HomeMy WebLinkAboutBuilding Permit 04-0409
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
(Please type or print and siitll at bottom)
ADDRESS
7uXmll
~L/31
, .
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
OWNER
(Name)
1)e.c~ CL-H-
Fo'}(+rQ..,,]
~Glr nl
~t-t~l
T reA,.: \
(Address)
BUILDER
(Company Name)
(Contact Name)
(Address)
t/ouse..
IkIl.!Y
vr. 5 (If V! c.U iL c..
[e."tz.
(Phone)
(Phone)
White
Pink
Yellow
file
City
Applicam
Date Rec' d
5, 7. 04---
I PERMIT NO. 04-.01-091
ZONING (office use)
PID Z5.37 {,. 004-. 0
('7.<12) '1'15- /211
((PIll 7'13- Us!Ac..
TYPE OF WORK 0 New Construction ~eck DPorch ORe-Roofing ORe-Siding DLower Level Finish 0 Fireplace
DAddition DAlteration DUtility Connection 0 Misc.
CODE: ~.R.C. Dr.B.C.
Type of Construction: I II III IV V A B
Occupancy Group: A B E F H I M R S U
Division: I 2 3 4 5
/rar'/
(Phone)
PROJECTCOST/VALUE S
(excludiug land)
I hereby certify thaI 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 Of authoflzcd agent for the
above-mentIOned propelty 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
:cial can revoke 17~t~re, I hereby agree that the City official or a designee may enter upon the property to perform needed Inspections.
U (7 Signature Contractor's License No. Date
Permit Valuation
Permit Fee
,
fl>3(JOO.DO
$ 8~. 2S
$ 57.3"
$ C. '5'0
$
$
$
$
$
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
~'~ 5/~4r
B1111d1llg0tllcia]
Park Support Fee
SAC
Water Meter Size 5/8"; I";
Pressure Reducer
Sewer/Water Connection Fee
Water Tower Fee
Builder's Deposit
Other
TOTAL DUE I!A1i\.tl:)
Paid 1<?-7.11
Date s: /0. t'J~
# $
# $
$
$
# $
# $
$
$
5:"'.04- $ /'17.//
l~mlL
ThIS IS to Ct'rtify 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
issucd
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
Residenti:J.l13uiJding Permit CheclJist
D~ck .-\dditiOOj to Singj~ Famj]~ Homej
2- '~ 'n. ,
BY.~~
Dace c5- 7-0<-/
Building P~rmit #-
Site .-\ddres,l
PID: ZOnJJl~:
31"37 - / Oy-fcu'/
Legal: L If B
I
Subdivision: ~
Im;/
<;r A /111 .A
I-~.
Existing Structure: YES or NO
CONFORMS TO ZO~L"iG
ORDINANCE
x'ES
NO
I Yard Serbuck.>: NOT Al'PLlCABLE
. MEETS CODE
Side Ya.rd
(2j' ihbumng a streot 30' ihbuttrng a street In
C ardin:ll Ridge I
I- . SideYa.rd
I- Rear Yard
- Townhouses
R~quiremt:m: Propo,ed
10'
I
~2
10' 2.S' I
2j' I I
0"'l1-V\ 2S
Must be consistent with
approved p Ian for NA
develop ment
A.NY PROPOSED DECK NOT iVCEETh"lG TffE ABOVE CRlTE.RlA MUST BE REHRRED TO TffE
PLANN1i'lG DEPARTiYl:E.NT. ALSO, AJ.'fY DECK ON A LOT WITH A SUSPECTED BLUFF, OR AL'IY
OTffER l'T-HJSU,U CIRClfMSTAL'ICE iVruST BE RHE.RRKD TO TH:E PL'\'.Nl'fL,'1G DEPARTLYCENT.
THls CHEellIST iVruST BE COMPLETED Mill ll'lCLUDED li'l THE BUILDING PER.VUT mE TO
lVlAlN1"Ali"l A RECORD Of THE REVIEW.
L: 'TE),jPf.....l.. IE" DE CKI.=:-:Cx..~()(
',. .".
....:.
." ...,....
~ -' '.
:-~' .',
-
PRIOR LAKE DEPARTMENT OF
. BUILDING AND INSPECTION
INSPECTION
- RECORD
SITE ADDRESS t. ~ 4f 3'1 t;DrfD- i I T r
TYPE OF WORK -D~ ". ~ . i S;~/Rr+<..- ,'5""m/~
USE OF BUILDING --5 F -
PERMIT NO. 1./- 04p9 DATE ISSUED 5- 7-0 V
BUILDER /fl' PHONE"'~. ?lf3.'SW
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
I FINAL
7
I MtJ I ~~ 1'1/01.1
! .
ONCRETE UNTIL ABOVE HAS BEEN SIGNED
I I
/
#dl
INSPECTOR
DATE
l
,
?!{/;r I
FOR ALL INSPECTIONS (952) 447-9850
,
\
\
~
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
J9'J7
k-~//
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
...a-t'INAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS: /J /
//.,PC/C
DATE TIME
~~/
fr'
CJ~ s/'O?
o EXIGRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
o~, /"
.r--; /7 e; /
Lf) /;L //r:-r /~ /;-
/- //
/
&/C- "'\
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_(!'(OS-e H!~
~ORK SATISFACTORY, PROCEED
/;} ~ORRECT ACTION AND PROCEED
o CORRECT WORK, ,Cy- }O~NSPECTION BEFORE COVERING
Inspector: /~~Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
,NSNOn
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!