HomeMy WebLinkAboutBldg Permit 01-1168
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
t/7- 3(,1
/7250 y4000V/6W c;r-
1. White File
2. Pink City
3 . Yellow Applicant
LEGAL DESCRIPTION (office use only)
LOT 1 BLOCK 2- ADDITION
NOCJP U 0 6ZC- ef77'fZ?5J 2fJO
PID 25 -~9i/ -
-0
OWNER
(Name)
Date Rec' d
(Phone) CfS.J-l./4]-S19j
l0\(' ~k M
(Address)
BUILDER
(Name)
(Contact Name)
(Address)
(Phone)
(Phone)
TYPE OF WORK
Deck
ORe-Siding
o New Construction
OPorch
OAddition
ORe-Roofing
OAlteration
OLower Level Finish
o Fireplace
o Misc.
PROJECf COST IV ALUE (excluding land) S
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
enter up to perform needed inspections.
x
#
#
Signature
Contractor's License No.
Park Support Fee
SAC
Permit Valuation
Permit Fee $
Plan Check Fee $
State Surcharge $
Penalty $
Plumbing Permit Fee $
Mechanical Permit Fee $
Sewer & Water Permit Fee $
Gas Fireplace Permit Fee $
#
#
Water Meter Size 5/8"; I";
Pressure Reducer
Sewer/Water Connection Fee
Water Tower Fee
Builder's Deposit
Other
~
$
$
$
$
$
$
$
$
$
1) 1
I Paid I/~~
Date ~- qzLf- 0 I
TOTAL DUE
ecomes Your Building Permit When Approved
10 -1& -Or
Date
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
Bye~
Residential Building Permit Checklist
Deck Additions to Single Family Homes
Date: lO..ll" -or
Building Permit #
Site Address
PID:
/ ?~,-S-D
Zoning:
W~(Lf-
Legal: L
B
Subdivision:
Existing Structure: YES or NO
I CONFORMS TO ZONING
ORDINANCE
YES
NO
Yard Setbacks: NOT APPLICABLE , Requirement . . Proposed
MEETS CODE
. C;,loV.......l 10'
~5' ifabuttin~ a ~30' if abutting a street in &
28
Cardinal Ridge)
. Side Yard 10' r\JA
. 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.
THIs CHECKLIST MUST BE COMPLETED AND INCLUDED IN THE BillLDING PERMIT FILE TO
MAINTAIN A RECORD OF THE REVIEW.
L:\TEMPLATE\DECKCHCKDOC
-.i
PRIOR LAKE
INSPECTION
RECORD
SITE ADDRESS -.rJ:t:U ci,~ ~Jt'-ew U.
TYPE OF WORK -A J _ 1
~
USE OF BUILDING S ~
PERMIT NO. 0/- / /b8 DATE ISSUED 10- f(~ '0/
BUILDER -1:l fuel. PHONE # ~_ t.{'-l7~
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF
BUILDING AND INSPECTION
FOOTING .2 d
PLACE NO CONCRETE UNTIL ABOVE HAS BE IGNED
I FRAMING. M,.... ;",.ku,'''Q ~ck.'Y I tJ}. l...1.1.b.I.ii I
I FINAL I1tf" I ~ ~ I
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (952) 447-9850
INSPECTOR
DATE
"
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS /7,25 2?
OWNER
DATE nMe
SCHEDULED ~~~
c..u~'0eW d
CONTR.
PHONE NO.
PERMIT NO.
0/- //b~
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
. 0 FINAL
?SITE INSPECTION
COMMENTS:
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
?Zc~ c;;,.? /e< 4.
o WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
Inspector:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH &: SAFETY!
IN$NOT1