HomeMy WebLinkAboutBldg Permit 01-1051
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ADDRESS
113~
Date Rec' d
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
As?~
A-~
LOT
BLOCK
LEGAL DESCRIPTION (office use only)
ADDITION
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OWNER
(Name)
(Address)
BUILDER
(Name)
(Contact Name)
(Address)
s=- ~ /\00'1 e
TYPE OF WORK
o Misc.
Au
o New Construction
OLower Level Finish
I. White File
2. Pink City
3. Yellow Applicant
PID
tic
f?-,'or
(Phone) _9Sd - SI~S-~ ~ b 6.2
l~ 111~ SS37Q
(Phone)
(Phone)
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o Fireplace
OPorch
ORe-Roofing
OAddition
OAlteration
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6):.J- 8:6/ -L//<7V
ORe-Siding
OUtility Connection
I also certifY that I am the owner or
at all construction will conform to all existing state and local laws and will proceed in accordance with
a1 can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may
,
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PROJECTCOST/VALUE (excluding land) $
x
Permit Valuation
Permit Fee
Plan Check Fee
I State Surcharge
I Penalty
I Plumbing Permit Fee
I Mechanical Permit Fee
Sewer & Water Permit Fee
$
$
$
$
$
$
$
$
Gas Fireplace Permit Fee
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TOOJ;XJJiht ,\~Wh<n_
Building Official ~ Date
~OJ~3~30
Contractor's License No.
I Park Support Fee
I SAC
I Water Meter Size 5/8"; I";
Pressure Reducer
Sewer/Water Connection Fee
Water Tower Fee
I Builder's Deposit
lather
I TOTAL DUE
I Paid \';?'. 8~
I Date '\r~\
I~ S /4~IX.hrr
&:j ~~ or
Date
# $
# $
$
$
# $
# $
$
$
$ (S8,~
Receipt No. &-0,,' (
By rz.ol.l
..
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
Residential Building Permit Checklist
Deck Additions to Single Family Homes
BY:
f2f) (rf
Date:
I~ " )1
Building Permit # O( _ 10) ( PID:
Site Address f Q - /-l ..,,?
( S (') I rSr<-AJ
Legal: L B
Zoning:
Subdivision:
Existing Structure: YES or NO
CONFORMS TO ZONING
ORDINANCE
~
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'
70/
21/
3/
10'
. 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
INSPECTION
RECORD
l4~0( s ~?~A~v~
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~- "A/f?-. I f
PERMIT NO. . ex -- 105/ DATE ISSUE6 a /7 4- /0/
BUILDER ~HN C,\i'> C-\.O ~ IIJ (' PHONE ~ {~~ - ~"Z-
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS
TYPE OF WORK
USE OF BUILDING
FOOTING I ,gr~ I qj~;~!
PLACE NO CONCRETE UNTIL ABOVE HAS BEENLSIGNED
~~. I I
.. ;f /"
FINAL Hf/ rrl.?o4t/
/ ~ I
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (952) 447-9850
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
/r:s~)
~r--z-
"
CONTR.
OWNER
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
..,..iH=1NAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS: /J /' ~ /
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r
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--
DATE nME
y~U
IF / /
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Ol-/a;-/
o EXIGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
~
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( / /C<5-t' A / e )
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kORKSA~.PROCEED ~
o CORRECT ACTION AND PROCEED
o CORRECT WORK" C~~F~INSPECT10N BEFORE COVERING
Inspector: y~ , Owner/Contr:
,
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
INSNon
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH &: SAFETY!