HomeMy WebLinkAboutBldg Permit 01-1195
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
I. White File
2. Pink City
3 . Yellow Applicant
Date Rec'd
PERMIT NO. 0 I
(Please type or print and siJtll at b~~~~)
. ADDRESS
\ to I ::, 2 UJ inci.sC\y- ~e
'Prior W<-@.
LEGAL DESCR1.t' uON (office use only)
LOT fa BLOCK ~ADDITION u),. Jderhr~ ~11&.~ 2nJ
PIDcr.s- - 3'3 c? - tJ;JS- ()
OWNER
(Name)
(Phone)
(Address)
J 8 t- -I+oYrt es ) .J-n c
~ 1) i f,,~tuJ i l\j-..5'
(Address) I Co 0 5 '" cNO".....Yl1.l1lU-j P"I..,--t-M
~ck
Q2QSl
(Phone) JI'lI ')... - q ~7 -:;)..0 S G::,
(Phone) Q'5 '2...- ~Cl& 1-3 () '" 6
La.hoLJlll~ !~_h 55044-
BUILDER
(Name)
(Contact Name)
TYPE OF WORK
o Porch
ORe-Roofing
o New Construction
ORe-Siding
OLower Level Finish
OAddition
OAlteration OUtility Connection
J-IS OO.aO
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 the pr..opeve orm needed ~~ ~o /30 3 f "/ -1D _ 2,,2-- 0 I
( ignature l) Contractor's License No. Date
V
',Bev. Q:)
~'3.IS-
q I .oc{
. ttO
$
$
$
$
$
$
$
$
I TOTAL DUE ~ 1D-7,;"?-D' $ /05. 09
I
I Paid /OS". (} '7 Rec~i" #ft)7~-?
I . .,J ./
Date / C), 'C.L:{ , r) .' BV .-
o Fireplace
o Misc.
PROJECf COST IV ALUE (excluding land) S
\
I Permit" aluation
I Permit Fee $
I Plan Check Fee $
State Surcharge $
Penalty $
Plumbing Permit Fee $
Mechanical Permit Fee $
I Sewer & Water Permit Fee $
I Gas Fireplace Permit Fee $
f. ~rlh,t Yom "wiling P=tit Wben_
--Wi, IO-4~.~(
Btiilding Ofl}iial Date
Park Support Fee
#
SAC
#
I WaterMeter Size 5/8"; 1";
I Pressure Reducer
I Sewer/Water Connection Fee
I Water Tower Fee
I Builder's Deposit
I Other
#
#
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 no~.~!or all inspections (952) 447-9850, fax (952) 447-4245
B~_
Residential Building Permit Checklist
Deck Additions to Single Family Homes
Date: /(f) -;):2> -<J J
Building Permit #
Site Address
PID:
1~/3~
r Zoning:
fU.wdsOL L;J
Legal: L
B
Subdivision:
Existing Structure: YES or NO
CONFORMS TO ZONING
ORDINANCE
YES
NO
Yard Setbacks: NOT APPLICABLE
MEETS CODE
Requirement
Proposed
· Side Yard
(25' if abutting a street, 30' if abutting a street in
Cardinal Ridge)
· Side Yard
10'
d. '==-
10'
l)f::-
{fie..-
· Rear Yard
25'
· Townhouses
Must be consistent with
approved plan for
development
ANY PROPOSED DECK NOT MEETING THE ABOVE CRITERIA MUST BE REFERRED TO IJ:1J!..
PLANNING DEPARTMENT. ALSO, ANY DECK ON A LOT WITH A SUSPECTED BLUFF, OR ANY
OTHER UNUSUAL CIRCUMSTANCE MUST BE REFERRED TO IJ:1J!.. PLANNING DEPARTMENT.
THIs 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 jf,/~1 Wt~~~ l f'l ·
TYPE OF WORK Oec(C .
USE OF BUILDING SF (J
PERMIT NO. O/-//9r) DATEISSUED ~(2...18J-26Sh
BUILDER ~ ~ K I~-J. PHONE #
.;
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 I ~ I It)/~~I
PLACE NO CONCRETE UNTIL AS'OVE HAS BEEN SIGNED
~ I I
I FINAL
/J
I /3;r. I If /) )/61
(
Call between 8:00 and 9:00 A.M. for all Inspections
FOR ALL INSPECTIONS (952) 447-9850
CITY OF PRIOR LAKE
INSPECTION NOTICE
DATE TIME
\
\
SCHEDULED
I (-IS--o 1 / ~ ~t>
ADDRESS
~ 7 32 Wi tt~st!>"" L t\
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATlO"{gJ
o FRAMING
o )NSULATION
JlI FINAL
o SITE INSPECTION
COMMENTS:
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
rl.-ec1: I 0 I -If C{ ~
- I
LL. .' ~-llq3
o EXIGRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o "
~ ..~ - /)/-/ I9'S
~ <-, L . ~ I - I J Cj.3
!!. WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT W~CALL. . 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
.