#
#
$
$
$
$
$
$
$
$
$ /3(3 . g~
Receip~ ~3eA-
By~
r
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 Park Support Fee
I SAC
I WaterMeter Size 5/8"; I";
I Pressure Reducer
I Sewer/Water Connection Fee
I Water Tower Fee
I Builder's Deposit
I Other
I TOTAL DUE ti.&uW 8,Z/-O'
I Paid /.3e.~
I Date 8- ~~I
Date Special Conditions, if any
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
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B~
Residential Building Permit Checklist
Deck Additions to Single Family Homes
Date: ~,~- Cee, /
Building Permit #
Site Address '52 (.,f
Legal: L.3 B (
Existing Structure: ~r NO
IV,~' ~O Zoning: fiJ.u
Subdivision: tJ.t k r.:lf.-.
CONFORMS TO ZONING
ORDINANCE
YES
NO
1 Yard Setbacks: NOT APPLICABLE
._ . j MEETS CODE
G~ideY~
._~
(25' if abutting a street, 30' if abutting a street in
Cardinal Ridge)
. Side Yard
Requirement
Proposed
10'
(
10'
2~
Ja-I
/ tn:) I
. Rear Yard
25'
. Townhouses
Must be consistent with
approved plan for
development
ANY PROPOSED DECK NOT MEETING 1 tlJ!. 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 ItlJ!. PLANNING DEPARTMENT.
TIlls CHECKLIST MUST BE COMPLETED AND INCLUDED IN THE BUILDING PERMIT FILE TO
MAINTAIN A RECORD OF THE REVIEW.
L:\TEMPLATE\DECKCHCK.DOC
..
.
PRIOR LAKE
INSPECTION
RECORD
SITE ADDRESS 1s;;2(O l I ~ i\Jls ?K \..&J'-t /'
TYPE OF WORK 1\l~ ~L~ - y
USE OF BUILDING ~F D
PERMIT NO. 0/- Otf()2- DATE ISSUED 6.- 2/" 0 I
BUILDER ~tn<<;;.~\ .6;~U;TZJ~ PHONE # ill2-2cf- 2It/
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
FOOTING I ts. ~::~O. I B)~8~1
PLACE NO CONCRETE UNTIL ABOVe HAS BEEN SIGN'ED
~~ I I
DEPARTMENT OF
BUILDING AND INSPECTION
FINAL I f)r (J~ I 10- d.-'3-Q J
Call between 8:00 and 9:00 A.M. for~1I inspections
FOR ALL INSPECTIONS (952) 447-9850
I 'f T 1
.
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
--
DATE TIME
/{,-Z3-CI A.T.
ADDRESS
/5"Z0/ r:l/if__V~' ?/c.~VV
I
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDA nON
o FRAMING
o INSULA nON
o FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
.'::('U /'lll.-&E
,
COMMENTS:
~S.5;lA e. Cd.Jt
clo~ ~t\~
A (,
~ +iM.
.
{'t" - ('L/-d '7
/
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
0(-90;;) :ckc1-
~ORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, ~ALL FOR REINSPECTION BEFORE COVERING
Inspector: ~ ~ \)(Lv\.,1 Owner/Contr:
CALL 44;';850 FOR TH~ NEXT INSPECTION 24 HOURS IN ADVANCE.
lNSNOTI
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
I'