HomeMy WebLinkAboutBldg Permit 05-0107
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
I. White
2 Pink
J Yellow
File
City
Applicant
(Please me or print and si~ at bottom)
ADDRESS
17~/7 06~~~ O~
LEGAL DI SCRIPTION (office use only)
LOTze I LOCK
I ADDITION Deb~.;t..O 9'17t
OWNER
(Name)
(Phone)
(Address)
Date Rec' d
2., r~-
I PERMIT NO. 05. 0 107
ZONING (office uso)
~'--
PID z.5" 4<1 tJ. iJ z-~" 0
~~~~~'ameLU~ lH5J~rf ()y~1 . (Phone) (~ -4"S7-.2E/o2-.
(Contact N, ,me) /1 /) r::: _ (Phone)
(Address) 1072:5 ~YlS' kif 1004fJl~ ( /}1ft) <s;s.4:La
, /'
TYPE OF' N"ORK D New Construction ~eck DPorch ORe-Roofing
~ OAddition OAIter.bb/~~i~ ~n~ 0 MISC.
CODE: .R.C. DI.B.c.
Type of o. struction: I II III IV V A B
Occnpancy'honp: 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)
I hereby certifY hat 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 authoflZcd agent For the
abovc-menllone I Ul'tpcrty and that all c nstruction will conform to all existing state and local laws and will proceed in accordance with submitted plans_ I am aware that the buildmg
:'''i'l con l (;3::;" fm JUst so Fu hermo<c, I h",by 'g<c' th" the my offio,j 0" d"'gn" m,y enter upon the p'opetty to perfo.m n.:;: m'P8"~ S
/ gnature Contractor's License No. Date
Permit Valu. ltion
'liI3 () O. /J 0
$ 61,00
$ 33. IE
$ .(,5
$
$
$
$
$
Water Tower Fee
1 Builder's Deposit
I Other
L TOTAL DUE
C'J/ I Cd'
I Paid C>"'" -Co v r
I Date ;:J -' q;r"'O'::J
Park Support Fee
SAC
Permit Fee
Plan Check :<' ee
Water Meter Size 5/8"; I";
Pressure Reducer
Sewer/Water Connection Fee
State Surch, rge
Penalty
Plumbing P 'rmit Fee
Mechanical Permit Fee
Sewer & W lter Permit Fee
Gas Firepla :e Permit Fee
Appli( ltion Becomes Your Building Permit When Approved
"
klb.
t/8/oS
r-Date
# $
# $
$
$
# $
# $
$
$
$ 8t.f.?()
Receipt No.ihf{;61
By III
([
ThIS IS to certi~ 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 conshtutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Ccrlificate 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
BY: ~ ~ Date: dl&"'~S-
Building Permit #
Site Address I 7 '1' /7
legal: L
B
PID:
~ f ~.:f
I
Subdivision:
Zoning:
E xisting Structure:~or NO
CONFORMS TO ZONING
ORDINANCE
YES
NO
... ard Setbacks: NOT APPLICABLE
MEETS CODE
Requirement
Proposed
" Side Yard
c: :5' if abutting a street, 30' if abutting a street in
Cardinal Ridge)
Side Yard
10'
.
I"
I "
10'
k-
ak...
tJ1u fJu 0
Rear Yard
25'
" Townhouses
Must be consistent with
approved plan for
development
~
~
A .NY PROPOSED DECK NOT MEETING THE ABOVE CRITERIA MUST BE REFERRED TO THE
I1LANNING DEPARTMENT. ALSO, ANY DECK ON A LOT WITH A SUSPECTED BLUFF, OR ANY
eTHER UNUSUAL CIRCUMSTANCE MUST BE REFERRED TO THE PLANNING DEPARTMENT.
1 HIS CHECKLIST MUST BE COMPLETED AND INCLUDED IN THE BUILDING PERMIT FILE TO
l' IAINTAIN A RECORD OF THE REVIEW,
[ :\TEMPLATEIDECKCHCK.DOC
PRIOR LAKE DEPARTMENT OF
BUILDING AND INSPECTION
INSPECTION
RECORD
SITE ADDRESS /74/1 06E:}epj~ IJIZ-.
TYPE OF WORK Of:tC..K-
USE OF BUILDING /Z6f Fl/k!-
PERMIT NO. 05, 0/07 ' DATE ISSUED Z. {} .05
BUILDER V6,eN ftJA-/J:If..S PHONE # 457 . 2 Rt,'2-
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
_ /' _ECTOR DATE
'FOOTlNG ~/rT./.Y' I I
PLACE NO C"OlICRETE UNTIL ABOVE HAS BEEN SIGNED
I I
, FINAL
~/
/
f/7/t75-
FOR ALL INSPECTIONS (952) 447-9850
---- .'..."--..--.--...,..-.-.--------..---.------ .....,.._~____.+__,,_.. .,,~___ __0'."__
DATE TIME
SCHEDULED .....y~as~
/7~/7Aer4 (j f/--
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
OWNER
PHONE NO.
CONTR.
PERMIT NO.
OS--/07
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
~L
o SITE INSPECTION
o PLUMBING RI 0 EXIGRADIFILLING
o MECH RI 0 COMPLAINT
o WATER HOOKUP 0 FIREPLACE RI
o SEWER HOOKUP 0 FIREPLACE FINAL
o PLUMBING FINAL 0 GASLINE AIR TST
)1 MECH YNAL 0
//ec/C hc.r/
COMMENTS:
hok
~ /
(-C),-"') rJ rI
----....
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1
/
/
------
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( rio, '5f-
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~ -----.
WORK SA TISFACTOR'';;-PROCt:''Ll
o ORRECT ACTION AND PROCEED
o CORRECT WORf:;.A..';; ~REINSPECTION BEFORE COVERING
Inspector: /tt./~_ Owner/Contr:
/~/
// '/~
CALL "7.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH 4 SAFETY!
lNSNOTI