HomeMy WebLinkAboutBuilding Permit 04-0312
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
~5'; 3
C~I)
ire.
'~e t
,
LEGAL DESCRIPTION (office use only)
BLOCK ~ ADDITION Clltl' Jf". I
LOT
OWNER J
(Name) b r wC ~
(Address)
5" S";>> 3
BUILDER
(Company Name)
(Contact Name)
(Address)
C:>Gv~ ~r
Ol/~
Date Rec' d
I. White File I PERMIT NO I
;. ~~~~w ~~:Iicant · 0 '1- 3 / ;;r--
ZONING (office use)
p lA-. 0
() I't PIDd5- 3
- ()~fo -
(Phone)
9SfJ.. 4~o - ~ ~ ~~
"e~ f
(Phone) q. ~ ;..
(Phone)
'/1../0- C ~ 9 2.
TYPE OF WORK 0 New Construction 9fbeck o Porch ORe-Roofing ORe-Siding OLower Level Finish 0 Fireplace
o Addition o Alteration DUtility Connection 0 Misc.
CODE: OI.R.C. OI.B.C.
Type of Constmction:
Occupancy Group: A B
Division:
IT
F
I
ill IV V A
HIM R
2 3 4 5
I
E
~I ()O()
.
B
S U
PROJECT COST IV ALUE S
(excluding land)
x
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 revoke this permit fo just cause. Furthermore, I hereby agree that the city official or a designee may enter upon the property to perform needed mspections.
I-JIIJ- t{-)./-O'-(
Signature Contractor's License No. Date
~.
Permit Valuation IfJCJ()(), dO
Permit Fee $ 89 , 2.- S"
Plan Check Fee $ 57,3,=,
State Surcharge $ I. 5"D
Penalty $
Plumbing Permit Fee $
Mechanical Permit Fee $
Sewer & Water Permit Fee $
Gas Fireplace Permit Fee $
This Application Becomes Your Building Permit When Approved
c-
~/.;
~
Building Otlicial
/!/Z!ft i
I Dafe
Park Support Fee # $
SAC # $
Water Meter Size 5/8"; I"; $
Pressure Reducer $
Sewer/Water Connection Fee # $
Water Tower Fee # $
Builder's Deposit $
Other $
TOTAL DUE $ /L/7, II
ft~~' 1& '
~ 1-= '1_
I ~~ceiEt N&3-0'3
Paid
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 for all inspections (952) 447-9850. fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
Residential Building Perm it Ch eckJis.t
'- . .
Deck Additio n:j to 5 iIlgl~ F ;lnlily Hom~:)
BY ~?~ Date Lf- d / -0 If
Building -Permit .:#
S ite Addre:i~
PID:
55~3 . {!,6'~4d r p~
'B 3
Legal: L I
. Zonin~:
~-
/1 /I. r ~ /I
Subdivi.:sit>o: ~
h{r
Emting Stru~1:ur0~or NO
CONFORl'IS TO ZO.L'1ll'{G l'ES NO
ORDIN4ANC.E
Yar.dSetbuc.io: NOT A.PPL ICAB.LE
i'tlEET-S COD E
R.~quiremt:nt
.Propo:sed
· Side Yard
(25' if abutting J. street~ 30' if a.butting a street in
C a.rdinal Rid ve"
· . Side Yard
to: .
~ !(J I
10"
· Rear Yard
25~
· TQvvnhouses
Nlust be consistent w'ith
approved plan for
develo ment
tJ~.
AJ.'fY PROPOS ED D E.CK NOT M:EETIN G THE ABC! VE. C.RlT ERiA r,-rUST BE REFERRED TO THE
PLAJ.'t1'fIJ.'fG DEPARTM:Ei'IT.ALSO, A.l.TI DECK ON A LOT \V1TH A SUSPECTED BLCJFF, OR AJ.'fY
OTHE.RU1'IUSU.U CIRCtIMSTAi'{CE rvruST BE REFE1'tRE.D TO T& PLAJ.'fN1J.'fC D'UARTlVIENT.
THls CHECKLlST iYrusr BE.CO~lPL.ETED Al'fD INCLUDED IN.THE BUIl.DINGP~'VllT FILE 1"0
l\tIAI.NTAlN A R.E. C ORn OF TH:E REVU W .
L :'.TE~,,1PLA IT,D E CK'.:ECL.DOC
P R I 0 R LA K E DEPARTMENT OF
. BUILDING AND INSPECTION
INSPECTION
USE OF BUILDING
PERMIT NO. DATE ISSUED
BUILDER k~ ~ ...SON PHONE # V'/fJ- 'f~
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR DATE
I FOOTING I ~ I S"'7J~
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
I.-r. 'I I
I t7VJ? I
I FINAL
5-/~'tJL(~
FOR ALL INSPECTIONS (952) 447-9850
DATE nilE
CITY OF PRIOR LAKE b-['1-rr
INSPECTION NOTICE SCHEDULED
ADDRESS /~J C~S-~t:(
OWNER CONTR.
PHONE NO. PERMIT NO. ,-(-'S{~
o FOOTING o PLUMBING RI o EXIGRADIFILLING
o FOUNDATION o MECH RI o COMPLAINT
o FRAMING o WATER HOOKUP o FIREPLACE RI
o INSULATION () lIL o SEWER HOOKUP o FIREPLACE FINAL
..- FINAL . ~ o PLUMBING FINAL o GASLINE AIR TST
o SITE INSPECTION o MECH FINAL 0
COMMENTS:
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH &: SAFETY!
IIISNOn