HomeMy WebLinkAboutBldg Permit 04-0440
DATE TIME
CITY OF PRIOR LAKE t~
INSPECTION NOTICE SCHEDULED
fJlJ..0lDOL
ADDRESS 55LfR
- -
OWNER CONTR.
PHONE NO. PERMIT NO.
D FOOTING o PLUMBING RI o EXIGRAD/FILLlNG
D FOUNDATION o MECH RI o COMPLAINT
D FRAMING o WATER HOOKUP o FIREPLACE RI
D INSULATION o SEWER HOOKUP o FIREPLACE FINAL
D FINAL o PLUMBING FINAL o GASLlNE AIR TST
D SITE INSPECTION o MECH FINAL 0
COMMENTS:
I, CGfte.ct K~~Cj
u
,,{
U65-e
~I
nIp
,
o WORK SATISFACTORY, PROCEED
'-I CORRECT A<y\ON AND PROCEED
o CORRECT -NoM CALL FOR REINSPECTION BEFORE COVERING
Inspector:
Owner/Contr:
/
CALL -141-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTl
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
(Please type or print and si~ at bottom)
ADDRESS
0-5l/f{ OU1~l-tVAC- CrLC (. .
LOT / ~LOCK
LEGAL DESCRIPTION {office use only)
ADDITION
a-k<<i~ R. d~0' SC^
r- :J 3 OI3~'o
PID~,_? - ,_ 5.
OWNER
(Name)
\(,06..2 r~~
5S415 weT tco\L- C (L.G\" "
(Address)
BUILDER
(Company Name)
(Contact Name)
2- IlL-
Co~ "u.-h. i,),<U
(Address)
r,ou
~;.. lo~
~~u.~~o.:i. ~
Date Rec' d
White
Pink
Yellow
I PERMIT NO. 04-,04401
File
City
Applicant
ZONING (office use)
P{L,D
(Phone)
--- ,
.l...i,-,L
C})'L - loCI - '2. \ L '-I
(Phone)
(Phone)
TYPE OF WORK 0 New Construction ltsabeck o Porch ORe-Roofing ORe-Siding OLower Level Finish 0 Fireplace
OAddition OAltera~ o Utility ConnectiOn 0 Misc.
CODE: ~R.C. DI.B.c.
Type of,.con~tmction:
Occupancy Group: A B
Division:
I
E
II
F
1
III IV V A
HIM R
2 3 4 5
1000
,
B
S U
PROJECT COST IV ALUE $
(excluding land)
I hereby certify that I have hlrmshed mformation on this application which IS to the best of my knowledge true and correct. I also certIfy that I am the owner Dr authorized agent for the
and that all construction will conform to all eXlstmg state and local laws and will proceed in accordance with submittcd plans. I am aware that the buildmg
'm for Just (~rthermore, I hereby agree that the CIty official or a designee may enter upon the propelty to perform needed mspectHInS
-..-/ S- - I 3'() YJ
Date
x
Permit Valuation
Permit Fee
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
Signature
fI
fA 2x90{) f () 0
$ BB. ~5
$ ~/, 3fa
$ I. So
$
$
$
$
$
This Application Becomes Your Building Permit When Approved
~ ~~}j;')
Buildlllg Oilicial
5/t'fLoy
Contractor's License No.
Park Support Fee # $
SAC # $
Water Meter Size 5/8"; I"; $
Pressure Reducer $
Sewer/Water Connection Fee # $
Water Tower Fee # $
Builder's Deposit $
Other I $
TOTAL DUE (I~ ~./f: v~l-1 /'-17. If
. /Jc
Paid /~'1~/f I Receip o. 4--(, 1 rt;
Date [. v(,. t) 4-" I By 1'____ . /
C
ThIS IS to certify that the request in the above application and accompanymg 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 Zonmg compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be
isslled
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
Residential Building Permit Checklist
'-
Deck AdJition.:l to Sin~le Family Home.:l
a J AA U\. -fJ ;,
B'x- ~VV~ ~
Date 5 - j'--/- 0 C;
Building hrmit #
Site Addre~~
Pill:
..6 5 LISJ.-
Zonmg:
(J{jc.-Y/cJ()~ - Cl!/'f
Subdivision: f~ /? ~
s'H--
Legal: L /3
B
/
E.li:Hing Structure: YES or NO
CONFOEi\IS TO ZON:E\fG
ORDINANCE
I~S
NO
y :1r.d Sdb;lC.k~~: NOT A,J>PLICABLE
MEETS CODE
Requiremt::nl:
Propo:led
Side YaId
(25' if abuEting a st.-eet, 30' if abuttmg a street In
C ardin:J.! Ridge)
· Side Yard
lO'
10'
~ )01
,;Leof
d)- 'it r
· Re:J.r Yard
7 ..
_J
T o INnhollses
Must be consistent "vitb
approved p l:m for
development
~A
AJ.'fY PROPOSED DECK NOT MLETlL'iG THE ABOVE CRlTERlA MUST BE REFERRED TO TKE
PLA.l"il'lli.'fG Dn.o.\.RTI'YIT.l'H. ALSO, ,~'fY DECK ON A LOT W1TH A SUSPECTED BLUFF, OR A.L'iY
OTKER L:NUSlfAL CIRCt!~lST.~'iCE iYruST BE EliFERRED TO TfIE. PL-\..i.'fNL.'iG DUARTI'Y[Ec'H.
THls CHEC.KLlST LiIUST BE COMPLETED _..u'ffi INCLUDED L.'1TRE BU1lDING PERJ.YllT FILE TO
iYIAil'ITA..lJ.'f A RECORD OF THE REVIEW.
L :~)dPr..._.:., TC:\ 0 Ec:,:r==-::CX.DCC
........z.....,
~" ".-'", .',",;. .'
. . '.'-- :: ,"",",' ,"
. - - ..
. :.:.:.:. ,~;-~,.~--.. ,~:.":
. /'
'.-'/
..:" "\
. . ,~
u, .
,<," " :~,: .>:
PRIOR LAKE DEPARTMENT OF
BUILDING AND INSPECTION
INSPECTION
RECORD.
SITE ADDRESS 55 L/ 7 "1Ie:r2l-~tJlL tlJl!f.!t.l1*
TYPE OF WORK p~ Dft!i4
USE OF BUIl.DING S, F:" O.
PERMIT NO. (}4,o4kJ DATE ISSUED Sl1"l/dal
BUILDER ZT2.... CbJST/iLtt!'NCA:J 1 !IJC, PHONE~. 2co- loI"1.(
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR DATE
I FOOTING I fI 'v V r I (/ ). .7-cfl1
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED 1
I I
I FINAL
FOR_ALL INSPECTIONS (952) 447-9850
-