HomeMy WebLinkAboutBuilding Permit 04-0113
CITY OF PRIOR LA][(E BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CC~NNECTION PERMIT
Date Rec' d
3. l.. 04--
~.~
(Please type or print and sign at bottom)
ADDRESS
1. White File
2 Pink City
3, Yellow Applicant
I PERMIT NO. o'f ~ 01/3
t57J f,~
PdNO.rBO~G
L"A/ J6
ZONING (office use)
~/
LEGAL DESCRIPTION (office use only)
LOT / BLOCK J ADDITION
06~lELt;:)' Bnf
PID Z!ii: 3 q l:/. 0 2,...0 ~ V
OWNER
(N ame)
/ . , C J-
,1m )trj rYLUlI l-
(Phone) QS2.. 2U'-54 71
(Address)
BUILDER
(N ame)
(Contact Name)
(Address)
(Phone)
(Phone)
TYPE OF WORK
o New Construction
jiPeCk
o Fireplace
OPorch
OAddition
ORe-Roofing
ORe-Siding
OLower Level Finish
o Alteration
OUtility Connection
o Misc.
PROJECT COST IV ALUE (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-mentioned 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 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 inspections.
x~,
. . --.J Signature
Contractor's License No.
3-:;2 -of
Date
Frantz-
Permit Valuation .~OO{)~ - Park Support Fee # $
Permit Fee $ ,~ SAC # $
Plan Check Fee $ 5/.~ Vt/ater Meter Size 5/8"; 1"; $
State Surcharge $ I ,-V Pressure Reducer $
r. .,
Penalty $ City SAC and WAC # $
Plumbing Permit Fee $ 'Water Tower Fee # $
Mechanical Permit Fee $ Builder's Deposit $
Sewer & Water PClluit Fee $ Other $
Gas Fireplace Peryit Fee $ TOTAL DUE $ I ~ 1./1
~ I 6 / /
J{~~ruililing;JZ;ved I JPaid /~7. /1 RF" ~ ..:;, 7lJ
I Date -:! 3~ 04-- By .
Buil . ng J:...:-a{ "'-- J lDate
This is to certify that the request in 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 Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be
issued.
Planning Director
Date Special Conditions, if any
24 hour notice for all inspections (952) 447-9850, tax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
esidential Building Perm it Ch e 'klist
.Q.eck Addition~ to Si~gle FaiY, Hoes
. . Dat~?Y!7 04
B.uildingP~~mit # ~ . Jill;;?,.,' )' _ ' J~"" I Z'oning: ~ _,(
SlteAddres~ 500 u 371-62D-o v<
IONSP/){;G-
Legal: L . .B Subdivision:
Emtiug Struct~O ,,/ ~
CONFORMSTO ZONlliG ( )~ NO
ORDIl'{4\NCE
Yard Setbuck~: NOT APPLICABLE
i\'lEETS COD E
R~quirement
Propo:led
· Side Yard
(25' if abutting il street. 30' if abutting a street in
Cardinal Ridge)
· . Side Yard
10'
r
,~D
'4o(
451
10"
· , Rear Yard
25'
· Townhouses
wlust be consistent Iyvith
approved plan for
development
ANY PROPOSED DECK NOT MIETlNG THE ABQVE CRlTERlA r-t1UST BE REFERRED TO THE
PLA1\iNlJ.'iG DEPARTIHENT. ALSO, ANY DECK ON A LOT 'WITH A SUSPECTED BLUFF, OR ANY
OTHER UNUSUAL CIRCL'MSTA.l.~CE 'JYlUST BE REFERRED TO THE. P'LAl'fN1L"fG DEPARTl'rIENT.
THis CHEC.KLIST MUST BE CO~IPLETED AND INCLUDED ll'-+ THE BUll.DING PE:&\'ilT FILE TO
~1AlNTAIN A RECORD OF THE REVlE W .
L:\ 1 c.;.\tfPLA TE" DE CKCHCK.DOC
""
PRIOR LAKE
INSPECTION
RECORD
SITE ADDRESS 50tP4- PtJA/oSeoM LN.
TYPE OF WORK Ob CK-
USE OF BUILDING ~S ,q/~
,
PERMIT NO. O~. 0 II? [)ATE ISSUED 3 ,3. 0 ~
BUILDER ~ / ;;:.., PHONE # 2z.,~, 61~ 9
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF
BUILDING AND INSPECTION
INSPECTOR
DATE
r
FOOTING ]/ ~ 7> ,5r-Ol,'!
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
FINAL
111 Ill?
II
/~ ,- t ~~tr\-
FOR ALL INSPECTIONS (952) 447-9850
'\.
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
!Zfc L(
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
COMMENTS:
SCHEDULED
r9(Yfds~
v l/
CONTR.
PERMIT NO.
o PLUMBING RII
o MECH RI
o WATER HOOI{UP
o SEWER HOOI{UP
o PLUMBING FINAL
o MECH FINAL
~
/
/' /' I
/ / I /~
( I/'V-
\ ~
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"----
DATE TIME
~t-\-cJt.r
(
L/ -Oils
,/
o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
~----...
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r · / )
1-1 V
, /
~
~
--------
t.
/
~RKSATISFACTORY. PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL R REINSPECTION BEFORE COVERING
Inspector:
Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPEc'nON 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTl