HomeMy WebLinkAboutBuilding Permit 10-0524 DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE SCHEDULED 3 5( �
ADDRESS � � � ZS (,J � � � p �,a,,�s
OWNER CONTR.
PHONE NO. PERMIT NO. f� "5�.�
❑ FOOTING ❑ PLUMBING RI ❑ EX/GRAD/FILLING
� FOUNDATION ❑ MECH RI ❑ COMPLAINT
❑ FRAMING ❑ WATER HOOKUP O FIREPLACE RI
❑ INSULATION ❑ SEWER HOOKUP ❑ FIREPLACE FINAL
� FINAL 0 PLUMBING FINAL ❑ GASLINE AIR TST
O SITE INSPECTIO ❑ MECH FINAL ❑
COMMENTS:
;
�WORK SATISFACTORY, PROCEED
❑ CORRECT ACTION AND PROCEED
❑ CORRE W RK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: Owner/Contr:
CALL 9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTSARE FOR YOUR PERSONAL HEALTH & SAFETY!
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,,` �� CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
� ��, TEMPORARY CERTIFICATE OF ZONING COMPLIANCE � ����
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"�i �" AND UTILITY CONNECTION PERMIT � �
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3. Yellow Applicant % � �� .
(Please e or rint and si n at bottom
ADDRESS ZONING (offce use)
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LEGAL DESCRIPTION (oft'ice use only)
LOT� BLOCK 1(J ADDITION �Q 4 l� S PID ?c'�", G� 7. OJ'I O
O WNER ( 1
(Name) �l c� � 4r� �`i'C� l O c.-y\. (Phone) � 5 Z-�� 3° 5`/ ��
(Address) �� � S � c � U S V w E�;,,,J r.
BUII,DER ��/ � % �
(Company Name) �Gt h Tl5 C.� � (Phone) �� �" s� U` O� D
(Contact Name) / � /� �e�. �t � L �1a( R � (Phone)
(Address) ( ,� �pg� bV � �.Ca C�, .-v '�' Z ��
TYPE OF WORK ❑ New Construction ❑Deck ❑Porch ❑Re-Roofing ❑Re-Siding ❑Lower Levcl Finish ❑ Fireplace
❑Addition ❑Alteration ❑Utility Connection
CODE: .R.C. ❑I.B.C. �Misc: � Cc. c ` u ' z • �C'
Type of C o�nstruction: I II III IV V A B " ^, _
Occupancy Group: A B E F H I M R S U PROJECT COST/VALiIE $ �5 ��G�G� ~
Division: 2 3 4 5 (excluding land)
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I hereby certify that I ave rnished inform �o n this application which is to the bes[ of my knowledge true and correct. I also cervfy that I am the owner or authorized agent for the
above-mentioned pr rty d that all con on will conform all e�sting state and local laws and will proceed in accordance with submitted plans. I am aware that the building
official can revoke i pe t for just cau . urthe ore, I here agree that the city official or a designee may enter upon the property to pedorm needed inspections.
x a-'�" � � ' �' ' �o �1f3 � !�
Signature Contractor's License No. Date
Permit Valuation �'� J d� �� Park Support Fee # $
Permit Fee $ ,.� � Z �_- SAC # $
�
Plan Check Fee $ _--_ Water Meter Size 5/8"; 1"; $
State Surcharge $ `� � �J Pressure Reducer $
Penaity $ Sewer/Water Connection Fee # $
Piumbing Permit Fee $ Water Tower Fee # $
Mechanical Permit Fee $ �' -; Builder's Deposit $
QJ
Sewer & Water Permit Fee ' $ Other $
Gas Fueplace Permit Fee $ TOTAL DUE � . LL _ / O $ � / '7 �,`
This A cation Be s Y uilding P,�rmit When A prov d Paid C' �<�. R2Ce1 t NO. V
6 Date p - 2✓ I o B G
Z/ �v
Buildin Official D
This is to certify [hat the re ue in the b ve application and accompanying documents ' in acco ancc with the City Zoning Ordinance and may proceed as requested. This document
when signed e C'ty P r con es a temporary �crtificate of Zoning complia ce and ows construction to commcnce. Before occupancy, a Ceraficate of Occupancy must be
issued.
