HomeMy WebLinkAboutBuilding Permit 04-0331
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
4'1 ~ 1; 0""
I. White File I PERM I
i ~~~I~w ~::Iicant IT NO. 04 fI 0 33 I
l1rifDz:~nc~s tnU I
LEGAL DESCRIPTION (office use only)
LOT e; BLOCK 4- ADDITION pef3/'bFI eLL)
PID
OWNEQao1cs
(N ame)
~ 'ThtYl
rnGka
(Phone) ~5f). ~JO 1561
(Address)
ZONING (office use)
/f!!.,1
044-40
BUILDER
_(Company Name)
(Contact Name)
(Address)
Of- How rJ
(Phone)
(Phone)
TYPE OF WORK 0 New Construction
o Addition o Altera
CODE: ~.R.C. DI.B.C.
Type of l;'~stmction: I n
Occupancy Group: A B E F
D' ision: I
Deck o Porch ORe-Roofing ORe-Siding OLower Level Finish
DUtility Connection 0 Misc.
B
S U
PROJECT COST IV ALUE $
(excluding land)
nI IV V A
HIM R
2 3 4 5
o Fireplace
ation on this app' tion which is to the best of my knowledge true and correct. I also certify that I am the owner or authorized agent for the
or: to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the building
eby agree that the city official or a designee may enter upon the property to perform needed Inspections.
4, 27- Of
Contractor's License No. / Date
--
$
$
$
$
$
$
$
$
. ?,1.t1A- $ ZZ. (g
ft}~-7~2S' I ~~eiPtN~43 I
Park Support Fee
#
Permit Fee $
Plan Check Fee $
State Surcharge $
Penalty $
Plumbing Permit Fee $
Mechanical Permit Fee $
Sewer & Water Permit Fee $
Gas Fireplace Permit Fee $
SAC
#
Water Meter
Size 5/8"; I";
Pressure Reducer
Sewer/Water Connection Fee
#
Water Tower Fee
#
Builder's Deposit
Other
TOTAL DUE
This Application Becomes Your Building Pennit When Approved
~m~ 1/~t?I'/
I 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 Permit Checklist
Deck Additions to Single Family Homes
BY: ~' ~ Date: -t. Z7.tJ4-
Building Permit # (}4. 0.33' I PID: -z,r, no. 0+9-. 0 Zoning: pi
SiteAddress 1714(, f1/lvO~6.sr '7Jt-h/L-
Legal: L ~ B 4- Subdivision: ~e;tL:)
Existing StructU.QNO
-I. CONFORMS TO ZONING
, ORDINANCE
YES
NO
Yard Setbacks: NOT APPLICABLE Requirement Proposed
MEETS CODE
. Side Yard 10'
(25' if abutting a street, 30' if abutting a street in (ttXA It) I
Cardinal Ridge)
. Side Yard 10' ~ ItJ I
. Rear Yard 25' MkA 2~1 .
. Townhouses Must be consistent with
approved plan for fJA
development
ANY PROPOSED DECK NOT MEETING THE ABOVE CRITERIA MUST BE REFERRED TO THE
PLANNING DEPARTMENT. ALSO, ANY DECK ON A LOT WITH A SUSPECTED BLUFF, OR ANY
OTHER UNUSUAL CIRCUMSTANCE MUST BE REFERRED TO THE PLANNING DEPARTMENT.
Tms CHECKLIST MUST BE COMPLETED AND INCLUDED IN THE BUILDING PERMIT FILE TO
MAINTAIN A RECORD OF THE REVIEW.
L:\TEMPLA TE\DECKCHCK.DOC
~
PRIOR LAKE DEPARTMENT OF
BUILDING AND INSPECTION
INSPECTION
RECORD
SITE ADDRESS /7/4c:' WIL,OeJZ,N6~~/L-
TYPE OF WORK Oe (!4L
USE OF BUILDING eeS /I//Z-
PERMIT NO. 04-. ()33/ I DATE ISSUED 4. Z7.04--
BUILDER K~s KA PHONE # "52. Z,IO. IS' 7
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
,..
INSPECTOR DATE
· I FOOTING we.. ~ _ ItJ:29,- (JI.?
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
- I I
I FINAL I ~ I S:-).b.-(,4-/
.
FOR ALL INSPECTIONS (952) 447-9850
.,'\
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
I?/Ul:
OWNER
DATE nilE
SCHEDULED
~-~
(~/IId.~ ~
CONTR.
PERMIT NO.
''-{- 33/
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULA TIO~ _I IA
#NAL I~l
o SITE INSPECTION
COMMENTS:
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
D GASLINE AIR TST
o
;?WORK SATISFACTORY. PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WO OR REINSPECTION BEFORE COVERING
Inspector:
Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTI