HomeMy WebLinkAboutBldg Permit 04-0234
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
'1.6.04-
fPERMIT NO. 04-. oz34-1
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File
City
Applicant
(Please tyPe or print and sien at bottom)
I ADDRESS
5200 UGO/T
ZONING (office use)
Ie}
/e/ Veft?-
-eo.
LEGAL DESCRIPTION (office use only)
LOT / BLOCK / ADDITION fJ/U) O/C-f (/1 vt-.&" /flUS ?3 7}1
PID 25.2'"'0. 001.0
OWNER
(Name)
J/9,€ 6.0
et...{...,/or
'10"'. ~q4-
(Phone)
(Address)
BUILDER
(Name)
(Contact Name)
(Address)
(Phone)
(Phone)
){Deck
o Fireplace
TYPE OF WORK
DPorch
ORe. Roofing
o New Construction
oRe.Siding
OLower Level Finish
oAddition
DAlteration
DUtility Connection
o Misc.
PROJECT COST IV ALUE (excluding land) S
I hereby certify that I have furnished irtformation 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 ware that the buildmg OffiCIal can revoke thiS permit for Just cause Furthermore, I hereby agree that the c~ty offi ~al or designee may
enteru eY'-Y7'oPet~mn~i~~- J. c/
y ~/~~ ~ I/~ 07
/' /' Signature Contractor's License No /Date I
#1"t?c:l9. a7
/0'3. f}o
la(, .15
Z-.t3c)
..
I Permit Valuation
I Permit Fee
1 Plan Check Fee
I State Surcharge
I Penalty
I Plumbing Permit Fee
I Mechanical Permit Fee
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
I Park Support Fee
1 SAC
I Water Meter Size 5/8"; 1";
I Pressure Reducer
1 City SAC and WAC
, Water Tower Fee
I Builder's Deposit
lather
1 TOTAL DUE
I $
1 $
I $
1$
$
$
$
$
$
#
#
$
$
$
$
$
$
$
$
#
#
/7/.95
~
i//I,'1~
t/- k-04
- -/
I Receipt No. q~ '-f C>b
Bv fJ-
~~7:;~uilding;;;;rOVed
Building Official / Date
Paid
Date
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.
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
Planning Director
Residential Building Permit CheclJist
D~(k Additi()n~ to Sillsle F amil}' Home;
BY
~~
Buildins Permit;:'
Site Addre;~
PID:
~
5:;; CJ 0
L~gaj: L
B
E.tisting Strunure: ~or:'lO
CONFOR\-lS TO ZO~Th-G
ORDI::'-iA::\CE
Yard Setback>: 80T APPLfCABLE
MEETS CODE
. Slde Yard
(15' if :1butting J. street. 30'
Cardinal RIdge)
I" Sld" Yard
I"
if abutting a street in
Rear Yard
. TO\1vnhollses
Dalt:
f/?A y-
o ZOllm~:
~~-
)
:"i0
-
Proposed
(I (
()?J-Ul I () I
I.
Dvf-A z..S-
tJA
A.N'1 PROPOSED DECK 'lOT "LEETlNG THE ABOVE CRlTERIA "IGST BE REFERRED TO THE
PLAi,Nli'iG DEP..u<TlYlENT. ALSO, Al'fY DECK ON A LOT WlTH A SUSPECTED BLlIFF, OR AN'{
OTfITR Li'i1;SUAL CffiCU"IST.,,-'iCE MliST BE REFERRED TO THE PL,,-'iNING DEP,.u<Ttvl:E:'H.
Subdivision:
YES
Requin:ment
10'
[I)'
2.5'
i'v'Iust be consis(~r:[ \tvith
approved plm fer
development
Tills CHECKLiST MUST BE COMPLETED AND INCLUDED L'i THE BL1LDLL'iG PE~YUT FILE TO
"'L~L'I1'AL'i A RECORD OF THE REVIEW.
~ ...TE)/1P~.-\T'S', DEC:~'~:--lC~(.L'()(
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
S~
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
~A~
o SITE INSPECTION
COMMENTS:
DATE TIME
SCHEDU~ED ~--
C~L/ Lbe~ ~/
CONTR.
PERMIT NO.
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
&~
-"
M~/
~/
U('--
~ -.AJ>/'
o EXlGRADlFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
.---- --------
~ M ....-- ,-..........'
/ C-?/Gl-e /-7 / ~- r
hORK~FACTORY. PROC~
I;;' ~ORRECT ACTION AND PROCEED
o CORRECT W~~ ;~FOR REINSPECTION BEFORE COVERING
Inspector: ~~ Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
I/iSNOTJ
PRIOR LAKE
INSPECTION
RECORD
SITE ADDRESS 5ZfJO It!. /!!D.
TYPE OF WORK. Q.&I!,f:..._
"'- - .- .- - --
USE OF BUILDING . ~__
PERMIT NO. ~.~ r!TEISSUED 4-. 8.~
BUILDER ---f:L/,J . PHONE #.
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF
BUILDING AND INSPECTION
INSPECTOR
, FINAL
.
~
DATE
i
i
. I
t:. / t? /oJ,r I
~
FOR ALL INSPECTIONS (952) 447-9850