Loading...
HomeMy WebLinkAboutBuilding Permit 04-0214 (Please type or print and sign at bottom) ADDRESS CITY OF PRIOR LAKE BUILDING PERMIT, TEMPORARY CERTIFICAtE OF ZONING COMPLIANCE AND UTILITY CONNECTION PERMIT Date Rec' d 4,/.o~- I. White File 2, Pink City 3 , Yellow Applicant PERMIT NO. CJ l./ - 3/ L/ 2~6Z, 1f()6MT 1/tH/~ LEGAL DESCRIPTION (office use only) LOT II BLOCK I ADDITION WIL.()J J'fI(.Inf ( , "\ ~ck Dporch \ o Fireplace OAddition o Alteration PROJECT COSTIVALUE (excluding lan'd) $ \ / I hereby certify that I have furnished information on this application which is to the best of my knowl<~~e true and correct. I also certify that I am the owner or authorized agent for the above-mentioned property 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 . can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may enter upon the property to perform needed in . ns. X ~~~. ~ Signature OWNER (N ame) t/? 10/6" (Address) BUILDER (Name) (Contact Name) (Address) TYPE OF WORK PID 2..6'. 3~ 2... 0 I f. 0 / ~f2 I-'6?47P ~ ~ // ~ /~/?tI (Phone) /r--'__,., (Phone) ./ /' (Phoge) / / o New Construction ORe-Roofing o Misc. OLower Level Finish Permit Valuation Permit Fee Plan Check Fee State Surcharge Penalty Plumbing Permit Fee Mechanical Permit Fee Sewer & Water Permit Fee Gas Fireplace P.:..uuit Fee ----- Contractor's License No. $ $ $ $ $ $ $ $ #Zt;()O, Of) {3. 75 '-l 7 ' '1 L.{ 1,60 City SAC and WAC Water Tower Fee Builder's Deposit # # Park Support Fee SAC # # Water Meter Size 5/8"; 1"; Pressure Reducer /I 11. '11:-0' -,. -' Y TOTAL DUE (JP"'~ (.A r ,.. / d-d./{()'7 tf-~- J/ Other ZONING (office use) ~I ORe-Siding OUtility Connection ~ // /t/t; Date $ $ $ $ $ $ $ $ $ , ~2-. (oq This Application Becomes Your Building Permit When At-l'& u led ~~ Building Official 1/,;Lhif , I Paid Date . Receipt No, 4~i{4f By ~' cr.~ , Date 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 Special Conditions, if any 24 hour notice (or all inspections (952) 447-9850, tax (952) 441-4245 16200 Eagle Creek Avenue Prior Lake, MN 55372 Residentjal B uilding Permit Ch eckJist Deck Addition:} to Single F amil)' Homes ,. ~ Dare 1/;;-;&'1 PID: Zonin~: ~ /~ -- Subdivision: AJ;a BY: ~. Building Permit # Site Address ~~~eJ- / Legal: L /1 B Exi.sting Structur~r NO CONFORl\IS TO ZONli'fG ORDIN~~NCE Yard Setback.s: NOT A.PPL ICABLE ~f'lEETS CODE I~S R~quiremt:Ilt 10' · Side Yard (25' if abutting ;J. street. 30' if abutting a street in Cardinal Ridge) · Side Yard · Rear Yard · T o\o~nhous~s . Uy 25' tvlust be consistent 'vvith approved plan for development ~ NO Proposed 20' L{ <6' 'S 0' ,JA. Al"1Y PROPOSED DECK NOT iYLEETlNG Till ABOVE CRlTE,RlA MUST BE REFERRED TO THE PLA,L'iNu'iG DEPARTl\'LENT. ALSO, AJ.'f't' DECK ON A LOT \VITH A SUSPECTED BLUFF, OR ANy' OTHER UNlJSUAL CIRCUMSTANCE rvruST BE REFERRED TO THE PLA.l.'fN1NG DEPARTMXNT. Tills CHEC.K1..lST tYruST BE COl\'IPLETED AJ.'ID iNCLUDED IN THE BUILDING PE:&VllT FILE TO iYLU1'ITAli"1 A RECORD OF THE REVIEW. L:'.l t.~\I[PL..-\ TE"DECKCHCX.DOC . .';",. . . ... -- , , - -;.. - .. - ~ . -' PRIOR LAKE DEPARTMENT OF BUILDING AND INSPECTION INSPECTION RECORD . SITE ADDRESS z.eez.. -eo~T 1'Ur/L.. TYPE OF WORK Ne w bEcJ'. USE OF BUILDING ~,f;C. PERMIT NO. _ DATE ISSUED LI/2-/i'I'I . BUILDER CI.A16 ~iS PHoNEr.9SZ"'~-Z~lS . '. NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT _ECTOR n DA~ FOOnNG l:) , f(t, '-'1--6 PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED FINAL (t~ f-(o FOR ALL INSPECTIONS (952) 447-9850 . ~ ... . ., ... f')~..... - ' . .. _ ~ 44.... . DATE TIllE CITY OF PRIOR LAKE INSPECTION NOTICE SCHEDULED ,5" -jO .o~ ADDRESS ? e~ 'l..~ OWNER CONTR. PHONE NO. PERMIT NO. 4-2 i o FOOTING o FOUNDATION o FRAMING kENSULATION HAL o SITE INSPECTION o PLUMBING RI o MECH RI o WATER HOOKUP o SEWER HOOKUP o PLUMBING FINAL o MECH FINAL o EXlGRADIFILUNG o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GASUNE AIR TST o COMMENTS: I. ~~..J):. lz.,) '_ I, _.1- ~or- - t!)El\ ~ \J, o WORK SATISFACTORY. PROCEED ~ CORRECT ACTION AND PROCEED o CORRE K. CALL FOR REINSPECTION BEFORE COVERING lREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI lNVIOTl