HomeMy WebLinkAboutBuilding Permit 04-0406
CII i OF PRIOR LAKE BUILDING PEDIII,
TEMPORARY CERTIFICAlE OF ZONING COMPLIANCE
AND U IILITY CONNECTION PERMIT
Date Rec' d
I. White File
2. Pink City
3 Yellow Applicant
~-~-oL(
PERMIt NO. O~~ OtfO(p
(Please ~j. . or print and sip at bottom)
ADDRESS
$896
/lmhuv T)?2/ /
ZONING (office use)
X:-I
LEGAL DESCRIPTION (office use only)
LOT ~ BLOCK ~ ADDITION UJ()O(j !~
-H+.s
P1rblS - ~ ~s-o It) -GI
OWNER
(N ame)
(Phone)
(Address)
BUILDER () /' L ,
(Company Name) /-ro m 6. i- t A- ~ D L d n 1 {\ J>..~ 'fQ r
(Contact Name) ) r VY) ~ h Lb c. lE.. I
(Address) 5' 5 3 0 S fll rn m ,~I ~ f. S e (( t \' 0 (
(Phone) l/f.!7 -s3 7 (/
(Phone) -.U I d ~ sC; ? - () ). ~ :>
LA-Ic.e
TYPE OF WORK 0 New Construction ~Deck o Porch ORe-Roofing ORe-Siding OLower Level Finish 0 Fireplace
DAddition DAltera&l\ DUtility Connection 0 Misc.
CODE: rifLR.C. OI.B.C. PROJECT COST/VALUE $
Type of ~_ction: I II ill IV V A B (excluding land)
Occupancy Group: A B E F HIM R S U
Division: I 2 3 4 S
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 ownl>r 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
~'='r::U~/J-:"~'ili'a~offici>lna~t;~/;Ty ~ ";-10_ J 7:0 <{
- } '" S.gnature ~ Contractor's LIcense No. Dal<
I Permit ~uation Itso (). 0 t) Park Support Fee # $
Permit Fee $ 6/.00 SAC # $
$ 33 ,IS' Water Meter Size 5/8"; I"; $
$ . to s Pressure Reducer $
$ Sewer/Water Connection Fee # $
$ Water Tower Fee # $
$ Builder's Deposit $
$ ~~ $
$ TOTAL DUE tA1A.ro 5..'.. 0 ~ $ at(. 80
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
I Mechanical Permit Fee
Sewer & Water Permit Fee
.,
Gas Fireplace Permit Fee
This Application Becomes Your Building Pen.ut When AJ~.~ . .'ed
~mcP~ s!~rC<I
Paid
Date
e4--,,8()
5..ID.()~
Rece~ H4/0
BYr
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
Res.identiaI' Building PermitChecklis.t
Deck Additionj to Singl~ F anlily Hom~:)
'I< "' -I:. ,. /l LJ
BY: ~ ~r
Date: c9-' ?> -0 L(
Building 'Permit #
Site Addre:s~
Pill:
. Zonin~:
$89S- ;/mber Ttai (
Subdivi.~it>n: tJQ,.,,~~ ~.
Legal: L /; . R C:<.
E.ri.:sting Structure:~r NO
CONFORl\IS TO ZO.~ll'{G
ORD IN ..~N CE
I~S
NO
. Yar.dSetbucks: NOT AP_PL IC.A..BLE
IVlEE'TS COD E
· Side Yard
(25" if abutting a Su.'.7..:.t, 30' if abutting a street in
Cardinal Ridge)
· . Side Yard
R~quirement
. Propo:ied
lO:
10"'
. -,
~{O
(
~{O
" , -
rrv-t!A. 25-
· Rear Yard
25.'
· T Ql,vnhollses
rv:lust be consistent with
approved plan for
develop ment
tJ-~.
AlTI PROPOSED DECK NOT M:EETlNG THE ASQVE.CRlTERlA ~[UST .BE REFERRED TO THE
PLAJ.'iNIJ.'fG DEPA.RTM:E.NT. ALSO, Al'fY DECK ON A LOT \VITH A SUSPECTED BLUFF, OR ANY
OTHE.R UNUSUAL CIRCtIiYlSTAi'iCE jJlUSTBE: RE.FE.RR!D TO THE. PLAJ.'fNll"fG D'!PARTl'tIENT.
THIs CHECKLlST ttIUST BE. COMPLETED A.l:'fD iNCLUDED ll'f.THE BUILDING P~"yilT FILL TO
"
~IA.li'ITAlN A RECORD OF .L~ REVIEW.
L:".l i:.':'\IIPL.:\TE'DECKI.:HCK.DOC
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PRIOR LAKE
-INSPECTION
RECORD
SITE ADDRESS ~S T'lttSP- ~/,
TYPE OF WORK #~ I~'X/~' ~~
USE OF BUILDING .s~~.
PERMIT NO. vf o<lo~ DATE ISSUED .5/t./~'1
BUILDER H~IH.' ~ YAd ~T1lA~r4ll. PHONE #j,I'L -~'-nS3
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF
BUILDING AND INSPECTION
INSPECTOR ~ DATE
FOOnNG {/I#./ s-/ ()-fJC1
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SI'GNED
'.
FINAL
,,~~~ G. ~/~..
.
..
FOR ~LL INSPECTIONS (952) 447-9850
CITY OF PRIOR LAKE
INSPECTION NonCE
SCHEDULED
ADDRESS
~<79S
7!k./~
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
A'!:I SULATION
lNAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS: /J / ~
~JJ!'.c/C ~~... /'
Y)/
L-/ 'f .
....
/7/
L-/tlS ~
~..
r/~
TIllE
ik-
7/.- r/
C!J~ ~cC
o EXlGRADlFILUNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASUNE AIR TST
o
o WORK SATISFACTORY. PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK. CALL FOR REINSPECTION BEFORE COVERING
Inspector. ~~ G? OwnerlContr.
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.,
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/
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