HomeMy WebLinkAboutBuilding Permit 04-0593
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
(p .IS. 04-
L White File I PERMIT NO I
; ~;;l~w ~;';li'M' . 0+,0913
I ZONING (officeu",)
,e.z.s 0
q'lease!VD~ or orint and si2ll at bottom)
ADDRESS
1"tJ/5~ {?k,a~et"f-
,y.~e
LEGAL DESCRIPTION (office use only)
LOT 4- BLOCK (ADDITION !fif?6[/O&. u-n'f7liI
PID ZS-: /8S, 004--.0
~':e~R F(~~" .A~~"
(Address) 1'Cl5~ ~A<d"r .<)/: 5.E
BUILDER
(Name) _ <.,0,.."
(Contact Name)
(Address)
(phone) _ ~'l- -f"-I'7-.L/6/
~@- Lk_ ')f-H--,-?":?37~
(Phone)
(Phone)
TYPE OF WORK 0 New Construction )speck OPorch ORe. Roofing
.. ~ (PI '3010'{ OLower Level Finish ~ 0 Fireplace OAddition OAlreration
OMisc.ttctz.'-C,. p~ Dd":r. _ ~CTCOST/VALUE (excluding land) $
V
I hereby certify that 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 or
authorized agent for the above-mentioned l"~"'y-~J and that all construction will conform to all existing state and loca11aws and will proceed in accordance with
submitted plans. I am aware that the building official can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may
enter~pon the ~~;o perform ne2ections.
X / _~ ~ ./
- Signature Contractor's License No. Date
ORe-Siding
DUtility Connection
#l5ot), elO
S7.S-0
37. ',Sf?
,7s
I Park Support Fee
I SAC
I Water Meter Size 5/8"; 1";
I Pressure Reducer
I City SAC and WAC
I Water Tower Fee
I Builder's Deposit
I Other
I TOTAL DUE
$
$
$
$
$
$
$
$
$
1 Permit Valuation
I Permit Fee
I Plan Check Fee
I State Surcharge
I Penalty
I Plumbing Permit Fee
I Mechanical Permit Fee
I Sewer & Water Permit Fee
I Gas Fireplace Permit Fee
#
#
$
$
$
$
$
$
$
$
#
#
9s. to3
~WC1
I Paid
I Date
,?S,~::l
&.Ib.O~
I ReceiJS(No.
By,L
o
r:~~~ullding~ht:A;ro~d
Building Official . Dare
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.
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
Planning Director
-
Residential Building Permit Checklist
Deck Additions to Single Family Homes
~. --~
BY: 6J~
~ . Date: tp!rS';{;l{
Building Permit ~ i.
Site Address "fU rS
Legal: L <I B /
PID: Zoning:
~.rJ.I, S?'CI
SUbdivision:d~ ~-6~
Existing Structure~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
I' Rear Yard
. Townhouses,
10'
SS-f
2... S r
~tE r
10'
25'
Must be consistent with
approved plan for
development
NA
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 TEIDECKCHCK.DOC
..,
PRIOR LAKE
INSPECTION
RECORD
SITE ADDRESS 4-0135 PI,el1s-r'JtJi ST.
TYPE OF WORK DE ('L.
USE OF BUILDING I2ES AI;L
PERMIT NO. () 4- ,0 593 DATE ISSUED &. /5, d ~
BUILDER /t/IJOF;te.5:ot<-.! PHONE #
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
'~;NG- -,. ..~ t~ :_~ ~. ~ I 7;J/~j/
~_~,~CE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
~ I I
DEPARTMENT OF
BUILDING AND INSPECTION
, FINAL
FIaI
tl/j-fr1'
I
,
I
FOR ALL INSPECTIONS (952) 447-9850
~~y
~4f'r /~;.;L S'~
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
-tM'lNAL
o SITE INSPECTION
COMMENTS:
,aC/
./
/Y/ C~
SCHEDULED
CONTR.
PERMIT NO.
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
-"'-
//A~
~/
--:::::-;; .6'
/
nil.
-D/-. ~'?
o EXlGRADlFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
/
/
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( f t'6J e
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A:----
WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WO~~ REINSPECTION BEFORE COVERING
Inspector: /~ / Owner/Conic.
,..--
CALL oU7.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
~j
h/'.....
~
CODE REQUIREMENTS ARE FOR YOUR PERSONAl. HEALTH & SAFETY/
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