HomeMy WebLinkAboutBldg Permit 01-1100
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ADDRESS
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
~/3r
WELL. /A/t::, n.J
LEGAL DESCRIPTION (office use only)
Date Rec' d
/t)- ;)-01
I PERMIT NO. 0/- /100
1. White File
2. Pink City
J . Yellow Applicant
Cr.
S, E-
LOT:2.. BLOCK:S ADDITION LU (c.. b ~R)J~ 5 S
:2. -..(. Q Ai:) ~~
PID :z~- -5 ~ '? 0 ~ I - ()
OWNER
(Name) LlICI-IAt.L_ a.. 6/.:..C'Hf-~'tL Lj, II.4Lf..IJTI'v~
ZONING (office use)
~ISO
(Phone)9d~ -~~ - ~99o
(Address) S-I ~.y WE.~ "A.Xo'TD'u (!T. S. E. ?~o.R... LA (< oF
BUILDER
(Name) ,A(tt6 I/Atf L C;. iA1L~'1 "pE
(Contact Name) S"'A~~
(Address)
TYPE OF WORK
o New Construction
~Deck
o Fireplace
o Misc.
OLower Level Finish
PROJECTCOSTIVALUE (exc1udingland) $
(Phone) 9S-;t - ~.':1.<c. - 3? 9 0
(Phone) SltM-F
o Porch
OAddition
ORe-Roofing
OAlteration
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
~terup~~sp::
, S(gnature Contractor's License No. Date
I Permit Valuation
Permit Fee
Plan Check Fee
State Surcharge
Penalty
I Plumbing Permit Fee
I Mechanical Permit Fee
I Sewer & Water Permit Fee
I Gas Fireplace Permit Fee
$
$
$
$
$
$
$
$
4 i DO? . 00 I
''1.2S- I
I()~. 21 I
e,.oo I
I
I
I
I
I
(T~jS App' ation Bec::r Your Building Permit When Approved
~ ~~f\ /D-3-o1
ui . ng Oficial Date
$
$
$
$
$
$
$
$
10-1/--171 $ /~Z. ~~
~ ..,a.., 75-
B V
I Park Support Fee
I SAC
I Water Meter Size 5/8"; 1";
I Pressure Reducer
I Sewer/Water Connection Fee
I Water Tower Fee
I Builder's Deposit
I Other
I TOTAL DUE tAU& 0
#
#
#
#
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 Paid
I Date
/~z_~
/() --II..I)!
Date Special Conditions, if any
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
BI;Ib
Residential Building Permit Checklist
Deck Additions to Single Family Homes
Date: (0 _ .;;;> -0 /
Building Permit #
Site Address
a/3Y t!J~~(if:
Subdivision:
Legal: L B
Existing Structure: YES or NO
CONFORMS TO ZONING
ORDINANCE
YES
NO
Yard Setbacks: NOT APPLICABLE
MEETS CODE
Requirement
Proposed
· Side Yard
~25' if ab'rttivg a ~tr.eet, 30' if abl:ttb:ug a ".Teet in
.-Cardinal Ridge)
· Side Yard
10'
t{~ (
10'
5'2-'
L../ 7 '
· Rear Yard
25'
· lro~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:\TEl\1PLA TE\DECKCHCK.DOC
...
PRIOR LAKE
INSPECTION
RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS 513(1 LAkJJ/IA~ cl-
TYPE OF WORK 02c h
USE OF BUILDING S':-D
PERMIT NO. (J /-- /1 00 DATE ISSUED /(;)-~- 01
BUILDER Jt;f,.t"~_... PHONE # 'is-2-2?/,,-'19fO
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
FOOTING I I~OR I ft?//;i~1
PLACE NO CONCRETE UNTIL ABOVIE HAS BEEN SIGNED
FRAMING I I
~ FINAL
1/11// I
~Lf -tJ ij
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
..sf 34
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION 0
.J7Yf=INAL ck
o SITE INSPECTION
COMMENTS:
DATE TIME
SCHEDULED '-( - S'-fJl.(
INd/ftA'y hf..... G::(.
CONTR.
PERMIT NO.
() I r 1/(/0
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXIGRAD/FILLING
o COMPLAINT
o FIREPLACE Rl
o FIREPLACE FINAL
o GAS LINE AIR TST
o
~
/" t
/ /' l./lr,~
I A.LJCC
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~
~
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o WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT W';1~ ~L FOR REINSPECTION BEFORE COVERING
Inspector: -pL-f!fV Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.,
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTI