HomeMy WebLinkAboutBuilding Permit 04-0939
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
While
Pink
Yellow
File
City
Applicant
I PERMIT NO. O~. c r3 'j
(Please type or print and si2ll at bottom)
ADDRESS
)'5' -r' 1 ()11~\2_J l'l1'1 Ie-. <::J rz.Q. ~ S- e.
LEGAL DESCRIPTION (office use only)
LOT 7 BLOCK 1 ADDITION t!I11tO/H~/'" te4Q~ .!)nt
OWNER
(Name) \?Il. \-e...
(Address) ')<;"''Y7'
Date Rec'd
tf. /7.04-
ZONING (office use)
PtIO
PID z.!>. 33s' 0 07. ()
.
~,.,~ tJ \2z. <-...
nil ~ I tX>k
(Phone)
"7{Z-z:z.(. -4/ 7:.1
LllZCLlC-
BUILDER
(Company Name' 1-1(,,\\"""_ ~\""(.lAf""'D
(Contact Name) -=u.n...~ Rrt \::::..e..r
(Address) <ddt'Jq I, (....k..1.R
'1 \ZOo ' f3 ~:={ -role/;
(Phone) ./A-~
!'Sl IV'I." ~\'L" L.. ("
v
(Phone)
ORe-Siding
DLower Level Finish
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 owner or au!honzcd agent for the
abovc-mentlOned property and that all construction will conform to all existing state and local laws and will proceed in accordance with submilCed plans_ I am aware thallhe buildmg
Il' revoke this p st caust' FtIlthelmore. I hereby agree that the city official or a designee may enter upon the property to perform needed mspections
- Itl~o/ 9JJ:J!r,C-/
Contractor's License No. Date ,
kJ.;-So
~/"."
TYPE OF WORK 0 New CO'illfuction BtJeck OPc:rch ORe.Roofing
~~'1 DAlteration DUtility Connection 0 Misc.
CODE: ~,R,C, DLB,C,
Type of &~struction: I II III IV V A B
Occupancy Gronp: A B E F HIM R S U
I Division: ] 2 3 4 5
PROJECTCOST/VALUE S
(excluding land)
Permit Valuation
Permit Fee
Plan Check Fee
I State Surcharge
I Penalty
I Plumbing Permit Fee
\ Mechanical Permit Fee
I Sewer & Water Permit Fee
I Gas Fireplace Permit Fee
.,; '20t!J0, t) 8
Park Support Fee
#
#
$
$
$
$
$
$
$
$
73.75
17.90/
1,00
SAC
Water Meter Size 5/8"; 1";
Pressure Reducer
Sewer/Water Connection Fee #
Water Tower Fee #
\ Builder's Deposit
I Other
I TOTAL DUE Ul1M?Y.I q. 'V/. 64-
$
$
$
$
$
$
$
$
$IZZ.01
G::ti:n;e'o"1:-:~:mg pe;;;~p;ed
Bulldlll!.! Ullicwl ' Date
Paid
Date
! c;,,:.;,. (0'1
IO-(~ .0'-1
-- "--'
I ReceiPt No. {..I'7lf >Of'
Bv /7-
(J-
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 it temporary Certificate of Zoning compliance and allows construction to commence Before occupancy, a Certificate ()f Occupancy mllst be
issued
Planning Director
Date
24 hour Rotice for all inspections (952) 447-9850. fax (9!1i2) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
Special Conditions, if any
Residential Building Permit Checklist
Deck Additions to Single Family Homes
Legal: L 7 B
,
~~
PID:
--5559
!
Date:
fp/ ~,/
BY:~
Building Permit #
Site Address
Zoning:
8d~ ~9cl
Subdivision: ~~.~ () ~~ c>~
Existing Structure~r NO
CONFORMS TO ZONING
ORDINANCE
YES
NO
I 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'
I .
I .
10'
I
;If
t;tJbi / Q I
/
~ t:f)S
Rear Yard
25'
. Townhouses
Must be consistent with
approved plan for
development
;JII;.
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 PERNUT FILE TO
MAINTAIN A RECORD OF THE REVIEW.
L:'TEMPLA TEIDECKCHCK.DOC
~
PRIOR LAKE
INSPECTION
RECORD
SITE ADDRESS 5559 1)(/6.et...OO!<- C,.1,e C-L-6
TYPE OF WORK Dc ~
USE OF BUILDING /2f5S rille
PERMIT NO. ~4-. 0'139 DATE ISSUED t1. /7.04-
BUILDER fitJfi1E. 6Nrtn-/l/~;es PHONE # f3e4-. & (00
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF
BUILDING AND INSPECTION
INSPECTOR
DATE
, FOOTING I Ifb-. I If / f"2JOI.(
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
I I
I FINAL /tOt I r/~
FOR ALL INSPECTIONS (952) 447-9850
"-
"
DATE
Jak
, /
.s:s,~ 7' OUPF~/)~ C,..-
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
OWNER
CONTR,
PHONE NO,
PERMIT NO,
o FOOTING
o FOUNDATION
o FRAMING
o I~LATION
..erFiNAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
/~:;Uj4Y-e-,~
/ ' ~/' v
nUE
t:::j~ -9J 9'
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
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( I tJ.S {) ;:.-, /e
6oRKSATISFACTORY~P~
,)"CORRECT ACTI(;~~~D PROCEED
o CORRECT WO~REINSPECTION BEFORE COVERING
Inspector: /- - / ~ Owner/Contr:
)
CALL <W7-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE,
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH" SAFETYI
"""""