HomeMy WebLinkAboutBuilding Permit 04-0263
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
(Please type or print and sign at bottom)
ADDRESS
4~ ll.\ ~~~~LL C"t.a..
LEGAL DESCRIPTION (office use only)
LOT1 BLOCK-E ADDITION KNoh
OWNER\,",", ~..... . J .
(Name) t:~<- ~ ~
(Address)
\.J;~
White File
Pink City
Yellow Applicant
Date Rec' d
ij - I ~ -6L/
PERMIT NO. ot:f. 02,(,3
W-e;;.JUi
(Phone)
BliaDER \\ \)
(Company Name) ~~\JJ.O~(:~ 0 D~ CS\: ~ \ <.€V\<')()\;l.:I ,,\L,..
(Contact Name) \?::" \. . ~w.:c\.J. \,
(Address) \'t1..~\ \Jv,;r~ ~€-.
ZONING (office use)
tel
PI~-779-015-{)
~~L-4D3>-lo~~D
(Phone) .lo\ 1- ~lc- $2.. \ \
(Phone) S~~
120 ~-ra..~.;vJ~~d.\, o~. ~OQQAU.J 'l-\ \J ss 3-s2..
TYPE OZRK 0 New Construction J(lDeck OPorch ORe-Roofing ORe-Siding OLower Level Finish 0 Fireplace
OAddition o Alteration OUtility Connection 0 Misc.
CODE: .R.C. DI.B.C. PROJECT COST/VALUE $ .5{:;x:i).CJ:J
Type of Constmction: I II III IV V A B (excluding land)
Occupancy Group: A B E F HIM R S U
Division: I 2 3 4 5
I hereby certifY that I have fi.Jrnished 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-mentioned property and that al struction will conform to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the building
;"" con "vok, th~ v;:mit 10' J n" Fnrth"",olC, I h",by 'wee thot the CIty offici"~ ot , 2.';;;:;;;;;; son the property to pcrfo,m needed ':;'W.;l.,.. I. /
Contractor's License No. ate F
,.
Permit Valuation
Permit Fee
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
W 3tJoO. 00
$ 98,25
$ EJ.~
$ I, 5'0
$
$
$
$
$
This Application Becomes Your Building Permit When Approved
~a
Building Otlicial
1/;{/tJlf
Date ,
Park Support Fee
SAC
Water Meter
Size 5/8"; I";
#
#
#
#
TOTAL DUE C1~lJ 4-. 15_ 0 f-"
$
$
$
$
$
$
$
$
$ 10/7,/1
Receipt~. ~~~
By Y,-.
(f
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
Pressure Reducer
Sewer/Water Connection Fee
Water Tower Fee
Builder's Deposit
Other
Paid
Date
/4-7 / I
r~. / (": 0 L--
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 Checklist
'-
De(kAdditionj to Single Fanlily Hom~:i
~~
Date
L/- Id -oLj
1/5'75/ .~~ ~
Subdivi~i'Jl1: M. 1f.lI C)--!4--
BY:
Building -P~rmit #-
S ite Addrej~
Pill:
Legal: L 7
BY
E.si~tillg Strueture~r NO
CONFORl\IS TO ZOL'rIL~-G
ORDIN4~NCE
x'ES
NO
Y:ll:dSdb:.lC~: NOT APPLICABLE
LVIEETS COD E
Rt::quire:m~nt
Propo:ied
Side Yard
(25' if abutting il street, 30' If abutting a street in
C ardina! Ridge)
Side Yard
L 0: .
10"
/() 1_ ~ If oS:
.f
trrreA. / 0 ,J ,.
50 I
· Rear Yard
") -.
_J
· T o v'\inhollses
Nlust be consistent with
approved pkw for
develop ment
,JA
4~'fY PROPOSED DECK NOT M:EETING TfIE ABqVE.CRlTE.RlA. ~!UST BE REFERRED TO THE
PL....u'fN1J.'iG DEPARTL'Yf.E.NT. ALSO, Al'fY DECK ON A LOT W1TH A SUSPECTED BLUFF, OR A.NY
OTHER UN1JSUAL CIRCt!MST.~.NCE iYillST BE REFLR..RE:D TO THE. P1.A.l.'fNll'fG DEPA.RT~1:Ei'iT.
TIDs CHECKLiST J.vrUST BE COMPLETED ...u'fD iNCLUDED lL'1 THE BU1l..DlNG PERM1T FIL.E TO
l'vIAlr'ITAlJ.'i A RECORD OF THE REVIEW.
L:' J. c;'\jiPL\ IT', 0 E C:,:I,~ECK.DUC
//
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.. . ............ -.. ... ..~. ~ ...... . -
P R I 0 R LA KE DEPARTMENT OF
BUILDING AND INSPECTION
INSPECTION
RECORD
SITE ADDRESS L/ 5"~ ~c~u.- Giae.J..E
TYPE OF WORK ~QJ 't)rC-lC..
USE OF BUILDING . 'S, ~ t),
PERMIT NO. 01-. O~~3 DATE ISSUED ~ ,'-I '0'"
, I
BUILDER ~\~ILf(L.eW1 S PHONE ~t -'\03.t.3'leC
.
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
I~~CTOR DATE
FOOTING ~ jj '/-/ ,
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
FRAMING PI2.(CrL i-lJ l)6c.t<- ~A1U:> ~'-Ac~ / (#/ cf-"2.$
FINAL
(flJ
l / --:~(l
- '--"'"
FOR ALL INSPECTIONS (952) 447-9850
--
\
ADDRESS
4*J /C{
OA TE TIME
SCHEDULED 9-~
~' I c:r-
CONTR. .
CITY OF PRIOR LAKE
INSPECTION NOTICE
OWNER
PHONE NO.
PERMIT NO.
L{ - '2.&1
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
jZC.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:
R THE NEXT INSPECTION 24 HOURS IN ADVANCE.
'MENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTI