HomeMy WebLinkAboutBldg Permit 05-0475
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
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City
Applicant
(Please type or 1 rint and sign at bottom)
ADDRESS
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Vv eJt &.//?'1 Aile.. 5 tv,
PI','tJ/, /"/lKt 1'11\i, S5J"l.2..
Date Rec'd
I PERMIT NO. {)S - L-/'7 j-I
ZONING (office use)
tet
LEGAL DE~CRlPTION (office use only)
LOTJ1 BLOCK~ ADDITION L!)Mt..f2~ jJo-nJ~ PIDaq5-/);)'~-O
OVVNER A
(Name) ().~II)>-t..-L lI1.oh.~ (Phone) q..r.2~J../J;o-~/t
(Address)
BUILDER
(Company N ,me)
(Contact Nar 1e)
(Address)
5' A-w1r
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Y-I.>
(.:)~/r
(Phone) crr2.- 1-JJ.{t)-2r1~
(Phone)
TYPE OF" ORK 0 New Construction ~DeCk o Porch ORe-Roofing ORe-Siding DLower Level Finish 0 Fireplace
DAddition DAlteration DUtility Connection 0 MISC.
CODE: DI.I ~.C. DI.B.C.
Type of Cons1 rnction:
Occupancy Gl onp: A B
Division:
B
S U
PROJECT COST IV ALUE S
(excluding land)
I
E
II
F
I
IIIIVVA
HIM R
2 3 4 5
I hereby certifY tho t 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 atlthonzed agent for the
above-mentIOned Wropt'lty 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
:~r= ~ir.r;,ustcau~~erebYagreethatthecityofficialoradeSigneemay enter upon the property to perform ;~n~~_O~
.. Signature' Contractor's License No. Date
Permit Valuati In V'n? 0cJ
Permit Fee $ ~8" ,LJ:"
Plan Check F I': ~ $ n '11.
State Surcharg ~ $ I ~
Penalty $
Plumbing Pen lit Fee $
Mechanical Pt rmit Fee $
Sewer & Watl'::' Permit Fee $
Gas Fireplace IPermit Fee $
I
Park Support Fee
SAC
Water Meter Size 5/8"; I";
Pressure Reducer
Sewer/Water Connection Fee
Water Tower Fee
Builder's Deposit
Other
TOTAL DUE
IU/I,II
5~ ? <~ S-
TWSIjat' '"~Tes Your Buildmg pe:~; ~:p;ved
Buill ,,~~ Date
Paid
Date
#
#
$
$
$
$
$
$
$
$
$
/4f'.'
#
#
I ReceiPt NoLI X /.5
By d-.
~
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fl.-t"cJ -n....
ThIS IS to certify t ,at 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 tt ~ 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
24 hour notice for all inspections (952) 447~98::;O. fax (9::;2) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
i
L_
Of'<lr 1~r!0Jt-
Special Conditions, if any
PAIOR LAKE
INSPECTION
RECORD
SITE ADDRESS Jla tfca. "''f'.stt.wy A,-"
TYPE OF WORK ~
USE OF BUILDING $. ~_ o.
PERMIT NO. DATE ISSUED
BUILDER nLu;l.,~ PHONE # 4&tD.. w..'
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF
BUILDING AND INSPECTION
I FO T1NG I I;W I ~-;:~
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
I I
I FINAL ~ I 7~/~
FOR ALL INSPECTIONS (952) 447-9850
.i
Residential Building Permit Checklist
Deck Additions to Single Family Homes
BY: if..;. () I_
I /I1,v7~ V L.iC..-
Date: {/) -:;;2. 5 -o~
Blilding Permit #
Si: e Address
PID:
iI/.AJ /- !J Zoning: /l-tH:...
Subdivision: d
/6cfLf/~
Llgal: L B
E] isting Structure: YES or ~
~........~~,
CONFORMS TO ZONING
ORDINANCE
~
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
i/"iJ r
,,-"
)-:;- i j
.!JU .-r I
NA-
I-
I -
10'
Rear Yard
25'
- Townhouses
Must be consistent with
approved plan for
develooment
Ar IY PROPOSED DECK NOT MEETING THE ABOVE CRITERIA MUST BE REFERRED TO THE
PI ANNING DEPARTMENT. ALSO, A>'IY DECK ON A LOT WITH A SUSPECTED BLUFF, OR MiY
01 HER UNUSUAL CIRCUMST A<'iCE MUST BE REFERRED TO THE PLA<'iNING DEPARTMENT.
TI lIS CHECKLIST MUST BE COMPLETED A<'iD INCLUDED IN THE BUILDING PEm-IIT FILE TO
M., JNTAlN A RECORD OF THE REVIEW.
L:'TErvlPLA TE\DECKCHCK.DOC
DATE TIME
SCHEDULED ~~~~
" ./
LU~\1l'u7 A~
CONTR.
~--.y7S-
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
/btt/~
OWNER
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
~NAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL /
yp C (L
COMMENTS:
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k~q
/
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--'.'- ---
o EXIGRADlFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
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,r // I Y'/ )
( /0 J' ///'f'.--J /
~RKSATISF ~
/ ~ 1"ORRECT ACTION AND PROCEED
o CORRECT WORK, CALL F R REINSPECTION BEFORE COVERING
Inspector:
vwner/Contr:
CALL 447-9850 FOR THIS NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
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