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- - - - - _ _ ---- - - - -- --- - - - _ - ---- - - __ _-
Planning Direcror Da[ Special Conditions if any
24 hour noticc for all inspections (952) 447-9850, fax (952) 447-4245
4646 Dakota Strcet S.E., Prior I.ake, Minnesota 55372
Residential Building Permit Checklist
S mming 1'00l Additions to Single F mily Homes
BY: Date: / �., � 0
C�/
Building Permit # PID: Zoning:
Site Address � ¢� Z �. �, S " ` �� ���
�— .�
Legal: L B Subdivision:
Existing Structur . ES NO
CONFORMS TO ZONING YES NO
ORDINANCE
IN-GROUND SWIMMING POOL Requirement Proposed
Yard Setbacks: NOT APPLICABLE
MEETS CODE
• Side Yard 5', 25' or 30'
(2S' if abutting a street, 30' if abutting a street in �
Cardinal Rid e) �
• Side Yard 5' � (
• Rear Yard g' Q (
• Not to be located within 6' of any principal
structure or frost footings, inc(uding deck
footin s. J '
ABOVE GROUND SWIMMING POOL Requirement Proposed
Yard Setbacks: NOT APPLICABLE
MEETS CODE
• Side Yard S', 25' or 30'
(25' if abutting a street, 30' if abutting a street in
Cardinal Rid e)
• Side Yard 5'
• Rear Yard g'
• Not to be located within 6' of any principal
structure.
ANY PROPOSED SWIMMING POOL NOT MEETING THE ABOVE CRITERIA MUST BE REFERRED TO
THE PLANNING DEPARTMENT. ALSO, ANY POOL ON A LOT WITH A SUSPECTED BLUFF, OR ANY
OTHER UNUSUAL CIRCUMSTANCE MUST BE REFF.RRED TO THE PLANNING DEPARTMENT.
THIS CHECKLIST MUST BE COMPI,ETED AND INCLUDED IN THE BUILDING PERMIT FILE TO
MAINTAIN A RECORD OF THE REVIEW.
J:�F'ORMS�Pool planning checklist 2007.DOC
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BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT T��l � S «�
APPLICATION RECEIVED � l � / o
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
�OZ �����5 ��w �
Accepted ✓ Accepted With Corrections
Denied .
Reviewed By: Date: / �
Comments: � - ��,� �� �. �� a�3--
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"The issuance or granting ��_a -permit or approval of plans, specificatic,ns and ��,
computations shall not be c�strued to be a permit for, or an approval of, any violation of
any of the provisions of th' code or of any other ordinance of the jurisdiction. Permits
presuming to give authority to violate or cancel the provisions of this code or other
ordinances of the jurisdiction shall not be valid."
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BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
Accepted Accepted With Corrections
Denied f
;
Reviewed By: Date: -
Comments:
"The issuance or granting of a permit or approval of plans, specificati�ns and
computations shall not be construed to be a permit for, or an approval of, any violation of
any of the provisions of this code or of any other ordinance of the jurisdiction. Permits
presuming to give authority to violate or cancel the provisions of this code or other
ordinances of the jurisdiction shall not be valid."
P R I O R LA K E BUILDRNG A D
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IN PE TI N RE RD
SITE ADDRESS
NATURE OF WORK • /
USE OF BUILDING /�
PERMIT NO. DATE ISSUED �i. Z/. �O
CONTRACTOR .f �JO OL�.S PHONE__ 763� �i►O. �
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR OATE
FOOTING � - ,� � � �z �
Prior to Backfill)
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
FRAMING
INSULATION
ELECTRICAL
HEATING (if required)
GAS LINE AIR TEST �,/G l � /d
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
FINALS
GRADING (Prior to Sodding)
BUILDING � Z ,�
ELE �TRICAL �
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 approved. On buildings and additions
where no service cabinet is available, card shall be placed near main entrance.
FOR ALL INSPECTIONS (952) 447-9850