HomeMy WebLinkAboutBldg Permit 05-0497
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec'd
I. White
2 Pink
3 Yellow
File
City
Applicant
I PERMIT NO'/)5>Ljq'71
(Please type or ,rint and siltll at bottom)
ADDRESS .
5'1'-/0 DIJ:G~FleL~ ele,
5.E
~'Olt. LAKE.
9<; 2,7 'L-
ZONING (office use)
f(;A.
LEGAL DE$CRIPTION (office use only)
LOTJI7 BLOCK
/
ADDITION
cQ+dJ qu
G: /Ai/lJG/3
PID LlC() -()ft
OWNER ~
(Name)~c!JJJdJ ])
'5.<I'-ID OEE: ~ P1E"L D
C,f1.
(Phone)
Sf". '\1z.0t. lll't:'E
. 9~1- L/</7- J1 '?> '3
'S5~7.;L
(Address)
I BUILDER
(Company Nlame)
(Contact Narpe)
(Address)
VERJ.I 11/1711/ S
VElu
un/STl<cJcnoP'
(Phone)
(Phone)
'1~). -Lf~ 7 -,;J./3 "'2
'/
TYPE OF "fORK
o New Construction }!f;>eck DPorch ORe. Roofing
OAddmon DAlteration DUtility ConnectIOn 0 MISC.
ORe-Siding DLower Level Finish 0 Fireplace
~
$ ~O!J 7";::-
PROJECT COST IV ALUE
(excluding land)
CODE: DOl.c. DLB.c.
Type of Cons~ction:
Occupancy Group: A B
Division:
I
E
II
F
I
mrvvA
HIM R
2 3 4 5
B
S U
I hert'by certify that 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 agent for the
abovc-menuoned 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
:Ci'~~is,p"m" fo' ":' :;dmtli~I:~b:'"," th" th,,,~ off"ial o'2;in;; )',;';:.n th, pmpe.ty to petfmm n'~ ';;i 7_
Signature c7 Contractor's License No. ~%a~
I Permit Valuation I :{ Ot? ~ I Park Support Fee # $
I Permit Fee $ - c In.; I SAC # $
I Plan Check Fee $ --' I Water Meter Size 5/8"; I"; $
;Z3.1~
I State Surcharae $ -':- I Pressure Reducer $
&') ......
I Penalty $ I Sewer/Water Connection Fee # $
I Plumbing Perrjnit Fee $ I Water Tower Fee # $
I Mechanical P~rmit Fee $ I Builder's Deposit $
I Sewer & Watfjr Permit Fee $ I Other $
I Gas FirePIj1pe~mll F'f-- <- ~ I I TOTAL DUE $ M.Ro
Ii! .1"'11 ~I ['i/-xr) /1 .
, This A Icati ~c tit s Your Building ?ii1J~~ Paid ReceIPt No. liff/'0.:J'
Date .<::- 97--6':J By }-
ThiS IS to certify that the request in the above application and accompanying documents is in accordance with the City Zoning Ordinanct' and may proceed as requested. ThiS document
when signed by the 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) 447.9850. fax (952) 447.4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
Special Conditions, if any
'esidential Building Permit Checklist
Deck Additions to Single Family Homes
III (\
wi t I" , Dore 5- ;;:1/7- ~
Btl.ildi g Permit #l PID: _ Zoning:
Si.eAddress B-)/LIO~ ~A-/~d ~
L~gal: L B D Subdivision:
Ell,isting Structure: ~NO
CONFORMS TO ZONING
OiRDINANCE
(9
NO
I Y~rd Setbacks: NOT APPLICABLE
MEETS CODE
- Side Yard
(2$' if abutting a streel, 30' if abutting a street in
Cardinal Ridge)
Side Yard
Requirement
Proposed
10'
I-
I -
10'
Rear Yard
25'
- Townhouses
Must be consistent with
approved plan for
development
v'.
ANY PROPOSED DECK NOT MEETING THE ABOVE CRITERIA MUST BE REFERRED TO THE
PLANNING DEPARTME:-lT. ALSO, ANY DECK ON A LOT WITH A SUSPECTED BLUFF, OR Al'lY
OTHER UNUSUAL CIRCUMSTAl'lCE MUST BE REFERRED TO THE PLAl'lNING DEPARTMENT.
TIilIS CHECKLIST MUST BE COMPLETED AND INCLUDED IN THE BUILDING PERMIT FILE TO
MAINTAIN A RECORD OF THE REVIEW.
L:\TElvlPLA TEIDECKCHCK.DOC
I
I
PRIOR LAKE DEPAPTMENTOF
I .. BUILDING AND INSPECTION
INSPECTION
SIT~ADDRESS ~6~-CPJ!~'eld <U~
TYPE OF WORK i::)e,,"
USE OF BUILDING 5 F)q.
PERMIT NO. 61(':'1'1" DATE ISSUED ~...~ '}- S-
BUIlDER PHONE #
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
I FOpTlNG ~ r / sf 1 /llV I I
. PLACE NO' CONCRcEtTE UNTIL ABOVE HAS BEEN SIGNED
'..... I I
INSPECTOR
DATE
., FI~AL
_ A
1
l
. -
6//'T'/c)), J
Y/~
FOR ALL INSPECTIONS (952) 447-9850
DATE TIME
SCHEDULED 1i#!;M-
~f?AJu Cf-
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
S770
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
~L
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o ~H FINAL /"
/ /~L R-
~
COMMENTS:
l1s..~ - ~? 7'
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
/' /
/C~./t
/I/';- ~
,;- -: / r-;{-
rjf5--~ L/(i
~ }~')
/ a~5'e hrp /
~ORKSATIS~TORY. PRO~
/ ~ CORRECT ACTION AND PROCEED
o CORRECT W~/ /WR REINSPECTlON BEFORE COVERING
Inspector: _P'{/(/ L --- Owner/Contr:
CALL 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.,
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH'" SAFETY/
INSNO"
~"--'---~'---~--'"_._-"'--""-'--.'--~-'~-'-