HomeMy WebLinkAboutBuilding Permit 04-0388
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICAtE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
5.5 ot-
I. White File
2. Pink City
3 Yellow Applicant
PERMIT NO. 0 cf: 038 B
(Please type or print and sip at bottom)
ADDRESS
30/1
dOEM-~
/ /IA-
ZONING (office use)
/lA
LEGAL DESCRIPTION (office use only)
LOTI'? BLOCK 3 ADDITION
WI'-f)J Sot/TPf
PID -z,r. ?)' Z . o7.?.. 0
OWNER
(Name)
(Phone)
(Address)
BUILDER A I ~'n \ .L..
(Company Name) 0 \J OJV) 'l\.I G " 'f?: n 'tVt-p f'\ ~ e ~
(Contact Name) \ ~f.!f ~~"1.--
(Address) 9() ~~ t)o.- '("( \J; ~~ LG..~
. 1.. Y\. L
(Phone) 6JJ., ~p",- 90s-t-
(Phone)
u }( ;1-{) r'\ '0-
J --~96
M \J\ .2.S 0
TYPE OF WOl,U{ 0 New Construction ~eck o Porch ORe-Roofing ORe-Siding OLower Level Finish 0 Fireplace
DAddition DAltera~ DUtility Connection D Misc.
CODE: ~.R.C. OJ.B.C.
Type of &nstruction:
Occupancy Group: A B
Division:
I
E
II
F
1
ill IV V A
HIM R
2 3 4 5
B
S U
PROJECT COST IV 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 authorizcd 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
:ffi<iol ~J jhUm~.mnore. I .ereby agree that meci~ Offi<i~ ~'i;; T't71n the property 10 pttfonn nee~;,; ()'1
~ Signatut't-J Contractor's License No. ' Date
Water Meter Size 5/8"; 1";
Pressure Reducer
Sewer/Water Connection Fee
Water Tower Fee
Builder's Deposit
Other
TOTAL DUE
#
#
$
$
$
$
$
$
$
$
$ i +'7 ., I I
Permit Valuation .3, 000. 00
Permit Fee $ 8S. z.6"'
Plan Check Fee $ 5, .3(p
State Surcharge $ l.lD
Penalty $
Plumbing Permit Fee $
Mechanical Permit Fee $
Sewer & Water Permit Fee $
Gas Fireplace Permit Fee $
Park Support Fee
SAC
#
#
This Application Becomes Your Building Permit When Approved
~ Ufo- ..g'G./~ r
Building Otlicidl Date
Paid
Date
/~?_ /1
~z:;-. ,_ 0 ~
~;~.
~ Q07
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 requcsted. 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: 5. S" 04-
Building Permit # 01-.. 038e pm: Z~. s8Z.o7-:t, 0 Zoning: ,e.1
Site Address 30/ / tro LJttI't r ~ I L.-,
Legal: L /9 B:5 Subdivision: WI /:-OS ..r 0(/1 rf
Existing Structure NO
CONFORMS TO ZONING YES NO
ORDINANCE
I Yard Setbacks: NOT APPLICABLE
MEETS CODE
. Side Yard
(25' if abutting a street, 30' if abutting a street in
Cardinal Rid~e)
. Side Yard
Requirement
Proposed
10'
10'
cl- 'i' I
Z5'
8D'
. Rear Yard
25'
. 1ro~ouses
Must be consistent with
approved plan for
development
tJA.
ANY PROPOSED DECK NOT MEETING THE ABOVE CRITERIA MUST BE REFERRED TO- THE
PLANNING DEPARTMENT. ALSO, ANY DECK ON A LOT WITH A SUSPECTED BLtJ.14'.14', OR ANY
OTHER UNUSUAL CIRCUMSTANCE MUST BE REFERRED TO l.tl.l!; PLANNING DEPARTMENT.
TIns CHECKLIST MUST BE COMPLETED AND INCLUDED IN THE BUILDING PERMIT FILE TO
MAINTAIN A RECORD OF THE REVIEW.
L:\l~MPLATE\DECKCHCK.DOC
-.t.
t
.
PRIOR LAKE DEPARTMENT OF
BUILDING AND INSPECTION
INSPECTION
RECORD
SITE ADDRESS 30/ / 150&~7 7J2,A/ L--
TYPE OF WORK ~ eK...
USE OF BUILDING /2f;J A I ~
PERMIT NO. 04--.6388 DATE ISSUED 5. 5. otf-
BUILDER 140Vr7N~M E/Vl. PHONE # 1,12,.3'2.8. QOS4-
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
~P1bR DATE
FOOTING I ';/f// ?~,') --tfy
PLACE NO CONCRETE UNTIL A~OVE HAS BEEN SIGNED
FINAL
tf/s
S;-:/9
I
FOR ALL INSPECTIONS (952) 447-9850
DATE TillE
CITY OF PRIOR LAKE
INSPECTION NonCE
SCHEDULED jt-/7~y
ADDRESS .JDl~
OWNER CONTR.
PHONE NO.
PERMIT NO.
l./-o~
o EXlGRADIFILUNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASUNE AIR TST
o
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
&1 FINAL
'0 SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
./
~RK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORflRK' CALL FOR REINSPECTION BEFORE COVERING
\
Inspect. . Owner/Contr:
C \ l ~o FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
---cif;;'REQUlREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTl