HomeMy WebLinkAboutBuilding Permit 04-0314
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
.If.o07S
(Please tvDe or vrint and sign at bottom)
ADDRESS
11 ~ /3 ~e.~eU, DR' Yi-bb.
LEGAL DESCRIPTION (office use only) ~
LO~/.. BLOCK I ADDITION 1)e(!j-f{pltL ~
OWNER
(Name)
(Address)
BUILDER [, f\ _iL /~
(Name) t l. 'TIOYl qlllnr '
(Contact Name) '+t~~1W\/
(Address) ~~~~;1~e~ :;1'00
I
I, White File
2. Pink City
3. Yellow Applicant
(Phone)
Date Rec'd
4-.2-/,04-
rl (.;6 w:tl-04--. dO 75
I PERMIT NO. 04-J)3/ 4-j
I I
ZONING (office use)
K?-
PID Z. "5 4-00. d Z-fD .0
(Phone) 3h2-CJP,c,-1fII
(Phone) qS2--Z-~1b~V
Park Support Fee
SAC
TYPE OF WORK 0 New Construction DDeck DPorch ORe-Roofing
,.B.(., ~ ~owerLeve~~DFirePlace DAddition DAlteration
_lEMisc. Yz.~I~kt-~5h.ll;.d-. tyJJI~ PROJECTCOST/VALUE (excluding land) $ J. /q1--
$
$
$
I $
I $
I $
I $
I $
1('2l)(!)t) 100 I
73.?S I
47.'N I
I. Dol
I
I
I
I
I
ORe-Siding
DUtility Connection
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-mentioned property and that all construction will confonn to all existing state and local laws and will proceed in accordance with
sUbmitte~~s.. I am aware 1l>at the bu' i fficia n revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may
:teruP/the4o~on.' cX()UOCU57 ~~
\.../f J) Signature Contractor's License No. Datei'
/ /
Permit Valuation
I Permit Fee
I Plan Check Fee
I State Surcharge
I Penalty
I Plumbing Permit Fee c..1oJ1'7t ,
I Mechanical Permit Fee
I Sewer & Water Permit Fee
I Gas Fireplace Permit Fee
I Water Meter Size 5/8"; 1";
I Pressure Reducer
I City SAC and WAC
I Water Tower Fee
I Builder's Deposit
I O'her
I TOTAL DUE
I&.~/ ~ -J
/..../<::+&- - 4
L/(J. () 0
This Application Becomes Your Building Pennit When Approved
~~
Building Official
~ /Z. -z.loc.f
I Paid
I Date
, .
Date
$
$
$
$
$
$
$
1$
1$ /ID2_ hCl
I "::f, N<>?tMff/
#
#
#
#
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
] 6200 Eagle Creek Avenue Prior Lake. MN 55372
.
Residential Building Permit Checklist
Basement Finish or Interior Alteration to Single Family Homes
BY:
~~
Date: / //. _ /
7/2.L('6L/
Building Permit #
Site Address
Pill: Zoning:
/?'!/3 ~ g~ Sb-,
Subdivision:
Legal: L B
Existing structure~or NO ~ ,.
~(
'YES
NO
CONFORMS TO ZONING
ORDIN.Al~ CE
I
Is this an e."qlansion of the existing footprint or
building height?
YES
Refer to Planning
NO
lIs the property located within the flood plain?
I Does the alteration include any additional kitchens?
Does the proposed alteration include any outside
entrances other than patio doors?
Refer to Planning
f-Jo
No
r-JC
Refer to Planning
Refer to Planning
100
Is the proposed use of the finished space or
alteration for anything other than a normal single
family home (office, group home, day C:lI'e, etc.)?
Refer to Planning
Nt)
THIS CHECKLIST :VIUST BE COMPLETED A.ND INCLUDED IN THE Bl.i1LDING PERl';IlT mE TO
MAlNT.-\.lN A RECORD OF THE REVIEW.
.
L:lTE:vlPLA. TE...".L TCEC:<'DOC
Residential Building Permit Checklist
Deck Additions to Single Family Homes
c2 .-
BY: ~
~j_J
Date: t2. 2.;10 if
Building Permit #
Site Address
PID: Zoning:
/7Lj/J ~Jilfl) ~ SE.
Subdivision:
Legal: L B
Existing Structur~r NO
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 Ridge)
Side Yard
10'
I .
I .
10'
Rear Yard
25'
. Townhouses
Must be consistent with
approved plan for
development
~ '-" (S-r-J
o"",-,p~
ANY PROPOSED DECK NOT MEETING THE ABOVE CRITERIA MUST BE REFERRED TO THE
PLANNING DEPARTMENT. ALSO, Al'lY DECK ON A LOT WITH A SUSPECTED BLUFF, OR ANY
OTHER UNUSUAL C1RCUMSTAl'lCE 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 TE\DECKCHCK.DOC
PRIOR LAKE
INSPECTION RECORD
L'7I11-1~
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS
NATURE OF WORK
USE OF BUILDING
PERMIT NO. ~ ED 4-_ ~
CONTRACTOR ~ PHONE-Z2-.. l~
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
I
I I
PLA'CE NO CONCRETE UNTIL ABOVE HAS B
ROUGH - INS
/' M' 11 t:;
/ ,(;,/1' G() I eo.
~}'; D~N
Jv"
,
/
/
/
(
\ /"
COVER NO WORK U~L ABOV~EEN SIGNED
1- I
FINALS
FRAMING
INSULATION
ELECTRICAL
PLUMBING
BUILDING
ELECTRICAL
PLUMBING
INSPECTOR
DATE
/
/
/
/'
DO NOT OCCUpy UNTIL ABOVE HAS BEEN SIGNED
NOTICE
This card must be posted near an electrical service cabinet prior to rough-in inspections
and maintained until all Inspections have been approved. On buildings and additions
where no service cabinet is available, card shall be placed near main entrance.
\
FOR ALL INSPECTIONS (952) 447-9850
CITY OF PRIOR LAKE
INSPECTION NOTICE
DATE TIME
ADDRESS
/ ? ~/.s
?);.oA~
/ . ,
Per2r4id dr
SCHEDULED
OWNER
CONTR.
PHONE NO.
PERMIT NO.
cf!)e/- ..r/~
o FOOTING
o FOUNDATION
o FRAMING
l:NSULA TION
FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXIGRADlFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
COMMENTS:
-- / /
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76.--~, '-/ ~ C'~- 7S-
.r
C/
------
_/'
f./a.s~
LORKSAT ccn
~ ~'~RRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: ~ OWnerlContr.
CALL "7-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH .l SAFETY!
INSNOTl