HomeMy WebLinkAboutBuilding Permit 04-0540
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF Z,ud&.\G COMPLIANCE..
AND UTILITY Cv. \. \..!.CTION PERMIT
q'leuetype or _ ....limat_1
jADDllESS
/ $';) '5" (., WcJo cP Dv-c k:. T,../
IVW
LOT
BLOCK
LEGAL DESClUP110N (ollic:o... only)
ADDmON
Date Rec'd
,. 4-.P~
:!. r:..... I PERMIT NO. 04, 0540 I
Prior L",ke..-
ZONING (oIIIco..)
PID z$. 3eZ. 052._0
OWNBll
(Name)
f/L.,'s. +- ~k..;la r.:",-Il~(,bo"l.
(Address) ([;';'5"(; U.cJ D""k. Tr( NW
W U.1-7r.'f-5'flfl
(phone) J-f 9S';).-~-.2-:3b3
BUlLDEll
(Company Name)
(Contact Name)
(Address)
JollA
(phone)
(phone)
TYPE OF WOBK 0 New COIIItrUCli01l JlIDec:k OPorch ORe.RDol\ni DRc-SidiDa DLower Level Finish D FbepIaoe
OAddib01l DAlterabon DUtil!ty Connecli01l D Misc.
CODE: Du..c. DI.B.c.
Type of COIIIIra<don: I
O....pIIIey Cl1oap: A B E
DI.iJion:
umIVVAB
FHIMRSU
12345
PB.OJECTCOST/VALUE S
(ex<haIIDe WuI)
3,DOO
. I hen:by certify IhIt I have fumished j .l. ,.., on this application which i.s to the bell or my Jcnow.lcdp tnIe and ccnect. 1.110 certify 1bat I am the OWDCI' nl' authcmcd qcnt for the .
abow ~,.... property and thai aIlc:ollRnK'tion will conform to aU exisUng state and local Jaws aad will proceed in ~ wkb .'",', .,,/.. plans. I am aware mat the bulldina
ofttciaI can RYOU thispmnit forjult caUIe. P\..._....'"..., I hereby IJRC that Ihe city offki&Ior. dcIipcc mayClltel' upon Ibc property to perform needed" ", ...-. ,..
X.. !'AJ r..~ r-3/-o'/
S~ C01ltrlClOr'. LkleaIe No. Oalo
I Permit Valuation
Permit Pee
Plan Check Pee
State Surcharse
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
I Sewer & Water Permit Fee
I Ou Fireplace Permit Pee
,.
~ A""f). on
S 73 ' 75
s 47.''-1
S J, Do
S
S
S
S
S
'lblt AppIi<atlcno _. v_ Bal1d1q PamIt WIIeIl Approyed
g~i~~JOLl ~/1~~
I Park Support Fee
I SAC
I Water Meter Size 5/8"; I";
Pressure Reducer
I SewerlWater Connection Pee
I Water Tower Pee
I Builder's Deposit
I Other
I TOTAL DUE
I Paid IZZ..f, '?
I Dale 1'.. "'.04-
1#
1#
1#
1#
S
S
S
S
S
S
S
S
S /ZZ..''J
I tv'7 ",.~.,':??
n... .10 eertity thai the requett in the above a"" ,. ., " . ,", and accompanyinl documents is in ~ccordance with tilt CIty Zonint OrdlDance and may proceed as rcqut'ltCld. This dtX:UmeDt
when siped by the City Planner constitutes a temporary Cntilicak of bing complianct and allows .... ,,' .:" , to .. &em occupaaey,l Cc:rtifk:ale of" .. 'r . . mustbe
issucd .
.........-
Dote ___ it...
24 hour noder for all inspections (952) 447-91". fiX (95%) 4f7...a45
16200 Eagle Creek Avenue Prior Lake, MN 55372
Residential Building Permit Checklist
Deck Additions to Single Family Homes
BY:
~
~
yf1. ~ 11~
Date: (,1 tf /0 t{
PID:
wcnslL~'
Zoning:
Building Permit #
Site Address I S"" z.s- ~
Legal: L B
j;ti,
Subdivision:
Existing Strueture@r NO
CONFORMS TO ZONING
ORDINANCE
YES
NO
Yard Setbacks: NOT APPLICABLE
MEETS CODE
Requirement
Proposed
" Side Yard
(25' if abutting a street, 30' if abutting a street in
Cardinal Ridge)
Side Yard
10'
I"
I" Rear Yard
10'
,
I~
12,72. /
~Z~f
25'
" Townhouses
Must be consistent with
approved plan for
development
f\J ,4'
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.
THIS CHECKLIST MUST BE COMPLETED AND INCLUDED IN THE BUILDING PERMIT FILE TO
MAINTAIN A RECORD OF THE REVIEW.
L:\TEMPLA TEIDECKCHCKDOC
.
..
PRIOR LAKE DEPARTMENT OF
BUILDING AND INSPECTION
INSPECTION
RECORD
~~2S" 1N1J()rL/)tlti!- ~
'Iif..
DATE ISSUED ~
BUllpER 'IiiJ PHONE#~1
NOTE: THIS IS OT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
..l";... OR
DATE
I FOOTING I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
~ FRAMING I I
c..:rf~ -{1l ~ ~ P(;4!" I .A,.r
I FINAL Id" F~ i \("" [I I (f/7
11-7-d'7
/
I
I
I
FOR ALL INSPECTIONS (952) 447-9850
DATE TIllE
CITY OF PRIOR LAKE
INSPEcnON NonCE
SCHEDULED
7-1-t>f(
ADDRESS J 'i'? ~
OWNER
CONTR.
PHONE NO.
PERMIT NO.
~-5q()
[] FooTlNG
[] FOUNDATION
[] FRAMING
[] INSULA TlON
o FINAL
o SITE INSPECTION
[] PLUMBING Rl
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
[] EXlGRADlFILUNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
COMMENTS:
_Ak_Fdat~,
, J A ,...
~ ..f-f..,..h'l-o
~1..1ko,T.'a.. a~~ ~d ~~ Hdt
t!l1t-'- ." L-D
~ SATISFACTORY. PROCEED
P CORRECT ACTION AND PROCEED
o CORRE~RK' CALL FOR REINSPECTION BEFORE COVERING
Inspector. OWnerlContr.
CALL -9850 FOR THE NEXT INSPECTION :u HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
""""'"