HomeMy WebLinkAboutBldg Permit 05-0551
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec'd
ft; . /1-. OS
White
Pink
Yellow
File
City
Applicant
I PERMIT NO. 05.055/ I
(Please !Vue or orint and si~n at bottom)
ADDRESS
.:L 1 ~o
~ c"~,t
y~-ti-
ZONING (office use)
;(2-
LEGAL DESCRIPTION (office use only)
LOTb ~LOCK i ADDITION rrJe/)..d(JUJ
();M
PID z.s. J~4--. 05s. 0
OWNER
(Name) .s. '-<. ~ iotA. Ii... ~
(Address)
..:l-'3e..u
~N- L.AJ>-.....4
::j"-1\-PA
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(Phone)
<f S- 2. - 2. '3"\ - 5'2.:J7
BUILDER
(Company Name)
(Contact Name)
~~-'+l--.o ('iJO"~ ~"':'lA,.<:.
K<-__...~ <. 0 .v~-
:2.0.<>71. ~) ~- A-L
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TYPE OF WORK D New Construction 'ilfdeck []Porch ORe-Roofing DRe.Siding DLower Level Finish
OAdditlOn DAlter~oo DUtl11ty ConnectIOn
CODE: MI.R.C. DI.B.c. 0 Misc.
Type of l:'nstruction: I II III IV V A B PROJECT COST IV ALUE $
Occupancy Group: A B E F HIM R S U (excluding land)
Division: 1 2 3 4 5
(Phone) "1 S -:J.. - "t@;S" - 551 Q
(Phone) ,,'z.-S~O 2.<"'''1'"7.
/....... "'~. ~I.L ""tJ :;-'SC.Hi II
(Address)
o Fireplace
I hereby certify that 1 have fi.lrnished information on this application which is to the best of my knowledge true and COlTect. I also certify that I am the owner or authorized agent for the
above-mentlOned pmpel1y 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~e this permll fO?st cause Furthermore, I hereby agree that the city official or a designee may enter upon the propel1y to perform needed Inspections, ._
X IF- --X / S-e-e.€-IL'" ~L 2.0.~ fliR.3"il.j (...-/'t-O!:,.
~J'ture I Contractor's License No. I Date
~ f~~o. (JO
$ a~. ZS
$ !;;7. .3G.
$ I.S-o
$
$
$
$
$
Plumbing Permit Fee
Water Tower Fee
#
$
$
$
$
$
$
$
$
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
#
Mechanical Permit Fee
Builder's Deposit
Other
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
TOTAL DUE
$ /0/7.1/
This Application Becomes Your Building Permit When Approved
r-
~1i'PP fo/tDt(os
Paid
Date
f--Fi "r/<,/
(~~/L// ':>
Receipt No </lili{;
By
J-
ThIS IS to certify that the request in the above application and accompanying documents is in accordance with the City loning Ordinance and may proceed as requested. This document
when signed by the City Planner constitutes a temporalY Certificate of Zoning compliance and allows construction to commence Before occupancy, a CertIficate uf 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:
~
"7dJ:m, D"(~,
~~~
Subdivision: ~ tJ~
Zoning:
Building Permit #
Site Address c? ~c::J
~"
-------
Legal: L 53
B
I
------ ----
Existing Structure~r NO
CONFORMS TO ZONING
ORDINANCE
YES
NO
Yard Setbacks: NOT APPLICABLE
MEETS CODE
Requirement
Proposed
/'
" Side Yard
(25' if abutting a street, 30' if abutting a street in
Cardinal Ridge)
'" Side Yard
I" Rear Yard
" Townhouses
10'
\&.
10'
I
I CJ. ______-
/0 :t/
25'
I
()7)-e..f ZS
Must be consistent with
approved plan for
development
tJA (
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 TE\DECKCHCKDOC
PRIOR LAKE DEPARTMENT OF
. .' BUILDING AND INSPECTION
INSPECTION
RECORD
SITE ADDRESS 2380 STlJrJ6 cve--G.JI p/f77-!
TYPE OF WORK Oe?:L'
USE OF BUILDING /U3T /1/,<..,
PERMIT NO. (J.J ~ 0 5~ DATE ISSUED (0, I ~. ~
BUILDER /leJ::r~ PHONE # tf8S S!:7 0
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR, l1}oTE ..
FOOnNq I P? I 6'//#oJ
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
I I
, FINAL
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Lt/Z~/t5
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, .
FOR ALL INSPECTIONS (952) 447-9850
DATE TIME
(p/l::6.W
2~ ~ ('n~ (?~
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
"bI::'FINAL
...u SITE INSPECTION
o PLUMBING RI
D MECH RI
D WATER HOOKUP
D SEWER HOOKUP
D PLUMBING FINAL
D MECH FINAL
COMMENTS:
~ - s-<:-,-/
,
o EXIGRADlFILLlNG
D COMPLAINT
o FIREPLACE RI
D FIREPLACE FINAL
o GASLlNE AIR TST
o
I 1 d If) ('I
~10 d"O~ ~ --\,'lf7
>>ORKSATISFACTORV, PROCEED
/ D CORREfJi.CT ACTION AND PROCEED
o CORRE K. CALL FOR REINSPECTION BEFORE COVERING
Inspector: Owner/Contr.
CAL 850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
JA
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/
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