HomeMy WebLinkAboutBuilding Permit 04-0344
Date Rec' d
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
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File
City
Aj>PlicBnl
(Please type or vrint and siKll at bottom)
ADDRESS
SO~O PoJs L.J~p. u"",," ,!Jr/eJr h.llR
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LEGAL DESCRIPTION (office use only)
LOT 3 BLOCK.3 ADDITION /:J€E>a.PIG:Vz) 8'P1-
OWNER '"
(Name) .:.JD"'- P~J1 n (I-
(Phone)
(Address) 50rb ~..".J.$ .&-IJc~ ~;,~
./
BUILDER ."....
(Company Name\ fi(~> Mc.n~toWl
(Contact Name) JrJ... "'~ sc.1:c. /ki'L.
(Address) JOe; I3n'Pt po /JeJ/... r W~'V . <" /1; (If)
VI 1 ' -
-P~/"cr L.5-,/J...~
I PERMIT NO. (f) q_ ~
ZONING (ollice use)
tq
PIDZ~. 3~. ()z:z. ()
CJi).,- ~7-.~5"~
55?,75"
(Phone) ~~/-9<jlf-'7o~:L
(Phone)~/- ,)",/4-10<(,
A. h. / -r- <'o?~
5. sr.
TYPE OF WORK 0 New Construction l!:IlJeck OPorch ORe-Roofing ORe-Siding OLower Level Finish 0 Fireplace
DAddition DAlteration DUtility Connection 0 Misc.
CODE: OI,R.C, OI.B.C.
Type of Construction:
Occupancy Group: A B
Division:
I
E
IT
F
1
1lI IV V A
HIM R
2 3 4 5
~ff5{
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 correct. I also certify that I am the owner or authorized agent for the
above-mentlOned property and that all construction will conform to all existing state and local laws and w~ll 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 enter upon the property to perform needed mspcctions.
X ~ ~ -":: A-. .2_0J-$lb).. J ~-~-0'1'
Signature Contractor's License No. Date
I Permit Valuation
I Permit Fee
I Plan Check Fee
I State Surcharge
I Penalty
I Plumbing Permit Fee
1 Mechanical Permit Fee
I Sewer & Water Permit Fee
I Gas Fireplace Permit Fee
., , ....
I II /'1.
, This s our Building Pe
,
J1:1;ldi~li"ial --/
$
$
$
$
$
$
$
$
~-
IPS, -
~.'f~
'2..-
I Park Support Fee
I SAC
I Water Meter SizeS/8"; 1";
I Pressure Reducer
I Sewer/Water Connection Fee
I Water Tower Fee
I Builder.s Deposit
I Other
I TOTAL DUE
/-/ I. 'fJ-
.,.U_~
I Paid
I Date
# $
# $
$
$
# $
# 1$
$
$
$/7/. 'IS-
I ReceiIi'fio. ~(, So
By ..t-,.
o
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
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
lj
j
BY:
Residential Building Permit Checklist
;} () /1 Deck Additions to S~gle F.." HOj
fi/C5T Date. 4/28-/of
Zoning:
Building Permit # 04 - 51-1- PID:
Site Address L /Yl) f)
~'-"DO tfJ,N;D> CtJ es,6-
Legal: L B Subdivision:
Existing StructurA 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 Ri~)
. Side Yard
Requirement
Proposed
10'
I'f , Zr;a
10'
.
50 -f
S"'O'/
. Rear Yard
25'
. Townhouses
Must be consistent with
approved plan for
develOllIllent
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
IJ lnLA UNUSUAL CIRCUMSTANCE MUST BE REFERRED TO THE PLANNING DEPARTMENT.
TIns CHECKLIST MUST BE COMPLETED AND INCLUDED IN THE BUILDING PERMIT FILE TO
MAINTAIN A RECORD OF THE REVIEW.
.
L:\TEMPLATE1DECKCHCK.DOC
~
PRIOR LAK'E DEPARTMENT OF
BUILDING AND INSPECTION
INSPECTION
1!~~sq.~~
SITE ADDRESS
TYPE OF WORK
USE OF BUILDING
PERMIT NO. C)4-::s~
,
BUILDER ~fS nt/v'fi-.c6t"16VT PHONE#65'/-'1q4 -'f'C82.
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
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DATE ISSUED
. I
4- /-z.fJ/O{
I FINAL
N/!
( ,
7/6/f4
, t ,
FOR ALL INSPECTIONS (952) 447-9850
,
,
\
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS ,S]) If tJ
OWNER
PHONE NO.
lJ FOOTING
lJ FOUNDATION
D FRAMING
lJ INSULATION
<<FINAL
/jJ ~ SITE INSPECTION
COMMENTS.: :..1'1 /"
/ /,e>d
. -
/
j/e7
Inspector.
p.
TIllE
DATE
?AA~
4,,/s~~ L
V
SCHEDULED
CONTR,
PERMIT NO.
lJ PLUMBING R1
lJ MECH R1
D WATER HOOKUP
lJ SEWER HOOKUP
lJ PLUMBING ANAL
lJ MECH FINAL
/" J
//k.,/
k~e
,
.-
Owner/Contr.
CJ~ ..?/'/'
lJ EXIGRADlFILLlNG
D COMPLAINT
lJ FIREPLACE RI
D FIREPLACE ANAL
lJ GASLlNE AIR TST
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lJ WORKsATls~a-V l!BOCEED ~
?II! CORRECT ACTION AND PROCEED
/ D -;;ORRECT WORK, CALL FOR EINSPECTlON BEFORE COVERING
CALL "7-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE..
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
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