HomeMy WebLinkAboutBldg Permit 05-0463
CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE I ' l-
AND UTILITY CONNECTION PERMIT 5: z-Lfj O~
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Pink
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File
City
Applicant
I PERMIT NO. os, 0 4-f.t?3I
(Please type or lrint and si2Il at bottom)
ADDRESS I
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Vr,'D(
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55~'7~
mGE'''U''1
LEGAL DE ,CRIPTION (office use only)
LOT
B"OCK
ADDITION
PID z..S-. 1-0'1-'. 041.0
~:R :s l'(t' ."". ~ .~{ ~/UI\^VV\" 1
(Address) 1-1. I ;Z (' .il" 'j"l r r (.L+L
BUILDER
(Company ]\ ame)
(Contact Na ne)
(Address)
(Phone) 11&)1- 4t./5 6S U
t=> r;,,:- I..",a.~ / M N 5 J) 3 '7 '1-
(Phone)
(Phone)
TYPE OF V 'ORK. 0 New Construction ~eck o Porch ORe-Roofing ORe-Siding DLower Level Finish 0 Fireplace
DAddition DAlteration DUtility Connection 0 Misc.
CODE:~I.l.C. DI.B.c. PROJECT ST/VALUE $
Type of ODS ruction: I II III IV V A B (excluding d)
Occupancy G coup: A B E F H I M R S U
Division: 1 2 3 4 5 ~
I hen'by certifY th It I haYl.' furnished mforma n on this application which is to the hest of my knowledge true and correct. I also certify that I am the owner or authoflzed agent for the
above mentioned lropelty and that all cons 1 tlOn will conform to all extstmg state and local laws and will proceed In accordance With submmed plans I am aware that the bUlldmg
:'?:~"~" ~'U" ,nh"mm ~"bY ,,,,eo th.. th, wy Off""!,:: d,,,gn,, may <ot" upon th, pmp'"" to p"form n"d,d, ,p"tu7 t'J ~
- / - rJ Signature Contractor's License No te
Gas Fireplace Permit Fee
W3()()('J. 0 Q
$ 88,2.S
$ S7.~"
$ /. $"0
$
$
$
$
$
Park Support Fee
#
#
Permit Valuat ,on
Permit Fee
State Surchaq :e
Penalty
Plumbing Per nit Fee
Mechanical P ~rmit Fee
Water Meter Size 5/8"; 1";
Pressure Reducer
Sewer/Water Connection Fee
Water Tower Fee
#
#
$
$
$
$
$
$
$
$
$ /L{7. ff
SAC
Plan Check F, 'e
Sewer & Wat, 'f Permit Fee
Builder's Deposit
Other
TOTAL DUE
This Applicat on Becomes Your Building Pennit When Approved
~~ ~ qZy~S-
Builling Otlicial Date
Paid
Date
/47. //
5:24. pr
ReceiPt N,o, ~4::? / S-
By~.-.
/
ThiS IS (0 certify lut 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 t: e City Planner conslltutes 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":~
,
~
Date: S/Z<{ /(J S-
BJlilding Permit # PID:
Si:eAddress ~(~ ~tf--o't.
Li:gal: L t B 3
E: :isting Structure@r NO
~
Zoning:
Subdivision:
JAJa ~
CONFORMS TO ZONING
ORDINANCE
YES
NO
I y,.rd Setbacks: NOT APPLICABLE
MEETS CODE
" Side Yard
(2 ;' if abutting a street, 30' if abutting a street in
Cardinal Ridge)
Side Yard
Requirement
10'
Proposed
.
33'
('S;6~ I
La '1 (
Nt>..
,"
I" Rear Yard
10'
25'
" Townhouses
Must be consistent with
approved plan for
development
AllY 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
O'J HER UNUSUAL CIRCUMSTANCE MUST BE REFERRED TO THE PLANNING DEPARTMENT.
TI [IS CHECKLIST MUST BE COMPLETED AND INCLUDED IN THE BUILDING PERMIT FILE TO
M lINTAIN A RECORD OF THE REVIEW.
L:' TEMPLA TE\DECKCHCK.DOC
PRIOR LAKE . DEPARTMENTOF
. BUILDING AND INSPECTION
INSPECTION
RECORD
SITE ADDRESS 281~ ())UGAQ. PA"Tt\
TYPE OF WORK ~ ~ tST^ies
USE OF BUILDING S.F:~. J
PER MIT NO. OS - ~ <<{ <0 '3 DATE ISSUED S l:LtIf I 0 S'
BUII.DER ~V ~ME:L P~".z-""$-"Sl/
NOlE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR / / DATE
I Fo<:mNG I ,~ ~%/.d-
PLACE NO CONCRETE UNTIL ABOVE HAS 9'EEN SIGNED
I I
111#/ C.f.-rX
FOR ALL INSPECTIONS (952) 447-9850
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
) frlj..
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION /') _. I,
Jii< FINAL I fl-1.4L.
o SITE INSPECTION
COMMENTS:
DATE TIME
SCHEDULED
&- )'c..Q
L Oi/!;)v Ii?.l fJ.,...
CONTR.
PERMIT NO.
.s;:.- t.{ ~ .3
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
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/WORK SATISFACTORY. PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WO~K.~~ REINSPECTION BEFORE COVERING
Inspector: /I If f/ Owner/Contr:
CALL 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/
Y<9IW"