HomeMy WebLinkAboutBldg Permit 05-0572
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
6- /7-() ~
While
Pink
Yellow
File
City
Applicant
I PERMITNO.t/5- sm
(Please tyoe or orint and sitUl at bottom)
ADDRESS
2B 4'1
&'b C-tL-+
IVttl1
ZONING (office use)
12/
LEGAL DESCRIPTION (office use only)
LOT MLOCK ,q ADDITION
I
OWNER
(Name)
/jJ~~ ~o-UOu
PID a fd- -05~
'"
L~lA..V-A-
2-~41l\
b IILrl= r... IL-
e,ob L~'+
(Phone)
OlS2-44< <U"IL;
(Address)
-rva.~ I
BUILDER
(Company Name)
(Contact Name)
(Address) 144Th
~~--V Cl>l\~-hCv\
l?>l~\ ~nv~
~l2.,LLYY\<:-'\'111(. PIL\'\AI
,
(Phone) "lS1--44'b --11.'; D
(Phone)
P..I.LVYL'--'/l tJ-r" HU ~C2.Wn
j
TYPE OF WORK 0 New Construction 'RrDeck ~orc~9ClRe-ROOfing ORe-Siding DLower Level Finish
DAdditlOo DAlter~ DUtility connetn 0 Misc.
CODE: i'llfi.R.C. DI.B.c. ~PROJECTCOST/VALUE S
Type of e;;strnction: I II III IV V A B (excluding land)
Occupancy Group: A B E F HIM R S U
Division: 1 2 3 4 5
o Fireplace
'l.t> 1000
I hereby 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 O!" authorized agent for the
above-mentIOned property and that all constmction will conform to all existing state and local laws and will proceed in accordance with submitted plans_ I am aware that the building
:""'1 con 'iZke :h0" "fa< JUS< cau;;mth:mo", 1 hmby 'gm that th, nty nffi",1 0" d'.z:~ 1: I'~l; ;p~n 0' pmp'rty to p"fa<m needed '"CPl'~; 10 t::,
. ignature Contractor's License No. Date
Permit Valuation 'rIf Iqoo o,Oa Park Support Fee # $
Permit Fee $ /q/. '50 SAC # $
Plan Check Fee $ iz'/, t./p Water Meter Size 5/8"; 1 "; $
State Surcharge $ $"; 00 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 €. k/M:::'D 1,,''};O,r/J $ 3cz"b. '1?
.-
This Application Becomes Your Building Pennit When Approved Paid 3U,95 I ~~Cj~' ~J9U
~ ~.p " Iv. I.. s Date (" 2./.u r
Building Otlicial Date
ThiS IS to certify 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 signrd 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
Residential Building Permit Checklist
Deck Additions to Single Family Homes
a ------,IJ '/7
BY:~~
Date: ~ - /7- S-
Building Permit # PID: , Zoning:
Site Address ~gL/r:; - ~ohca! ~ ~
Legal: L Lf B :1 Subdivision: W'a ~
Existing Structur@or 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
10'
10'
10. 'lo ( fr; If""-,LA-
'f,.~
I
I"
I "
Rear Yard
25'
If, (
I
07.r&t 1_ s:
" Townhouses
Must be consistent with
approved plan for
development
jJ/t
ANY PROPOSED DECK NOT MEETING THE ABOVE CRITERIA MUST BE REFERRED TO THE
PLANNING DEPARTMENT, ALSo, Al'lY DECK ON A LOT WITH A SUSPECTED BLUFF, OR ANY
OTHER UNUSUAL CIRCUMSTANCE MUST BE REFERRED TO THE PLANNING DEPART;liIENT.
THIS CHECKLIST MUST BE COMPLETED AND INCLUDED IN THE BUILDING PERMIT FILE TO
MAINTAIN A RECORD OF THE REVIEW.
L:I TEYlPLA TE\DECKCHCK.DOC
PRIOR LAKE. ~~rtD~~:~~D~:SPECTION
INSPECTION
srr~ADDRESS ~~!=~91!1t.
TYPE OF WORK ~ cr -p1Jn-,1...
USE OF BUILDING 5F
PERMIT NO. OW7:).- DATE ISSUED ft:,- ,;;v;-$
BUIl~DER "f-Ya j e.Y PHONE wLl/tJ . '1'150
NotE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
I FOeTlNG I a -CT07/~ I~ DATE
. PLACE NO. CONpRETE UNTIL ABOVE HAS BEEN SIGNED
FR~MING ~M~ tY/~ I
. ,
~I4CAt... .
...
FINAL IIW/ 75-}A..f-c6 1
FOR ALL INSPECTIONS (952) 447-9850
c~ J-)k~ 01(
..-
DATE TIME
CITY OF PRIOR LAKE :8"' ).q-0:'
INSPECTION NOTICE SCHEDULED
ADDRESS 2-)iLl C( &~Ut J- 7r(
OWNER CONTR.
PHONE NO. PERMIT NO. ~__s7l...
o FOOTING o PLUMBING RI o EXIGRADIFILLING
o FOUNDATION o MECH RI o COMPLAINT
o FRAMING o WATER HOOKUP o FIREPLACE R1
o INSULATION o SEWER HOOKUP o FIREPLACE FINAL
o FINAL o PLUMBING FINAL o GASLINE AIR TST
o SITE INSPECTION o MECH FINAL 0
COMMENTS:
,. '._~
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III/'y~
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-------
---
p:wO;K SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WO~, ~AL~R REINSPECTION BEFORE COVERING
Inspector: V VV Owner/Conlr.
CALL 447-~850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH .{ SAFETYI
INSIIOTI