HomeMy WebLinkAboutBldg Permit 01-0956
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
(Please type or print and si2l1 at bottom)
ADDRESS
I. White File
2. Pink City
3. Yellow Applicant
/+-079 .!5W&t5/~ 7lf!/J/L-
tt/6
LEGAL DESCRIPTION (office use only)
LOT 5BLOCK / ADDITION jVI/JP~ HI t-G.- 2 ND
OWNER
(Name)
PCitv. J Sc J, / t' hr+
/?!079 /1LuL./3.L4
(Address)
BUILDER
(Name)
(Contact Name)
(Address)
TYPE OF WORK
o Misc.
x
Permit Valuation
Permit Fee
o New Construction
OLower Level Finish
Date Rec' d
I PERMITNO.CJ1-o9~b I
ZONING (office use)
lei
PID 25-3'13 -005-0
(Phone) 95':.1.
~/J
., ..
(Phone)
(Phone)
lii!t'Deck
o Porch
OAddition
ORe-Roofing
o Fireplace
OAlteration
PROJECT COST IV ALUE (excluding land) $
$
$
$
$
$
$
$
$
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~1' _?C
- --
q9 .0 (
f.(JO
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
enter upon th prope to pc..fvuu needed inspections.
4'~ -__
Signature
I Plan Check Fee
I State Surcharge
I Penalty
I Plumbing Permit Fee
I Mechanical Permit Fee
I Sewer & Water Permit Fee
I Gas ~lace PermA Fee I
/' ) /I II 1...
/ ""A . ~g1~::
( uil~ ~ . D,';
. y-'
Contractor's License No.
I Park Support Fee
I SAC
I Water Meter Size 5/8"; I";
I Pressure Reducer
I Sewer/Water Connection Fee
I WaterTowerFee
I Builder's Deposit
lather
I TOTAL DUE
I paid-f 1l6~ dio
I Date . q~ lj-n )
.?74S7G...s."/ J
ORe-Siding
OUtility Connection
Date
# $
# $
$
$
# $
# $
$
$
$ j 15.. ~
ReceiPt No.I4lJ 5'3 ()
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Bv CA' ./
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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
~
'"
\
BY r;fJ
Residential Building Permit Checklist
Deck Additions to Single Family Homes
Date: ?_q__~
Building Permit #
Site Address 11./ (J 71
Legal: L5 B
PID:
?iVSL ~
(
Zoning:
Subdivision: 14.~(.t ((
Existing Structure: YES or NO
CONFORMS TO ZONING
ORDINANCE
YES
NO
I 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'
II t
10'
(
C,D
y7 (
. Rear Yard
25'
. llo~ouses
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
/
INSPECTION
RECORD
SITE ADDRESS I Q0'71 '- &U~ r-;gN-cR I -; ~
TYPEOFWORK IU~ ~~
USE OF BUILDING srI)
PERMIT N~ D (- q~ Co DATE ISSUED Cf - C{ -- eoal
BUILDER~LJ! <J(I~~~{-<l"f, . PHONE# lIc{S-/')"!)
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF
BUILDING AND INSPECTION
.
INSPECTOR
DATE
FOOTING (5) 10-. ~// 't.P I 1
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
,~ 1 1
, FINAL
JIl;f"
J, ~/1-01, I
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (952) 447-9850
CITY OF PRIOR LAKE
INSPECTION NonCE
SCHEDULED
ADDRESS
/407Q f/(kt,?A
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION __I
~FINAL T)w'L
o SITE INSPE~ION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
--1J 0 s: +rf>5
/~ /
/ / 11:-. ~'-
L--k vX
DATE TIME
"'2 -/ eTJY
()(- c?~
o EXlGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
f;;(/
( \ 'J
.-
~RK SATISFACTORY. PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WO~I ;Py FOR REINSPECTION BEFORE COVERING
Inspector: /' ff Owner/Contr:
CALL 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
INSNOTl
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!