HomeMy WebLinkAboutBldg Permit 05-0538
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
While
Pink
Yellow
File
City
Applicant
I PERMIT NO.
O!:J 053 B I
(Please type or print and siJtl1 at bottom)
ADDRESS
2842-
g()CMT
-;Jerl/L
Nw'
LEGAL DESCRIPTION (office use only)
LOT.::3 BLOCK
.souT1f
PID zS. 382.... 000.0
/ ADDITION
f1// LOS
Date Rec' d
(i; Jl oS;-
ZONING (office use)
/GI
OWNER
(Name)
fV./ It tJ f .AN N/ 6
(Phone{'fJ~ ) 'f() 3-
1/1 j) '3:>
YOleK..,
(Address)
BUILDER
(Company Name)
(Contact Name)
(Address)
(Phone)
(Phone)
TYPE OF WORK 0 New Construction M'Deck DPorch DRe-Roofmg ORe-Siding DLower Level Fimsh 0 Fireplace
DAdditiOn DAlteratfuh DUtihty ConnectIOn
I hereby certify that I have hlrnished information on this application which is to the best of my knowkdge true and correct I also certify that I am the owner or authonzcd agent tor the
abovc,menllOned property and that all construction win conform to all existing Slale and local laws and will proceed in accordance with submitted plans_ I am aware that the buildmg
:li'/;;:;'U~~O'" I h"'by "'" ,"" th, "'y offi,i,J m, d,,,,n,, m,y ,m" opon the pwp,ny to p,,[mm nuj"'1'j'; S--
~- - J Signature Contractor's License No 'Date
( 3(J()(J r ~ 0
$ 89. ZS
$ 57. 3{o
$ / . S-o
$
$
$
$
$
CODE: ~I.R.C. DLB.c. DMisc
Type of onstmction: I II III IV V A B PROJECT COST IV ALUE $
Occupancy Group: A B E F H I M R S U (excluding land)
Division: 1 2 3 4 5
Permit Valuation
Park Support Fee
#
Permit Fee
SAC
#
Plan Check Fee
Water Meter Size 5/8"; 1 ";
State Surcharge
Pressure Reducer
Penalty
Sewer/Water Connection Fee
#
Plumbing Permit Fee
Water Tower Fee
#
Mechanical Permit Fee
Builder's Deposit
Sewer & Water Permit Fee
Other
Gas Fireplace Permit Fee
TOTAL DUE
This Application Becomes Your Building Pennit When Approved
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Buiidil1g Onkial ~te 0 S-
11./7. 1/
,1..1..I. ' -
-, ( /U,?
Paid
Date
$ I
~
$ ------------ I
$ I
$
'-. $ I
~ I
$ i-
$ I
$ I~?II I
Receipt No. l/&I:3!> go
1h'.
By
ThiS IS to certify that the request in the above applicatIon and accompanying documents is in accordance with the City loning Ordinance and may procen1 as requested ThIS document
when .~igncd by the City Planner constitutes a temporal)' Certificate of Zoning compliance and allows construction to commence Before occupancy, a Cerllficatc of Occupancy must he
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
~A.. r
BY:~
(/~Jf;~
Date: &19 ~ s--
Building Permit # PID: Zoning:
Site Address c7? q d- &-:l~ _ )'-- .~ /:?,,, . 'V'
"A."'/ t1 () *
Legal: L 3 B I Subdivision: {/../ ~ ~
Existing Structure~r NO
CONFORMS TO ZONING
ORDINANCE
YES
NO
I Yard Setbacks: NOT APPLICABLE
MEETS CODE
" Side Yard
(25' if abutting a street, 30' if abutting a street in
Cardinal Ridge)
Side Yard
Requirement
Proposed
10'
.
I"
I"
10'
/ I, t{ I
1
12.77
5'-' I
Rear Yard
25'
" Townhouses
Must be consistent with
approved plan for
development
(\lA.
ANY 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
OTHER UNUSUAL CIRCUMSTANCE MUST BE REFERRED TO THE PLANNING DEPARTMENT.
THIS CHECKLIST MUST BE COMPLETED AND INCLUDED IN THE BUILDING PERMIT FILE TO
MAINTAIN A RECORD OF THE REVIEW.
L:\TEMPLA TEIDECKCHCK.DOC
/
PRIOR LAKE DEPARTMENT OF
BUILDING AND INSPECTION
.,
INSPECTION
RECORD
SITE ADDRESS OlSI/L 8484.'1 T&AiJ. ,J. W ,
TYPE OF WORK 1Jt;r"...J ~aL...
USE OF BUILDING -S.R t>.
PERMIT NO. OS - 0 ~ ~ ,., DATE ISSUED G.lt:tj dC"
BUILDER ~"H ~~iE: V. a4C. PHONE #
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
I FOonNG ltle- I I7i!OR I k/;;ATE
PLACE NO CONCRETE UNTIL AB6vE HAS BEEN SIGNED
I I
I FINAL (;Jh I Jcr
(/
FOR ALL INSPECTIONS (952) 447-9850
."
OATE
SCHEDULED G,;'~
28YZ. ,&L.,rr. C(Tr
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
COMMENTS:
I
()t[
t.?
,-
TIME
CONTR.
PERMIT NO.
s--~~
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXIGRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
C In-sP~). ae
/
.. ~K SATISFACTORY, PROCEED
~ ~~~RECT ACTION AND PROCEED
o COR R ,CALL FOR REINSPECTION BEFORE COVERING
Inspe r:
t;
- 850 FOR. T>I'U'EXT INSPECTION 24 HOURS IN ADVANCE.
Owner/Contr:
C
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
lNSNOTl