HomeMy WebLinkAboutBuilding Permit 04-0222
Date Rec' d
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
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1. White File
2. Pink City
3_ Yellow Applicant
[ PERMIT NO. 04-. 0 Z z. z.+
CAK-
ZONING (office use)
/ZI
LEGAL DESCRIPTION (office use only)
LOT
ADDITION
BLOCK
PIDLe 308. tJ3o!J- ^
OWNER
(Name)
lC le ~ t\
(phone)
q~ 2 - cflf7- 21s-/
fV\o..rL
(Address)
BUILDER
(Name)
(Contact Name)
(Address)
(Phone)
(Phone)
TYPE OF WORK
Deck
oPorch
ORe-Roofing
ORe-Siding
oUtility Connection
o New Construction
OLower Level Finish
o Fireplace
DAlteration
o Misc.
PROJEcrCOST/VALUE (exc1udingland) S
oAddition
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 .. g official can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may
;terupon pertyto ormnee . ODS. ! /~;; 'I
Contractor's License No. Date
Permit Valuation
Permit Fee $
Plan Check Fee $
State Surcharge $
Penalty $
Plumbing Permit Fee $
Mechanical Permit Fee $
Sewer & Water Permit Fee $
Gas Fireplace Permit Fee $
This Application Becomes Your Building Permit When.Approved
~~
Building Official
11&.~v
Dare
Park Support Fee # $
SAC # $
Water Meter Size 5/8"; 1"; $
Pressure Reducer $
City SAC and WAC # $
Water Tower Fee # $
Builder's Deposit $
Other $
TOTAL DUE $ 17/.95;"
I ~~~j~7:ioq~
I ~;ceiPt~ ~t~~
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 Certificate of Occupancy must be
issued.
Planning Director
Date Special Conditions, if any
24 hour notice for all inspections (952) 447-9850, tax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
Residential Building Permit CheclJist
Deck Additjon~ to Single F ~mjly Homes
~ fLJ2~
Date
1Ib/()~
BY
Building Permit 1#
Site Address
PID:
Zoning:
Leg~j: L
/0'12-/
B
~~
Subdivision:
Existing Structur@r :'10
CONFORMS TO ZO~'{I~-G ILS NO
ORDINANCE .
Yard Setbacks: NOT APPLICABLE R~quirem~nt Propo,ed
MEETS CODE
. Slde Yard 10.
(25' ifabucting a street. 30' ifabuctmg a street in /7 (
Cardinal Ridge)
. Side Yard 10' J./3(
Rear Yard ? -. 2Sr
. _J
~
. Townhouses Must be consistent with
approved plan for tJA~
develooment
A.NY PROPOSED DECK :'lOT c;LEETL'iG THE ABovE CRlTERlA MUST BE REFERRED TO THE
PLAi'fNlt'iG DEPARTMENT. ALSO, ANY DECK ON A LOT WITH A SUSPECTED BLUFF, OR ANY
OTHER UNUSUAL CIRClTMSTA.c'iCE MUST BE REFERRED TO THE PLA.'f1'l1NG DEPARTMENT.
T1ils CHECKLIST r;f\.:ST BE COMPLETED AND INCLUDED Ii'! THE BUILDING PERNUT FILE TO
MAIN'TAIN A RECORD OF THE REVU:W,
:... : ',TE)/IP LA Is', DE CKC~-iCK.DOC
.
...
PRIOR LAKE DEPARTMENT OF
BUILDING AND INSPECTION
INSPECTION
RECORD
SITE ADDRESS /& 92/ J/n/JJ:4 /liS UK!..-
TYPE OF WORK '3ti~
USE OF BUILDING ..r .4-/..e
PERMIT NO. 0 <1- . tJ2- 2. 2- ' DATE ISSUED 4-. ~. 04-:- . .-,
BUILDER . "Ct.,,6IN PHONE # #7. Z-"K;
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
I FOOnNG I
PL)\CE NO CONCRETE UNTIL ABOVE HA
FRAMIN
I
I FINAL
/41
Z" hj;s-
~
FOR ALL INSPECTIONS (952) 447-9850
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS A?;2/
OWNER
DATE TIllE
SCHEDULED ~
S~/J~L., Cr-
cok.
PERMIT NO.
<:!J~- ..,2,2.:7
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
~L
o SITE INSPECTION
COMMENTS:
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXlGRADlFILLING
o COMPLAINT
o FIREPLACE Rl
o FIREPLACE FINAL
o GASLINE AIR TST
o
~d
hl~1
.
ek
.lWORKSATISFACTO ,
/';;\ORRECT ACTION ANO PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: ~ OwnerlContr:
CALL 447-8850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOT'