HomeMy WebLinkAboutBuilding Permit 04-0163
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
1. White File
2 Pink City
3 Yellow Applicant
Date Rec' d
3.18;o'f-'
PERMIT NO. () il -' I fCJ 3
(Please type or print and sign at bottom)
ADDRESS
15Z,!(P F/I/~,*Y fff..J /ZO
LEGAL DESCRIPTION (office use only)
/rr
LOTZtJBLOCK Z- ADDITION t/€NJl"'1ffN#
OWNER
(N ame)
(Address)
ZONING (office use)
III
PID "35"~ 37"- 02.,+. c)
(Phone)
BUILDER
(Company Name) \.. ~Cl-.....~-",--...-..-- '-"'~.~"--:::>
(Contact Name) \.J ~ ~ "'-
(Address) \. ~ ~S ~ \..c.:-z..~ ~f;;-"",- C::.~-~...__
(Phone)
(Phone)
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TYPE OF WORK 0 New Construction b6'D~ porc ORe-Roofing ORe-Siding
OAddition DAlter~ DUtility Connection 0 Misc.
CODE: 8I.R.C. DI.B.C.
Type of Construction:
Occupancy Group: A B
Division:
OLower Level Finish
I
E
PROJECT COST IV ALUE $
(excluding land)
'-\~v
~
~.~\
L.\ 'L"~
",-\e
II
F
1
III IV V A
HIM R
2 3 4 5
B
S U
o Fireplace
I hereby certifY that I have filrnished information on this application which is to the best of my knowledge true and correct. I also certifY that I am the owner or authonzed agent for the
above-mentlOned 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
officia\ca~revoke this p. ermit for just cause Furthermore, I hereby agree that the city official o. r a de,:gnee may enter upon the property to perform needed inspectIOns.
X ~~~ ~~,- ~ \~~'< ~r,~/~~
Signature Contractor's License No. Date
Permit Valuation
Permit Fee
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
$
$
$
$
$
$
$
$
J,
" 5d~1 () 0
dJS:/J1J
I', 2..- S-
.,$0
'Nater Meter Size 5/8"; I";
Pressure Reducer
Sewer/Water Connection Fee
#
#
Park Support Fee
SAC
#
#
'Nater Tower Fee
Builder's Deposit
Other
TOTAL DUE
~ec~mgp:;/~;i;;d
Building Otlicial ' Date '
Paid
Date
""1.7S-
3. '2.,ZJ 0 I--
$
$
$
$
$
$
$
$
$ 1/, 75'
~~CJO.
~.Mf
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
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
Resid e uti al Bun dingP e rm i t C h eckJ ist
'- .
Deck Addition.') to Single Fanlily E.om~:5
BY.~~
Date
Building .Permit ,:;.
S ite Addre.:s~
Pill:
ISd/~~
Legal: L . B
Existing Strudun(@or NO
CONFORl\IS TO ZONII'fC
o RD IN 4:.\1'1' CE
y ar.d Sdb:lc~: NOT A.PPL I CABLE
iYIEETS CODE
· Side Yard
(2j' if abutting il street~ 30' if abutting a street In
Cardinal Ridge)
· . Side Yard
· Rear Yard
· T QVVnnOlLSes
~ -;g-GLf.
-:z '- . Zoning: ,.
I~ ;;to
Subdivision:
I~S
R~quirement
to'
la'
ID'
N"-
I2d
1'1"0
Propo:ied
~A:
tJA
A..NYPROPOSED DECK NOT L'YCEETL."4G THE ..'-\.BQVE CRlTERlA ~{UST BE RE.FERRED TO THE
PLAi'fNlL'fG DEP.~TiYfE.NT. ALSO, Aln' DECK ON A LOT WITH A SUSPECTED BLUFF, OR Al'fY
OTHE.R UN1JSUAL CTRCtfiYtST.:.\J.'lCE iYIUST BE REFE.R.RE.D TO TfIE. PLAJ.'fNlL'fG Dj!:.PARTlVIEL'lT.
25'
LVlust be consistent w'ith
approved pl:m for
develoo ment
THls CHECKL1ST JYru.ST BE COMPLETED Al'fD ll'ICLUDED Ll'f.THE BlIIl.DING PERL'YllT FILE TO
lYIA.IN1'AlJ.'f A RECORD OF l,.tl.l!. REVIEW.
L:'..l. c.:.\/lPL..I..TE'DECK'.=:-iCK.DOC
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P R I 0 R LA K E DEPARTMENT OF
BUILDING AND INSPECTION
INSPECTION
RECORD
~:EA~~~~S:K /~7~~~~f4 ~tl
USE OF BUILDING ~F
: PERMIT NO. OJ{'" //P3 DATE ISSUED ~ - I"-~I,/
~ BUILDER -LtJ~,,~ PHONE#-p/~.~~J-7/7'
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSP~OA DATE
FOOTING (I?P ~ -~ fI'
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN s(GNED
FRAMING~aL :be-u:- ~0Af2.o.s ~ee AffLiEt>) -~~ ;r~ 7/ .
{ ,
FINAL
/')
-If IV
l./
- v). 20
FOR ALL INSPECTIONS (952) 447-9850
. \
I
. ,
\
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
F.....:l"(~/~ V
. 0 u
CONTR.
ADDRESS } t; L l (P
OWNER
PHONE NO.
PERMIT NO.
t+- 1&3
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
o FOOTING
o FOUNDATION
o FRAMING
o INSULATIOL
)({ FINALt2e.c..
o SITE INSPE
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
/'
~RK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
~\
Inspe r' /" Owner/Contr:
A ("~9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE ~UIREMENn' ARE FOR YOUR PERSONAL HEALTH & SAFETY!
IJIISNOTl