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�- PRI�� CITY OF PRIOR LAKE BUILDING PERMIT, Date Recd
ti/ % ��, ` 7 TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
Z_-,' `�1� AND UTILITY CONNECTION PERMIT
Orr , ,ArNEsos7
I �'� 1.white File
2pink City l PERMIT NO. /7✓ /0 7
.
3.Yellow Applicant
(Please type or print and sign at bottom)
ZONING(office use)
ADDRESS POD
jD
LEGAL DESCRIPTION(office use only)
LOT BLOCK ADDITION PID
OWNER /� Com/ �/aZ — 25Y'
(Name) C��/E Dc-(,./C?�,� 6 (Phone)
(Address) Y y jZ 9 a)/L i9 /�i�CSe-
BUILDER _ Phone 3'7 t7/9/2'
(Company Name) 14,--s_‘.-,2�be t, 5 (Phone) _
(Contact Name) (Phone) /aI- 7.ib-12 5j
(Address) 26' '7 - ,W.0 • 67. i. C's
TYPE OF WORK D New Construction ❑Deck ❑Porch ❑Re-Roofing DRe-Siding DLower Level Finish 0 Fireplace
DAddition DAlteration ❑Utility Connection
CODE: .R.C. LB.C. �1 Misc:
p„./
Type of in ❑struction: I II BIN V AB �i �� �
Occupancy Group: A B E F H I M R S U PROJECT COST/VALUE $
Division: 1 2 3 4 5 (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-menti 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 caev e this pe tt for just cause. Furthermore,I hereby agree that the city official or a designee may enter upon the property to perform needed inspections.
X ateD
/Signature Contractor's License No.
Permit Valuation /0/ U C/O F e)0 Park Support Fee # $
Permit Fee $
fL' L �5 SAC # $
Plan Check Fee $ Water Meter Size 5/8"; 1"; $
State Surcharge $ - Pressure Reducer $
Penalty $ Sewer/Water Connection Fee # $
Plumbing Permit Fee $ Water Tower Fee # $
Mechanical Permit Fee $ Z—41-, 57') Builder's Deposit $
Sewer&Water Permit Fee $ J Other $
Gas Fireplace Permit Fee $ TOTAL DUE6q j 5 g dep.- $ ZZ /. 75-
This Appli/on Be ,' s Y B 'dins Permit When A!. o d Paid �..��7 5 Receipt N . 'i/1~.3 g
Date 673/'/ By 9. .,,_�
Building Official 0.to
This is to certify that the ri. -st in Oe above application and accompanying documents in a ordance with the City Zoning Ordinance and may proceed as requested. This document
when signed b e ity ' (netistitu s a temporary Certificate of Zoning complia ce an allows construction to commence. Before occupancy,a Certificate of Occupancy must be
issued. _
' //� _4 7 f4-
Planning'•hector _i Da Special Conditions,if any
—
24 hour notice for all inspections(952)447-9850,fax(952)447-4245
4646 Dakota Street S.E.,Prior Lake,Minnesota 55372
o °R'e,
tl
MINNESOKM
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
IN-GROUND SWIMMING POOL
NAME OF APPLICANT r ,/ Z -77�� pX5
APPLICATION RECEIVED , - / r.r_
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
34 2 W c `-" Nis
r ,
Accepted ✓ • Accepted With Corrections
Reviewed By �"`�' Date s41.
Comments:
1. Read the Pool handout
2. Control erosion and maintain clean streets at all times
3. Install 5' high fence and self closing, self latching gate must be installed and pass an
inspection before filling pool with water.
4. Electrical inspection must be approved before use of pool.
"The issuance or granting of a permit or approval of plans, specifications 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 b valid."
Residential Building Permit Checklist
Swimming Pool Additions to Single Fa ily Homes
BY: iit Date: S 77 (¢
Building Permit# PID: Zoning: ]
� c)
Site Address
fi 6‹...1,05 !p&c.f" N r /n/
Legal: L B Subdivision:
(6 Existing Structure: YES or
CONFORMS TO ZONINGill NO
ORDINANCE
IN-GROUND SWIMMING POOL Requirement Proposed
Yard Setbacks: NOT APPLICABLE
MEETS CODE
• Side Yard 5', 25' or 30' e
(25' if abutting a street,30' if abutting a street in i`
Cardinal Ridge)
• Side Yard 5'
60 .ic
• Rear Yard 10' (7 1'
• Not to be located within 6' of any principal
structure or frost footings, including deck
footings.
ABOVE GROUND SWIMMING POOL Requirement Proposed
Yard Setbacks: NOT APPLICABLE
MEETS CODE
• Side Yard 5',25' or 30'
(25' if abutting a street, 30' if abutting a street in
Cardinal Ridge)
• Side Yard 5'
• Rear Yard 8'
• 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 REFERRED TO THE PLANNING DEPARTMENT.
THIS CHECKLIST MUST BE COMPLETED AND INCLUDED IN THE BUILDING PERMIT FILE TO
MAINTAIN A RECORD OF THE REVIEW.
J:\FORMS\Pool planning checklist 2007.DOC
PRIOR LAKE DEPARTMENT OF
BUILDING AND INSPECTION
INSPECTIONRECORD
SITE ADDRESS 34 Z9
NATURE OF WORK
!% Y ' !
POOL.
USE OF BUILDING
PERMIT NO. DATE ISSUED . Z•
CONTRACTOR gam 4Pa PoOtior PHONE GS"!. 4 . /31
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR DATE
I FOOTING 1 )6_ `/C4?
I I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
WINIMffignak
FRAMING
ELECTRICAL
41111116
HEATING (if required)
10 1111.,
GAS LINE AIR TEST FeS G /7 /'
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
FINALS
GRADING (Prior to Sodding)
BUILDING
ELECTRICAL
04111115,
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