HomeMy WebLinkAboutBuilding Permit 04-0715
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
While
Pink
Yellow
File
City
Applicant
I PERMIT NO. 0'1- 71.><JI
(Please type or print and si2tl at bottom)
ADDRESS
1'-( 3'19
7Za.ueJJ~
ZONING (office use)
lei
LEGAL DESCRIPTION (office use only)
LOT ~ikoCK I ADDITION f:'/!./ob
~~dC
PID;;(S- 3~f?- O;;L?V
OWNER
(Name)
[3.,.. \ c... ""'-
:.3D k" b c..........
(Phone)
(Address)
, 1.{"39 .,
K.(~~
6+
tV 5'
BUILDER .
(Company Name) 1.k........+1...........0 L~~ .. li...:.. L.DL-~ ::n.,~_ (Phone)
(Contact Name) 12. c.... ~ d..._ ~ \ >1..~ (Phone)
(Address) 2o~7'" ~~L. ~l k"-~Jk IhrJ
Cj-S- ~ -1e<;: - S~-Io
b t 1.... .. 5'''10 -- lip ':>
S 51:.) l.j 4
TYPE OF WORK 0 New Construction .QIPeck DPorch ORe-Roofing
DAddltion DAlterafion\ DUtility ConnectIOn 0 Misc.
ORe-Siding
DLower Level Finish
o Fireplace
CODE: DI.R,C, DI.B,C.
Type of Construction:
Occupancy Group: A B
Division:
I
E
II
F
I
IIIIVVA
HIM R
2 3 4 5
B
S U
PROJECT COST IV ALUE $
(excludiug 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 authonzed agent for the
above-menCloned proP{'lty and that all construction will conform to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the buildmg
:'i'I~<VO?rm" f~~'''''th''th'''~Offid'IOt~,~'.m:n;t~O~h~~P~IOP''fOtmn''d'd';'P~';'~s_ o~1
t~ Signature' Contractor's License No. Date
Permit Valuation- /1300. - Park Support Fee # $
Permit Fee $ (Q7.2." SAC # $
Plan Check Fee $ 4-3.'" I Water Meter Size 5/8"; 1 "; $
State Surcharge $ <f0 Pressure Reducer $
Penalty $ Sewer/Water Connection Fee # $
Plumbing Permit Fee $ Water Tower Fee # $
Mechanical Permit Fee $ Builder's Deposit $
Sewer & Water Permit Fee $ Other $
Gas Fireplace Permit Fee $ TOTAL DUE $ III. UiJ
, ~
~l ,
Paid JII,~?O Receiot No. '-V 1 'f 1'1
Date -, -I t.(- <,t By (J
0-
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
Residential Building Permit Checklist
Ded; .-\.ddi,ion.'i to Singie F ~mjjy Horn.:.'!
0'1-- 7/.?
BY
(LO~
Buj]dingPermir,* C4 -11S' Pill:
SIte Addre~.'!14~<t1 (2A.veN CT
Legal: L B
Date
-7- /ij-Ot..j
Zonmg:
F!3c;9 1?~(rr
Subdivi.'iion:
ECli.'iting Strucmn:@or NO
C Ol'iF 0 RHS TO Z OL'{Il'i G
ORDI'-iA~CE
c~iY
NO
I Yar.d S"tback;: NOT A.PPLICABLE
MEETS CODE
, SIde Yard
(25' if abw:"u.ng a street. 30' if abuttmg a street in
Cardinal Ridge)
Side Yard
R,t:quirem~nt
Propo,,,d
lO'
I'
I .
10'
ll,,~!/
50'+
.~C)'
Rear Yard
)".
_J
. T ov~r...houses
Must be consis,enc wim
approved plan far
develop ment
-
A.'iY PROPOSED DECK NOT M:EETIl'IG THE ABOVE C.RlTERl."- MuST BE REFERRED TO THE
PLAl'rNlL'IG DEPA.RT~fEJ'lT, ALSO, Atry DECK ON A LOT WHE A SUSPECTED BLUFF, OR Al'IY
OTHLQ L1'<USU,U CIRCl;"MST,,,-,'1CE (<ruST BE RLFE..'1..R.ED TO THE PL."-''fNll'lG DEPARTI'YrENT,
THls CHECKLlST Nft;ST BE COI'YIl'LETED Mill Il'ICLUDED L\'1 THE BUllDli'lG PER.~ilT FILE TO
I'YIA.ll'I1',U\''1 ."-RECORD OFTHEREvllW,
~.'~:\Ii?~.-:., :-E'. DE CL'.=:-:CX.~'I~'C
PRIOR LAKE DEPARTMENT OF
' BUILDING AND INSPECTION
INSPECTION
RECORD
SITE ADDRESS 1~.3" le/UJJe~ C!.}
TYPE OF WORK e.~
USE OF BUILDING --.S c:
PERMIT NO. -01./-" l'.r DATE ISSUED 7-/"- LI
BUILDER ~(J.lJd f!.JAS/-. B/J~HONE tt.,~. S-'O' .u9;t
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSP.!'CTOR
DATE
I FOOTING 2..t/'~-i-~ q,,~L ~ 17 -2(-at}
PLACE N6 CONCRETE UNTIL ABOVE HAS BEEN SIGNED
'Q FRAMING 1 , IW I 7' J...3'LL(
BeFor~ Oc<:/<JNC, i-s Plac.eD/ I
.. I FINAL ~ I ~>>h
FOR ALL INSPECTIONS (952) 447-9850
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
/~..J'~
4u ~
OWNER
CONTR,
PHONE NO.
PERMIT NO,
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
...Ji!'1'fNAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS: /7 /
//..eC/C
"</
/7he<
DATE TIME
?ar~
d
0/ ~S-
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
(;;1- _
(' /.~ ~~
(~(6Se /'/Cb
.r;:ORKS~TORY~ PR~
/ci ~'ORRECT ACTION AND PROCEED
o CORRECT WOR5'5~LJ7 REINSPECTION BEFORE COVERING
Inspector: f~ Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE"
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH'" SAFETY!
UiSNOTl