HomeMy WebLinkAboutBuilding Permit 04-0672
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
(Please type or Print and silll at bottom)
ADDRESS
/ 648/ ~'v.eeL"';'
Date Rec'd
I. White File I PERMIT NO / J / "L,......
i ~;;':w ~~:,;"" . 0..,. ~ \0 "1<7"1
~I'~f
Pd ~~
'"+Jv{Ui,- L c..b m tV
ZONING (office use)
LEGAL DESCRIPTION (office use only) 0
LOT / BLOCK / ADDITION LJ~ij-i-
, . J~-I-
II)I~ PIDO(b"'" IPI-O{)/-O
OWNER
(Namel,
\ hc~~
(Address)
BUILDER J
(Company Name) tv f'r'
(Contact Name) -rJ.. o;v.~
(Address) 151/& ~4
,
fl.
\
l-\u\ \~
K7\h -ttJ S
(Phone) C;s 2-- WL{l- y 3.'tV
~ /J,/L K"rI<:,s
~~ ,Jy,'W
(Phone)
(Phone) lfL/1- '%3 "l r
.!11N' [;56/Z
L.--kl
TYPE OF WORK 0 New Construction ~eck OPorch ORe. Roofing
DAddition DAlteration DUtility Connection 0 Misc.
CODE: rad\.R.C. OLB.C.
Type of ~ction: I II III IV V A B
Occupancy Group: A B E F HIM R S U
Division: I 2 3 4 5
ORe-Siding DLower Level Finish
o Fireplace
PROJECT COST IV ALUE $
(excluding 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 authori~cd agent for the
above-mentione perry and that all constnlction 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 revo is perm fm just cause ~herebY agree that the city official Ot ;:;i~ may enter upon the property to perform ne; rc~ }i
/I~ignactre Contractor's License No. . Date
v
Gas Fireplace Permit Fee
.
4
W;f:-" Vn".Ru~ing Permit
m:uiidi~g ~'l]
Permit Valuation
Permit Fee
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
-"7., _ ~... _
Park Support Fee
SAC
# $
# $
$
$
# $
# $
$
$
$ (2Z.<21
Receipt No. ,-/"/ c../u f:.
By r_'
0-
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
$
$
$
$
$
$
$
$
7 3. 7...
4744
I. ..
Water Meter Size 5/8"; I";
Pressure Reducer
Sewer/Water Connection Fee
Water Tower Fee
Builder's Deposit
Other
TOTAL DUE
Paid / .r;.A~ "1
Date -[- I~ -DL-1
I
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
BY
Residential Building Permit Checklist
~ .
d /)/. .L Deck Addition~ to Single Family Homes
(Wf\] Date 7- ~ -0 y
Building Permit ,1# Of-&1 ~ pm: .
Site Address (q~( B,~1-J f6(-'-r t!o
Legal: LB' Subdivision:
. Existing Structure:~r NO
Zoning:
;2-I~()
CONFORMS TO ZONING
ORDINANCE
~
NO
I Yar.d SdbackJ: NOT APPLICABLE
. MEETS CODE
. Side Yard
(25' ifabuEting a street. 30' i!"abutting a street in
C "rdinal Ridge)
Side Yard
Requirement
10'
Proposed
'20 I
40' 1
1 t; ( I
-
I.
I. Rear Yard
10'
) -.
_J
. To"nhouses
Must be consistent with .
approved plan for
development
ANY PROPOSED DECK NOT MEETING THE ABQVE CRlTERlA MUST BE REFERRED TO THE
PLANNll'fG DEPARTi\d:ENT. ALSO, ANY DECK ON A LOT WITH A SUSPECTED BLUFF, OR ANY
OTHE.R UNUSUAL CIRClIl'IISTAJ.'fCE i'iillST BE RfFE.R.RLD TO THE PU..L'fNlNG DEPARTMENT.
THIs CHECKLlST MUST BE. COMPLETED AND INCLUDED li.'1 THE BUILDING J>ERi.~UT FILE TO
MAINTAIN A RECORD OFrm REVll:w.
L:.'TE",lPLATE. DE CKCHCKDOC
PRIOR LAKE
INSPECTION
RECORD
SITE ADDRESS /1:::,4;-13/ /Ji!&.7 Co. a~ ~
. . J
TYPE OF WORK D8:--1C.. I
USE OF BUILDING R.E <; II /12... / /
PERMIT NO. 04-011- DATE ISSUED 7/~/o.{.
BUILDER 7HoM/t!. I<a..ro5 PHONE #' Mf-83M
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF
BUILDING AND INSPECTION
'FOOTING I INS/,.r%I I .7ft"/:9'"
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
I I
, FINAL
I mY I ~/;9 j;q
Call between 8:00 and 9:00 A.M. for all Inspections I ~
FOR ALL INSPECTIONS (952) 447-9850
\.
DATE nME
CITY OF PRIOR LAKE , / _ /
INSPECTION NOTICE SCHEDULED 4/ f~"V
ADDRESS _/..'5-~r/ ~r't":~V" // 4
,/
OWNER CONTR.
PHONE NO.
PERMIT NO.
c?/ - .6'2..2....
[J FOOTING
[J FOUNDATION
, [J FRAMING
[J INSULATION
.....,D-f'lNAL
[J SITE INSPECTION
[J PLUM81NG RI
[J MECH RI
[J WATER HOOKUP
[J SEWER HOOKUP
[J PLUM81NG FINAL
[J MECH FINAL
[J EXIGRADlFILLlNG
[J COMPLAINT
[J FIREPLACE RI
[J FIREPLACE FINAL
[J GASLlNE AIR TST
[J
COMMENTS:
/J
// /
ffr c /c.
/'I /
r-; r?Cl f
~ .,,-
f/] /Y
'-----'"' (
~
~..~~
/.A r""/ '\
v'/ r /r? ~
~RKSATISF~OCEED - /
~V:RRECT ACTION AND P"l;"..__- ~
[J CORRECT WORK;fY.)irJ/' REINSPECTION 8EFORE COVERING
Inspector. ~r- Owner/Contr.
CALL "7-9860 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
uaNOn