HomeMy WebLinkAboutBuilding 04-0274
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
4-./5 rA-
1 White
Pink
3 Yellow
File
City
Applicant
I PERMIT NO'04-, 0 2.. 74-
at bottom)
ZONING (office use)
;</so
ADDRESS
/ (p es 4- /IT f ~06]U1/5f l'
~'--
LEGAL DESCRIPTION (office use only)
LOT /2..BLOCK Z- ADDITION Wt (,tJt:-~6SJ POIJOS
PID z...S. .?IB.().J~, 0
OWNER
(Name)
Grc:s
M () l (
(Phone)
(Q5-')) Y1f7- q6q5
(Address)
BUILDER
(Company Name)
(Contact Name)
(Address)
~
'---
(Phone)
(Phone)
TYPE OF WORK 0 New Construction
OAddition OAltera on
eck OPorch ORe-Roofing ORe-Siding
OUtility Connection 0 Misc.
OLower Level Finish
o Fireplace
CODE: OLR.C. OLB.C.
Type of Construction:
Occupancy Group: A B
Division:
I
E
II
F
1
III IV V A
HIM R
2 3 4 5
B
S U
PROJECT COST IV ALUE $
(excluding land)
I hereby certify that I have htrnished 1OformatlOn 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 propel" and that all construction will conform to all exist10g state and local laws and will proceed in accordance with submitted plans. I am aware that the build10g
official can revoke ~It for Just causo;._ Fu. 'rm hereby agree that the City official or a designee may enter upon the property to perform needed 1OspectlOns.
X~~ I~- ~ '-j-/5--QL{
nature Contractor's License No. Date
Permit Valuation
Permit Fee $
Plan Check Fee $
State Surcharge $
Penalty $
Plumbing Permit Fee $
Mechanical Permit Fee $
Sewer & Water Permit Fee $
Gas Fireplace Permit Fee $
Park Support Fee # $
SAC # $
Water Meter Size 5/8"; I"; $
Pressure Reducer $
Sewer/Water Connection Fee # $
Water Tower Fee # $
Builder's Deposit $
Other $
TOTAL DUE $ I ;1..2 . {, If
Paid
Date
I;,~;f ~
1~1
~(,+7
ur Building Pennit When Approved
ThIS IS to certify that the request 10 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 Zon1Og compliance and allows construction to commence. Before occupancy, a CertIficate of Occupancy must be
issued
Planning Director
Special Conditions, if any
Date
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
4646 Dakota Street S.E.
Prior Lake, MN 55372-1714
March 3,2008
Greg Moll or Current Resident
16854 Wildemess Trl.
Prior Lake MN 55372
Final Notice
RE: Building Permil Number 04-274
In review of the building pennit files it was discovered there is an open permit for a deck at this property. The
City would like your cooperation to provide access for a final inspection. Please call for an inspection by March
10, 2008.
To sche~ule an inspection time, call (952) 447-9850. If you have any questions feel free to call b~tween 8:00
a.m. and 4:30 p.m. Monday through Friday at (952) 447-9852
11J/lb'
Michael Petersori
Building Inspectcr
www.cityofpriorlake.com
Phone 952.447.9800 / Fax 952.4tJ7.4245
Byfb
Residential Building Permit Checklist
D~(k Addition:; to Single F ami1!, Homes
Date
Building Permit ;:;.
Site Addres:.i
PID:
Zoning:
Leg:11: L l2...
B
2--
Subd ivision:
Ur' ret>~ (j ~
Existing Structun: YES or ~O
CONFOR..\IS TO ZO~Il\G YES i'iO
ORDI0iANCE
Y:lrd Setb:lcks: NOT APPUC-\BLE Requirement Proposed
MEETS CODE
. Side Y3-d 10' ~I
(25' if J.buttlDg 3. stre~c. 30' if 3.buttmg a street in
C ardina! RJd~e)
. Side YJ.fd iO' I /3 J
I
Rear Yard 7 -- I
. -:) -ZSr
. Townhouses Must be conslstenc .,vn.b
approved pl:J.n for
developmen.r
A.l"fY PROPOSED DECK NOT :YlEETti'1G HIT ABOVE CRlTERL.\ MUST BE REFERRED TO THE
PLA...'.fNING DEP.-\RTLYl:E;[,!T. ALSO, .~'fY DECK ON A LOT WITH A.. SCSPECTED BLlIFF, OR Al'f'r
OTHER Li'i1JSUAL ClRCL"MSTA..:.'.j(E iY[l;ST BE REFERRED TO HIE PU....."iNu.'1G DEP..\.RTi.Yl:Ei'JT.
TillS CHECKLIST MUST BE COiYlPLETED A..l'ID I..NCLUDED L'i THE BL1LDING PER-YilT FILE TO
iYL'-\lNlAL'1 A RECORD OF THE REv1EW.
'...TE:-dPf....J...,E DECK~:--:(X.-=(~)(
~
PRIOR LAKE DEPARTMENT OF
BUILDING AND INSPECTION
INSPECTION
RE~ORD
SITE ADDRESS
TYPE OF WORK
USE OF BUILDING
PERMIT NO.
BUILDER I't/J.LL PHONE #
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
77U-
INSPECTOR -pz- DATE
I FOOTING I y~ I ~ r ).,1 ~o ({
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED'
__ I I
I FINAL I I
FOR ALL INSPECTIONS (952) 447-9850