HomeMy WebLinkAboutBuilding Permit 04-0139
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
I. White File
2. Pink City
3. Yellow Applicant
Date Rec' d
PERMIT NO. {)L(- 13 9
(Please type or print and si~ at bottom)
ADDRESS
~-f-i'~J 64
~/r
5402
LEGAL DESCRIPTION (office use only) ~
~ (
LOTd-BLOCK I ADDITION ,< ' , (Q
. u
C/ouqh
ZONING (office use)
!2~
Cf ---rL PI~ -q()O' mJ-O
(Phonel crs?:) 440- <4943
OWNER
(N ame)
~~J1
(Address)
/~~~~R IUry} /lIaMrs ~\.j
(Contact Name) ,J1:'rJ1- 410+11 r; J
~AddreSS)/072:J llcpkCiJ:5 JbJ ,~t7JlrtqIen
(Phone) (9S:2.) ""'ls/--~ '>
(Phone)
S'54~o
TYPE OF WORK
/Jeck
o Fireplace
o Alteration
OPorch
ORe-Roofing
o New Construction
o Addition
o Lower Level Finish
o Misc.
PROJECT COST/VALUE (excluding land) $
ORe-Siding
OUtility Connection
I hereby certify that I have furnished information on this application which is tOi 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
sUbmi'::'~~;?r; I am ~ the building official can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may
:teru&$top. J~spections 20";2.01Q CJ ~ 3-1':2...~
r - Signature Contractor's License No. Date
Permit Valuation
#/300 tf () 0
$ 51.00
$ 5'3 I ('5'
$ · ~t::;;
$
$
$
$
$
TOTAL DUE
Park Support Fee
SAC
#
#
Permit Fee
Plan Check Fee
Water Meter Size 5/8"; 1";
Pressure Reducer
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
City SAC and WAC
Water Tower Fee
#
#
Builder's Deposit
Other
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
This Application Becomes Your Building Permit When Approved
~ ~ S/;Z/otf
xLi -fO .
~- I (~-a-r
. ReceiptN~~L/d-U
By !J-
Paid
Date
Building Official
Date
$
$
$
$
$
$
$
$
$ <:s '-I; <xi)
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 ;md 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
Residential" Building Permit Checklis.t
'- .
Deck Additionj to SiIlgl~ Fanlily Bomt:~
BY ~ ~f-J
Building 'Permit #-
S ite Addre:5~
Pill:
Date 3-/~-otf
. Zonin~:
~L/{Jd,)Qt7pd~d! fliv.. r
Subdiv1.:sit}o: -- - V
Legal: L . B
E.J:i.st:ing Structurt:: YES or NO
CONFORI\IS TO ZONTI'{G
o RD Il'{ 4~N CE
1'"E S
NO
y ;lr.d Setbuc~: NOT .:.\.?PL I CABLE
l'tIEETS CODE
R~quirem~nt
Propo~ed
Side Yard
(25' if abutting il stret:t, 30' if abutting a street in
C ardina! Ridge)
· . Side Yard
10'
10'"
· Rear Yard
2j'
-
· Townhouses
LVlust be consistent with
approved pl:m for
develop ment
~ .fb1 f~
J.~'iY PROPOSED DECK NOT M:EETING THE ABOVE CRlTERL-\. ~{UST BE RE.FERRED TO THE
PLAJ.'+1'fIJ."'IG DEP.-\.RTiYrE.NT. ALSO, Al'fY DECK ON A LOT 'N1TH A SUSPECTED BLUFF, OR A.NY
OTHER UNuSUAL CIRCtIMSTAi.'+CE iYlUST BE REFERR.E.:.D TO T.HE. PL,'-U'fNll'fG DUA..RTlYlENT.
THIs CHEC..KL1ST .I.VfUST BE COMPLETED Al'fD iNCLUDED u'f THE BU1l.DING PERMIT F1L.E TO
iYlAll'IT AlL'f A R.E C O.RD 0 F THE REVlE W .
L. :',TE~/[PLA IE" 0 E C:{(.~ECX..DOC
P R I 0 R LA K E DEPARTMENT OF
, BUILDING AND INSPECTION
INSPECTION
RE ORD .
SITE ADDRESS .s '$loa ~ ~
TYPE OF WORK Df!.t:.. J:.
USE OF BUILDING -sf R
PERMIT NO. 0 Lf - /3' DATE ISSUED 3 -1";).- t/
BUILDER PHONE #
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
FOOTING Ci'/<;!- /~~~~
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
FINAL fV,/ q-/1
FOR ALL INSPECTIONS (952) 447-9850
.~
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
DATE TIME
4f- /-()t-(
ADDRESS
67tO;L
fJc~<i?
OWNER
CONTR.
PHONE NO.
PERMIT NO.
q-(jC(
o FOOTING
o FOUNDATION
o FRAMING
~ ~SULATION //
~~~NAL -{(,((,
o SITE INSPEC!ZN
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
~
/ ~ /
I / /
( I /!()X
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,.
--~
--t~
qlj \
~(/G )
./
~
---
----
..,.,----
~RK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT fi~OR REINSPECTION BEFORE COVERING
Inspector: / t/ (.-/ OWner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
/JIiSNOTl