HomeMy WebLinkAboutBuilding Permit 04-0221
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
t(,~,of
White
Pink
Yellow
File
City
Applicant
I PERMIT NO. 04-. Oz,z...J
(Please tlye or print and si2Jl at bottom)
ADDRESS
'~'Nb IllN!-5/1 57 jJ~
ZONING (office use)
.4 -L'-\
LEGAL DESCRIPTION (office use only)
LOT .3 BLOCK I
ADDITION :J 51.-/i!J) V!tnU
'Y,loDIoJ
PID
OWNER
(Name)
in Ie /!j?t.-l- C.
/V(C!i'eZ.5CIJ
(Phone) '/5 J - 'I~ 7- '!sse;
tj S~) - "i'i'r.5"0? 'f
(Address)
--:{)'It, /JJ/!~5/!
57 /./;{/
BUILDER
(Company Name)
(Contact Name)
(Address)
5..:h'11t:.
(Phone)
(Phone)
TYPE OF WORK. 0 New Construction ~eck DPorch ORe-Roofing ORe-Siding DLower Level Finish 0 Fireplace
DAddition DAlteration DUtility Connection 0 Misc.
CODE: OLR.C. OLB.C.
Type of Construction: I II III IV V A
Oc ancyGroup: A B E F HIM R
I . isi I 2 3 4 S
tc~ lfy that I have furnished mformatlOn on thiS applicatIOn which IS to the best of my knowledge lme and correct I also certify that I am the owner ()I aulhonzed agent for the
I abovt ment oed plOpUty and that all construction will conform to all eXisting state and local laws and wlll proceed In accordance with submitted plans I am aware that the building
offi vo . hiS permit for Just cause ultherm re, I ereby agree that the City offiCial or a deSignee may enter upon the property to peltOI'm needed inspectIOns
_ X Yo' ~{}.ture Contractor's License No ~~-':.ey
B
S U
PROJECT COST IV ALUE S
(excluding land)
Permit Valuation "Z-<::>c:tJ. - Park Support Fee # $ I
Permit Fee $ "7~.I<;'" SAC # $ I
Plan Check Fee $ 4-"1 ."'14 Water Meter Size 5/8"; )"; $ I
State Surcharge $ L~ Pressure Reducer $ I
Penalty $ Sewer/Water Connection Fee # $ I
Plumbing Permit Fee $ Water Tower Fee # $ I
Mechanical Permit Fee $ Builder's Deposit $ I
Sewer & Water Permit Fee $ Other $ I
$ TOTAL DUE $ IZZ-.G::>'1 I
~ ,
II ,
Paid J z.-z. ," 9' Recei~ iii,; ~I
Date (/ ~./J~ BY(j
{'
"'"-
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
24 hour notice for all inspections (952) 447-9850. fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
Special Conditions, if any
B'{
Residential Building Permit Ched,-list
fb t Dee' Add;,;"", ~o~:"''';k%e~
I
PID:
t-1AfL-~
Zonjn~:
Building P~rmit;;
Site .-\.ddms ~ 1. '1 ("
Legal: L B
Existing Structun:@or :"f0
Pr:;~;~~~ In~. ftA~ ~
~' t;-y /TCf:
CONFOR~IS TO ZO~mG ~ :--'"0
ORDI~Al'iCE
I Y~rd Setb~ck" NOT .\.PPLlC\BLE
MEETS CODE
. SIde Y~rd
(25' if :.1burring ;J. stree~. 30' if ilburting a street In
C~rdiml RJd~el
Side Y~rd
R~quirem~nt
1
10'
Proposed I
(
/
I"
I.
liJ"
Re~r Y ~rd
25'
. Townhouses
Must be consistem WIth
~pproved p 1m for
develoDment
I
,
!
~
ANY PROPOSED DECK NOT .'vlEETlJ'<G THE ABOVE CRlTERlA MUST BE REFERRED TO THE
PLAc'iNING DEP..'.B.T"IE:'IT. ALSO, A.i'fY DECK ON A LOT WlTH A SI;SPECTED BLlJFF, OR A.""
OTHER Ll'iUSlJAL CIRCl'iYlST.-L'iCE MUST BE REFERRED TO THE PL.\.'iN11'-IG DEPARTMENT.
THls CHECKLIST "ruST BE COMPLETED A.ND [;'iCLUDED [i'l THE BL1LDI.NG PER.'yl1T FILE TO
"L>.L'fTAL'I A RECORD OF THE RE'y1EW.
l.. .'~C:)/(P~~..\;E DECK:~:--:iC.:(.'::<;-(~
PRIOR LAKE DEPARTMENT OF
BUILDING AND INSPECTION
INSPECTION
RECORD
SITE ADDRESS ~"1~(i, MA-A(A <5t-.
TYPE OF WORK ~ AI!!-
USE OF BUILDING \)~ t J
PERMIT NO. o4-"'Z-2-\ DATE ISSUED + (<:;( c f
BUILDER ~1.1 c.~ NIC.b't.SoN PHONE # I 4-4-1-4~B1
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
.J EQe11'fNG cJ<;.~ ~ Sll,..r"" ~1. W:(,~
PLACE NO CONCRETE UNTIL ABOVE HAS BE'EN SIGNED
'FR~ I I
/"
, FINAL
~
V.l
I ~-/<,---
FOR ALL INSPECTIONS (952) 447-9850
"'7
.
DATE TE
SCHEDULED 0-.C; -0 '-
Mat"st <s.t- (
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS 3Tl Cttll
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING 0 PLUMBING RI
o FOUNDATION 0 MECH RI
o FRAMING 0 WATER HOOKUP
o INSULATION 0 SEWER HOOKUP
o FINAL 0 PLUMBING FINAL
o SITE INSPECTION 0 MECH FINAL
COMMENTS: \4>~:~ pXI~,Ac() 1\04:.. S22e,
~O' X I/~.I "',xI'<:'~~1j ,~C k.
hF)~
./
./
o EXIGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COVERING
Inspect r: i .
C L 7.9850 FOR E NFXT. NSPECTION 24 HOURS IN ADVANCE.
CODYa.EQUlREMENTS ARE.~ YOUR PERSONAL HEALTH & SAFETY!
lNSNOTI
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
(p ~Ir:;-o y
ADDRESS 3'1'l(~ M/U"'!:h ~\--
OWNER
CONTR.
PHONE NO.
PERMIT NO.
4-~?.\
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
1! FINAL Oc~
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXlGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
COMMENTS:
~RKSATISFACTORY. PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK. CALL FOR REINSPECTION BEFORE COVERING
Inspector: 10 It-. Owner/Contr:
CA~ FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
coM R~REMENTS ARE FOR YOUR PERSONAL HEALTH'" SAFE;;'!
,NSJWT1