HomeMy WebLinkAboutBuilding Permit 04-0293
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICAtE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
(Please type or print and sip at bottom)
ADDRESS
2 e~5 {J06(!A'{
IIV'II t.,.....
I. White File
2. Pink City
3 Yellow Applicant
Date Rec' d
4'. {'I. 0 {
PERMIT NO. O,fr OZ?J
LEGAL DESCRIPTION (office use only)
LOT . t- BLOCK ~ ADDITION W f "0 J' J' tJ v711
OWNER
(Name)
(Address)
ZONING (office use)
1</
PID 2$;. .382... 0 c.. 0.0
(Phone)
BlITLDER ,
(CompanyName)~ C{)~s1la. JC.,.TIOrJ
(Contact Name) " D ""-
(Address) 17ro ~uS~R.E- DR \3J ~\J'\\,.lk
IT
F
I
fiIV
H I
2 3
V
M
4
(Phone) Q'5Z- LOO-ZI~4
(Phone)
................
OLower Level ~.. 0 Fireplace
""-.
A
R
5
PROJECT COST /V ALUE $
(excluding land)
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 authonzcd agent for the
above-menttoned 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
:ffkial <on rev 'h~ permit (0, P2~ermore. I h<reby ""'" that 'h, oily oflkial Ol a d"'gnre may ,n'" upon th, """""" to pn-fono n""'dtfi'1lJ) 4-
Signature Contractor's License No. Date
TYPE OF WORK 0 New Construction )QDeck o Porch ORe-Roofing ORe-Siding
OAddition o Alteration OUtility Connection 0 Misc.
CODE: ~I.R.C. OI.B.C.
Type of Construction: I
Occupancy Group: A B E
Division:
Permit Valuation
Permit Fee
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
$
$
$
$
$
$
$
$
t~,fnJ
73, 75
'Ll7 ' 1 tI
1,00
This Application Becomes Your Building Pennit When Approved
~~
Building Otlicial
f1.1~r
B
S U
Park Support Fee
SAC
#
#
$
$
$
$
$
$
$
$
$ / Z2 I bct
~,?J
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
Water Meter
SizeS/81t; lit;
Date Special Conditions, if any
24 hour notice for all inspections (952) 447-9850. fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN S5372
Pressure Reducer
Sewer/Water Connection Fee
Water Tower Fee
Builder's Deposit
Other
TOTALDUE ~
#
#
I Paid
I Date
~/fI"
1/. 7/1, lJ#-
4- At1.04--
Rec;1ff}.
BY,_"
Res ide n tj a 1 B u i 1 din g Per m i t C he c kl is t
Deck Addition::; to Single F anlilj' Homes
A:: _ ~
BY:~
~~
Date:
1/t1~t/
Building Permit #- PID: Zoning:
Site Address c?i'/PS- Z~ (!J-- ~. n
Legal: L b B 3 Subdivision: tI~ ~
Existing Structure: ~r NO
CONFOR}!S TO ZO~mG
o RD IN 4"-\N CE
I'ES
NO
Y:lrd Setback.s: NOT APPL ~CABLE
~lEETS CODE
Requirement
Proposed
· Side Yard
(25' if abutting a street 30' if abutting a street in
Cardinal Ridge)
· Side Yard
10'
10'
eJ-$>.i
L.J I'
(
Lf5
. Rear Yat'd
25'
. T o~vnhouses
NIust be consistent with
approved pl:lr1 for
development
tJ.!\ ,
A.NY PROPOSED DECK NOT ~LEETlNG THE ABOVE CRlTERlA MUST BE REFERRED TO THE
PLA1'iNl1'iG DEPA..RT~LENT. ALSO, ANY DECK ON A LOT \VITH A SUSPECTED BLUFF, OR Al'{y'
OTHER UNUSUAL ClRCl.rMSTA.J.~CE i'f.l1JST BE REFERRED TO THE P'LA.l.'{NlL'fG DEPARTlHENT.
THls CHEC.KL1ST lVfUST BE COMPLETED AND ll'iCLUDED 1.1'1 THE BU1I.DING PE&VIlT FILE TO
N.L\lNT All'f A RE C ORD 0 F THE REVlE W .
r... :'.TE~/[P L.A. TE 0 E CKeH C 1<':'.DOC
\.
_" I:" -..'"
'<t.
....
PRIOR LAKE DEPARTMENT OF
. BUILDING AND INSPECTION
INSPECTION
RECORD
SITE ADDRESS ZMlF IIM4t!IT TMltII,...,
TYPE OF WORK ~.
USE OF BUILDING ~ A-/L
PERMIT NO. ~."!J1 O{f'EISSUEO .,..."'~
BUILDER ZIJt. PHONE # --'JJ.t) - Zlu-.
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
FOOnNG We- (IP f/"'<~
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
~
FINAL
pe
5~l6
FOR ALL INSPECTIONS (952) 447-9850
DATE TIME
CITY OF PRIOR LAKE
INSPEcnON NonCE
SCHEDULED
T)- It)
ADDRESS
:soc:: ~
OWNER
CONTR.
PHONE NO.
PERMIT NO.
L/-ACf-S
o FOOTING
o FOUNDATION
o FRAMING
o INSULA~ON ,_
).t.FINAL '<-
o SITE IN E TION
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 GASLlNE AIR TST
o
COMMENTS:
~ORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORR~C 0 K, CALL FOR REINSPECTION BEFORE COVERING
Inspecto . Owner/Contr:
CA -9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
INSNOTl