HomeMy WebLinkAboutBuilding Permit 04-0413
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
m~ PIl/O,\,
'" <"
;. '7
~ :>:
u '"
Ar'lVNESO~t-
or rint and si
at bottom
ADDRESS 1/ 0'0/' /AI
10 I' W,IW1f'N..t.rl
i-rrt; , I
Date Rec' d
5, &.04--
White
Pink
Yellow
File
City
Applicant
PERMIT NO. 04 . ~4 13
ZONING (office use)
/<"/.5'0
LEGAL DESCRIPTION (office use only)
LOT/SBLOCK I ADDITION /V/?-OEX/1/8SS rONOS
PIDZS: 3/6_tJlS'. ()
~=R {,G.tV <:(... Ke.i1q k>-v. \o.r-l
(Address) h901 0;/&JI'Vd5 -Iv-AJI
(Phone) Yf'&VlI7 -9Ci 10
BUILDER -rl '-'.J _
(Company Name) f/jo,...,t1-1 T"'-6t-.#sc.- (Oll-St-
(Contact Name) .-rc;""'.....y-rt.,.....y?J.,..,
(Address) . . to.", ./ SJ- Po
(Phone) /"/7 -V, 1- '5 '7i /
(Phone)(g J z.. fl.,) TJq j
TYPE OF WORK D New Construction DDeck ~orch ORe-Roofing ORe-Siding DLower Level Finish 0 Fireplace
DAddition DAlteration DUtility Connection 0 Misc.
CODE: ~I.R.C. OLB.Co
Type of/onstruction:
Occupancy Group: A B
Division:
I
E
II
F
I
IIIIVVA
HIM R
2 3 4 5
/l.,OdO
. ,
B
S U
PROJECT COST IV ALUE $
(excluding land)
x
I hereby certifY that I have furnished information on this application which is to the best of my knowledge true and correct. I also cenify that I am the owner or authon d 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
official can revoke is permit for Just cause Furthermore, I hereby agree that the city official or a designee may enter upon the property to perform needed Inspections.
.c-S'-<M
Date
Signature
Permit Valuation
Permit Fee $
Plan Check Fee $
State Surcharge $
Penalty $
Plumbing Permit Fee $
Mechanical Permit Fee $
Sewer & Water Permit Fee $
Gas Fireplace Permit Fee~, $ '(}.OO
This Application Becomes Your Building Permit When Approved
~/~
BUIldl11!!. Omcwl
s:-/" ~.,
Date
2,U(f3';Ci.J9
Contractor's License No.
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 $ ~33. 5:1-
~: 'l~~J/-o'l I :;re"'~6t~~
s/~/oy
. Date
ThiS is to certify that thl' request in the above application and accumpanying documents is in accordance with the City Zoning Ordinance and may proceed as requested. This document
when signed by the City Planner constltutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be
i~ /R-,ffi &d aU
Planning Director
~ /
... _Tcn.J
Sped Conditions, if any
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
Building Permit #
Address:
Residential Building Permit Checklist
New Constru on for Single or Two-family Dwellings in R-1 or R-2 Districts
Date &' /;: C>4-
Zoning: IZI SO
PID: -
Reviewed by:
Legal: L
, B
Subdivision:
Existing Structure@1 NO
I CONFORMS TO ZONING
ORDINANCE
Existing Nonconforming Structure? YE~
I ~ I NO
Yard Setbacks: NA I FAllSI COMPLIES Standard Proposed
. Front Yard (can be 20' if avo. wlin 150') 25' ~
. Side Yards 10'1 1#/ /
25' if abutting a street
4~/
. Sidewall exceeding 50' requires additional side 2" 10' setback + .
setback for every l' over 50' in length 2"11' over 50' -
. Rear Yard 25' ~~'
. Patio Door: provide for minimum 10' deck or sign 10' sidel
statement indicating no deck wili be built in the future 25' rear -
. From 100 year flood elevation of wetland/NURP 30'
-
pond
. From OHW (Prior or Spring Lake) 75' or setback average of
adjacent structures, but no -
less than 50'
Floor Area Ratio: NA I FAilS COMPLIES
.30 Maximum
2-=-
Yard Encroachments:( NAJ FAilS ICOMPLlES Standard Proposed
Eaves and Gutters no more than 2 feet in width and no
closer than 5 feet to a lot line (Easements).
AlC and other equipment cannot encroach on interior
side yards.
u=;-.....
Tree Preservation:!NA lA'AllS I COMPLIES Standard Proposed
. Total caliper in~
. Permit 25% Removal
. Calioer Inches Removed
. Caliper Inches Preserved
. Reoiacement %:1
L:\TEMPLA TEIBLDGLIST.DOC
~%
While - Building
Canary - Engineering
Pink - Planning
rht ('..nIt" 01 lh..I.Mk.. Counl')
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
/lIOn/Js7Jt{}l'1,.osoA!
.!;,) Jp. tJ4--
~NJT~.
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/(P9o / {t1//l--0&elt/e;sS 77VI/L-
Accepted Accepted With Corrections v
Denied ~/'~4-
Reviewed By: (L{Ja- Date:
Comments: ~ pcA;-J 5
"The issuance or granting of a permit or approval of plans, specifications and
computations shall not be construed to be a permit for, or an approval of, any violation of
any of the provisions of this code or of any other ordinance of the jurisdiction. Permits
presuming to give authority to violate or cancel the provisions of this code or other
ordinances of the jurisdiction shall not be valid."
PRIOR LAKE
INSPECTION RECORD
DEPARTMENT OF
SUILDING AND INSPECTION
SITE ADDRESS It-
NATURE OF WORK
USE OF BUILDING
PERMIT NO. (?4' 04-/3
CONTRACTOR lJ.lo""^'~ IfTOlI'IPSDN PHONE C.(2-B~7~~'717
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
~ IN~ ~hk
~OBackfilQ .
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
HEATING <if re /1
FIREPLACE - &-
GAS LINE AIR TEST h ~ ~
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I . I I
FINALS
o Soddin )
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT OCCUPY UNTIL ABOV HAS BEEN SIGNED
NOTICE
This card must be posted near an electrical service cabinet prior to rough-in inspections
and maintained until all inspections have been approved. On buildings and additions
where no service cabinet is available, card shall be placed near main entrance.
FOR ALL INSPECTIONS (952) 447-9850
1'~~
/6:70/ U/r-/c-!~e.5s #/
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
OWNER
CONTR.
O~-Y/J
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATtON
o FRAMING
o INSULATION
~AL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
~NTS. ../
" J;; Ce, / ?h., /
~
DATE TIME
o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
f;/;Y;::/
,&~~. L / ~/
~' ~,
/7,--eL?4u' h',.,q/
,
I
~;t
---
~ /"
/--(" h~ f
I' ___
~/
('--.
~ORKSA ACTORY, PROCEED
/;;' ~ORRECT ACTION AND PROCEED
o CORRECT WO~EINSPECTION BEFORE COVERING
Inspector: Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
''''''''"
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!