HomeMy WebLinkAboutBuilding Permiut 04-0393
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
5..:J.o4-
l.White
2 Pink
3 Yellow
File
City
Applil:ant
PERMITNO.o~. 0.3&13
(Please tvJK: or Print and sim at bottom)
ADDRESS
59 &:>S c.e-osJ/1/V O/C/j- .J/
ZONING (office use)
PIJJ !J
LEGAL DESCRIPTION (office use only)
LOT 10 BLOCK.3 ADDITION
~(,u/H- IU/)~ 1-':
PIDz5: 3ZZ. 01(. 0
OWNER
(Name)
(Phone)
(Address)
BUILDER ~I
(Company Name) 6,.,...,-0 1'0 G-c:, \J:,L{)G'l't~I'()"-.\
(Contact Name) M \ 't. -'1... ~ <;; I' <::..
(Address) J eq?J <f 1L:." hR..J a.. ~ R; I ,L"" ~~v.ll-R
,
(Phone) (Q\'--OAIJ-b~'l9
(Phone)
TYPE OF WORK 0 New Construction DDeck DPorch ORe.Roofing ORe-Siding DLower Level Finish 0 Fireplace
DAddition DAlteration DUtility Connection D Misc.
CODE: Dr.R.C. Dr.B.C.
Type of Construction:
Occupancy Group: A B
Division:
I
E
II
F
I
mrvvA
HIM R
2 3 4 5
B
S U
PROJECT COST/VALUE $
(excluding 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 celtify that I am Ihe owner or authorized agent for the
above-mentIOned Pt~~ thai all co tion will conform to all existing state and local laws and will proceed in accordance with submitted plans. J am aware that the building
:".1 con ,evOk'.~ ~m JU=--" rthe,mo". ! h",by .gree Ihat Ihe "ty official;;.:;;~~~ml ;:iuin the propeny to perfo,m nec~'?:D 'I
or ,I Contractor's License No. Date
Permit Valuation 500.00 Park Support Fee # $
Permit Fee $ 25.00 SAC # $
Plan eheck Fee $ /l;.z5 Water Meter Size 5/8"; 1 "; $
State Surcharge $ -~ 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 Fir!lace perrrft Fee $ // TOTAL DUE $ 4-1. 'is-
I _ r I
on . OmBuildmgpe1;7~4 Paid "l-'1'l5 ReceiP~'ftlS
Date ">. .'J. 0 4- By /-
BUOldon~ I Oat I I
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 constitutcs 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
BY:
~/
Residential Building Permit Checklist
Deck Additions to Single Family Homes
Date:
5. ~ 04-
Building Permit #
Site Address
01-.0Si3
5'10S-
B .:J
PID: Z~ 52 2..01 r. 0 Zoning: PUJ tJ
MflJJ'/1/J.b/L/j ~
Subdivision: {!/9K..?l~/I.//IZ- ~?' C.-c ~/7r
Legal: L
Iv
Existing Structure: YES or NO
CONFORMS TO ZONING
ORDINANCE
~
(~
NO
Yard Setbacks: NOT APPLICABLE
MEETS CODE
Requirement
Proposed
o Side Yard
(25' if abutting a street, 30' if abutting a street in
Cardinal Ridge)
10 Side Yard
10 Rear Yard
o TOYnlllouses
10'
z.-.-{
10'
4-'2-
77
25'
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.
THls CHECKLIST MUST BE COMPLETED AND INCLUDED IN THE BillLDING PERMIT FILE TO
MAINTAIN A RECORD OF THE REVIEW.
L:\TEMPLA TEIDECKCHCK.DOC
..
PRIOR LAKE
INSPECTION
RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS 59(;;5 C/U)JJ'/1/V'D~ sr-.
TYPE OF WORK L,e::}NOI Al6) 14-IJ.o Oc.~c.. S77JI/Z-S"
USE OF BUILDING ;u;::s 1I;e...
PERMIT NO. {){t,O.:s93 DATE ISSUED 5,5.04-
BUILDER 6000/LJ <9J0 PHONE # 6/z.:n7, &817
, ,
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
.A'I~ECTOR OATE
'FOOTING l)fa> I o-~P/
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SiGNED
I I
.I A /l /
I FINAL
9// /Clf
FOR ALL INSPECTIONS (952) 447-9850
/#f
DATE TIME
CITY OF PRIOR LAKE ~ / /
INSPECTION NOTICE SCHEDULED '(7//:/
ADDRESS ,'\'7>,;( ~ r::..r'S'~~ he:. ( ') rZ
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
~INAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS: /J ./
/' /ec/ A","i /'
_~/f _ /
/7// U//~ c: -nO~..s
-~I' / /)
#~ 'dIJ'-Y--*'-k',...
cCo..... /4~ l fd..,,-
,/ "
-"
cSK
~.v: ?9 ~
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
..;
%t.....~
--=---~ ----
(~;ke a )
~RKSA~ORy.PROCEED ~
~ ~-ORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
~ Owner/Contr:
Inspector:
CALL 447-9850 FOR THE NEn INl'\PECTI()N.'4 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTJ