HomeMy WebLinkAboutBuilding Permit 04-0659
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ADDRESS
J13/
l3obcA>-/-
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
White
Pink
Yellow
File
City
Applicant
I PERMIT NO. tJ<1-. v&S91
,
t\2.A-\ L
LEGAL DESCRIPTION (office use only)
LOT /3 BLOCKS ADDITION 77-16 W/vOJ fO r/77i
OWNER
(Name)
(Address)
Date Rec'd
(,.36.04-
ZONING (office use)
~/
PID ~S'. 3'&2-. Of..7. 0
(Phone)
thl?J5 Robed- I' Jf.J;i~'i7;io
, ' f"tr
(Contact Name) ~ Iv2 J <;
(Address) y~ ~A.tl}tJn) ~- ~
BUILDER
(Company Name)
(Phone)
(Phone"
wI'). ;)'1)' - </JtfE3
TYPE OF WORK 0 New Construction "Deck OPorch ORe-Roofing ORe-Siding DLower Level Finish 0 Fireplace
DAdditlOn OAlterlicit DUttlity ConnectIOn 0 Misc.
CODE: ~I.R.C. DI.B.C.
Type of Construction: I
Occupancy Group: A B E
Division:
l~ ':: ~ ~~'<F u
I 2(3)45
PROJECT COST IV ALUE S
(excluding land)
I her~. Y~'~I hat I have furnIshed IOformatlon on thiS application which IS to the best ot my knowledge tme and correct I also certify that I am the owner 111 authonzed agent for the
ahov m tlO propelty n hat all constructlOn will conform to all eXLStlng state and local laws and Will proceed 10 accordance With submitted plans I am aware that the bUlldmg
:" Ie >e ,"" p'" "se Fm""mo>e. I h",by ,,>ee th" ,he "ty offi",1 0" d,,,,oee may em" upon the pwpeny co p,,'o,m nt/'=j()7W
. . -Stgnature Contractor's License No Date'
Permit Valuation
Permit Fee
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
$ I
$ I
$ I
$ I
$ I
$ 1
$ 1
I $ 1
TOTAL DUE NUt" A(!.jI. lJ P '1 I nA- )/ 14-7'- / L-J
I ~~c~o, "'7.-r.E I I
()
,.
3,ODO,Oo I
$ u_ ~B 261
$.57 3~
$j.6D
$
$
$
$
$
Park Support Fee
#
SAC
#
Water Meter
Size 5/8"; I";
Pressure Reducer
Sewer/Water Connection Fee
#
Water Tower Fee
#
Builder's Deposit
Other
~
This Application Becomes Your Building Permit When Approved
~
1(~(}/o :/
Oat!'
Paid
Date
/.,.-'7./1
'7. ~.,.,..-
=f~
Building Otlicial
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 .~igned by the City Planner constItutes a temporary Certificate of Zoning compliance and allows construction to commence Before llCcupancy, 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
Residential Building Permit Checklist
Deck Additions to Single Family Homes
BY: ~ ~1121-
Date: iP/3'0V
Building Permit #
Site Address
e::l'lYf
B 3
PID:
&rkJJ-
Zoning:
Legal: L J 3
7kJ
Subdivision: vJ~ ~
Existing Structure~r NO
CONFORMS TO ZONING
ORDINANCE
YES
NO
I Yard Setbacks: NOT APPLICABLE
MEETS CODE
o Side Yard
(25' if abutting a street, 30' if abutting a street in
Cardinal Ridge)
Side Yard
Requirement
Proposed
10'
I 0
10
10'
;Jef
30 f 1
1hJ-eA 25'/1
Rear Yard
25'
o Townhouses
Must be consistent with
approved plan for
development
;JA-',
ANY PROPOSED DECK NOT MEETING THE ABOVE CRITERIA MUST BE REFERRED TO THE
PLANNING DEPARTMENT. ALSO, Al....Y DECK ON A LOT WITH A SUSPECTED BLUFF, OR Al....Y
OTHER UNUSUAL CIRCUMSTANCE 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:\TElYIPLA TE\DECKCHCK.DOC
..
PRIOR LAKE DEPARTMENT OF
BUILDING AND INSPECTION
INSPECTION
RECORD
SITE ADDRESS 2. '3 I (J '~_ ~ I 71UI1 '-
TYPE OF WORK
USE OF BUILDING ~
PERMIT NO. DATE ISSUED
BUILDER 4/IJIIIf 4IIIJ.e;A PHONE # 1112, ~~
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
~~~~cUc J' ~~'I.-t~~~CTOR G1J I -;A~
,
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
~ FRAMING v..d fP.t> I /-7
'--~t'l.e D~ 'BoA-/tO PLA:<!.em.~/7.J /
I FINAL I 17th I 7-)</
I
I
I
FOR ALL INSPECTIONS (952) 447-9850
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS ~61 ~C4.1
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
, 0 JHSULAl}Q..N~
.)B(fINAL ~J
o SITE INSPECT ON
COMMENTS:
CONTR.
PERMIT NO.
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
;Q}
\J""
~
DATE TIME
7-1t.(~1/
I
1)-(o5;<J
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
~ORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECf, ~L FOR REINSPECTION BEFORE COVERING
Inspector: L Owner/Cantr:
CALL- -9 La FO. THE NEXT INSPECTION 24 HOURS IN ADVANCE.,
.C
E
ENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
UUNOTJ