HomeMy WebLinkAboutBuilding Permit 04-0515
.6 - fJ-fJ-1JJ
I PERMIT NOOL/.... 05151
ZONING (oflice use)
/(/sD
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
1. White File
2. Pink City
3. Yellow Applicant
Q?lease ~ or orint and sUm. at bottom)
ADDRESS
I!;;057
/WPA L.e>oS po.
TJ2.L
LEGAL DESCRIPTION (office use oaly)
LOTU BLOCK I ADDITION~C;t? R/da.tl ~ rJ
, I
Date Rec'd
PID~5 - 3t1J.'OOl/-(j
OWNER
(Name) JhSm.\
(Address) It5oc;,7
J.\IH.OSm..\
APPALO05A Tl2-A\\..,
(phone) --9'~2- 447- \5~
-7 c.{iL-L-7h3 - 4~ - D'~hz.. 4tJ/
r 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 loca11aws and will proceed in accordance with
subrmtted plans. I am aware that the building official can revoke this permit for just cause Furthermore, I hereby agree7t the ty official or a designee may
:tene ~ needed inspections. .E: -,;L~ ~ 0 4-
1/ Signature Contractor's LIcense No. Date
. /
I Permit Valuation -::5l:?~ ~ I I Park Support Fee // #
I Permit Fee $ M ZC::; I I SAC #
I PlanCheckFee $ ~ ~ I Water Meter .Size5/S"; J";
I Stale Surcharge $; t::;O I Pressure Reducer
I Penalty $ I Sewer/Water Connection Fee
I Plumbing Permit Fee $ I Water Tower Fee
I Mechanical Permit Fee $ I Builder's Deposit
I Sewer & Water Permit Fee $ I Other
I GasFireplfcePeqnitFee . $ I TOTALDUE ~ C'l-1, 1)4-
/h I .~.I
li I Paid 111' /- ,.
I Date f'~ CT~....../
$
$
$
$
$
$
$
$ ,
$ 14-7.1 /
'I .
I ReceiptNo. LA Co"f:4d-1
Bv ~' .
BUILDER
(Namp\
(Contact Name)
(Address)
(Phone)
(Phone)
TYPE OF WORK
1llIDeck
o Fireplace
OPorch
OAddition
ORe-Roofing
OAlteration
o New Construction
OLower Level Finish
o Misc.
PROJECTCOSTIVALUE (exc1udingland) $
#
#
~
ORe-Siding
OUtiIity Conneclion
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 _w..___.._~. Before occupancy, a Certificate of ......~_y...._... must be
issued.
Planning Director
Date Special Conditions, if any
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
Residential Building Permit Checklist
BY IJjj(D"kAddi<iO", :~::;:;~:~
BujldingPermi~# 0 d-.OSZr" PID:Zonin'!:
SiteAddm~ 1~(J5;-;- /J/;/i/&JS~
Legal: L . B Subdivi:sion:
E:r.isting Structure: YES or NO
CONFORMS TO ZO~1NG
ORDINANCE
r~
"-... YES .....)
NO
[ Yar.dSdbucki: NOT APPLICABLE
. MEETS CODE
. Side Yard
(2j' if ab u rung a street, 30' if abutting a street In
C ardillal Ridge)
to . Side Yard
4.. I~. RearYard
j" . To!"vnhouses
&:quirement
Proposed
10'
14-/
4-(1
j ,
50t-
..er"'
10'
2j'
Mu>'t be consistent with .
approved plan for
development
,
d.
Ai.'IY PROPOSED DECKC'!OT M:EETil'lGTHE A]3CJVECRlTERlA MUST BE REFERRED TOTHE
PLANl'fJi'fG D1!:PARTMENT, ALSO, ANY DECK OC'! A LOT Wl1'H A SUSPECTED BLUFF, OR AJ.'fY
OTHER UNUSUAL CIRCU"'lSTAf;c! ",ruST BE REFE:R:RLD TO THE PLA1'fNING DEPARTM:ENT,
TIDs CmCKLlST ~ruST BE COMPLETED A.l'ID INCLUDED I.i.'1THE BU1l.DING PE;RL"ilT FILE TO
l'\I1A.lN'I'AlN A RECORD OF THE REYU:W,
L:",TB,J:PLA IE" D E CK'.:ECs...D(JC
PRIOR LAKE DEPARTMENT OF
, BUILDING AND INSPECTION
INSPECTION,
RE ORD
SITE ADDRESS 1$ () sI') ~4" -r;
TIPEOFWORK~~
USE OF BUILDING --6 F
PERMIT NO---Ot./ "{)ilS:~J DATE ISSUED 6" ~ .,..~y
BUILDE~ R-JH:-lDc..IJfJ PHONE#~S9i-
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
~OR DATE
I FOOTING ~ I1U IS~~
PLACE NO CONCRETE UNTIL A~OVE HAS BEEN SIGNED
~ I I
......-:7,/1
I FINAL
(7'15
I~/~
FOR ALL INSPECTIONS (952) 447-9850
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS JSn,'1
ADDo.lM~~~t-
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSU~ONL
~FlNALLJe.OL-
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
,.~GII~~
:'^-,~ c:lJ tlA~'
DATE TillE
(n-l!n1(
q ~ t).r;:{K;;
o EXlGRADIFILUNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASUNE AIR TST
o
..,.,... q~<;
o WORK SATISFACTORY, PROCEED
'f CORRECT TION AND PROCEED
o CORRE T K, CALL FOR REINSPECTION BEFORE COVERING
Inspector
OWner/Contr.
CAI L 7. 85 OR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
. ~MENTSARE FOR =RPERSONALHEALTH & SAFETY/