HomeMy WebLinkAboutBldg Permit 01-0401
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
r
1. White File
2. Pink City
3. Ye\low Applicant
(Please type or print and sign at bottom)
ADDRESS
1~327 BLUEBIr2..0 Il<AlL Nt:
/
ZONING (office use)
RI
LEGAL DESCRIPTION (office use only)
LOTBBLOCK 2. ADDITION ~OB HILL 4TH
OWNER
(Name)
PID 25-3lo2r 07~-O,
L1MS~
(Phone) -15z.-~ ~-330 I
~ liJI2.-770 -44-B5
(Address)
BUILDER
(Name)
(Address)
TYPB OF WORK
(Phone)
o New Construction
,R1Deck
181 Fireplace
OPorch
DAddition
ORe-Roofing
ORe-Siding
D Misc.
~Lower Level Finish
DAlteration
DUtility Connection
PROJECT COST/VALUE (excluding land) $ ~OOO. 00
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 tha e building official can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may
enter upo perty t eeded inspections.
x
Contractor's License No.
os:/,J 0 I
I Permit Fee
I Plan Check Fee
I State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
~
$ Co 100") . eo I Park Support Fee # I $
$ 1'2"'. ~ I SAC # $
$ 81- 1./ L I Water Meter Size 5/8"; 1"; $
$ 5 .Q? I Pressure Reducer I $
$ '-It> .00 I Sewer/Water Connection Fee # I $
I $ I Water Tower Fee # I $
I $ I Builder's Deposit I $
I Gas Fireplace Permit Fee I $ 40.00 I Other EJ..E<:;re.l f!.../ I $ I. 00
~' UYomBuil<tin;~:~ TOTALDUE ~I .$ZRO.M..
~r.L( I Paid 2- 90. (,(, RecpiQ . . I c;'4!:L
uildin{ Official Date I Date ' ~ ....11-1) / By /.
,
This is to certify that the request in the above application and accompanying documents is in accordance with the City Zoning Ordinance and rmy 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.
Sewer & Water Permit Fee
Planning Director
Date Special Conditions, if any
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
BY:~
Residential Building Permit Checklist
Deck Additions to Single Family Homes
Date: ,5. Z -0 I
Building Permit # PID~.. 3lP z.. OU - 0 Zoning: /e..,j
Site Address /4-32- 7 I3I-U6L3/~
Legal: L r B 2- Subdivision: JCNOtS #/0/./ +711
Existing structnre~r NO
CONFORlVIS TO ZONING
ORDINANCE
YES
NO
I Yard Setbacks: NOT APPLICABLE
MEETS CODE
· Side Yard
(25' if ahnt+iag-e .:,~..;...., :0' II abutting a street
,
iu Cil'am:d Ridgo)
· Side Yard
Requirement
Proposed
10'
zs-'
10'
~o I
/&0 '
· Rear Yard
25'
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 Ai'fY
OTHER UNUSUAL CIRCUMSTANCE MUST BE REFERRED TO ItlJ!; PLANNING DEPARTMENT.
THIS CHECKLIST MUST BE COMPLETED AND INCLUDED IN THE BUILDING PERiVIIT FILE TO
MAl NT AIN A RECORD OF THE REVIEW.
L:\TEMPLA TE\DECKCHCK.DOC
...
ByG?!)
Residential Building Pel.wit Checklist
Basement Finish or Interior Alteration to Single Family Homes
Date: G. '2 ,,0 I
Building Permit # PID: Z5 --3hZ,. 6z,J .OZoning: ~(
SiteAddress /43278w6B/;eC)
Legal: L r B 2- Subdivision: ):::11./015 Hlu.., +1}1-
Existing structure:6iior NO
CONFORlVIS TO ZONING
ORDINANCE
YES
NO
Is the proposed use of the finished space or
alteration for anything other than a normal single
family home (office, group home, day care, etc.)?
YES NO
Refer to Planning
X
Refer to Planning Y..
Refer to Planning ',(
Refer to Planning
';(
Refer to Planning
~
Is this an expansion of the existing footprint or
building height?
Is the property located within the flood plain?
Does the alteration include any additional kitchens?
Does the proposed alteration include any outside.
entrances other than patio doors?
Tms CHECKLIST MUST BE COMPLETED .~'ID INCLUDED IN THE BUILDING PERl\'UT mE TO
MAINT AIN A RECORD OF THE REVIEW.
.
L:\TEMPLA TE\AL TCHCK.DOC
PRIOR LAKE DEPARTMENT OF
' BUILDING AND INSPECTION
:':"
INSPECTION RECORD
SITE ADDRESS 1'-I1?:J &'.f- ~ tr-o (' (
NATURE OF WORK pecic. ~ LouJ~ ~~l -G,^i~
USE OF BUILDING 3FD
PERMIT NO. ()J- 04-0 I DATE ISSUED 5" y
CONTRACTOR "l&).erl. bt41- ~(2. -7(0 - ~t;~
NOTE: THIS IS NOT A PERMI1' FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
OP.TE
s-},sio)
FOOTING ~\c
I b'~~
I ' I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
I ;
FRAMING /~
INSULATION ffz:.-. .
ELECTRICAL
PLUMBING 6 3/1 l / G 1...,
HEATING (If requIred) ...- ,..- r tdr . "3 f II '( n..
FIREPLACE . h . 3/, I Jo '-
GAS LINE AIR TEST r:~ ~ 3/s/o;r
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
3/ I I It:. '-
-;~ III 0 'L
"
BUILDI!'J~ Del" K
ELECTRICAL
PLUMBING
HEATING
DO NOT OCCUPY UNTIL ABOVE HAS BEEN SIGNED
NOTICE
This card must be posted near an electrical service cabinet prior to rough-in inspections
and maintained until all inspections have been ap'proved. On buildings and additions
where no service cabinet is available, card shall be placed "'ear main entrance.
~
~
I
v
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (612) 447-9850
'-.r/
CITY OF PRIOR LAKE
INSPECTION NOTICE
DATE nME
SCHEDULED i~
~~H~ \Jr-
ADDRESS ~
OWNER
CONTR.
PERMIT NO. 0(- OC/O(
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
. J INSULATION
(.fINAL
"J SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
Thck ~
U~ ~;l d~ ~~oY\. ~S
.. M lll\ 3t.f" I-I.'~t, o.A. ~/q,-=.,
'2~.~ ~\,c. ,~~+ ~ ~rl~~:;I;;
o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
~.
o
~
C>v
1-
/)
fa", i Lf52-. 1.1'i~(-7BS3
~14)~ ~C A:~(; lip.(
o WORK SATISFACTORY. PROCEED
o CORRECT ACTION AND PROCEED
-,( CORRE K. CALL FOR REINSPECTION BEFORE COVERING
Owner/Contr:
~OR THE NEXT INSPECTION 24 HOURS IN ADVANCE.,
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
/NSNOn
~
--
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS m2~
OWNER
CONTR.
PHONE NO.
PERMIT NO.
[J FOOTING
[J FOUNDATION
o FRAMING
[J INSULATION
~INAL
o SITE INSPECTION
[J PLUMBING RI
o MECH RI
o WATER HOOKUP
[J SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
I
{'. (6s.l
(D
'1~
n
+,
., 'LT,E, _ nME
~(p
1
!
/ -- ere (
o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
[J FIREPLACE FINAL
o GASLINE AIR TST
o
I
"-P
I
~ORK SATISFACTORY, PROCEED
o CORRECT AND PROCEED
FOR REINSPECTION BEFORE COVERING
Inspector:
I. "
Owner/Contr:
INSNOTI
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI