HomeMy WebLinkAboutBuilding Permit 04-0795
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
7.7..
I. Wllite File I PERMIT NO I
~. ;';':w ~:;Ii~" . ()4. 07'1 S'
(Pl.... ~ or orint and si... at bottom)
ADDRESS /S.fi2.? ke ' ~ ~ ZONING (officeu",j
~N~ h/~" ~{J'77~ leI
.I
LEGAL DESCRIPTION (office u", only)
LOT 4-BLOCK / ADDITION 1IV11lI(li'O~ 6f771~
OWNER
(Name)
(Address)
PID2S:' 4-/3. ()04-~ 0
(Phone)
BUILDER ~_ / ht--... /J? h_
(Company Name) . ,~, (~) '~LLe
(Contact Name) f,;'4.,~
(Address) :;)."2/.1,< L"".... ~ ~/h
I .
TYPE OF WORK 0 New ConstrUction \tIDeck DPorch ORe-Roofing
DAddition DAlte~n DUtility Connection 0 Misc.
CODE: OI.R.C. OI.B.C.
Type of Construction:
Occupancy Group:
Division:
A
B
I
E
II
F
I
III IV
H I
2 3
V
M
4
(Phone)('---.e:;/:1J .:l'..2R
, -
(Phone)
'1..~#
j
A~
..I
/fcf 2- ~
o Fireplace
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 oWO(.'f or authonzcd agent for the .
dbove-m20 oned property~ 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 yoke Ihis per t for' sl cause. Furthermore, I hereby agree that the City official or a destgnee may enter upon the property to perform needed mspt.'("tlOns,. /
X ~ ~ ~q 7-2-7-rJ'{-
- Sigtiature Contractor's License No. Date
I Permit Valuation
1 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
3,000.00
$
$
$
$
$
$
$
$
8 S. 2.5'
'57. 3 &
/.5'0
This Application Becomes Your Building Pennit When Approved
,K'~J
, Buildinl!: Otlicial
~.~
Date
~.0tV
'1';''1{ - i ; _ f I Receipt No. l./'1 c...; .~ /li
X ~ .~ ..: /J V Bv ti.. . , I
I ~
ORe-Siding OLower Level Finish
A
R
5
PROJECT COST IV ALUE S
(excluding land)
$
$
$
$
$
$
$
$
$ /47. 1/
TIns is to certify Ihat Ihe request in the above application and accompanying documents is in accordance with Ihe 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
B
S U
I Park Support Fee
I SAC
I Water Meter SizeS/8"; I";
Pressure Reducer
Sewer/Water Connection Fee
#
#
#
#
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
I Water Tower Fee
I
I
I TOTAL DUE
Builder's Deposit
Other
I Paid
I Date
Residential Building Permit Checklist
Deck Additions to Single Family Homes
BY:4;fe ~~9S0^-
Date:
o/L~~
Building Permit #
Site Address
Legal: L -I
PID:
Zoning:
B
I
Subdivision:
Wh)sor ~~/es
Existing Structure: YES or NO
CONFORMS TO ZONING
ORDINANCE
~
NO
'Yard Setbacks: NOT APPLICABLE
MEETS CODE
" Side Yard
(25' if abutting a street, 30' if abutting a street in
Cardinal Ridge)
Side Yard
Requirement
Proposed
10'
..,z 1 '
I'
3r
~r'
I"
I"
10'
Rear Yard
25'
" Townhouses
Must be consistent with
approved plan for
development
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 DEPARTMENT OF
BUILDING AND INSPECTION
INSPECTION
RECORD
I
~i1t~~~ /3f'.?9 ff)'.'\;fVcim",
TYPE OF WORK lJ~t' ~
USE OF BUILDING /Zer /1/~
PERMIT NO. tJ4-. () 7q~ 'DATE ISSUED 7, Z 9,01-
BUILDER ~O.tJ/ G/7/L/ PHONE # fire. '?z..8. 4-.e..~
,
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
_ECTOR . .-6ATE,
, FOOTING I I'M I &,/~(FI
PLACE NO CONCRETE UNTIL ABOVE MAS BEEN SIGNED
I I
, FINAL
f"1f~
" r
1/9/d'l
F .
I
I
,
FOR ALL INSPECTIONS (952) 447-9850
'"
DATE
fYrfiy
ADDRESS 13 Z,29 i E'hJ"" '-7 ~4
OWNER CONTR.
C!)C/ - 7FS-
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
PHONE NO.
PERMIT NO.
[J FOOTING
[J FOUNDATION
D FRAMING
[J jtlSULA TION
..(fFINAL
[J SITE INSPECTION
[J PLUMBING RI
[J MECH RI
D WATER HOOKUP
[J SEWER HOOKUP
[J PLUMBING FINAL
[J MECH FINAL
COMMENTS: A . /..
~/<c/C
;4~
T1IOE
[J EXlGRADlFILLING
[J COMPLAINT
[J FIREPLACE RI
[J FIREPLACE FINAL
[J GAS LINE AIR TST
[J
/'
(
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~ h ..e:;.o_I;"'ft.- ~ ..t::,-
. .Ar;-L / ~..- ?U~C-tJ-
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h;'~ / utL
~....~
p,,'( j-'
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~.-
~/.
~~ {C)'€'
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WORK SATISFA~. ,,~OCEED
D CORRECT ACTION AND PROCEED
[J CORRECT WORK, CALL FOR INSPECTION BEFORE COVERING
Inspector:
OwnerlContr:
CALL <l4T-9850 FOR THE NEXT INSPECTION 2. HOURS IN ADVANCE.
.r
I""""'
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!