HomeMy WebLinkAboutBuilding Permit 04-0483
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
.5 Z '/- t 4~
:~:: ~:~ I PERMIT NO. ~. OA..~? I
3. Yellow Applicant (/7, TO~
q'lease !YIl<!. or print and si.t!n at bottom)
I ADDRESS
3 1$ tS f\CbttL-+ 'I va I 1
LOT
BLOCK
LEGAL DESCRIPTION (office use only)
ADDITION
OWNER
(Name)
(Address)
BUILDER
(Name)
(Contact Name)
~-h< V
Rill
(Address) 144 51)
TYPE OF WORK
o Mise,
(Phone)
C6Y1 sk C-n I5Y}
ZONING (office use)
JLI
PID 2S. 3h.. t) if"'. 0
q$2 - 44D - IP&'1a
(Phone) QS2--4-1b -T1~l)
(Phone)
Vv. ~U- VVl,SVI \ Ie
r< \ vlllt:...
4 Doll
((,2, OLP
ORe-Siding
OUtility Connection
I hereby certifY that I have furnished information on this application which is to the best of my knowledge bUe and correct. I also certify that I am the owner or
authorized agent for the above-mentioned .t"~y';"'i and that all constroction will conform to all existing state and loca11aws and will proceed in accordance with
submitted plans. I am aware that the building official can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may
;ter upon t?,:W:J.":~~ded inspe;ons 2. b 2- lIP llli 5 J 2.40 I b4-
~ l'~ ~ignature Contractor's License No. Date
De \')h \<,. !?{Wlq
~I~S BcbW+ TVttl
I Permit Valuation
I Permit Fee
I Plan Check Fee
I State Surcharge
I Penalty
I Plumbing Permit Fee
I Mechanical Permit Fee
I Sewer & Water Permit Fee
I Gas Fireplace Permit Fee
I Pressure Reducer
I City SAC and WAC
1 Water Tower Fee
I Builder's Deposit
I Other
I TOTAL DUE "klAJ'1)t; ,~. 04-
I Paid F&- Z. (P or
I Date ~. -7. 0'1-
P~\NI.{
o New Construction
~
o Fireplace
OPorch
OAddition
ORe-Roofing
OAlteration
OLower Level Finish
PROJECfCOST/VALUE (excluding land) $
..
.~.ClD
I Park Support Fee
SAC
$
$
$
$
$
$
$
$
73, 1S
47.'1L{
l,tJD
Water Meter Size 5/8"; 1";
This Application .::;........__~ Your Building Permit When Approved
~ 7~ O/2.-<l~ 'I
Building Official Date
#
#
#
#
$
$
$
$
$
$
$
$
$ /Z:z.... (0'7
"ffG9FH
/)
I~o.
(J
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 constnlction 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: ~<(~f
Building Permit #
Site Address 3/"3 S .
PID:
7J~~
Zoning:
Legal: L
B
Subdivision:
Existing Structure,GSIor NO.
CONFORMS TO ZONING
ORDINANCE
YES
NO
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
Proposed
10'
291
L({)I
I
01J0t Z S-
I.
I. Rear Yard
10'
25'
. Townhouses
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 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 TEIDECKCHCK.DOC
.~. . "
~
PRIOR LAKE DEPARTMENT OF
BUILDING AND INSPECTION
INSPECTION
RECORD
SITE ADDRESS 3/3..~ 80BtAT 7l!A11..-
TYPE OF WORK _ ~[~ fb~+ 'DeS;j,.ltm
USE OF BUILDING Jt~ . ~ ,.J _
PERMIT NO. DATE ISSUED 6.Z'f'_U1ff'-"
BUILDER PHONE # ,
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BEL W
THE PERMIT IS BY SEPARATE DOCUMENT
J/l9WCTOR DATE
I FOOTINGM,I Z'lIlIV~ fuTUle.F ~~ ri/)) I &.-,4 I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
~ FR;AMING I I I
- ~ () (Z.;o 'DEU::- 7:tJARD PLAcer.t-Nr t"'.
. I FINAL I i~ I to-I! I
FOR ALL INSPECTIONS (952) 447-9850
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
-=ft 3L&L,J
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
')JCFINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
DATE TIME
f,'/I-{)/
if - f.g)
,/
o EXlGRADlFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
jI WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORREC , CALL FOR REINSPECTION BEFORE COVERING
Inspector:
Owner/Cantt:
50 FOR THE NEXT INSPECTION 2' HOURS IN ADVANCE.
CA
IN<I<On
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!