HomeMy WebLinkAboutBldg Permit 05-0610
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
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Pink
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File
City
Applicant
(Please type or print and shoo at bottom)
ADDRESS I
\~\
Date Rec'd
I PERMIT NO. (F=;- b /~
'L-(ffi\~nn O\.lf . -:pr\nr /o.-G. \'t\I\ S5:2,1)
ZONING (office LIse)
Rl
LEGAL DESCRIPTION (atTice use only)
LOT 9 BLOCK ( ADDITION lI/A11c1;;&-v E:s I-
~'::e~R ~\ \ Roro\ID
(Address)
pm
LlI :3-009
(Phone) VJ:;I ~ do\-l...{,?fa-
BUILDER
(Company Name)
(Contact Name)
(Address)
;f~
(Phone)
(Phone) ((;; /;J. - 3 a-g - LI f? ~~
CODE: l'h.R.c. DJ.B.C.
Type of ,6lnstrUction: I
Occupancy GrQup: A B E
Division:
DMisc.
TYPE OF WORK 0 New Construction
DAddition DAlteratlOn
eck DPorch ORe-Roofing
DUtility Connection
.
ORe-Siding DLower Level Finish 0 Fireplace
do' .d:ti-~.
~" 'IJ~U ~,. --0
PROJECT COST IV ALUE $
(excluding land)
II III
F H
1 2
IV V A
I M R
3 4 5
B
S U
I hereby certify that I have hlrni~hcd mformation on this application which is to the best of my knowledge true and mrrect I also certify that I am the own(,f or authonzcd agent for the
above mcn110~~tl~~'11Y and that ,Ill nstllle/lOn wIll conform to all eXlstmg state and local laws and will proceed m accordance with submitted plans I am aware that the bUIldmg
:1l0:~tt1 {1111J'" F,;,.<mo" 'h"'by 'h"" thot the oly offio,' m, d'''go" m" ,m" upon thl pmp"" to p"fmm n"dtOl~~
~ JC Signature Contractor's License No Dite
Permit Valuation
Permit Fee
Y'2QOo. Q tl
$ 78.7S
$ 47.Qt.f
$ 1,06
$
$
$
$
$
TOTAL DUE
Park Support Fee
SAC
Plan Check Fee
Water Meter Size 5/8"; 1";
Pressure Reducer
Sewer/Water Connection Fee
Water Tower Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
Builder's Deposit
Other
Gas Fireplace Permit Fee
This Application Becomes Your Building Permit "When Approved
~ 9.u'PI-' ~k.7;Q",
/.;,;;. - 6 'l
(-.-J-/-e)
Paid
Date
Huildiml! Offk;i,ll
Date'
# $
# $
$
$
# $
# $
S
$
$/ZZ.1.9
Receiot No';>" J-1-17
By ..r
{}-
ThiS IS to certify that the request in the above applicatIOn and accompanying documents is in accordance with the City Zoning Ordinance and may proceed as requested TIlLS document
when signed by the City PI,lllner wmtltutcs a templJralY Certificate of Zoning compliance and allows construction to wmmence Before occupancy, a CertIficate l)f Occllpancy must be
issued
Planning Director
Date
24 hour notice for all inspections (9.52) 447.98.50. fax (9.52) 447-424.5
16200 Eagle Creek Avenue Prior Lake, MN 55372
Special Conditions, if any
Residential Building Permit Checklist
Deck Additions to Single Family Homes
B'1:~ ~ Date: ~_ d/-O.s:-
Blj.ilding Permit #
Site Address /3 9 a / -
Ll1ga1: L
B
PID: r . -I:-
~/M
'I .. ~ ~bdivision:
Zoning:
Ktisting Structur~ NO
CONFORlYIS TO ZONING
OfDINANCE
YES
NO
Y~rd Setbacks: NOT APPLICABLE
MEETS CODE
. Side Yard
(2$' if abutting a street, 30' if abutting a street in
Cardinal Ridge)
Side Yard
10'
I
2. S I _ of- .Atr.-.........
I/'I
~ If) (/c,XJtD~
3/. {.., W
~ 2.s-' I
Requirement
Proposed
I'
I .
10'
Rear Yard
25'
. Townhouses
Must be consistent with
approved plan for
development
~p,.,'
ANY PROPOSED DECK NOT MEETING THE ABOVE CRITERIA MUST BE REFERRED TO THE
P!.iANNING DEPARTMENT. ALso, ANY DECK ON A LOT WITH A SUSPECTED BLUFF, OR ~'lY
01)HER UNUSUAL CIRCUMSTANCE MUST BE REFERRED TO THE PLANNING DEPART:YIENT.
THIS CHECKLIST MUST BE COMPLETED AND INCLUDED IN THE BUILDING PERMIT FILE TO
MAINTAIN A RECORD OF THE REVIEW.
L:\TEMPLA TE\DECKCHCK.DOC
PRIOR LAKE DEPARTMENT OF
. . BUILDING AND INSPECTION
INSPECTION
SIT~ADDRESS 139Fj1=~g$;~!? ftJ,J
TYPE OF WORK i)eL/L-
USE OF BUILDING !!!iF D
PE~. MIT NO. {)5"... (QI () DATE ISSUED". ir-?- ~
BUilDER -'l~.,.}c:I~4.~ PHo~/~ 3~9"' i.)~,a..
NOirE: THIS IS NOT A MIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
, ,
~ qc,5:'r-(~.'1 INSPECTOR. DAly
I FdOTING ((() ,,~.., /s:~\) I -#14- I t:////?~
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
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, FINAL
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FOR ALL INSPECTIONS (952) 447-9850
-------~._---~., -.-'-.-'-
DATE TIME
.~~-
ADDRESS ,15''7'.2/ ~~~..rl:,;k-
OWNER CONTR.
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
~~UlTION
~~~L
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MEcH FINAL
.s-';"b/O
o EXIGRAD/FILLING
o cOMPUlINT
o FIREPLACE RI
o FIREPUlCE FINAL
o GASLINE AIR TST
o
COMMENTS:
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lI"'WORKS~ROCEED
/l:l'coRRECT ACTION AND PROCEED
o CORRECT we" CALL FOR INSPECTION BEFORE COVERING
Inspector: j/, nerlContr:
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INSJItOTI
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI