HomeMy WebLinkAboutBuilding Permit 04-0426
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec'd
5"./2.D1-
I. White
2 Pink
J Yellow
File
City
Applicant
PERMIT NO. 04-. o../-Zb
(!4~
ZONING (office use)
Ie. I
e-DYDT6
LEGAL DESCRIPTION (office use only)
LOT ~ BLOCK 4- ADDITION
NIL-Of" Afoa.:rH
PID2..S. +tJ+. 0.53. ()
OWNER
"J""d
J....I""S
'fllnunc} 4?S;.2.- "OJ.. - 9'199
e;et... ~ '%. ,,~s: 7"1 z..
(Address)
BUILDER
(Company Name)
(Contact Name)
(Address)
(Phone)
(Phone)
DLower Level Finish
o Fireplace
TYPE OF WORK 0 New Construction
DAddition DAltera on
eck OPorch ORe-Roofing ORe-Siding
DUtility Connection 0 Misc.
CODE: ImI.R,C. OI.B.C,
Type of &;'nstmction:
Occupancy Group: A B
Division:
II
F
1
III IV V A
HIM R
2 3 4 5
I
E
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 cOlTect. I also certify that I am the owner Of authorized 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
official ev ke this permit for. t cause Furthermore, I hereby agree that the city offkial or a designee may enter upon the property to perform needed Inspections.
x
Permit Valuation
Permit Fee $
Plan Check Fee $
State Surcharge $
Penalty $
Plumbing Permit Fee $
Mechanical Permit Fee $
Sewer & Water Permit Fee $
Gas Fireplace Permit Fee $
This Application Becomes Your Building Permit When Approved
~~ ~;.., tL,'l)4.1 S/rz..1o if
Buildin' Otlicinl ' Dale
S"-/..2 -t7~
Contractor's License No.
Park Support Pee # $
SAC # $
Water Meter Size 5/8"; I"; $
Pressure Reducer $
Sewer/Water Connection Fee # $
Water Tower Fee # $
Builder's Deposit $
Other $
TOTALDUE ~"'\pn 5.ll.o4- $ 1z..Z..~'
I ;?'r !']q
I Receipt No. '-!. fa ~ 'IJ?
By g-
Paid
Date
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 requcstcd. This document
when signed by the City Planner constitutcs a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be
issued
Planning Director
Special Conditions, if any
Date
24 hour notice for all inspections (952) 447-9850. fax (9S2) 447.4245
16200 Eagle Creek Avenue Prior Lake. MN 55372
Residential Building Permit Checklist
Deck Additions to Single Family Homes
BY: ~ ~ . Date: Situ/a.,
Building Permit #
Site Address /9'?1 ()
Legal: L 8' B 4
PID: Zoning:
6J j () Tc e;/l!.-CLc
Subdivision: d~ ~
Existing Structu~r NO
I 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 Rid e
. Side Yard
10'
10'
I
~5
3a'
(
. Rear Yard
25'
. Townhouses
Must be consistent with
approved plan for
develo ment
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 /42/0 c.-ovo 76 e.,; K. t!-L.6.
TYPE OF WORK DE c;:::..
USE OF BUILDING /U5S ~/tz-
PERMIT NO. 0 ~. 04- Z (,' DATE ISSUED 5: / z... 04-
BUILDER /10,qI'1S PHONE # (,/z. (, '15. 79/2.....
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR DATE
I FOOTING I V0# I ,~
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
: 1_ J. , I
t)t) 1-il7 ~ - ~ ~
I
I
I
I
I FINAL
FOR ALL INSPECTIONS (952) 447-9850
,
.
, DATE TIME
CITY OF PRIOR LAKE ,-'1-0'1
INSPECTIQN NOTICE SCHEDULED
ADDRESS -1 l\"Z.l a (\'\'6'" H
OlfnIER CONTR.
""ONE NO. PERMIT NO. t- ~~~
~" D FOOTING D PLUMBING RI -0 G~ILUNG
D FOUNDATION D MECH RI D COMPLAINT
D FRAMING D WATER HOOKUP D FIREPLACE RI
%SULATION D SEWER HOOKUP D FIREPLACE FINAL
FINAL Oa..L D PLUMBING FINAL D GASLINE AIR TST
D SITE INSPECTION D MECH FINAL D
COMMENTS:
~RK SATISFACTORY, PROCEED
D CORRE A TION AND PROCEED
D CO CT ALL FOR REINSPECTION BEFORE COVERING
Owner/Conlr.
-9 50 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE,
REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/
"""""