HomeMy WebLinkAboutBuilding 05-0419
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTD1CATE OF ZONING COMPLIANCE.
AND UTILITY CONNECl10N PERMIT
-~-_.......-
I ADDIlESS
. 5"2lJ c<;UQQEY
Date Rec' d
S:lr-o~
~. =. ~~ I PERMIT NO. Os-. (, -"/1
1 ven- AppIlea.. t
LN
I I z07( (oIllce U1e)
Nf3 . I'fl/t'n L.4;Kr. l'!fI/ S"S37t;l .
/ '
LEGAL DESCIUPTION (office use only)
LOT J BLOCK 3> ADDmON 611U(,1Itf'b {-IICd 3/~
PID Z S" Job. V I z.. 0
OWNEll
(Name) l)1\tJ 4N"b
(Address)
..! lAC-IE" flFaLT"2-
6u lli.c:-r- J-iJ
(phone)
qr;-e:;-Lj<J7 -. 7S-7'J
3/~
Bun.DER
(CompanyName)~~Et<J Vkt.uzllA 100000T~,~ (....
(Contact Name) ANDVlt-z.J J4t4an 14- ~
(Address) 9/?..-.p,
(Phone) d?/'2-2S/ -19?~
(Phone)..&. /;/2 - z.~/' /~:?S-
{V/
TYPE OF WORK 0 New Construction ~ arch ORe-Roofing DRe-Sidiag OLower LeYeI Finish
~ddition OAlteralc;};. . Dutility Connection 0 Misc.
. CODE: fill.R.C. OI.B.C.
Type of Coastnu:tion: I
Omapaacy Group: A B E
DiYilioo:
n
F
1
mIVVAB
HI MRSU
2 3 4 5
o Fireplace
PROJECT COST/VALUE S
(exdudingland)
Ib;~,
.
p~
I ben!by tertilY thaI I haw furnished information on this application which is to the best of my tDowled8e lrUr and corm:l. I also tertilY thaI I am 1hr owner'K" autllOriUd &JCIIf ror lilt
alJove..menl1ODed property and that aU coastruc:lion will CClIIfiIrm to all rxistin8 sta~ and local Jaws and will ~ in lICl:OIdancr with submitted plans. I am aware that tM bui1din8
ofticial ~p~rrdIy ~ that theory ofticial or a drsipter ~ enter upon tIIr property to perfonn lIftded lll5pCCtions.
X ~C- 20~ /~~(P ~/{#.r
c si&Dature Contractor's LicenIe No. Dab:
Permit Valuation -5000. ~
Permit Fee S //7'; 7<5-
Plan Check Fee S 7~. S'y
State Surcharge S ,2. .J"O
Penalty S
Plumbing Permit Fee S
Mechanical Permit Fee S
Sewer &; Water Permit Pee S
Gas Fireplace Permit Fee S
~z~-
Dale
Park Support Fee # S
SAC # S
Water Meter Size 5/8"; I"; S
Pressure Reducer S
Sewer/Water Connection Pee # S
Water Tower Fee # S
Builder's Deposit S
Other S
TOTAL DUE S /~~7~
I Paid
Date
/1t~~10 /
J' J Y
I ~.. NO)J-1" j
11us is to tertilY tllat the request in the above application and a<<ompIIIyinl cIoc:urMn15 is in ac:cordanl:e witll the City 2'.onint Orclinancr and may proceed as requested. This cb:tIment
when s;pro by tile Ciry PIanna- constitutes a mnporary Certilicate of Zoning c:ompliaDce and allows COIIStIUCtion to commence. Bdoft occupancy. a Q.-rtiIicatr of Ocrupancy must be
issued
PWIlIing Director
0lII, if lIIIY
Date
Z4 ho.r notlu for alllnspectlolll (9!a) 447-9858, fax (~) 447-424!l
16200 Eagle Creek Aveuue Prior Lake. MN 55372
.1
'j
Residential Building Permit Checklist
Deck Additions to Single Family Homes
BY:# ~hso~
Date:
0.:?~s-
Building Permit # C'S - 7"'/? PID: .zs; JtPCJ. (!);,Z" ~ Zoning:.e (
Site Address /~S,,2(!) ~rJ'-c./ ~~
Legal: L / B ..3 Subdivision: ~""";""Y"e #/~ .j>"d ~eIL.:
Existing Struct~r NO
NO
CONFORL\'IS TO ZONING
ORDINAL~CE
Yard Setbacks: NOT APPLICABLE Requirement Proposed
MEETS CODE
. Side Yard 10' ,
(25' if abutting a street, 30' if abutting a street in J7
Cardinal Ri~e)
. Side Yard 10' ,271'.
. Rear Yard 25' is r
. Townhouses Must be consistent \\'ith
approved plan for
development
AJ.w 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 AJ.W
OTHER UNUSUAL CIRCUMSTAJ.~CE MUST BE REFERRED TO THE PLMIfNING DEPARTMENT.
THIs CHECKLIST MUST BE COMPLETED A1"ID INCLUDED IN THE BUILDING PERVIIT FILE TO
MAINTAIN A RECORD OF THE REVIEW.
L\TElYlPLA TE\DECKCHCKDOC
~
PRIOR LAKE DEPARTMENT OF
BUilDING AND INSPECTION
INSPECTION
RECORD
SITE ADDRESS () '(I~ ~Ne
TYPE OF WORK
USE OF BUILDING
PERMIT NO. tJ5: DATE ISSUED
BUILDER ~ ~II~ PHONE #111&.. 26ll'35
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
1~~JE71R /DAT~
I FOOTING I 0:fL I? /7 /0 S"
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
...... :F/2J..-;i3t I /L/~/l I 7-w-u)
I FINAL I ~ Id2t/<<
/
I
I
J
FOR ALL INSPECTIONS (952) 447-9850