HomeMy WebLinkAboutBuilding Permit 04-1145
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ADDRESS
172-/5
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
d (/ /G./e O/i I<-
LEGAL DESCRIPTION (ollice use only)
Date Rec'd
11_ 5>0 ~
L White File I PERMIT NO I
: ~;':w ~:;Ii~", . () of-. 114-5'
vv' S"' e;
LOT3 BLOCK:5 ADDITION ./JeelZF'/&:L<O
OWNER
(Name)
(Address)
ZONING (office use)
tel
PID:zs::nO. 03J,C)
(Phone)
B~D~ ~L_ ~ .
(Company Name) r~:ru.F' , lIY\<".M,.AL::bJ1Y\-/
(Contact Name) F,lll p.,fl it-hw\
(Address) 14" l)\) ~u,itv\ <.." I (\,.
'tS2 -4-10- "S,^
(Phone)
(Phone)
P-u VVt '>" I II,.
HI.)
ORe-Siding
DLower Level Finish
~~"I'iL"
D Fireplace
<" ol'ln
)
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 th~t 11 constmction will confonn to all existing state and locailaws and will proceed in ac.cord.ance with submitted pians. I am aware that the building
official can revoke this1perit ~j t- '~use. unhermore, I hereby agree that the CIty official or a designee may enter upon the property to perfonn needed inspections.
X r. { . .. J.....) 2/Qu (.P II 0 II So I D4--
re - Contractor's License No. Date
P\LWv/
I
TYPE OF WORK 0 New Construction 1ItDeck OPorch ORe-Roofing
DAddition DAlteratfuri" DUtility Connection 0 MisC.
CODE: Igh.R.C. DI.B.c.
Type of 6nstmction: I II III IV V A B
Occupancy Group: A B E F HIM R S U
Division: I 2 3 4 5
I Permit Valuation
I 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
f 8ooo.ot!J
$ 8:'r. Z 5"
$ 57.3&'
$ I. "5"0
$
$
$
$
$
;p. . s Application B .:comes Your Building Penult When Approved
~ .~:1}f-.J /0;1or'
Building Otlicial
PROJECT COST IV ALUE S
(excluding land)
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 ~ 1\,q.O+","
I
I Paid J +7./1
I Date 1f.t'/-.04-'
$
$
$
$
$
$
$
$
$ 1~7. /1
I ~~fG1 ~r~~z-
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 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 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:~~
Date: Ill, /0 t-(
Building Permit #
Site Address
Pill: Zoning:
17';;-/5 .e~ aM- V1-.
Subdivision: ~J.
LegaI:L 3 B:5
Existing Structure: YES or NO
CONFORMS TO ZONING
ORDINANCE
YES
NO
I Yard Setbad(S: NOT APPLICABLE
MEETS CODE
o Side Yard
(25' if abutting a street, 30' if abutting a street in
Cardinal Ridge)
'0 Side Yard
10 Rear Yard
o Townhouses
Requirement
Proposed
10'
C'~
10'
2'Z.,S-3
30,(", I
25'
f
35
Must be consistent with
approved plan for
development
NA
ANy PROPOSED DECK NOT MEETING THE ABOVE CRITERIA MUSTBE 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 ~5~AD~~:~~D~:SPECTION
INSPECTION
RECORD
SITE ADDRESS /7Z/.=:, B(//Z-/e. 0/1;:::' t-/I./ sC
TYPE OF WORK 06 e.e:.
USE OF BUILDING ;'26s A"/..e...
PERMIT NO. 04-. /1~.5 . DATE ISSUED //0 5. 0 ~
BUILDER F7u;,<.r776e... PHONE # 4+0.7750
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
'FOOTING I 7-JP/ I. /;;~~~. ,.
PLACE NO CONCRETE UN'tIL ABOVE HAS BEEN SIGNED
~FRAMING I ~ I ///t6/~ I
C'~ ~a4.- ~ p~ A ,'_
, FINAL I n$ //7';2 Z/Ufl' 1
\
.
.
FOR ALL INSPECTIONS (952) 447-9850
ADDRESS
/7.2/S-
DATE TIllE
SCHEDULED ~~~
A'u,rr' CJ:eL .L-.-
CITY OF PRIOR LAKE
INSPECTION NOTICE
OWNER
CONTR.
PHONE NO.
PERMIT NO.
c:Y~-//~
[] FOOTING [] PLUMBING RI
[] FOUNDATION [] MECH RI
[] FRAMING [] WATER HOOKUP
[] INSULATION [] SEWER HOOKUP
,...I!t"FINAL [] PLUMBING FINAL
[] SITE INSPECTION [] MECH FINAL
COMMENTS: ,/} / ....-; /
/f/ec-~ ~~./
[] EXIGRADlFILLING
[] COMPLAINT
[] FIREPLACE RI
[] FIREPLACE FINAL
[] GASLlNE AIR TST
[]
.
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/ ~ _/ I
I~;:; /..h / /
~(/Jt:- / ~ ~./
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WORK SATISFACTORY, PROCEED
CORRECT ACTION AND PROCEED
[] CORRECT WORK, CALL FOR REIN ECTION BEFORE COVERING
"-----
~
Inspector:
Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTlON:U HOURS IN ADVANCIi,
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/
INSIiOTl