HomeMy WebLinkAboutBldg. Permit 04-0906
CITY OF PRl9Jl LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
(Please type or orint and sip at bottom)
ADDRESS
11l{~~ Dqy,f]&L fJnVt bb.
I. White File
2. Pink City
3 Yellow Applicant
LEGAL DESCRIPTION (office use only)
LOT { 0 BLOCK l ADDITION tyU.t'Pti ) \lilv
OWNER
(Name)
(Address)
BUILDER ~II A -r
(Company Name) ". ~+1JY\ 4./(t(. .
(Contact Name) . LA Q~-:ti6:L-
(Address) ;of{~9! . ~,~~ k1~&J 00
. '. " . -
(Phone)
Date Rec'd
PI L,e; wfloi:;fi:7
I PERMIT NO: C~, C9()b i
ZONING (olliceuse)
~2..
PID zs: 4--07. () (0. 0
(Phone) t:lC:;1~~-1!f?'~
(Phone) q~7 /].l&.1/7?7
TYPE OF WORK 0 New Construction DOeck DPorch ORe-Roofing DRe-SidiIlj.. Q~ow. er Level Finish 0 Fireplace
DAddition DAlteration DUtility Connection ~ise. !;)t1c.t. '::st I\VL ~
CODE: ~I,R.C, DI.B.c, PROJECTCOST/VALUE $ --3fl~)
Type of€""onstruction: I IT III IV V A B (excluding land)
Occupancy Group: A B E F HIM R S U
Division: 1 2 3 4 5
I hereby certify that I have furnished information on this application which is to the best of my knowledge true and correct J also certify that I am the owner or authorized agent for the
above-rn one property and that all onstruc~~ conform to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the building
officia an v e this permit fo . st Fu u:,.re. I hereby agree that the City official or a designee may enter upon the property to perfonn needed inspectIOns.
X f \ Signature l, i8.~:l~~1NO q,?'!!
{'
Permit Valuation
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
s
s
S
$
$
S
$
S
r_
p-~. Of)
&1.S.00
I h. "2.S
. $"0
s Application Becomes Your Building Pennit When Approved
, ...
BUildil1g01li~'/-' ~;/CL
l Park Support Pee
fSAC
I Water Meter Size 5/8"; 1";
I Pressure Reducer
I Sewer/Water Connection Fee
I Water Tower Fee
I Builder's Deposit
I Other
I TOTALDUE~ 'i.I?.+-
/I
1'NO
I Paid
I Date
#.1r
9~ /J#&-
#
#
#
# ~'VJs""(I
I
I
I
S
$
S
~/.7S
/
"'70 r
ThiS ls to certify that the request in the above application and accompanying documents is in accordance with the City Zoning Ordinance and may proceed a.~ requ/"'Stcd. 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
Date Special Conditions. if any
24 hour notice for 811 inspections (952) 447-9850. fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake. MN 55372
. ~..-.'
'..,. ., . . .~.. "',.'
",' --..'-'
. ~_-..- -.'-.---
U.'. .... -- ..'.
_.........-'-_.__.n_..C..:__
PRIOR LAKE
INSPECTION
RECORD
SITE ADDRESS "l./fAj 7)E'E1t.. tt"eiJD .1Mlilr J'.G.
TYPE OF WORK .::.a i ~'J'~ .,., ~
USE OF BUILDING S'.J1:: A . .
PERMIT NO. ,t(-D'D' DATE ISSUED .!J/I~"
BUILDER ])2. ~TI~ .ule. PHONE # ", -2.I(..."A
.
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF
BUILDING AND INSPECTION
INSPECTOR
DATE
, FINAL
I I J
NCRETE UNTIL ABOVE HAS BEEN SIGNED
I I I
wi I /~~j.;;f ,
FOR ALL INSPECTIONS (952) 447-9850
.
~. . -. ~
Residential Building Permit Checklist
Deck Additions to Single Family Homes
/;(' . J7 n "'-'
BY: ~ ~r
Building Permit # 04-.0t1()fD PID: ZS,+07. C/O. 0
Site Address /74-(,3 P~t::""""li2-O Pte..
Legal: L /0 B / Subdivision:
Existing Structure: @or NO
Date:
tl. ~. 0'1-
Zoning: IVZ-
D6~GL.D 1/77f
CONFORMS TO ZONING
ORDINANCE
YES
NO
. Yard Setbacks: NOT APPLICABLE
MEETS CODE
Requirement
Proposed
o Side Yard
(25' if abutting a street, 30' if abutting a street in
Cardinal Ri~)
10 Side Yard
10 Rear Yard
o Townhouses
10'
10'
~
trk.
nv
25'
Must be consistent with
approved plan for
development
~
i.I
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 BillLDING PERMIT FILE TO
MAINTAIN A RECORD OF THE REVIEW.
L:\TEMPLATEIDECKCHCK.DOC
CITY OF PRIOR LAKE
INSPECTION NOTICE
DATE TIllE
SCHEDULED ~~~~~
/ ?t/Q .4erl'''etJ' ./:Jr'
ADDRESS
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
~NAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
c:K/- 7ot<'
o EXlGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
COMMENTS:
/J / 7
/J,o/,,~ Ij r,r~-:;/Y
~7/
L-/ f '-
---
---
~
/~/~ /
(~ t'E:-/
------
~.
/'
/ /7/
{ r j /C5.J-e
\.
-- - ---
~RK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT ~~ ;A~R REI~TlON BEFORE COVERING
Inspector. ~ ~ Owner!Contr:
CALL "7.9850 FOR THE NEXT INSPECTION 2.& HOURS IN ADVANCE.
llaNO"
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!