HomeMy WebLinkAboutBuilding Permit 04-0162
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
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White File
Pink City
Yellow Applicanl
(Please type or print and sign at bottom)
ADDRESS
PL.
/ S-37f;
rso0~,d
;Ju.
Ct~
LEGAL DESCRIPTION (office use only)
LOTd~OCK IADDITION
OWNER r\. . n
(N ame) I Ja...u \ eX
S~
!/ld!io Sf) ..
{kef
(Address)
BUILDER
(Company Name)
(Contact Name)
A/oAlF
(Phone)
(Phone)
(Address)
/.F'I-C/ S Oft) I Lj
TYPE OF WORK. 0 New Construction ~ck OPorch lORe-Roofing [JRe-Siding
DAddition DAlteration DUtility Connection D Misc.
Date Rec' d
PERMIT NO. () L/ - I t;,J "
S 3-3 7~
ZONING (office use)
Rl
PIrd5-3f~- 0)-;)-6
DLower Level Finish
D Fireplace
CODE: OI.R.C. OI.B.C.
Type of Constmction:
Occupancy Group: A B
Division:
III IV V A
HIM R
2 3 4 5
B
S U
PROJECT COST IV ALUE S
(excluding land)
I
E
II
F
I
I hereby certify that I have furnished information on this application which is to the best of my knowledge true and correct. I also cel1ify that I am the owner or authonzed agent for the
above-mentlO property and that al construct" will conform to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the buildmg
official can v e this permit for ju call hermore, I hereby agree that the City official or a designee may enter upon the propelty to perform needed mspections.
X f ~, --;7 .;.. 3-/9- 0 'I
, , - Signature Contractor's License No. Date
Permit Valuation ~i()OOt 1)0
Permit Fee $ 1ft I Z S
Plan Check Fee $ Z(",~I
State Surcharge $ , 5'"<<1
Penalty $
Plumbing Permit Fee $
Mechanical Permit Fee $
Sewer & Water Permit Fee $
Gas Fireplace Permit Fee $
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
This Application Becomes Your Building Pennit When Approved
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r, C"....- /
00..:3;7 0
3~'~ 11'" 0 4
Building Otlicial
3/1 ' loc{
Date
Paid
Date
# $
# $
$
$
# $
# $
$
$
$
wE, 5 (p
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I
Receipt No.
By (I'
l' ,
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 Ce11ificate 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. fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
BY
~
Residential" Building Permit Checklis.t
'- ,
Deck Additio nj to 5 ingle F anlily Hom~s
r
~ Date'
Building -P~rmit #
S ite Addrej~
PID:
3--/q-6f
/53/1 Y~~~IcL~{1- (l
, 9.~ /) fJ, .1_ ,
Subdivi~it)n: W~ ~
'-
Legal: L 2-'2- ' B
I
. E.I.isting structun@r NO
CONFORI\IS TO ZONIl'{G
o RD IN ~-\N CE
)'ES
NO
y :1I:d5dbuck~: NOT A.PPL IC.'-\BLE
~lEETS CODE
R~quirem~nt
Proposed
Side Yard
(2j' if abutting a street, 30' if abutting a street in
Cardinal Ridge)
· . Side Yard
10'
2t(
lO~
. /
OV~Yt- 10
. t -
. 4fo 1- on..-
· Re:lf Yard
2Y
· Townhouses
l\'Iust be consistent w-itb
approved plm for
develop ment
tJft
A"NY PROPOSED DECK NOT CYCEETING THE ABqVECRlTERlA ~tUST BE REFERRED TO THE
PLA.L'iNl1.'1'G DEP.-\.RTiYrE..NT. ALSO, ANY DECK ON A LOT WITH A SUSPECTED BLUFF, OR ANY
OTH:E.R UN1JSU,U CIRCt!MST.~'{CE ~rUST BE REFERR.E.n TO THE. PLA.l.'{NING D'E.PA.RTl'tlENT.
TIDs CHEClllST JYfUST BE COMPLETED AJ.'ID INCLUDED lL'f THE BUILDING PERJ.'VUT FILE TO
l'vlAlNTAl1'f A. RECORD OF THE RE"VIEW.
L:' 1. c..:.\/J:PL.-\ rE' DE C?,~r.==.:rCK.D()(
. .' -
.. ..
.. . - . ~
P R I 0 R LAK E DEPARTMENT OF
BUILDING AND INSPECTION
INSPECTION
TYPE OF WORK lJee,,1C. ok:. C OAJ 'y
USE OF BUILDING SF '..;7' .
PERMIT NO.,! If- l f. do. DATE ISSUED ..3 · I fj - 'I
BUILDER AI.Ilr::J MAlI PHONE # d.f~. ~ tYO
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
(.) INSPECTOR DATE
· FOOTING cf F/IuCtL- w. I If!)
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
FOR ALL INSPECTIONS (952) 447-9850
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
1-2l/ ~cI/
I
ADDRESS ~)') ~
~~~
OWNER
CONTR.
PHONE NO.
PERMIT NO.
4-)r..,~
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
1. ~ ~ +u~ ~~ J-Plt,M.~
;l. ~L:Jl-. MV"o 1- w"'_~
~SATISFACTORY' PROCEED
o CORRECT ACTION AND PROCEED
o CORRrtT TJ' CALL FOR REINSPECTION BEFORE COVERING
Inspecto: ' II Owner/Contr:
CA~ t'~850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE..
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH &: SAFETY!
INSNOTl