HomeMy WebLinkAboutBldg Permit 04-0166
(Please .!V.P~ or p int and sign at bottom)
ADDRESS
1~ll'1 A.5p~"
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
A V<y\V\L , fJL
Date Rec'd
3.2Z.01-
; ~i~~' ~:;y I PERMIT NO. r.A. 01/_1
3. Yellow Applicant ~ lPfe'
LEGAL DE~ CRIPTION (office use only)
LOT 1 BlOCK i!.. ADDITION so.rJ Po;"te.- e...! lJ~t+I'Ot'\
. .
l",bll\.\\C.J
flSfM An. I "'~
OWNER
(Name)
.f ~,.. i a...,,-
(Address)
111 L,/
BUILDER
(Name) OVlI\t-r
(Contact Nar Ie)
(Address)
TYPE OF W::JRK
o Misc.
{>C'I at'
o New Construction
DLower Level Finish
(Phone)
l-.Iu-,MN J-~3)L
(Phone)
(Phone)
~eck
DPorch
DAddition
ORe-Roofing
ZONING (office use)
PtJs.D
PID ZS 20b: 009.0
952.-'f~ 5-,/33 or
ORe-Siding
PROJECT COST IV ALUE (excluding land) $ 2.. \ "0
DUtility Connection
DAlteration
I hereby certify 1 iIat 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 agen! 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 building official can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may
~te~:: ~v~'nt:t:;;C/ inspections. 31~ I ZiJd 'I
Signature Contractor's License No. Date
I Permit Valuati m
I Permit Fee
I Plan Check Fe ,
I State Surcharg ,
I Penalty
I Plumbing Pen: lit Fee
I Mechanical Pe rmit Fee
I Sewer & Wate' Permit Fee
I Gas Fireplace Jermit Fee
$
$
$
$
$
$
$
$
..
'/fi2aJ(!). em
'7?'. 75
47. q'f
(.090
This APPliCatitn Becomes Your Building Permit When Approved
~ ~ J!z.z!(j,-/
Buildin! Official I Date
o Fireplace
I Park Support Fee
I SAC
I Water Meter Size 5/8"; I";
I Pressure Reducer
I City SAC and WAC
I Water Tower Fee
I Builder's Deposit
lather
I TOTAL DUE ~
Paid /'Zz.. (, 7
Date :I -z-Y.o '9'-'
# $
# $
$
$
# $
# $
$
$
3 :z.:2. .04-.. $
/
I Recei~o.
By 7j."
(j
122-. '9
rud'77
This is to certify tt it the request in the above application and accompanying documents is in accordance with the City Zoning Ordinance and ~ proceed as requested. This document
when signed by th 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, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
Residential Building Permit Checklist
~
Deck Additions to Single Family Homes
E'Y~~
Date
3/ z. c( () '-(
~uilding Permit '* 04-. D I /PG. Pill:
~ ,ite Addres~
. Zoning:
J.egal: L
B
2-
Subdivision:
~ ~. Z-r-!..
J :~sting Structur(Y~r NO
CONFORMS TO ZO:~Tl~'G
ORDIJ.\'ANCE
I'ES
NO
I Yard Setback,: NOT APPLICABLE
MEETS CODE
. Side Yard
(~5' ifabuttrng a street. 30' ifabuttmg a street in
C arclinar Ridge)
. Side Yard
R~quiremt:nt
Pro po,ed
10'
3/.'57 '
10'
35'
. Rear Yard
)"'
-~
o-trG'1 25
. TO'yvnhouses
Must be consistent WIth
approved plan for
development
tJA.
A NY PROPOSED DECK NOT i'YIEETli'IG THE ABOVE CRlTERlA MUST BE REFERRED TO THE
P LAJ'iNli'iG DEPARTi'YIENT. ALSO, ANY DECK ON A LOT W1TH A SUSPECTED BLUFF, OR ANY
eTHER l.lNUSU.U CffiCL''MST.-u''iCE MUST BE REFERRED TO THE PLA.l'tNING DKPARTlVIEi'lT.
lros CHECKLIST MUST BE COMPLETED Al'ID INCLUDED 1I'1 THE BUILDli'IG PERMIT FILE TO
i'Y All'ITAlN A RECORD OF THE REVIEW.
L: TE::vrPL.4.TE"'DEC:{I,=HCK.DOC
..
PRIOR LAKE
INSPECTION
RECORD
SITf ADDRESS \ L.f 12." }as p~ AJJEf.JU.~
TYF'E OF WORK ~El,\.) 'DEc.~
USE OF BUILDING . 'S It=: D ,.
PEijMIT NO. 04 . O/(P0 DATE ISSUED ~&.4
BUI~DER13a.if\~ ~6lrJStll PHONE #~-"4~'
NO'rE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF
BUILDING AND INSPECTION
, FOOTING ~I(, I &;NSPECfOR I 'f11.1/0D~E J
, ,
_I PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
I I l
I (.'tr'1A-1 f'~ I~ w/o /J<.".~ ~ ~..J.u....(...c~- e.-4-.
I~ I ~.if';r ,
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (952) 447-9850
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
/c/I-2~ +8-1
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
a FOUNDATION
a FRAMING
o ~LATION
~I~L
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MEc;nINAL /.
/' /-<?C /c
COMMENTS:
?~ / ~l/
/ / J<-""[' / (.../r L
.---
DATE TIME
!)fk-
~{/,
~-/GC
o EXiGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
/' ~--P
/J ~)
h~
------
~'
~'-., ..
'-.
WORK ~T-fSF~~Tn~v, PRO""Il:Cro
o CORRECT ACTION AND PROCEED
o CORRECT WOR~ ~~ F"NSPECTION BEFORE COVERING
Inspector: ff~"""'--/ Owner'Conlr:
CALL 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
lNtNO"
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH It SAFETYI