HomeMy WebLinkAboutBldg Permit 05-0506
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
'Iease type or Prlnt and siJtl1 at bottom)
ADDRESS
1 While
Pink
3 Yellow
File
City
Applicant
I PERMIT NO~ - St::::h
.5fJz.5 (Yl?eO/N/tl-- /81 0 G6
/ll--L--
LOT
BLOCK
LEGAL DESCRIPTION (office use only)
ADDITION
OWNER
(Name) l ~ \', t \, 6c "'"
(Address)
BUILDER
(Company Nar'e)
(Contact Name)
(Address)
PID
~ Dbb'au'l,,:>)4Li
I
Date Rec' d
5 3( oS
ZONING (office use)
~-\
(Phone)
't s ). - L/L./7 - d-I, 5' .L
(Phone)
(Phone)
TYPE OF W(>RK 0 New Construction ~ck DPorch ORe-Roofing ORe-Siding DLower Level Finish 0 Fireplace
OAddition DAlteration DUtility Connection
CODE: OLRic. OLB.C. o Mise
Type of Cons~ction: I II III IV V A B PROJECT COST IV ALUE $ 4IK
Occupancy Gr~up: A B E F H I M R S U (excluding land)
Division: I 2 3 4 5
I hereby clTlify that! ( have fiJrnished information on this application which is to the best of my knowledge lme and correct. I also certify that I am the owner or <I11thonzcd agent t\lf the
dbnvc-mcntlOnrd pqoperty 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 buildmg
official can revoke tpis perml! for Just cause Furthermore. I hereby agree that the City official or a designee may enter upon the property to perform needed Inspections
X \ ,,--):,q~~ K~~L~
Signature ( J
V
Permit Valuati9n
Permit Fee
Plan Check Fe~
State Surchargq
$
$
$
$
$
$
$
$
~- I
~.KI
5"1. ~l-' I
(. -)"0 I
I
I
I
I
I
Penalty
I Plumbing Pem\it Fee
1
I Mechanical petmit Fee
Sewer & Wate~ Per;nit Fee
Gas Fire e ffrtit Fee ~
Trra "r ;::ourBUildmg p:;tenZ~d
-I "V.. . "I ____ / tfO
$
$
$
$
$
$
$
$
~/~,lo... $/41.1\
I I Receipt J>lo~ #33"
By /UZ/-
/
Contractor's License No.
Park Support Fee
SAC
#
#
5/3ZeCl -5
ThIS IS to certify that thl' reqUl'SI in the above application and accompanying documents is in accordance with the City Zoning Ordinancl' and may proceed as requested This document
when signed by lhe City Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate llf Occupancy must be
issued
Planning Director
Water Meter
Size 5/8'"; I";
Pressure Reducer
Sewer/Water Connection Fee
#
Water Tower Fee
Builder's Deposit
Other
#
TOTAL DUE
t:.A<,t.. (T.)
I~/I
Paid
Date
hL I.. Os-
Date
24 hour notice for all inspections (952) 447.9850, fax (952) 447.4245
16200 Eagle Creek Avenue Prior Lake. MN 55372
Special Conditions, if any
BtRO
esidential Building Permit Checklist
Deck 4dditions to Single FajPY Hies
Date: S /31/0 "r-
Zoning: f~ (
B*ilding Permit # --- -1>ID:
Si.e Address 582-::; C/JiZ-./hV Itz.- f+;Jw
L~gal: L B
E~ting structure@r NO
CiONFORJ.\'IS TO ZONING
I
~RDINANCE
Subdivision:
/~:l
~
NO
I Y~d Setbacks: NOT APPLICABLE
MEETS CODE
o . Side Yard
(2$' if abutting a street, 30' if abutting a street in
i Cardinal Rid~)
'0 Side Yard
'0 RearYard
o Townhouses
Requirement
Proposed
10'
Ir/
3e;(
'47 r
10'
25'
Must be consistent with
approved plan for
development
ANiY PROPOSED DECK NOT MEETING THE ABOVE CRITERIA MUST BE REFERRED TO THE
PL~GDEPARTMENT. ALSO, ANY DECK ON A LOT WITH A SUSPECTED BLUFF, ORAJ.'IY
OTHER lJ1IIUSUAL CIRCUMSTAJ.'ICE MUST BE REFERRED TO THE PLAJ.'fNING DEPARTMENT.
THiIs CHECKLIST MUST BE COMPLETED AND INCLUDED IN THE BUILDING PERJI<UT FILE TO
MAlINTAIN A RECORD OF THE REVIEW.
L:\TEMPLA TE\DECKCHCK.DOC
PRIOR LAKE
INSPEC liON
RECORD
515?-") C~Ol~ ~(),-,>5- TlZA-l<...-
DEPARTMENT OF
BUILDING AND INSPECTION
SITE! ADDRESS
TYpe OF WORK De--c;...-,c.
USE !OF BUILDING- l2.-~~-. ^7~. ,
PERMIT NO. oS - SOlo DATE ISSUED s-/~I 10'"
BUILPERF.:,\l..\.... Do\?, jl..,,\/'J S; Ie. ~ PHONE # 44-1 -1.l;,)'r
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
, FO~TING I fIVV7 I ff fro:;' j
: PLACE NO CONCRETE UNTIL ABOVE I;IAS BEEN S.JGNFD
'FR~MING I ~ I b?-?,/6S I
,
I FIN~L /~ I 7k/~ l
, ,
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (952) 447-9850
0,\ TE TIME
SCHEDULED '* s-
G,L;,.., / ,L'.L.- ,7)/
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
S!Z:s-
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
: 0 FRAMING
. 0 lN~LA TION
~NAL
, 0 SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
a;7
COMMENTS:
os- sa
o EXIGRAD/FILLING
o COMPLAINT
o FIREPLACE Rl
o FIREPLACE FINAL
o GASLlNE AIR TST
o
A4~-: 4-e'Ol./~ (..6./- '/7
r A:;.o4// -0-&..../ -' ,L;.,;.... o/..k "
/C) h-,> .a..- -4-' ." .-4,~ '/'
/ /
~
Hk,.//
.,,-
C) (C-
~-7/"
( t' ltSS~ h (p
. '-.-. ~ -
~ SATISFACTORY, PROCEED
1!l CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL F R REINSPECTlON BEFORE COVERING
.---. -
Inspector:
. Owner/Contr:
~
./"
CALL 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE,
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
1N$N()"
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