HomeMy WebLinkAboutBuilding Permit 04-0385
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
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2 Pink
3 Yellow
File
City
Applicanl
(Please tyoe or print and sign at bottom)
ADDRESS
ISlsq
PClSS NW
---
Jef+ers
LEGAL DESCRIPTION (omce use only)
LOT ~ BLOCK 2- ADDITION :tee- ~F ~ S
SovT\1
OWNER
(Name)
S, -PReSLf'R
Te-f-ff'v-<;. Pass N'AJ
(Address)
--rR 0 y
ISISq
(Phone)
BUILDER
(Company Name)
(Contact Name)
(Address)
Sn... ·
(Phone)
(Phone)
Date Rec' d
I PERMIT NO. 0 if ~ d 8'~ I
ZONING (office use)
PID db/3 q5~OI?- 0
q~ .:1.-....':14>-3703
TYPE OF WORK 0 New Construction ~eck o Porch ORe-Roofing ORe-Siding DLower Level Finish 0 Fireplace
DAddition DAlteration o Utility Connection 0 Misc.
CODE: DI.R.C. DI.B.C.
Type of Construction:
Occupancy Group: A B
Division:
I
E
B
S U
PROJECTCOST/VALUE $
(excluding land)
II
F
1
III IV VA
HIM R
2 3 4 5
'----------
~
I hereby certifY thaI I have furnished information on this application which is to the best of my knowledge U1Je and correct. I also certify that I am the owner or authnnled agent for the
above-mentlOne .operty 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 building
;Ki'J" "h. "mtl fo, JU'" F"nh"mo". I h"'by 'g'ee th" th,,,~ off"i,J at, :::~r::::s':ti:e::n~:' pmp'"> to ~,fo'm "'~; (s2~ f
Park Support Fee
SAC
~.coo.Oo
Permit Fee $ ~~.'1"
Plan Check Fee $ ~1 _ 71_
State Surcharge $ , ...-0
Penalty $
Plumbing Permit Fee $
Mechanical Permit Fee $
Sewer & Water Permit Fee $
Gas Fireplace Permit Fee $
Water Meter Size 5/8"; 1 ";
Pressure Reducer
Sewer/Water Connection Fee
Water Tower Fee
Builder's Deposit
Other
TOTAL DUE
r2PtJ;"-'-,;;::r
~dA(g OffiCial Date r
Paid I iF), II
Date oS - ~ -/lLJ
# $
# $
$
$
# $
# $
$
$
$
/II/J, /1
0'(,,90'7
Receipt No.
By
/::.
0-
ThIS IS to certify that the request in the above applicatlOn 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 musl 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
By:{2 ()
Residential Building Permit Checklist
Deck Additions to Single Family Homes
Date: (;-1:)-(;,"7
Building Permit #
Site Address 1515'1
PID:
J.~ ~Q..'loS
'2..
Zoning: f!./
Legal: L 3
B
Subdivision: JJtus c; .
Existing Structure: YES or 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
12
10'
IZ'
I"
Rear Yard
25'
~J
" Townhouses
Must be consistent with
approved plan for
development
ANY PROPOSED DECK NOT MEETING THE ABOVE CRITERIA MUST BE REFERRED TO THE
PLANNING DEPARTMENT. ALSO, ANY DECK ON A LOT WITH A SUSPECTED BLUFF, OR ANY
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:\TEMPLA TE\DECKCHCK.DOC
~
PRIOR LAKE DEPARTMENT OF
BUILDING AND INSPECTION
INSPECTION
RECORD
SITE ADDRESS /5/ 59 JEF~6eS ;?~Jf
TYPE OF WORK fJcCl::-
USE OF BUILDING I1---eJ /9-1/Z-
PERMIT NO. 0 <1- , 0385 DATE ISSUED 6.5 ()-1-
BUILDER PJ2.6S~ PHONE # 2 z.&. 3703
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR DATE
I FOOTING I 10~ I '51l-t\~
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
I I
I FINAL
~
(111 I q-/-<!YJ
v . ~
FOR ALL INSPECTIONS (952) 447-9850
I
I
I
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
/5'1 C:;9
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
~J!lllULA TION
~ ~~~~L
o SITE INSPECTION
COMMENTS:
DATE TIME
SCHEDULED
'1-{-o'f
~r'lfM&
L/-
CONTR.
u.?;
PERMIT NO.
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXIGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
I f fA ^)
O~ \z::. L ~-Jti L -it, \ 0
/'
~RK SATISFACTORY, PROCEED
o CORREC CTI AND PROCEED
o CORR CT WORK ALL FOR REINSPECTION BEFORE COVERING
Owner/Contr:
C L 798 0 R THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REUREMENTS A OR YOUR PERSONAL HEALTH & SAFETY!
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