HomeMy WebLinkAboutBldg Permit 05-0457
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
L/- S-6C;-
White
Pink
Yellow
File
City
Applicant
I PERMIT NOG5"- 04-671
(Please type or t riot and SilUl at bottom)
ADDRESS
/(P C. 7'-1
3//Jtld U:tke- IV'-
ZONING (office use)
e/~o
LEGAL DE~ CRIPTION (office use only). ~
LO?:5 HI OCK 3 ADDITION /tJ ~ P t7}1 ~ 02 PIri16 - 33 ~- (/L../;/-(.
OWNER
(Name)
A NT\.!. () N 'I
slt<;4Ql.AA 0 IIJ Z. J(L .
(Phone)
0/,;7
C"t',9-d/Y /
(Address)
0--5
tt.-bove...
BUILDER
(Company No Ime)
(Contact Nan Ie)
(Address)
Self
(Phone)
(Phone)
TYPE OF W JRK. 0 New Construction arDeck DPorch ORe-Roofing
DAddition OAltera6o\ DUtility Connection 0 Misc.
CODE: 'fii1I.R .C. OLB.C.
Type of &stJ uction: I II III IV V A B
Occupancy Grmp: A B E F HIM R S U
Division: 1 2 3 4 5
ORe.Siding DLower Level Finish
o Fireplace
PROJECT COST IV ALUE $
(excluding land)
5. cJuD. OD
I hereby ccrtilY lha 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 authonzcd agent for the
Jbovc-men(J~~~~. ry ,od thai al <clioo will eoofotm to ,ll ""tmg state "d locall,ws "d will pm"cd io aleo,dao" with "bmitted plao, I ,m 'Wal' that the buildmg
;",1 e~ ~tt fo' J cat, "het. to. "'" thatthc "ry offie,,1 Ot a d"tgo," may cotcr opoo the pmpcrt)' to pcrfmm 0~d;:7;~,," J
_ /,r /7 '-"Signarute Contracto,'s License No. 0 . Date
I Permit Valuati, n w.''3t;ksJO. 0 0 Park Support Fee # $
I Permit Fee 1$ las. 25 SAC # $
I Plan Check Fe< $ ~ Water Meter Size 5/8"; I"; $
= (. ~/.
I State Surcharge $ I, S" 0 Pressure Reducer $
I Penalty $ Sewer/Water Connection Fee # $
I Plumbing Perm ~,t Fee $ Water Tower Fee # $
I Mechanical Pel nit Fee $ Builder's Deposit $
I Sewer & Water Permit Fee $ Other $
I Gas Fireplace i ermlt Fee $ TOTAL DUE $ I €I 7, 1/
This Applicatio I Becomes Your Building Pennit When Approved
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Budd. I.g omcml
5/~o~ s.-
f Dahl
Paid
Date
It{ / 'II
'jj~ij
Receipt No"
By dt
~5/3
ThiS IS co clTtify tho' 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 :ity Planner constltutcs a temporary Certificate of Zoning compliance and allows construction to commence Before occupancy, a Certificate of Occupancy must be
issued
Planning Director
Date
24 hour notice for all inspections (952) 447-9850, fax (952) 447.4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
Special Conditions, if any
Residential Building Permit Checklist
Deck Additions to Single Family Homes
B'r.
c.
~'~
Date:. S-(z.%S
B1lilding Permit # PID: Zoning:
Site Address / r / 7/1 ~ 17 . f) .JI /I -T
10 <0 '1 ~ C;h7--I/<..r<. I K ,
L"gal: L
B
Subdivision:
EJ .isting Structure: ~r NO
CONFORMS TO ZONING
ORDINANCE
YES
NO
Yard Setbacks: NOT APPLICABLE
MEETS CODE
Requirement
Proposed
" Side Yard
(2: ' if abutting a street, 30' if abutting a street in
Cardinal Ridge)
Side Yard
10'
<<
,
I"
I"
10'
22,'37
/51-n4
31' I
Rear Yard
25'
" Townhouses
Must be consistent with
approved plan for
development
rJA,
AN I' PROPOSED DECK NOT MEETING THE ABOVE CRITERIA MUST BE REFERRED TO THE
PL.lNNING DEPARTMENT. ALSo, Al',y DECK ON A LOT WITH A SUSPECTED BLUFF, OR ANY
OT\IER UNUSUAL CIRCUMSTANCE MUST BE REFERRED TO THE PLANNING DEPARTMENT.
TH S CHECKLIST MUST BE COMPLETED AND INCLUDED IN THE BUILDING PERMIT FILE TO
MA NTAlN A RECORD OF THE REVIEW.
L:\T oMPLA TEIDECKCHCK.DOC
..
PRIOR LAKE DEPARTMENT OF
BUILDING AND INSPECTION
INSPECTION
RECORD
SITE JlDDRESS /&& 74- J5t/IIILJ L-/f/C/6 7R/I/e-
TYPE FWORK 06~
USE F BUILDING ~ ~/ /G-
PERMIT NO. tJ S-. 0457 DATE ISSUED 6. ZcJ~{)S-
BUILD R :::, Nc/fQu/fo//\/E PHONE # klZ. (,,69. 216/
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
LF0011NG vWl~~ I 'NSP/iH I s;J/lai7
F LACE Nb CONCRETE UNTIL ABOVE HAS BEEN SIGNED
~ I I
I FINAL
H~
I
I
9/7/bo I
.
;
FOR ALL INSPECTIONS (952) 447-9850
DATE TIME
?A~-
F ~
/(.'t,?f/" ~~~/ L.~e ~(
LAKE
NOTICE
ADDRESS
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
~L
o SITE INSPECTION
COMMENTS:
'/rA'/~~
"- ~
SCHEDULED
CONTR,
PERMIT NO.
o PLUMBING RI
o MECH Rl
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINA/-
~~r /r .
..- - ~
~ /
c~.:;.r
CYs-- ~7
o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE Rl
o FIREPLACE FINAL
o GASLINE AIR TST
o
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AWORKS~,PROCEED ~
/ ~\i'RRECT ACTION AND PROCEED
o CORRECT WORK, CALL FO REINSPECTlON BEFORE COVERING
Inspector:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
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