HomeMy WebLinkAboutBuilding Permit 04-0813
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
8, Z;IJ4-
: ~;' ~::y I PERMIT NO. 0 i. Oo.l'~ I
3. Yellow Applicant .,.. C/':"/
(Please .!VPf or Drint and sim at bottom)
ADDRESS
\ "\ L\ ';} 6 \)~ t-t ~~ "r"~\ Nf::
LEGAL DESCRIPTION (office use only)
LOT:3 BLOCK +- ADDITION ):;-IV{)!S /h ~ 2-iVp
I ZO~~ (offi,,"",)
PID zr: 3J9.,U_()
OWNER
(Name)
JfAson L. SM\-lh
\ '" \.\ J. b Vi14 Ln.~ "\ n.1I Aft
(Phone) q l) ,;l.- :;).7.,1, - I ;;}1 b
(Vol) 951.. 2,9~. 24-9/
(Address)
BUILDER
(Namp\ "wolf
(Contact Name)
(Address)
TYPE OF WORK
o Misc.
(Phone)
(Phone)
DLower Level Finish
~eck OPorch ORe-Roofing
o Fireplace OAddition OAlreration
PROJECTCOSTIVALUE (exc1udingland) $ ~OQQ
o New Construction
ORe-Siding
DutiIity Connection
I heMy 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 r~-r-~~... 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 official can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may
enter upon the ';'~~J' to perfo needed inspections.
x
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
$
$
$
$
$
$
$
$
'JOOOGJO
~~>
f7 J'
I~
This APi')r.~ B~ Building Permit When Approved
V W~ (('- 3.-0<-1
Building Official Date
Contractor's License No.
I Park Support Fee
I SAC
I Water Meter Size 5/8"; 1";
I Pressure Reducer
I City SAC and WAC
Water Tower Fee
Builder's Deposit
#
#
#
#
9> J-:J- /0'1
'Date
$
$
$
$
$
$
$
$
$
/47 u.
lather
I TOTAL DUE
I Paid
I Date
1"17 I /I
fl>/"/",,
,
I Receipt No. "1$l"P
By ~_
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 .......Y"....J. 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
\6200 Eagle Creek Avenue Prior Lake, MN 55372
Residential Building Permit Checklist
Deck Additions to Single Family Homes
~'(L<- (Z~-
BY:
Date:
i - >-tIL(
Building Permit #
Site Address 144),,(,
4
PID:
(J{k-<. IQk.~
Zoning:
VI
Legal: L
3
B
Subdivision:
/LvtcJ ~ H-, '/ I
Existing Structure: YES or NO
CONFORMS TO ZONING
ORDINANCE
8
NO
Yard Setbacks: NOT APPLICABLE
MEETS CODE
Requirement
Proposed
o Side Yard
(25' if abutting a street, 30' if abutting a street in
Cardinal Ridge)
10 Side Yard
10 Rear Yard
o Townhouses
10'
7-01
SO'
'Sf
r1 A- '
10'
25'
Must be consistent with
approved plan for
development
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 DEPARTMENT OF
. BUILDING AND INSPECTION
INSPECTION
RECORD
SITE ADDRESS /44 ztp ,01 KG u9JC6 ~ / L-
TYPE OF WORK oeLle..
USE OF BUILDING ~.s .q/~
PERMIT NO. () 1-_ Oel~ ' DATE ISSUED g. 3.d f-
BUILDER sn/77-/ PHONE # Z,33. 1Z.'l"-
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
rYJ I_ECTOR DATE
, FOOTING I {fill I ~ -7.-4 - Of{ I
PLACE NO CONCRETE UNTIL J(BPJf.E HAS BEEN SIGNED
,..... I (r~ 18,3'(1 I
!::Ill / / -
I FINAL frJ/ I 5'/1~ I
/ /
FOR ALL INSPECTIONS (952) 447-9850
"
"
5/f~ TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE SCHEDULED
ADDRESS 1'14Zl. Ph.. ~ j;
OWNER CONTR.
PHONE NO. PERMIT NO. Lf-ORIS
o FOOTING o PLUMBING RI o EXlGRADlFIUING
o FOUNDATION o MECH RI o COMPLAINT
o FRAMING o WATER HOOKUP o FIREPLACE RI
~NSULATION o SEWER HOOKUP o FIREPLACE FINAL
FINAL o PLUMBING FINAL o GASLlNE AIR TST
o SITE INSPECTION o MECH FINAL 0
COMMENTS:
u~ ij,~ +: Co
- ~- \
Owner/Conlr.
850 FOR THE NEXT INSPECTION :u HOURS IN ADVANCE_
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSIfON