HomeMy WebLinkAboutBuilding Permit 04-0389
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
(Please tt.J! or print and sip at bottom)
ADDRESS
4 ~8 'i U"lJ/'l7c-
Date Rec'd
5. s: 04-
'3~~ ~~;!;"" I PERMIT NO. 01-. 0389 I
u~
LEGAL DESCRIPTION (office use only)
LOT2SBLOCK 4- ADDITION pIG.( o/Z. ..rot/17i
OWNER
(Name)
(//flCG,Oi>-Y
41ft!
,\ t'")~:> ~4
(!"t M "- CF J!cli-
(Address)
BUILDER
(Company Name'
(Contact Name)
(Address)
b
ZONING (office use)
;t:../5.o
PIDZS"-:: 0/7 _Ii 7'7_ 0
(Phone) q:;z. - Y'~~, z.8C)z-
Tht7~ ub- /-tAl 6'5'3r-z--
(Phone)
(Phone)
TYPE OF WORK 0 New Construction'illfbeck OPorch ORe, Roofing ORe,Siding OLower Level Finish 0 Fireplace
DAddition DAlterCn DUtility Connection 0 Misc.
CODE: OI.R,C. OI.B.C,
Type of Constroction:
Occupancy Gronp: A B
Division:
I
E
II
F
I
IIIIVVA
HIM R
2 3 4 5
B
S U
PROJECT COST IV ALUE $
(excluding land)
11oor,;J!
I hereby certify that I have filmished information on this application which is to the best of my knowledge true and correct. I also certify that I am the OWnl..... or authorized agent for the
above-menuoned property and that all construction will conform to all existing state and local laws and will proceed in accordance with submitted plans. 1 am aware tha/e building
:"'1 "AU:h" p,mtit fo< is"'' 1'~ ,gr" that th, "ry offi",! Ul' d'''',nee m,y enter "pan th, pmprny tu perform n"d'd~,%.;
(j ~ Signaturfi Contractor's License No. <Oate
I
I Permit Valuation
Permit Fee
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
$
$
$
$
$
$
$
$
/3 (X) c/O
S'tOp
'l~ If
'v!>'
cation ilEour Bulldmg Pennl~:~:ved
Buildil ,! Official Date
Park Support Fee
#
$
$
$
$
$
$
$
$
$
B4 fjO
....
'fit? '6t)'6
SAC
#
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
Water Meter
Size 5/8"; 1 ";
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
Pressure Reducer
Sewer/Water Connection Fee
Water Tower Fee
Builder's Deposit
Other
#
#
TOTAL DUE
Paid
Date
~ '-J
~-~--O(/
,
Receipt No.
By fr
Residential Building Permit Checklist
Deck Additions to Single Family Homes
BY: ~;/~ f2e4:,~ Date: S--:-S--O<-(
Building Permit #
Site Address
PID:
Zoning:
Legal: L J3 B
t.-1
Subdivision:
fJrray ScuM
Existing Structure: YES or NO
CONFORMS TO ZONING
ORDINANCE
(~
NO
Yard Setbacks: NOT APPLICABLE
MEETS CODE
Requirement
Proposed
" Side Yard
(25' if abutting a street, 30' if abutting a street in
Cardinal Rid2e)
I" Side Yard
I" Rear Yard
" Townhouses
10'
S~r
10'
svr
25'
GO -f
I/{}-
Must be consistent with
approved plan for
develooment
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
DATE TlME
7k--'r/
, '
t'?;--
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
#,/yaL_
PHONE NO.
CONTR,
PERMIT NO. (J~.J?!,
OWNER
[] FOOTING [] PLUMBING RI
[] FOUNDATION [] MECH RI
[] FRAMING [] WATER HOOKUP
~SULATION [] SEWER HOOKUP
FINAL [] PLUMBING ANAL
[] SITE INSPECTION [] MECH FINAL
COMMENTS: /J / ,/'f
VeL/c /7~
rn/
r-./ I -
L
/;- ~)
/?/v
[] EXlGRADIFILUNG
[] COMPLAINT
[] FIREPLACE RI
[] FIREPLACE FINAL
[] GASLINE AIR TST
[]
./
/
-----
~/
c/6:re
~RKSATI y
[] CORRECT ACTION AND PROCEED
[] CORRECT WOR'J'3,:);';;7" REINSPECTION BEFORE COVERING
Inspector: ~ Owner/Conlr:
CALL ~7.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.,
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
UUNOTl
PRIOR LAKE DEPARTMENT OF
BUILDING AND INSPECTION
INSPECTION
RECORD
SITE ADDRESS 4- 684- u;z:J/1/C- U ~
TYPE OF WORK OEVL
USE OF BUILDING /u::,s /1/ /C.-
PERMIT NO. ~~. 0389 'DATE ISSUED 5.5.0~
BUILDER JOfINJOAJ PHONE# #7.2-802-
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
1NSP.E!010A /J DATE
'FOOTING h./ll I rvv/ I ,S~7'1)lI\
PLACE NO CONCRETE UNTIL ABOVE 'HAS BEEN SIGNED
I l
I
j
J/-''' /' /
/0/ I . J?/{~r~ /
FOR ALL INSPECTIONS (952) 447-9850
r FINAL
"," .