HomeMy WebLinkAboutBuilding Permit 04-0290
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICAtE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
(Yf \I JIf, 0+
(Please type or print and si{tIl at bottom)
ADDRESS
1'I'IL;:l eIlSrLEG1t71E. WAy N.W.
,
LEGAL DESCRIPTION (office use only)
at) t^E-AOOW ~I EW
LOT BLOCK ADDITION
OWNER
(Name) D A \I'~ l - CON tt.-ItrO
(Address) J '-14 '-\ ~ C .q.sTl-cv~rE
WAy
BUILDER
(Name) (oWNE~)
(Contact Name)
(Address)
TYPE OF WORK
)i(Deck
o Fireplace
o New Construction
DLower Level Finish
o Misc. (,r<c., ~'o
I. White File
2. Pink City
3. Yellow Applicant
Date Rec'd
PERMIT NO. O+-, O.J-.9 0
ZONING (office use)
I!.Z
PID Z$"; 3 8~ 0 z..O. 0
(PhOn~ q S ~ -4 CJ (p octo 'd'
N.W.
(Phone)
(Phone)
o Porch
o Addition#
ORe-Roofing
o Alteration
PROJECT COST IV ALUE (excluding land) $
ORe-Siding
DUtility 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 construction will conform to all existing state and local laws and will proceed in accordance with
submitted plans. I am aware that the building official can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may
Xenter Ce pro~/to pe~rm needed }ijspections.
. V ~ '-j-I'1-oq
'. Signature Contractor's License No. Date
Permit Valuation
Permit Fee
it ~ ' /J'fJ
$ 73,75
$ 47, 9Lf
$ /, e C)
$
$
$
$
$
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical P~uuit Fee
Sewer & Water P~uuit Fee
Gas Fireplace P~uuit Fee
This Application Becomes Your Building Permit When Al'l'o ~. ,red
Z. '-. ~ ~ -$?~~
Building Official Date
Park Support Fee
SAC
#
#
$
$
$
$
$
$
$
$
$
/zz, b?
Water Meter Size 5/8"; 1";
Pressure Reducer
City SAC and WAC
Water Tower Fee
Builder's Deposit
Other
#
#
Paid (2, L_" ~J
Date - 4-f U:', D 4-
Receipt No. ~S- 'f
. By PtlJl
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.
TOTALDUE ~tJ 4.14.,V'
Planning Director
Date Special Conditions, if any
24 hour notice (or all inspections (952) 447.9850, tax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
// ..
BY:~
Building 'Permit #
Site Address
Legal: L ~
Residential Building Permit Checklist
Deck Additions to Single F anlily Homes
,.
~
/c.;C(t(2-
I
B
Existing Structur(@>r NO
Date f!r9;G y
PID: Zoning:
(J~~ ~ /v.t<J,
Subdivision: ~ j~
CONFORl\IS TO ZONTh-G
ORDIN~-\NCE
Yard Setbacks: NOT A.PPL~CABLE
LYIEETS CODE
)~S
R~quirem~I1t
10'
· Side Yard
(25' if abutting J. street. 30' ifabutting a street in
Cardinal Ridge)
. Side Yard
. Rear Yatd
· To vvnhOllS es
10"
1-'
_J
iYlust be consistent vvith
approved pl311 for
development
NO
Propo:)ed
,
17
Olt(./t ( ()
~ S-'
NA
ANY PROPOSED DECK NOT ~LEETn'(G THE ABOVE CRlTERlA MUST BE REFERRED TO THE
PLAJ.'\fNlJ.'fG DEP.-\..RTj\t[ENT. ALSO, Al'fY' DECK ONA LOT \VITH A SUSPECTED BLUFF, OR Ai'fY
OTHER UNUSUAL CIRCl'MSTA.J.~CE i'f.l1JST BE REFERRED TO THE PL~'{Nli'{G DEPARTl\{ENT.
T1ils CHEC.KLIST MUST BE COMPLETED A.ND INCLUDED li'l THE BUll.DLNG PER.v'11T FILE TO
iVlAli'ITAli'f A RECORD OF THE REVIEW.
L.:'TE:-tIPL.~ TFDECKCl-iCK.DOC
-.. t' , ~tI:
-.t
...
PRIOR LAKE DEPARTMENT OF
BUILDING AND INSPEcnON
INSPECTION
RECORD
/4442. ~"i8 ~ WAy
D~
..
INSPE~
FOOnNG // (P ~ ~
PLACE NO CONCRETE UNTIL ABtsV~ HjS BEEN SIGNED
....'~. jJI /) ~-~
,.-. D~ 16fN111C1'JS
-'" .
FINAL J~ . u>v'l~
. I I
DATE
FOR ALL INSPECTIONS (952) 447-9850
SCHEDULED k 7"p,/
~-~
CONTR.
PERMIT NO. t{ -).. f ()
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
1'141.{ 1-
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o tNSULATION.-1 ,/,
. rlNAL , ,'.{,"'f \..
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
.-------
~
/' I
/ / 11\-
( L-'f8L
"-
"-.
DATE TIME
/
o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
-------....", ----.
~~
"
i-& )
./
~
.----------
..".
/
I!..WORK SATISFACTORY. PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT ~5;~OR REINSPECTION BEFORE COVERING
Inspector: --r V /- Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
/NSNOTl
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH cl SAFETY!