HomeMy WebLinkAboutBldg Permit 01-0950
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
I PE~IT NO. ()/- 9 SOl
I. White
2. Pink
3_ Yellow
File
City
Applicant
(Please type or print and sign at bottom)
ADDRESS
, blot.f2 fSlind LoJa:.. IVlLd .$ E
ZONING {office use)
Phov- ~
((JSf)
LEGAL DESCRIPTION (office use only) J
LOTriSBLOCK3 ADDITION !J.J~~fJ~ d~ID02S-::;~~-(Jlf(/~
OWNER
(Name) <SLott f\IeJsnn
(Address) IloW42 Blind.. ~ Trcul SE
(Phone) q52- 44-7 - 02S-9
rh;>-- C'15;()70?- S'f~1
BUILDER
(Name)
(Phone)
(Address)
)glDeck
o Fireplace
o Porch
ORe-Roofing
ORe-Siding
o New Construction
TYPE OF WORK
OAddition
OAlteration
OUtility Connection
OLower Level Finish
PROJECT COST /V ALUE (excluding land) $ ~~. -
o Misc.
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
~te~-JQwr Z;~spections. ~ / a q /0 J
~ - Signature Contractor's License No. Date
I Park Support Fee #
I SAC #
I Water Meter Size 5/8"; I";
Pressure Reducer
Sewer/Water Connection Fee #
I Water Tower Fee #
I Builder's Deposit
I Other
I Permit Fee
I Plan Check Fee
State Surcharge
Penalty
I Plumbing Permit Fee
I Mechanical Permit Fee
I Sewer & Water Permit Fee
I Gas Fireplace Permit Fee
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
S3.2.S
s-4.1 \
\.~v
$ L3B. 8"
. ding Permit Wh7APfved
~hc)/tPL
(Dat{ .
--- I
TOTAL DUE
Receipt No. /..,.fa 5C}-~
By ~
Paid I ~ S(, ~tb
Date . C;........ ':l., () ...() I
v ,
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.
Date Special Conditions. ifany
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
Planning Director
Residential Building Permit Checklist
BY ?J n r 1-- neck Additions :a::D~e F:(~:~m~
,LV ~~_.
Building Permit # 01- 4. )"0 PID: Zoning:
Site Address
Legal: L B
Existing Structure NO
CONFORMS TO ZONING
ORDINANCE
Subdivision:
// ~
(~~
NO
1 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'
/1 '
'SS \
40'+
. Rear Yard
25'
. Townhouses
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\DECKCHCK.DOC
PRIOR LAKE . UEPARTMENTOF
. BUILDING AND INSPECTION
INSPECTION
RECORD
SITE ADDRESS 1&~4 Z. Rc-i~~ liAt("...
TYPE OF WORK ~ /'
USE OF BUILDING 12-€:S ML J I
PERMIT NO. el-CfSO DATE ISSUED 8('&:>/0 J
BUILDER Sc..orr ~e-~o.J PHONE #ttS'l.-101 -5"+"2- (
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
-.
FOOTING I 1ft) I '/~/61
I .
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
. -
~ I I
'-
FINAL
t'
i/Vr
q - I S ~O ~
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (952) 447-9850
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
1&(; 4 L
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o _I!!SULA TION j.
p1=INAL "f)<-C?~
o SITE INSPECfloN
COMMENTS:
/ /
/ /
/ /
\ L--""
"---
SCHEDULED
B(r~~
CONTR.
PERMIT NO.
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
.--
~
/
j i)y:
L '-"
-----
DATE TIME
~,./ 8' --() C!
I
~-
(){--C(~
o EXIGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
~
")
/
/
~
Y-ft,
1--'1 G
( l
~WORK SATISFACTORY. PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WO;;. ~ 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!
INSNOTl