HomeMy WebLinkAboutBuilding Permit 04-0506
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec'd
,3- (J. ~ -0 '-/
I.Wllite
2. Pink
3 Yellow
File
City
Applicant
I PERMIT NO. ~tJ-()5'Or,.
(Please tvJM:. or Print and siltO at bottom)
ADDRESS
ZONING (om" u,,)
tel
/ (, O~ q
Mr7'hWPtn6
e"lle-~ S6
LEGAL DESCRIPTION (office use only)
PID ZS. OOe;," 00 o. 0
LOT 3 BLOCK Z ADDITION Pel o It?... ~s 2 WD
OWNER
(Name)
(Phone) q5'J.-L/L/O-/r1::l)bS-
:TAIVg, 81UJ~HOu~e
(Address)
BUILDER
(Company Name)
(Contact Name)
(Address)
(Phone)
(Phone)
TYPE OF WORK 0 New Construction ?J(Deck DPorch ORe-Roofing ORe-Siding DLower Level Finish 0 Fireplace
DAddition DAlter~ DUtility Connection 0 Misc.
CODE: i'llh.R.C. OI.B.C.
Type of &nstmction:
Occupancy Group: A B
Division:
PROJECT COST/VALUE S
(excluding land)
I
E
II
F
I
III IV V A
HIM R
2 3 4 S
B
S U
I hereby certify that I have furnished information on this application which is to the best army knowledge troe and correct. I also certify that 1 am the owner or 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
otndal k, Ih~ p"mil fut J . Funhmool ",by aSifZha, 'h, "ty umdal u. a desi,ne, may en'" opnn 'he pmpmy tu p"fo.m n"fS ms~ -01
Signature Contractor's License No. Date
I "J{~tJ, 00
$ /05.{) 0
$ .lofJ:J . '15-
$ 1.lJO
$
$
$
$
$
I Park Support Fee
I SAC
I Water Meter Size 5/8"; 1";
I Pressure Reducer
1 Sewer/Water Connection Fee
I Water Tower Fee
I Builder's Deposit
I Other
I TOTAL DUE
$
$
$
$
$
$
$
$
$
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
#
#
#
#
, 7/ . '15
/'7/. ., s
t!:/ ;, (D 'f
Receipt No. 'I14't e;r;
By ~~
This Application Becomes Your Building Pennit When Approved
~~
Paid
Date
s- fi.,';"y
-, Date
Building Omcinl
ThiS ls 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 temporatj' Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be
l~Slled
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
BY
~
Residential Building Permit Checklist
~
D~ck Addition~ to Singl~ F amil)' aam~s
~
7~
Date 5- d? (;, -oCf/
Building 'P~rmit.# PID:
Site Address
Ifc,069-~~ ~,
Legal: L B
Subdivi~ion:
E:r..isting Strul"ture:Q:1lj)or NO
C ONF 0 RMS TO Z Oi:'fIT'f G
ORDINANCE
NO
I Yard S~tbac~: NOT APPLICABLE
. MEETS CODE
" Side Yard
(25' if abutting a street. 30' if abutting a street in
Cardinal Ridge)
I" . Side Yard
I" Rear Yard
" TO"nhOllS~S
Requirement
Proposed
to'
10'
(0 '
O"/X.A {o ( I
~C~.I
25'
Mu.s, be consistent with .
approved plan for
development
NA..
AJ.'fY PROPOSED DECK NOT MEETING TfIE ABOVE CRlTERlA MUST BE REFERRED TO TfIE
PLAl'iNIi'lG DEl',~TiYl:EJ:'IT. ALSO, ANY DECK ON A LOT WITH A SUSPECTED BLUFF, OR Al'IY
OTH:E.R U>'IUSU.U CIRCUt'vlSTAi'lCE evruST BE REFEltRE.D TO THI PL......Nl'fING DUARTl\-I:ENT.
T1:us CHECKLlST /truST BE.COl'tJ:PLETED..u'lD INCLUDED li.'l THE BUILDING P!R.vJlT mE TO
iY1All'f1'AlN .~ RECORD OF THE REVIEW.
L :",TE~IffJ?LA IT, 0 EC:-r..~~nCK.DOC
PRIOR LAKE DEPARTMENT OF
.. BUILDING AND INSPECTION
INSPECTION
RECORD
SITE ADDRESS J' () '- tt C (J 1M b riC/e;1:. C i I'G Ie"
TYPE OF WORK P t:L J!.
USE OF BUILDING -.S F .
PERMIT NO. 011- ~O ~ DATE ISSUED 5'. .;a._,,~y
BUILDER..T4A1~ PHONE # U1./6- d'J7f'
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
I FOOTING tf}J4 I ~X ~ ~ I 41p/'Y'
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
I I
I FINAL
-'
/fa
/,
7j ffay
FOR All INSPECTIONS (952) 447-9850
~.
~
. .
DATE TIllIE
SCHEDULED ~~~
C-/"'; <f~ (7;.-
CONTR.
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
/6CJ 69
OWNER
PHONE NO.
PERMIT NO.
[] FOOTING
o FOUNDATION
o FRAMING
[JJt!SULA TION
~~~L
o SITE INSPECTION
[] PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
/'"'\
// /
t'/4C/C
t/"l
/7 ,?.~
~ e:;/-SOC
[] EXlGRADlFILUNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASUNE AIR TST
o
I
./
oL
~.~
fCt:s~ h~ '
"\
./
LRKSATISF~ PROCEED _____
~ ~RECT ACTION AND PROCEED
o CORRECT WORK, CALL FO REINSPECTION BEFORE COVERING
Inspector.
Owner/Contr.
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
"""""
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/