HomeMy WebLinkAboutBuilding 04-0631
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I PERMIT NO. ()~. O~3 J
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
White
Pink
Yellow
File
City
Applicant
(Please
ADDRESS
/7282
LEGAL DESCRIPTION (office use only)
"
LOT
PI
ADDITION
OWNER
(Name) \./G......./v
aA/&;/L:57
(Phone) ...,9Z -L~3r)
(Address)
BUILDER
(Company Name)
(Contact Name)
(Address)
F~FL'5"~/V
L?~.///~
.L.
Date Rec' d
ZONING (office use)
'S-37()-030 -
(Phone)
(Phone)
~47- ..q9Z,S-
'"~
, ,
.r,
"
~c::.
TYPE OF WORK 0 New Construction ODeck OPorch ORe-Roofing
~AddItlOn o AlteratIOn OUtility Connection 0 Misc.
--.t3 - .,5E-'9SoN
CODE: OOI.R.C. LJI.B.C.
Type of ~nstmction: I II
Occupancy Group: A B E F
Division: I
ORe-Siding OLower Level Finish
PROJECT COST /V ALUE $
(excluding land)
III
H
2
IV ~~'fu
4 5
o Fireplace
{sec>. 00
"
I hereby certIfy that I have filrnished 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-mentlOned property and that all construction wiIl conform to all existing state and local laws and wiIl proceed in accordance with submitted plans. I am aware that the buildmg
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 mspectlOns.
x
~ IJ/' h /Vi-<
Signature
Contractor's License No.
-Sb-?/~-?-
tJate
Permit Valuation
Sewer/Water Connection Fee
#
#
Park Support Fee
SAC
#
#
Permit Fee
$
$
$
$
$
$
$
$
TOTAL DUE
Plan Check Fee
Water Meter Size 5/8"; I";
Pressure Reducer
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Water Tower Fee
Builder's Deposit
Other
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
This Application Becomes Your Building Permit When Approved
8uildlll!! Otlicial
~/lfYlo'-/
, Date
$
$
$
$
$
$
$
$
$
ThIS 15 to certify that the request in the above applicatIon and accompanying documents is m accordance with the City Zoning Ordinance and may proceed as requested. ThIS document
when signed by the Cay Planner constItutes a temporary Certificate of Zonmg compliance and allows constructIOn to commence. Before occupancy, a CertIficate of Occupancy must be
Issued
Planning Director
Date
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
Special Conditions, if any
@~
Tht> Cf'nlt'r of lht' Lakt' ('ounl~'
(" White - Bu~
Canary - Engmeering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT ikct
APPLICATION RECEIVED
7-~~
fa ~- I b --uJ
The Building, Engineering, and Planning Departments have reviewed the building permit
application tor construction iC;~~h is r;!L;~~~~/I....- _
.
Accepted
Accepted With Corrections
/
Denied
~ ~ Date: &11~!o'-f
, l
~ ~ ~~,
Reviewed By:
Comments:
"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 be valid."
Residential Building Permit Checklist
p{)1UJ+ "Additions to Single Family Homes
BY:
~
~
Date: to /I?/a '/
,II
Building Permit #
Site Address /7 d ? ;t..
Legal: L if B Z-
PID: Zoning:
uJ~ 77U-.
{\o~
Subdivision: D -1J ..,..-
Existing Structure:@r NO
I CONFORMS TO ZONING
ORDINANCE
YES
NO
Yard Setbacks: NOT APPLICABLE Requirement Proposed
MEETS CODE
. Side Yard 10'
(25' if abutting a street, 30' if abutting a street in 3~(
Cardinal Ridge)
. Side Yard 10' 631
. Rear Yard 25' go I
. Townhouses Must be consistent with
approved plan for NA
development
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 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.
L:\TE1vrPLA TE\DECKCHCK.DOC
PRIOR LAKE
INSPECTION 'RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS /72 ~ l4J~lJPl.WG$'s ~i&/~
NATURE OF WORK ~ ~ ~t'c.N ~ ,~~~
USE OF BUILDING ~ . ~ :
PERMIT NO. 11~1I~.7/ DATE ISSUED ~II I[ _
CONTRACTOR ~II. ~ /.. Fii..e-. PHONE 'f''Y7. .!l91. S"
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
FRAMING
INSULATION
ELECTRICAL
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I I
FINALS
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