HomeMy WebLinkAboutBuilding Permit 04-0260
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
O().O~
(Please type or print and si2l1 at bo~~u.~)
ADDRESS
/4-42.4-
!e.AV6A1
LOT 2. I BLOCK
LEGAL DESCRIPTION (office use only)
ADDITION
K#OI3 ifiLL.. 5711
PID 2,6. 3"8.02-/. 0
OWNER
(Name)
1. White File
2. Pink City
3. Yellow Applicant
Date Rec'd
4-. /tf. 01-
PERMIT NO. 04-. OZ.&; 0
(1,/.
SN&e I f' .:JRSON ell e~ 0
(phone) '7Sz.. --9'G2 ~ -/;?CJ?
(Address)
BillLDER
(Name)
(Contact Name)
(Address)
TYPE OF WORK
o Misc.
o New ConstIUction
OLower Level Finish
(Phone)
(Phone)
~Deck
o Fireplace
o Porch
o Addition
ORe-Roofing
OAlteration
PROJECT COST IV ALUE (excluding land) $
ZONING (office use)
/2../
ORe-Siding
OUtility Connection
I hereby certify that I have furnished information 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 above-mentioned property and that all constIUction will conform to all existing state and local laws and will proceed in accordance with
submitted plans. I am aware that the ~ui1~~ offici~ can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may
enter upon the pro neeoed mspections. ::>
Permit Fee
Plan Check Fee
State Surcharge
Penalty
I Plumbing P.:.uuit Fee
Mechanical P.:.uuit Fee
Sewer & Water P.:.uuit Fee
Gas Fireplace Permit Fee
Signature
f~~,rra
$ 89.Z-S"'
$ 5 7. 316
$ I · ~()
$
$
$
$
$
. This Application Becomes Your Building Permit When Al'l'& u ...ed
~ci~ 1j/;.t'/
$
$
$
$
$
$
$
$
~ 4-d~,,()4-- $ 1'/7,11 }
_IJ... _.. J... r/
Receipt No. ,f.J? -'~c1
. By fj-...
Contractor's License No.
I Park Support Fee
SAC
#
#
~-/~ -00/
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 constroction to commence. Before occupancy, a Certificate of Occupancy must be
issued.
Planning Director
Water Meter
Size 5/8"; 1";
Date Special Conditions, if any
24 hour notiCe for all inspections (952) 447-9850, tax (95i) 447-4i45
16200 Eagle Creek Avenue Prior Lake, MN 55372
Pressure Reducer
City SAC and WAC
I Water Tower Fee
Builder's Deposit
#
#
Other
TOTAL DUE
Paid
Date
~ I'--} I)
t /-1r/"
/ J- /~ -/J i../
lit - I
Residential Building Permit Checklist
. Deck Additions to Single Family Homes
BY:
Date:
4- . /1-. 0 tf-
Building Permit # 0 t1-. 0 U d Pill: ZS-. 3 (,8 . (j 2./.. 0 Zoning: Je../
Site Address /44-24- ~I/c-~ cr.
Legal: L z... , B
Existing Structure.~;\ NO
. ,"~
~ M. J Uu 1 ~ L..... IN
Subdivision: F-#V 06 fl'~ <....J
CONFORl\IS TO ZONING
ORDIN4-\NCE
)~S
NO
, Yard Setbacks: NOT APPLICABLE
~[EETS CODE
Requirement
Proposed
· Side Yard
(25' if abutting a street, 30' if abutting a street in
Cardinal Ridge)
· Side Yard
10'
10'
2-1
~ [0
1.03
. Rear Yard
25'
. T O\"nhouses
Nlust be consistent with
approved plan for
development
N f\ ,.
ANY PROPOSED DECK NOT l\'[EETlNG THE ABOVE CRlTERlA ~IUST BE REFERRED TO THE
PLANNl1'fG DEPARTMENT. ALSO, ANY DECK ON A LOT WITH A SUSPECTED BLUFF, OR Al'N
OTHER UNUSUALCIRClIMSTANCE i\'Il1ST BE REFERRED TO THE PLA.l'iNlJ.'fGDEPARTl\'lENT.
THIs CHECKLIST ~ruST BE CO~fPLETED AND INCLUDED 11'f THE BUILDING PERL\'llT FILE TO
l\'1AlNT AlN A RECORD OF THE REVIEW.
L\ 1.t.1VtPLA TEIDE CKCHCK.DOC
.... CI .> '"
't/.
P RIO R LA KE ~~rtD~~~~~D~:SPECTION
INSPECTION
RECORD
SITE ADDRESS /44-z4- RAVEN e/.
TYPE OF WORK 06 CK.
USE OF BUILDING /U,S ~/,e
PERMIT NO. 0 tI-. 02.(p 0 DATE ISSUED 4-. I~. 0 l'
BUILDER (!/-IEL,~O PHONE # 403. /708
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
~ IN.E~OR DA~
FOOTING LV c. Yb l) - Z &
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
.
~ ~FRAMING ''We"' 't/~ 5-)
C~ ~ 75t1/WPf ~ ,a0f&7J · /? \
RNAL f''P b-)'
FOR ALL INSPECTIONS (952) 447-9850
'\
"
CITY OF PRIOR LAKE
INSPEcnON NonCE
DATE TIllE
SCHEDULED
".. :?-t:.ll
ADDRESS ~~ (1-/-
OWNER
CONTR.
PHONE NO.
PERMIT NO.
ex! -0 ;{(,~
[J FOOTING
o FOUNDATION
o FRAMING
o INSULATION L
;S::FINAL ~_~
o SITE INSliEltION
[J 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:
-/
./ ~ SATISFACTORY, PROCEEO
o CORRECT ACTION AND PROCEED
o CORREfY<?RK. CALL FOR REINSPECTION BEFORE COVERING
Inspector. 'II. Owner/Contr.
, I
CAlt f/les5 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CO\t';u.. 'MENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INS1<<JTl