HomeMy WebLinkAboutBuilding Permit 04-0387
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec'd
White
Pink
Yellow
File
City
Applicanl
I PERMIT NO. t:>~... ~e.7 I
(Please tvDe or orint and silD at bottom)
ADDRESS
/ '/2 20 .:SHAtJ y'
SEYgeN
7J.?11/L.
ZONING (office use)
I?ISD
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID 25. /28. 001. I
OWNER
(Name)
(Address)
LS.eer Nl./ST}(otV!
/t.fZW SHt1IJIj iSe1t!Ji
(Phone)
~.;l-'19"~03'to
7?A I L-
BUILDER
(Company Name)
(Contact Name)
(Address)
6~F"
(Phone)
(Phone)
TYPE OF WORK 0 New Construction JlDeck DPorch ORe-Roofing ORe-Siding OLower Level Finish 0 Fireplace
DAddition DAlteration DUtility Connection 0 Misc.
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 COSTlV ALUE $
(excludiug land)
I hereby certifY that I have furnished information on this application which is to the best of my knowledge true and correCI. I also certify that I am the owner Of authorized agent for the
above-mentioned property and that all construction wiu conform to all existing state and local laws and will proceed in accordance with submitted plans, I am aware that the building
7':;VO~?st '"::4 F~;:__ . . ,""Oy official or a designee may entee upoo the property to perform oeeded mspectlons.
Signature , Contractor's License No. Date
Permit Valuation '7~' I Park Support Fee # $ I
Permit Fee $ -r!7 _ "'1-': I SAC # $ I
Plan Check Fee $ 4"7."'4 I Water Meter Size 5/8"; 1 "; $ I
State Surcharge $ l - ..- I Pressure Reducer $ I
Penalty $ I Sewer/Water Connection Fee # $ I
Plumbing Permit Fee $ I Water Tower Fee # $ I
Mechanical Permit Fee $ I Builder's Deposit $ I
Sewer & Water Permit Fee $ I Other $ I
Gas Fireplace P1rmit Fee ..... $ I TOTAL DUE $ r Z-~ -t4-J
"K~"--?q;.
Paid r::).~t?4 Receipt No.c-/?, Y / U I
Date . .'-;=--L. ~()G{ Bv d- I
\
'Blllldm,eOtlicml --Dale . Q~
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 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
Residential Building Permit Checklist
VI) (~eCk Additions to Single Family imer
BY: fiJ(f1 Date: 5/7 (~4-
Building Permit # Z\' ~ B1 PID: Zoning: (Z- /
Site Address
Legal: L B
Existing Structur&r NO
Subdivision:
CONFORMS TO ZONING
ORDINANCE
Qi)
NO
I Yard Setbacks: NOT APPLICABLE
MEETS CODE
. Side Yard
(25' if abutting a street, 30' if abutting a street in
Cardinal Ridge)
Side Yard
Requirement
Proposed
10'
I.
I.
10'
31'
(4'
57
Rear Yard
25'
. 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 A."Y
OTHER UNUSUAL CIRCUMSTANCE MUST BE REFERRED TO THE PLANNING DEPARTMENT.
THIS CHECKLIST MUST BE COMPLETED AND INCLUDED IN THE BUILDING PERlVIIT FILE TO
MAINTAIN A RECORD OF THE REVIEW.
,;
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L:lTEl'vlPLA TEIDECKCHCK.DOC
PRIOR LAKE DEPARTMENT OF
BUILDING AND INSPECTION
INSPECTION
RECORD r--
SITE ADDRESS I 4- 'Z ~5l"W'Ol ~(;'t'" I I2A-l L-
TYPE OF WORK 0 t:: c. \(.
USE OF BUILDING RE:S ^ /I"l.
PERMIT NO. 04 - "$87 DATE ISSUED sit. /0.
BUILDER ~IK }J, ~ PHONE #
NOTE: THIS IS NOT~ A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
. ~OR DATE
I FOOTING .., /'t=f., fI!iQ' I L-f - 7 -6Y
PLACE NO CONCRETE U;;IL ABOVE HAS BEEN SIGNED
~ I I I
I FINAL #/)p;l-/I~ 'l'~/"'~
FOR ALL INSPECTIONS (952) 447-9850
",--,,,,,,-,,-,,,,,-,,,,,_._-,,-,--"-'._--~-'--' ._......"._....._------,."',._--,~_.-
/ Y.,?-.20 s,4;L
/
CONTR.
PERMIT NO. c!t/ - .3 ?7
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
~INAL
o SITE INSPECTION
o PLUMBING Rl
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
/1 /
/ /;<p(' ~
----
L-//t't;- /
/
VCr/'
/
/
.4~
/FCL e-
---=
;;;#~nME
A:,4t: L
o EXIGRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
"
/
/
~
~
,/ r '-1.:- "'\
r' I&,J--€- r ~ )
/
----
~. --
" WORKSATISFA(.;IVI1.I',1 "-QlClt:I:D
o CORRECT ACTION AND PROCEED
o CORRECT WORK, C~;; ;~ 7lNSPEcTION BEFORE COVERING
Inspector: /' If/7 Owner/Contr:
,
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
lliSNOTJ
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
CITY OF PRIOR LAKE
INSPECTION NonCE
SCHEDULED
ADDRESS) L/ 2'26
~(...... ,.L~ /
l'
l/
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
Ii
.~ ,
Zf)
'u
DATE TIME
1;-28 -dl
0~
"32:.'7
o EXIGRAOfFlLLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
X WORK SATISFACTORY, PROCEED
o CORRECT 0 NO PROCEED
o CORREC W '~ ' ALL FOR REINSPECTION BEFORE COVERING
Inspector: (I Owner/Contr: _
7.Ja;;;FOR THE NEXT INSPECTION 24 HOUPS IN ADVANCE_
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH 01 SAFETY!
"""""