HomeMy WebLinkAboutBuilding Permit 04-0543
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
(Please type or print and sien at bottom)
ADDRESS
/ +552
Ieose-WOOl>
LEGAL DESCRIPTION (office use only)
Date Rec' d
While
Pink
Yellow
File
City
Applicant
I PERMIT NO/) t/-5 L/3 I
~"D
ZONING (office use)
lei
LOT 7 BLOCK I ADDITION KNOI5 ifILL-
OWNER
(Name)
L/'iRSOtJ,
(Address)
BUILDER
(Company Name)
(Contact Name)
(Address)
BOB
PID 25.3/0.007.0
! 8081$1&
(Phone)
q.s2. - '-(05- (,Cfo3.
(Phone)
(Phone)
TYPE OF WORK D New Construction MDeck DPorch ORe-Roofing ORe-Siding DLower Level Finish 0 Fireplace
DAddition DAlteratfuh DUtility Connection D Misc.
I hereby certify that I have fi.lmished information on this application which is to the best of my knowledge true and correct I also certify that I am the owner or atlthonzcd agent fOf the
above-mentIOned property and thJ~~s~constrl1ction will conform 10 all existing state and local laws and will proceed in accordance with submitted plans I am aware that the building
:licial can revoke thlsl1r I;' use_ Furth~rmore, I hereby agree that the City official or a deSignee may enter upon the property to perform needed I~;;~~
,
CODE: DI.R.C. DI.B.C.
Type of Construction:
Occupancy Group: A B
Division:
Signature
Permit Valuation
Permit Fee
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
L Gas Fireplace Permit Fee
I
E
II
F
I
IIIIVVA
HIM R
2 3 4 5
'ttISoo,o"t)
$ 57. 50
$ 37. 3 E?
$ '7S
$
$
$
$
$
This Application Becomes Your Building Pennit When Approved
~ ~/..;
Building Ofticial
trJlijo.;
B
S U
PROJECT COST IV ALUE $
(excluding land)
Contractor's License No.
Date
Park Support Fee
/
------ #
$
$
$
$
$
$
$
$
$
CjS.lo3
SAC
Water Meter Size 5/8"; 1";
Pressure Reducer
Sewer /W ater Connection Fee #
Water Tower Fee #
Builder's Deposit
Other
TOTAL DUE
Paid
Date
Glh / 0 I..:j
((-,- 4-0L/
,
Receipt No. '-fb'>{""C:>~
Bv CJ ~
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 signt'd 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 Dire<:tor
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
Rt:sidt:nti:J.! Building Permit Checklist
~
D~~k Addition~ to Single F'lmijy 8.!lmc~
BY~U
Date
~ - L(-ULj
Building hrmit.,*
Si(~ Addre~o
Pill:
ILl S S d -
~ Zonmg:
( ~
~6Qd
2J
Legal; L
B
Subdivi:sion:
E.!is-cing Structure: YES or NO
C OMF 0 Rl\lS TO Z 0 NIl''''- G
ORDINANCE
rLS
NO
hrd Sdback:i: NOT APPLICABLE
MEETS CODE
Requirement
Propo,ed
S.de Yard
(25' ihbucring 0. street. 30' ifabuttmg 0. street In
C ardin,,1 Ridgel
Side Yard
lO'
I'
I'
10'
Rear Yard
)--
_J
T own.nous;;:s
rvlust be consis!~nc wim
o.pproved p[m for
develop ment
NA
ANY PROPOSED DECK NOT ~[EETll'IG TH:E ABOVE CRlTERlA MUST BE REFERRED TO TH:E
PLAl'il'lll'iG DEPARTLY[Ej'lT. ALSO, .>u.'fY DECK ON A LOT WITH.-\. SUSPECTED BLIIFF, OR ANY
OTH:E.R l.!Nl1SU..u. CIRCU~lSTAi'KE ~ruST BE REFE.RR.ED TO TH:F. PL""iI'l1NG DEPARTl'Y[ENT.
Tlils CHECKL1ST MUST BE. COMPLETED AJ.'iD INCLUDED Ii'! TH:F. BUUDlNG PERMIT FU.E TO
MAlI.'I'T.-\.lN A RECORD OF THE REYl.EW.
L :-'TE~Ifl}lL~~. rE"' 0 E C:.;~I.::-:C:C.D()C
PRIOR LAKE DEPARTMENT OF
BUILDING AND INSPECTION
INSPECTION
RECORD
SITE ADDRESS {~5~ I?D.st.'~'J& DOff:/. ~
TYPE OF WORK Ot::. C I<-
USE OF BUILDING -5 t=
PERMIT NO. 01/- S-I.I'S DATE ISSUED ~- 4-01./
BUILDER ~ fJ h . /..4..;S6~ PHONE #41()"3- b 9()3
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
I THE PERMIT IS BY SEPARATE DOCUMENT
\ tM.!1.{ 10 ( W-u-,~ ~ INSPECTOR I pATE I I
I FOOTING J,)/ (, I ffiIJ I t//1)/oy
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
~ FRAMING tJ c I(rld~ (q- 1-:::, I
C p~~ \3 1)~ I5oA(<.O fl..~
, FINAL lfi/~ I 8- z -~ Y
FOR ALL INSPECTIONS (952) 447-9850
DATE TIME
CITY OF PRIOR LAKE IiJ Z. 1/
INSPECTION NOTICE SCHEDULED cr -t>-L
I
ADDRESS l~fc)("?_ ~ f7 --"
,
OWNER
CONTR.
PHONE NO.
PERMIT NO.
4- - 5'-15
o FOOTING
o FOUNDATION
o FRAMING
9,)'lSULA TION
/12 ~!~AL
o SITE INSPECTION
o PLUMBING RI
o MECH R1
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXfGRADIFILLING
o COMPLAINT
o FIREPLACE R;
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
/
I'WORK SATISFACTORY. PROCEED
o CORRECT ION AND PROCEED
o CORREC ~. C~L FOR REINSPECTION BEFORE COVERING
Inspector:~) OWner/Contr.
CALL -9 La FiR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUlREtENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
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