HomeMy WebLinkAboutBldg Permit 01-0542
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
I. White File
2. Pink City
3 . Yellow Applicant
(Please we or print and sign at b~~;...~)
ADDRESS
17#27 SunSCf T(lq,') SW
cft'ior ~a.k~
LEGAL DESCR1t'uON (office use only)
LOT~LOCK (ADDITION f )Jocdu (e,-U)
Date Rec' d
5'~
'O/~05k1-
ZONING (office use)
tiS])
PIDd~1 g5- fJ;)!o~
OWNER 6JCc!Sc. I 1.. }.. (. - ~ .1../0 -f
(Name) G en ~ (Phone) <;rz
(Address) J7'127 SlAl1...r c 7 Tr r,. J I ./~ (f 1" I Q ".. J 4. t. e...
BUILDER
(Name) (Phone)
(Contact Name) (Phone)
(Address)
./
TYPE OF WORK o New Construction ~eck o Porch ORe-Roofing ORe-Siding
OLower Level Finish o Fireplace OAddition OAIteration OUtiIity Connection
o Misc. PROJECT COST IV ALUE (excluding land) $
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 upon the property to perform needed inspections.
X 4.-- ~ ~- AJ.j-2()~/
..;7 Signature Contractor's License No. Date
I Permit Valuation
I Permit Fee
I Plan Check Fee
I State Surcharge
I Penalty
I Plumbing Permit Fee
I Mechanical Permit Fee
I Sewer & Water Permit Fee
I Gas Fireplace Permit Fee
$
$
$
$
$
$
$
$
0.000 . dO
. 83.?.c;-
$</.11
/.SO
mes Your Building Permit When Approved
0-211- ~/
Date
I Park Support Fee
I SAC
I Water Meter Size 5/8"; 1";
I Pressure Reducer
I Sewer/Water Connection Fee
I Water Tower Fee
I Builder's Deposit
I Other
I TOTAL DUE ~
Paid /$J' n
Date I'A. /. II I
# $
# $
$
$
# $
# $
$
$
1$-1-01 $ /..3B. fJ~
ReCri I o. .3/7~(;' r
By / I -
j
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
BY:
Residential Building Pel.u.Lit Checklist
Deck Additions to Single Family Homes
Date: ~d.5-o/
Building Permit # tID: L -1 _ "
Site Address I~i/? "i ~ ~l-/
Zoning:
Legal: L
B
Subdivision:
Existing Structure: YES or NO
CONFORlVIS TO ZONING
ORDINA1~CE
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'
10'
· 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 AlTI
OTHER UNUSUAL CIRCUMSTANCE MUST BE REFERRED TO THE PLANNING DEPARTMENT.
THIS CHECKLIST MUST BE COMPLETED A.J~D INCLUDED IN THE BUILDING PERIVIIT FILE TO
MAlNTAIN A RECORD OF THE REVIEW.
L\TEl'vrPLA TE\DEr:Kr:Hr:K DOr:
...
PRIOR LAKE
INSPECTION
RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS m2 '7 SULo\~ +.r-
TYPE OF WORK ~Ic \'2..X~>
USE OF BUILDING 5'F/)
PERMIT NO. lJ I-~? DATE ISSUED 5""- 2'1 - ~(
BUILDER Ch.9~ 2~-5<10V
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
FOOTING I G;SPECTOR I &! ~ / ~A;E
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
t FRAMING I I
t FINAL
;at--
/ I
r /1 cf/Ob
.
I
1
I
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS 447-9850
DATE TIME
CITY OF PRIOR LAKE ?R~~
INSPECTION NOTICE SCHEDULED
ADDRESS /7~? ~t:AJe~ ~
OWNER CONTR.
PHONE NO. PERMIT NO. /-S<(2-
o FOOTING o PLUMBING RI o EXIGRADIFILLlNG
o FOUNDATION o MECH RI o COMPLAINT
o FRAMING o WATER HOOKUP o FIREPLACE RI
~LATION o SEWER HOOKUP o FIREPLACE FINAL
NAL o PLUMBING FINAL o GAS LINE AIR TST
o SITE INSPECTION o MECH FINt 0
COMMENTS: L)r> c <:..-
~ /
/7J?er/
y?1) /
C-//L
{
----=-~.
~ . -~~<~
/' -,
(/1/ ,/'I ')
\. (,-/OY-€ ///P / /
AWORKSAT~..~W~. -----
o CORRECT ACTION AND PROCEED
NSPECTION BEFORE COVERING
Owner/Contr:
Inspector:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE..
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
_on