HomeMy WebLinkAboutBldg Permit 01-1150
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
(Please type or print and silm at bottom)
. ADDRESS
14011
~ \ \l"C. 0Jts
-'
LEGAL DESCR.J..t'uON (office use only)
LOT
BLOCK
ADDITION €RifLe e/L)66 ~S
OWNER
(Name)
G:,~Q,
I
\4DI'
(Address)
TYPE OF WORK
~
o Fireplace
o New Construction
OLower Level Finish
o Misc.
Date Rec' d
7-//-0/
~. ~~e ~:~ I PERMIT NO. 01- II ~o
3. Yellow Applicant ;;7 I
~ N-- AJS
OPorch
OAddition
ZONING (office use)
/<./
PID 2S rOSZ- 010 - 0
(Phone) 'VSd.- t..f4)'- '39~~
(Phone) '1~J..- lIt/o ,,<;/ e<iS
(Phone)
ORe-Roofing
OAlteration
PROJECT COST IV ALUE (excluding land) $
~ "-4u;~ er~U<...5D~
RoHlJ ~~ ~l'" UJ.{;
~~;~)ER~ ~ ~ t:'ASo.~ ~t-.
(Contact Name) S~~ R- t'..-CAS ~
(Address) l\d.Q,'S" Co r rJ.~Q ~r
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 wu,,~.. 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
;tel~z:erf~ns. Lf~( 7-l}-ol
Signature Contractor's License No. Date
,
Permit Valuation
Permit Fee
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
.:2c:;c;,o. 0 0
$ ~'1. Z5
$ 45..01
$ J.. 00
$
$
$
$
$
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
I Park Support Fee
I SAC
I WaterMeter Size 5/8"; I";
I Pressure Reducer
I Sewer/Water Connection Fee
I Water Tower Fee
Builder's Deposit
Other
TOTAL DUE
$
$
$
$
$
$
$
'l~-l'!:~\ I ~ / /5: U
R.eceijYif!L 407 ~
By tv -
#
#
#
#
flf*B/6~;;j
Buil g lJ~ Date I
Ii
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.
Paid
Date
//5 2-&
/()- ~3-L' J
Planning Director
Date Special Conditions, if any
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
B)(e
Residential Building Permit Checklist
Deck Additions to Single Family Homes
Date: 7-/f 0/
Building Permit # PID: 25-052- - 0/ () . 0 Zoning: /<.. I
Site Address /~07/ etJU/Nej O~KS C!AK- AIr:=;
Legal: L B Subdivision:
Existing Sln1cturt~r NO
I CONFORMS TO ZONING
ORDINANCE
YES
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
. I
10'
10'
101
) ,S-l.
'7~
.~
25'
. Townhouses
Must be consistent with
approved plan for
development
ANY PROPOSED DECK NOT MEETING J.I'U ABOVE CRITERIA MUST BE REFERRED TO 1.tlJ!;
PLANNING DEPARTMENT. ALSO, ANY DECK ON A LOT WITH A SUSPECTED BLUFF, OR ANY
OTHER UNUSUAL CIRCUMSTANCE MUST BE REFERRED TO J.I'U 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 J407j Ro( lic ~ C\.....
TYPE OF WORK tJ2..c ~
USE OF BUILDING S Ft)
PERMIT NO. O/-!L5D DATEISSUED IO~II-ol
BUILDER ~ ~~CA,",,"~ PHONE # t.f40. ~/8~
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 1 ~ I I" /,;) 'j /4/
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
,...... 1 1
FINAL 1 /~, 11I3/(j z..,,-
Call between 8:00 and 9:00 A.M. fO; alllnspectlO{,S I
FOR ALL INSPECTIONS (952) 447-9850
CATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
/'/ (J? /
SCHEDULED I/l/qz... 9 : 30
,
~.J~
CONTR.
OWNER
PHONE NO.
PERMIT NO.
tJt - //S"t:J
o FOOTING
o FOUNDATION
o FRAMING @
o INSULATION
KFINAL
o SITE INSPECT ON
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EX/GRADIFILUNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
~
A ~
('~
~
~WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT W~ALL FOR REINSPECTION BEFORE COVERING
Inspector: ' ~. Owner/Contr:
I
CALL 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH &: SAFETY!
INSNOTl