HomeMy WebLinkAboutBuilding Permit 04-1111
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec'd
1. While File I PERMIT NO
2 p;", Ci,y . ~//-f/fl
3 Yellow Applicant C/'-f
(Please ttpe or vrlnt and sien at bottom)
ADDRESS ZONING (offi", u><)
/5"~'7J-- IjJ'J1)J /Jude.. Tr,
fl
LEGAL DESCRIPTION (ollice use only)
LOT 1 BLOCK ~DDITION
(j) ~ '--11 ().
PIDt7?r 3(d.~()S O-~
~~R Vr^hA-
{f)....IJ,J ....
.,
(Phone) 612- nn -~R3Y
(Address)
BUILDER ...../ \ --
(Company Name; ?'-fJa."O. ..J-f\t.
(Contact Name)"'Sffi" I ,.rloeJ~~J . Irs oJ P/~{f.1c
(Address)2700 I-k-les fir.' ({.f~~.JJle. 1'1;</ ~3J7
(Phone)
(Phone)
's-I -2.33 - ':;'10~
~f2 - 327 ~ /J(J"
,
TYPE OF WORK 0 New Construction ~eck DPorch ORe-Roofing ORe-Siding DLower Level Finish D Fireplace
DAddition DAltera~ DUtility Connection 0 Misc.
CODE: ~.R.C. OI.B.C.
Type of &;'""nstruction:
Occupancy Group: A B
Division:
I
E
II
F
I
III IV V A
HIM R
2 3 4 5
B
S U
PROJECT COST IV ALUE S
(excluding land)
J hereby certify that I have furnished information on Ihis application which is to the best of my knowledge true and correct. I also certify that I am the owner or authorizel;l 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
:"ia~/ /Jusr cause Furthermore, I hereby agree that the ci~ Offi'B1Z a ~e2~~~e~;1 u;nt property to perform ne;~ ":27n:O <(
,. ~ / ~ Signature Contractor's License No. Date
I permit)\'ll~ I 2000. DO I Park Support Fee # $
I Permit Pee I $ }3. 75 I SAC # $
I Plan Check Fee I $ 47. q ..; I Water Meter Size 5/8"; 1 "; $
I State Surcharge $ /, () 0 I Pressure Reducer $
I Penalty $ I Sewer/Water Connection Fee # $
I Plumbing Permit Fee $ I Water Tower Fee # I $
Mechanical Permit Fee $ [Builder's Deposit I $
Sewer & Water Permit Fee I $$ I Other $
I Gas Fireplace Permit Fee I TOTAL DUE $ / Z~, to 9
This Application Becomes Your Building Permit When Approved
,.
~ ~ /tJ~7t(.1
Building Otlic"ial ' Date '
I Paid
I Date
i d-oL;bt!j
!/'J-.::::l "7-tj
..-,
Receipt NoL/k'Qt/ I
By , /:?
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 a... requested. This document
when signed by the City Planner constitutes a temporary Cenificate of Zoning compliance and allows construction to commence. Before occupancy, a Cr..'Itificatc of Occupancy must be
issued
Planning Director
Date Special Conditions, if any
24 hour notice ror an inspeedons (952) 447-9850. rax (952) 447-4245
16200 Eagle Creek Aveoue Prior Lake, MN 55372
Residential Building Permit Checklist
Deck Additions to Single Family Homes
BY:
~~
Date:
1?J-~r;-oL/
Zoning:
1$:2.?~ (A/oa-i J)ud:-
Subdivision:
Building Permit #
Site Address
Pill:
Legal: L
B
Existing Structure: YES or NO
CONFORMS TO ZONING
ORDINANCE
YES
NO
Yard Setbacks: NOT APPLICABLE
MEETS CODE
Requirement
Proposed
" Side Yard
(25' if abutting a street, 30' if abutting a street in
Cardinal Ridge)
Side Yard
10'
I"
'" Rear Yard
10'
~ It) f
(;1XA. I ~ (
~251
25'
" Townhouses
Must be consistent with
approved plan for
development
JJ4.
ANy PROPOSED DECK NOT MEETING THE ABOVE CRITERIA MUST BE REFERRED TO THE
PLANNING DEPARTMENT. ALSO, M'IY DECK ON A LOT WITH A SUSPECTED BLUFF, OR ANY
OTHER UNUSUAL CIRCUMSTANCE MUST BE REFERRED TO THE PLANNING DEPARTMENT.
THIS CHECKLIST MUST BE COMPLETED AND INCLUDED IN THE BUILDING PERMIT FILE TO
MAINTAIN A RECORD OF THE REVIEW.
L:\TEMPLA TE\DECKCHCK.DOC
PRIOR LAKE ~~rtD~~~~~D~~SPECTION
.
INSPECTION
RECORD
SITE ADDRESS ---L$';' ~~ t&JDo~ i)/UK
TYPE OF WORK -1J~c~
.USE OF BUILDING SF
PERMIT NO. '" 111I DATE ISSUED~_ ~-oV
BUILDER ~AJC- PHONE .,.... 3:kII-I.O .
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPEf"~R I DAlE
I FOOTING I (11h II; /d/Mt/
PLACE NO CONCRETE UNTIL ABOVE HAS BE5/..! stGNED
.... I I
I FINAL
r~
1- H-09
I
I
I
FOR ALL INSPECTIONS (952) 447-9850
.
"
-
I/~ TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE SCHEDULED
ADDRESS /~ ") 2.. W~ OOCl
OWNER CONTR.
PHONE NO. PERMIT NO. 4.f -({ ( (
o FOOTING o PLUMBING RI o EXlGRADlFILLING
o FOUNDATION D MECH RI D COMPLAINT
D FRAMING D WATER HOOKUP D FIREPLACE RI
~ U.SU~:W D SEWER HOOKUP D FIREPLACE FINAL
FINAL D PLUMBING FINAL D GASUNE AIR TST
D SITE I SPECTION D MECH FINAL D
COMMENTS:
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;
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('I . t
( ~ f1 <:,{J, i-"'\r-..1 i- -: I #'
'I
1J(WORK SATISFACTORY, PROCEED
'0 'cORREC~~ AND PROCEED
D CORREC~RK.hLL FOR REINSPECTlON BEFORE COVERING
, -
Inspector: I I OwnerlContr:
V I
~ALL ...7-8S5l)'FOR THE NEXT INSPECTION:U HOURS IN ADVANCE.,
CODE REQUIREMENTS ARE FOR YOUR PERSONAL IlEALTH .. SAFETYI
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