HomeMy WebLinkAboutBuilding Permit 04-0152
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICAtE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
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Pink City
Yellow Applicant
(Please type or print and sign at bottom)
ADDRESS
15"L(~Z- () LA<.\L e~~
(/\
LEGAL DESCRIPTION (office use only)
LOT&>BLOCK I
s~
ADDITION
l Me W\~~
OWNER
(N ame)
SUrflAM UL- 0 ~k (Phone)
l5lf'2"2, t?L~ f,t.~ (:...\
(Address)
BUILDER
(Company Name)
(Contact Name)
(Address)
Lo?~b'\:-v~
~
'"""'L"Tf-
-ro1Y\
(Phone)
(Phone)
o'vtlu
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s-s3o h
/2 u.~ ~,~t
1700
Date Rec' d
3.17.04--
PERMIT NO. 4 · I (, L
Zo.~~Nq.(OffiCe use)
--
PID ~~.3~z..~~-O
q ~ ,~ LOb .- 2 l ?-<l
TYPE OF WORK 0 New Construction ~eck OPorch ORe-Roofing ORe-Siding OLower Level Finish 0 Fireplace
DAddition o Alteration DUtility Connection 0 Misc.
CODE: ~.R.C. DI.B.C. PROJECT COST /V ALUE $
Type of &~stmction: I II III IV V A B (excluding land)
Occupancy Group: A B E F HIM R S U
Division: 1 2 3 4 5
formation 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
construction will conform to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the buildmg
e Fu fthermore, I hereby agree that the City official or a designee may enter upon the property to perform needed mspectIons,
2~4$o /VfA-? If ~ZOt>c.{.'
Signature Contractor's License No, Date
x
Permit Valuation I~Q:) -
Permit Fee $ .........
":-> 1.5'""0
Plan Check Fee $ Sj. ~
State Surcharge $ i'S:'
Penalty $
Plumbing Permit Fee $
Mechanical Permit Fee $
Sewer & Water Permit Fee $
Gas Fireplace Permit Fee $
I
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
#
#
#
#
$
$
$
$
$
$
$
$
$
15. ~3
'HI h tN--'
/ /
es Yom ~uilmng;Zm r:
/ W 1/4
I '
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ReceibYN o.
()~-
Paid
Date
q So. (, "]
~_ ~"O 4--
Thts 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
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 Ch ec kJist
rJ:\ · \ . Deck Additions to Si~gle Fi'ilytomes
BY \~ J! . Date. 3(17 (0 t
B.uilding -Permit #.11, .1 S2... Pill: · . . Zoning: (2 -(
Site Addres~" . C
' \5f~Z. 5~~ ' T.
Legal: L R Subdivision:
Emtillg Structur@r NO
(~
NO
, CONFOR}IS TO ZONlliG
ORDm~~NCE
Yard Sdback~: NOT A...PPLICA..BLE
i'lIEETS CODE
R~quirement
Proposed
· Side Yard
(25' if abutting il street 30' if abutting a street in
Cardinal Rid~e)
· ' Side Yard
lOf
10"
crs--/
fa'
I.~o(
· Rear Yard
25~
· T o""nhouses
iVlust be consistent '.vith
approved plan for
development
--
ANY PROPOSED DECK NOT M:EETlNG THE ABOVE CRlTER1A~lUST BE REFERRED TO THE
PLAA1'fli'lG DEP.~TI\;fENT. ALSO, ANY DECK ON A LOT \VITH A SUSPECTED BLUFF, OR AJ.'IY
OTHER UNUSUAL CIRCUMSTANCE lVIUST BE REFERRED TO THE. P1.A.L'{N1J.~G DEPA.RTl'tIENT.
THls CHECKLiST JYruST BE COMPLETED AND iNCLUDED 11'f THE BUII.DING PERL'VIIT FILE TO
j)/IAll'ITAlL'i A RECORD OF THE REVIEW.
L:....l t..:.\tIPLA TE'DECKCHCK.DOC
-.l
PRIOR LAKE DEPARTMENT OF
, BUILDING AND INSPECTION
INSPECTION
RFCORD
SITE ADDRESS /".5R-z. 6LIf~ 86/J1l, a-.
TYPE OF WORK JB6~ AIL ~
USE OF BUILDING
PERMIT NO. fi4.. ()/i!S2- DATE ISSUED 3. ~
BUILDER '--.TJe ~Sf1C",. PHONE #~/U-
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTO~ DATE
FOOTING W ( rib ? - S C'J
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
...,
FINAL
~,~s..o y
/
FOR ALL INSPECTIONS (952) 447-9850
/l ,;?
!:lIS
DATE
*,5-01
,
~~~T
LVI6~
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS -IDe[ ~ Z
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION \._
;a FINAL ~~
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
TIME
r
o EXIGRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
~ORK SATISFACTORY, PROCEED
10 ~ORRECT ACTION AND PROCEED
o CORREClJRK. CALL FOR REINSPECTION BEFORE COVERING
Inspector: \ J 1 Owner/Contr:
CALL }",,j-9 ilFOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH &: SAFETY!
INSNOTI