HomeMy WebLinkAboutBuilding Permit 04-0731
CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT 7 - /q ~ () Lj
I. White
2. Pink
3 Yellow
File
City
Applicant
I PERMIT NO. O~. 07$/ I
(Please ~ or print and sign at bottom)
ADDRESS
/(,030 n/fU-lt'J!..O W~y
ZONING (office u,,)
fJ(/ .0
LEGAL DESCRIPTION (ollice use only)
LOT7 BLOCK Z- ADDITION f!,AIUJ/N"'l-- /Z(&J66 ZN!J
OWNER Ii
(Name) =----.iI IJ 5'('
(Address)
BUILDER
(Company Name)
(Contact Name)
(Address)
f~-el k/IP?
;/
PID -z..r. :sOZ.fJ/fP. 0
(Phone) tlt/tJ-.r'59 ?
!uK: (, (:J- -d-(j~- ~71~,).'
(Phone)
(Phone)
TYPE OF WORK 0 New Construction ~eCk DPorch ORe-Roofing ORe-Siding DLower Level Finish 0 Fireplace
DAddition DAlteratton DUtility Connection 0 Misc.
CODE: i'lI.R.C. Dr.B.C.
Type of ~ction:
Occupancy Group: A B
j Division:
I
E
II
F
1
mrvvA
H r M R
2 3 4 5
.1/ ()tJO
B
S U
PROJECT COST IV ALUE $
(excluding land)
formation on this application which is to the best of my knowledge true and correct. I also certify that I am the OWnI.."f or authOrIzed agent for the
construction will conform to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the building
t cause. FL__:.____.___, I hereby agree that the city official or a designee may enter upon the property to perform needed Inspections.
7-15-I/L
Contractor's License No. Date
I Permit Valuation
I Permit Fee
I Plan Check Fee
I State Surcharge
Penalty
Plumbing Permit Fee
I Mechanical Permit Fee
I Sewer & Water Permit Fee
I Gas Fireplace Permit Fee
fZa:'Jo.ou
$ 13 ,7 S
$ 47, '11./
$ /.ao
$
$
$
$
$
This Application Becomes Your Building Pennit When Approved
~~,J~
Building Otlicial
7/2~y
Date
I Park Support Fee # $
I SAC # $
I Water Meter Size 5/8"; I"; $
I Pressure Reducer $
I Sewer/Water Connection Fee # $
I Water Tower Fee # I $
I Builder's Deposit $
I Other $
I TOTAL DUE t#fW6YJ 1.'W.(Jt' $ I z.. 'to. r.. '7
I Paid l~~ I ReceiPt No. 't\t.-T'-
I Date 'I ... By ~Vt-
I -,
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
Date Special Conditions, if any
24 hour notice for all inspectinns (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
DECK
RESIDENTIAL BUILDING PERMIT CHECKLIST
ADDRESS: / LIJ:3 0 j/)/ru/ lid /.lJf2::L
DATE: 7- /c;-c;J?j By: U -
/
EXISTING STRUCTURE: ~ YES
o NO
YARD SETBACKS NOT APPLICABLE - MEETS CODE 0
. SIDE YARD
(25' IF ABUTTING A
STREET, 30' IF ABUTTING
A STREET IN .CARDINAL
RIDGE)
. SIDE YARD
REQUIREMENT
10'
PROPOSED
b-fJ-<A / d I
10'
. REAR YARD
25'
r
HJ6t I(J
(JV(A Z~
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 BUlLDING PERMIT FILE
TO MAINTAIN A RECORD OF THE REVIEW.
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PRIOR LAKE DEPARTMENT OF
BUILDING AND INSPECTION
INSPECTION
RECORD
SITE ADDRESS -1.1..tJ3o a9lL~v
TYPE OF WORK PEf,.,J Ne/f::..
USE OF BUILDING S.F::~. .
PERMIT NO. tJ4. 673 I DATE ISSUED ,/.,4{,1I
BUILDER.IlAH E#.J~i~ . PHONE #Jll . ~'-?fit
NOTE: THIS IS NOT A pEFfMITFO~NY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
I FINAL
INSPECTOR DATE /
I FOOTING r ~ I 7br/0</ I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
1
I
'" /' /'
#a' I ?//J/o/
, I. J
FOR ALL INSPECTIONS (952) 447-9850
. .
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
/btJ$O ~g,rl
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
~ULATION
~~~L
o SITE INSPECTION
CONTR.
PERMIT NO.
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
D MECH FINAL
d7-;L/
pP
U/<? p/
(
~ ?[J/
TIllE
o EXlGRADlFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
D
COMMENTS:
Av/ ~ez/
d7
,/
/1//2'" e
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/
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~ (ose
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y "
~~ )
~
~RK SATISFAC~RY, PROCEED
/d'cORRECT ACTION AND PROCEED
o CORRECT WORK, ;,AI;;:7' REINSPECTION BEFORE COVERING
Inspector. /"V / Owner/Conlr:
~
CALL 447.9850 FOR THE NEXT INSPECTION 2<1 HOURS IN ADVANCE..
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
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