HomeMy WebLinkAboutBuilding Permit 04-0255
Date Rec'd
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
e or rint and si at bottom
LEGAL DESCRIPTION (ollice use only)
BLOCK / ADDITION
~ a.ri kon S
LOT
OWNER
(Name)
(Address)
1-./4-.04-
I. White
2. Pink
J. Yellow
File
City
Applicant
I PERMIT NO. 04-. OZ55
ZONING (office use)
PID~5"" g70-061-~
(Phone)
-/r(yJ)
4'0 - (;,,$ (/
9/+. 1+35
BUILDER
(Name)
(Contact Name)
(Address)
(Phone)
(Phone)
TYPE OF WORK
o New Construction
ORe-Siding
DLower Level Finish
o Fireplace
PROJECT COST IV ALUE (excluding land) $
o Misc.
eck
DPorch
ORe-Roofing
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 conform to all existing state and local laws and will proceed in accordance with
submitted plans a aware that the building official can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may
enter upon the rope to perform need. inspections. _iI
X ' ~ '--L /]/0 I
Signature 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 $
This Application Becomes Your Building Permit When Approved
~~~
Building Official
1/c.<(~~
Date
OAddition
DAlteration
$
$
$
$
$
$
$
$
$
Park Support Fee
SAC
#
#
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.
Water Meter SizeS/SOl; I";
Pressure Reducer
City SAC and WAC
Water Tower Fee
#
#
Planning Director
Date Special Conditions, if any
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake. MN 55372
Builder's Deposit
Other
TOTAL DUE
Paid
Date
./
s: 04-"
Residential Building Permit Checklist
Deck ,~dditions to Single Family Homes
/I? ' ~ //0
BY.~~
Delle
1-JI--, c} IL
Building Permit #- ~4-,o z.s-s- PID:~. 'S7D. 001. cJ Zoning: ~/
Site Address /7Z85" w/,-,Oe7uV€S.f 7JZ;'t1 L-
Legal: L I B I
Existing Structure: 6J- NO
Subdivision: D~6LL)
CONFORMS TO ZONING YES NO
ORDINANCE
Yard Setbacks: NOT APPLICABLE Requirement Proposed
MEETS CODE
. SIde Yard lO'
(25' if abutting a street. 30' If abutting a street in I
C atdillal R1d!(e) 3c:'
. Side Yard Ill" t.{2.. (
. Rear Yard 25' I 5~'
. T ov\'nhous~s Must be consistent WIth
I approved plan for ~A:
I develooment
A;'iY PROPOSED DE~K NOT LVLEETll'<G Till ABOVE CRlTERlA MUST BE REFERRED TO Till
PLA.'lNING DEPARTMENT. ALSO, AN,' DECK ON A LOT WITH A SUSPECTED BLUFF, OR ANY
OTillR IJ?><USUAL CIRCUMSTANCE MUST BE REFERRED TO Till PLA..c'INING DEPARTMENT.
TillS CillCKLIST MVST BE COMPLETED AND ll'<CLUDED [j'i Till Bli1LDlNG PERc"l'IlT FILE TO
~L~Il'iTAh'l A RECORD OF THE REVIEW.
L....TE!vlPLA IE DE CKC-[CKDOC
""___,,_.____._,..__._,.w.__,_._.______~_________.__.____.___""_~"____
4
,
PRIOR LAKE DEPARTMENT OF
BUILDING AND INSPECTION
INSPECTION
RECORD
SITE ADDRESS /'l2J3G" /4/l..--D~es.r -rn;t1L-
TYPE OF WORK D6U::-
USE OF BUILDING )te7 /I//C..-
PERMIT NO. 04- . 0 z.~ / DATE ISSUED 4-. /1-. 04-
BUILDER ):::0/115 PHONE# 4-47.(P15~
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR DATE
I FOOTING I l/1.tI' I 4-J:1--cJf1
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
.... I I
I FINAL I f4t I / ;;d~f'
FOR ALL INSPECTIONS (952) 447-9850
.,
~~Y'
/~2%S- t:O'/~/e#'P7e-.[5' P'I
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULt< TION
.....0- r-INAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS:~ / ~ ~
~:A. /--;; ~ ('
OATE TIME
or ~...zs3-
o EXIGRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
~/
~.
Jl'WORK SATISFACTORY, PROCEED
/ ~ORRECT ACTION AND PROCEED
o CORRECT WORK, CALL F REINSPECTION BEFORE COVERING
Inspector:
Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
<NSNO"
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH .I SAFETY/