HomeMy WebLinkAboutBuilding Permit 04-0896
(Please ~ or print and sip at bottom)
ADDRESS
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec'd
I. While
2 Pink
J Yellow
File
City
Applicanl
I PERMIT N06L/- ?!'/h I
d-917 9- ~JA../
ZONING (office use)
1</
LEGAL DESCRIPTION (office use only)
~
LOT /~BLOCK 3 ADDITION / L~ ~
~
OWNER 1?
(Name) f 01{ tA I
(Address)
BUILDER
(Company Namp\
(Contact Name)
w;' her
PIDd'S - 3! d ~ 009- 0
(Phone)
1Jvad P./cf_ (~D"~VUC ,it1Vl
jJya.)J P;ke-
~O/ ~/rl'iso'VI Cr.
(Phone)
(Phone) Co 1;;2. '70 S ::J>Ll9'
~~s?7
TYPE OF WORK 0 New Construction bI'oeck OPorch ORe-Roofing
DAddition DAlter.&I;"~ DUtility Connection 0 Misc.
CODE: bt'kR.C. DI.B.c.
Type of C;;:;stmction: I II III IV V A B
Occupancy Group: A B E F HIM R S U
Division: 1 2 3 4 S
(Address)
J]uv..,Jrlille p",/
ORe-Siding DLower Level Finish
o Fireplace
PROJECT COST IV ALUE $
(ex~~
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 property and that 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
:'~1 can revoke thi~?!J;e, I h",by .,see thatth' d~ offid.l o8Z-'2"O o/'O";"le2-rtyto pmo,," n"d1j'700' !2L ~
/" Signature Contractor's License No. Date'./
r
I Permit Valuation
I Permit Fee
I Plan Check Fee
j State Surcharge
I Penalty
I Plumbing Permit Fee
I Mechanical Permit Fee
I Sewer & Water Permit Fee
I Gas Fireplace Permit Fee
I
#;f'IJ(). ()lJ
$ fr.7.2-S
$ l/3,7/
$ , fjlJ
$
$
$
$
$
This Application Becomes Your Building Pennit When Approved
~~ 917/1)1./
Buildinl!: Otlicial 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 Builder's Deposit
I Other
I TOTALDUE
#
I '
V
,~I
~ I
I
I
I
I
I
#
#
#
I Paid
I Date
- ,
//// ?frO
Cf - 7-IJLI
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 dncument
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 an inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake. MN 55372
Residential Building Permit Checklist
Deck Additions to Single Family Homes
BY: ~. ~I- Date: 9---?$
Building Permit #
Site Address
PID: Zoning:
0;979 !Jbbavt J/D
Subdivision: W~ ~
Legal: L /5" B .3
Existing Structur@r NO
CONFORMS TO ZONING
ORDINANCE
YES
NO
I Yard Setbacks: NOT APPLICABLE
MEETS CODE
Requirement
Proposed
" Side Yard
(25' if abutting a street, 30' if abutting a street in
Cardinal Ridge)
I" Side Yard
I" Rear Yard
" Townhouses
10'
10'
d'$l
<1 L{ II
~2S/1
25'
Must be consistent with
approved plan for
develooment
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
MAlNT AIN A RECORD OF THE REVIEW.
L:\TEMPLA TEIDECKCHCK.DOC
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PRIOR LAKE DEPARTMENT OF
BUILDING AND INSPECTION
INSPECTION
SITE ADDRESS !l~C~l!D ~/~
TYPE OF WORK tJIQ4J berJ:-
USE OF BUILDING 5_1;1). .
PERMIT NO. DATE ISSUED 1/2/' ~
BUILDER-:IMD 'P,'itI ~, PHONE #Jb-:l......."
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
! FOOTING I ~OA I' ;ATE
PLACE NO CONCRETE UNTIL ABO)/'E)t!AS BEEN SIGNED
.A FRAMING I (-1// I '7 -/~J
~ ~fI-E ~ ~DALD f'~~1 ~ I
I FINAL I Ifill., 1/ ~
V
FOR ALL INSPECTIONS (952) 447-9850
.
.
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS 217cr '&~
OWNER CONTR.
PHONE NO.
PERMIT NO.
o FOOTING 0 PLUMBING RI
o FOUNDATION 0 MECH RI
o FRAMING KjjWATER HOOKUP
o INSU~ 0 SEWER HOOKUP
~ FINAL 0 p. LUMBING FINAL
D-sm: IN C MECH FINAL
COMMENTS:
DATE l1IIE
'T 'X>~
Lf - e't (.,
o EXlGRADlFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
~RK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT CALL FOR REINSPECTION BEFORE COVERING
Inspector:
Owner/Contr.
FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CALL
INI1i<m
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!