HomeMy WebLinkAboutBuilding Permit 04-0353
Date Rec' d
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICAJE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
l4-440 &\~b\ VA
I
LEGAL DESCRIPTION (office use only) 1/
LOT I BLOCK · ADDITION f',..,of> !-n.CJf,
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(Please type or print and sign at bottom)
ADDRESS
OWNER
(N ame)
4-.ZB.~
I. White File
2, Pink City
3 Yellow Applicant
PERMIT NO.4 "35 3
ZONING (office use)
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(2.
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PID 2 <\_ '<~ Z -Q::)( ...0
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(Phone) QS2. - L~ ~ - S .,..,
P. Let \Le,.
(Address)
BUILDER
(Company Name)
(Contact Name) 81 ~ \
(Address) \ 44-Db
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~~
(SUNV\..~ 'V\ ~ l "C.-
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P~'i
(Phone) "lS t" -4~ -.., -, S 6
(Phone)
f,'V\\le.
..,~. TYPE OFM'ORK 0 New construction~ck o Porch ORe-Roofing ORe-Siding OLower Level Finish 0 Fireplace
DAddition o Alteration DUtility Connection 0 Misc,
CODE: ~J.R.C. OJ.B.C.
Type of Construction:
Occupancy Group: A B
Division:
I
E
ill IV V A
HIM R
2 3 4 5
~ J CO D
B
S U
PROJECT COST IV ALUE $
(excluding land)
II
F
1
\
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
:ffidal <on rev"l.' pe it .ust cause. Furthennore, I here:.>= that th, city official '" a ~'1:YI 't; rtn ~ property to perl'onn needed 'Ai; 104-
Contractor's License No, Date
$
$
$
$
$
$
$
Gas Fi~ace :et~ · $ ~~
This i' eromes Y our1linYiu p~ ~ en :{Ved
Oae
I Permit Valuation
Permit Fee
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
2-000. -
1~ · 75"
41.0(1
t.. bO
I Park Support Fee # $
SAC # $
Water Meter Size 5/8"; 1"; $
Pressure Reducer $
Sewer/Water Connection Fee # $
Water Tower Fee # $
Builder's Deposit $
Other $
TOTAL DUE tAw;;o #.~. fJ V' $
I Paid
I Date
{~z.~~
~~?!o. M<}(,
/Z,z,." , ~
4. 311,. d ~
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
4t1/0 f
/ z .
onmg:
t 1
By: D J . \ _ )
~ ,~~
Building Permit # 0+ ..-y;~ PID:
Site Address \o\t\~ Pt.v6-B \P-/J . \ ~
Legal: L B Subdivision:
Date:
N.G~
Existing structurgor NO
~))
CYEJJ
CONFORMS TO ZONING
ORDINANCE
I Yard Setbacks: NOT APPLICABLE
MEETS CODE
. Side Yard
(25' if abutting a street, 30' if abutting a street in
Cardinal Ridge)
. Side Yard
Requirement'
10'
10'
. Rear Yard
25'
. Townhouses
Must be consistent with
approved plan for
development
NO
Proposed
\51
~\+
or f) I _....
I
~- -:'
~
ANY PROPOSED DECK NOT MEETING THE ABOVE CRITERIA MUSTBE REFERRED TO THE
PLANNING DEPARTMENT. ALso, ANY DECK ON A LOT WITH A SUSPECTED BLUFF, OR ANY
OTHER UNUSUAL CIRCUMSTANCE MUST BE REFERRED TO l11E PLANNING DEPARTMENT.
THIS CHECKLIST MUST BE COMPLETED AND INCLUDED IN THE BUILDING PERMIT FILE TO
MAINTAIN A RECORD OF THE REVIEW.
L:\ TEMPLA TE\DECKCHCK.DOC
,.
-.t
PRIOR LAKE
INSPECTION
RECORD
SITE ADDRESS \ ~4-40 1\-~~B #
TYPE OF WORK l>6c--t~ ,
USE OF BUILDING ~~ ~/(L f I
PERMIT NO. ~4 - '35~ DATE ISSUED 4-/~ /a4
BUILDER F~tPNT(~ C ~~. PHONE # 4i-o" -11 S-o
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF
BUILDING AND INSPECTION
~ l'-' .6-
INSPECTOR
DATE
.
FOOnNG Ie..) c_ r.rr L,
~ PLACE NO CONCRETE UNTIL Aat>VE HAS BEEN SIGNED
'-~
FINAL I (II ~ -1.- ).1
Call between 8:00 and 9:00 A.M. for all Inspections
FOR ALL INSPECTIONS (952) 447-9850
."
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
If.../ (f ,,( 0
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULA~Nl
FINAL
~SITE IN ECTION
COMMENTS:
DATE nile
SCHEDULED G..JJ-df
bluQ~ · i/
CONTR.
PERMIT NO.
cj -~S-:S
o 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
./
~RK SATISFACTORY. PROCEED
o CORREC CTlON AND PROCEED
o COR CT CALL FOR REINSPECTION BEFORE COVERING
Inspect r:
Owner/Contr:
850 FO~ THIS NEXT INSPECTION 24 HOURS IN ADVANCE.
CO E R QUlREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOn