HomeMy WebLinkAboutBuilding Permit 04-1175
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
(Please ~ or orint and si.... at bottoml
ADDRESS
3tcD4
La 1t.:L
Date Rec' d
I/.Ie .M--
]. White File I PERMIT NO 'S I
~. ~;;'~w ~~:H'''' . () +-. /17
BliA.(.(
C i \.--vl-t..-
LEGAL DESCRIPTION (olliee use only)
LOTZqBLOCK I ADDITION /V'O~WdOO tJ/'IIC-.r 2ND
OWNER
(Name)
t\'M<;'
~7~4
(Address)
BUILDER
(Company Name'
(Contact Name) _r144 I5n
(Address) \4
e.-ob f). tit-
Ltt t./ F,lvlt.( f~ \-d f'
ZONING (office use)
JeI.sD
PID z.s: :3 7 I f't2..:I [)
\?I-HV
(Phone) q<. 2 - 4.4 i) -.(, P. 2 c;
~-h... ...- t6J\,..\-"',u-ht;V\
RlA.Vv\<;..Vl Uf.
~
(Phone) -1SL -~W -Tl~O
(Phone)
TYPE OF WORK 0 New Construction ~eek OPoreh ORe. Roofing
DAddition DAlterat~Utility Connection 0 Misc.
CODE: llOr.R.C. DI.B.C.
Type of p;nstruction: I II III IV V A B
Occupancy Group: A B E F HIM R S U
I Division: I Z 3 4 S
LMJ~L...
ORe-Siding DLower Level Finish
o Fireplace
PROJECT COST IV ALUE $
(excluding land)
., , bbO
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 Of authorized agent for the
above. mentioned property and at 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 revok, ~ perm' r st cause Furthermore, I hereby agree that the city official or a designee may enter upon the property to perform needed insrri1ns. j .'
xl-. 'L- 7_b7 j (..011 f) 1f3lt11=
..... Si Contractor's License No. Date. "-- _____
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
{~t)Oo,oo
$ ~~. 2.-5"
$ {57 . D(P
$ I. '>0
$
$
$
$
$
, This Application Becomes Your Building Pennit When Approved
~omr~~ 111/.,:/0</
I Park Support Fee
I SAC
I Water Meter Size 5/8"; I";
j Pressure Reducer
1 Sewer/Water Connection Fee
I Water Tower Fee
I Builder's Deposit
I Other
I TOTALDUE
IIf 7 d I
it 22.1) r-
Paid
Date
# $
# $
$
$
# $
# $
$
I $
I $ J ~71t1
f)
I?fO Ct,5 .5 0 1
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 Cl..'I1ificatc of Occupancy must be
issued
Planning Director
Date Special Conditions. if any
24 hour notice fQr all inspections (952) 447-9850. fax (952) 447-4245
16200 Eagle Creek Aveoue Prior Lake. MN 55372
Residential Building Permit Checklist
Deck Additions to Single Family Homes
BY: ~ ~ Date: !f/I?/dY"
Building Permit #
Site Address 3~ t{
Legal: L r:7J B I
Pill:
~
Zoning:
e~(.f( ~ ~
Subdivision: N~ ~,;)-
Existing Strllctur@r NO
CONFORMS TO ZONING
ORDINANCE
YES
NO
Yard Setbacks: NOT APPUCABLE
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'
l{g"
~ It) r
~Z(
25'
Must be consistent with
approved plan for
development
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
MAINTAIN A RECORD OF THE REVIEW.
L:\TEMPLA TEIDECKCHCKDOC
PRIOR LAKE.' :rtD=~D~:SPEcnoN
INSPECTION
RECORD .
SITE ADDRESS ..32.060( LM.& -aw.FF Ciee.a..e
TYPE OF WORK . tJ~ "D~
USE OF BUILDING I S,F\1)..
PERMIT NO. (J 4-. / / / S DATE lSSUED ~"
BUILDER ~_ PHONE N!sI.-4tfO- ZlSo
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
L FOO11NG
PLACE NO
'I,.;'." DtTl
I I/~ I 1'2./ 1tj)1
CRETE UNTIL ABOVErtAS BEEN SIGNED
I I ~
/l"
!Ill; ~
FOR ALL INSPECTIONS (952) 447-9850
I FINAL
DATE nilE
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
(2/t!//~~
,
ADDRESS ~ ~~
OWNER CONTR.
PHONE NO.
PERMIT NO.
0/ - 1/1"
o FOOTING
o FOUNDATION
o FRAMING
~~TION
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXlGRADlFILUNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
O\nGf ~ \;/ k/
4WORK SATISFACTORY, PROCEED
o CORRECT A TION AND PROCEED
o CORREC RK, CALL FOR REINSPECTION BEFORE COVERING
(~ Owner/Contr:
.~ i FOR THE NEXT INSPECTION :M HOURS IN ADVANCE.
CODE ? 1tlENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
-,
Inspector.