HomeMy WebLinkAboutBldg Permit 05-0613
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
(Please type or orint and si2t1 at bottom)
ADDRESS
509tb
Date Rec' d
(P. z8.0S
I While
Pink
Yellow
File
Oty
Applicant
I PERMITNOO~-&i.. ~
PoN'Os6D~6 L/'fNC
LEGAL DEStRIPTION (office use only)
LOT SBLPCK .3 ADDITION
D6 E.JV='/ & /....0 8 R1
PID 25. 3QQ. OU-. 0
+ ?a~ BlDede/1
OWNER, h
(Name)-,~ . ~,,(\e..
(Address)
BUILDER (j ~ ~ \
(Company N~me) ~:::KXVI'~
(Contact Name)
(Address)
ZONING (office use)
,€./
(Phone)
fj5Zr #0--6 J2.<:o
(Phone)
(Phone)
TYPE OF WORK
o New Construction j}(IDeck DPorch ORe-Roofing
DAddition DAltera~" DUtility Connection
DLower Level Finish
CODE: OI.R,.C. OLB.C.
Type of Constriuction:
Occupancy Gr~up: A B
Division:
I
E
II
F
I
III
H
2
A
R
5
ORe-Siding
o Misr
B
S U
PROJECT COST IV ALUE
(excludiug land)
o Fireplace
$
I hereby certifY that: I have h.lmished information on this application which is to the best of my knowledge true and correct. I also certify that I am the owner Of authOrized agent for the
above-mentIOned p~operty 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
:~;:k: ~~':'~'r:sr7l::JY ""e "h ~ offic',t,,,, d"',nee m,y Inte, "poo the pmperty '0 peefmm n"Z :'n~ c6
,Signature Contractor's License No, Date
Permit Valuation
Permit Fee
Plan Check Fee
State Surcharge
Penalty
Plumbing Pemit Fee
Mechanical Permit Fee
Sewer & Watd Permit Fee
IV V
I M
3 4
$
$
$
$
$
$
$
$
{ 700 ,ClQ I
; (,q ,OD I
'fl.f#ol
R~I
I
I
I
I
I
Park Support Fee
SAC
Water Meter Size 5/8"; 1 ";
Pressure Reducer
Sewer/Water Connection Fee
Water Tower Fee
Builder's Deposit
Other
TOTAL DUE
Paid
Date
iDiP. ~7 .--
[.,-~- c..,
=
#
#
#
#
Receipt No.
By
$ I
$ I
$ I
$ I
$ I
$ I
$ I
$ /1
$ (ilL" J,fJ I
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ThIS IS to certilY thllt 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 signed by thLJ City Planner constitutes a temporary Certificate of Zonmg compliance and allows construction to commence Before occupancy, a Certificate llf Occupancy must be
issued
Planning Director
Date
24 hour notice for all inspections (9S2) 447-98S0. fax (9S2) 447.424S
16200 Eagle Creek Avenue Prior Lake, MN 55372
Special Conditions, if any
BY (2 6
Residential Building Permit Checklist
Deck Additions to Single Family Homes
Date: ~ -;;2S?-.:S-
Building Permit # /) PI~. .J l "
Site Address ~ 9 &, - t7" cY7l UkJ~1fP C-;V
L~gal: L B Subdivision:
Zoning:
E~isting Structure: YES or NO
CONFORMS TO ZONING
QRDINANCE
t!Y
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
10'
I .
I .
10'
Rear Yard
25'
. Townhouses
Must be consistent with
approved plan for
development
NO
Proposed
ole s~1
o (c. -sf)
5''2-
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 AL'lY
OTHER UNUSUAL CIRCUMSTANCE MUST BE REFERRED TO THE PLANNING DEPARTMENT.
TEllS CHECKLIST MUST BE COMPLETED AND INCLUDED IN THE BUILDING PERMIT FILE TO
MAINTAIN A RECORD OF THE REVIEW.
L:\TEMPLA TEIDECKCHCK.DOC
j
j
PRIOR LAKE DEPARTMENT OF
, -BUILDING AND INSPECTION
INSPECTION
SITa ADDRESS ---s fl~ ~ P R
TYPE OF WORK
use OF BUILDING .. ._
PE~MIT NO. t:JG- - ll~ DATE ISSUED ~. ~ S- J
BUIUDER --4....[0&d& PHONE # 111/0- ~,
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
'FOOTING I INM/ I 7;;~/ I
, -
. PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
,~ I I I
I FIN"L y;iJ;/.. I tf i7 /;:5'
/ v
FOR ALL INSPECTIONS (952) 447-9850
__ _ _~__..._.,,____,.___~. _.__0_.__...__...... _,_....,_._..,.., _. _.""._~-"--
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
JtJ9C
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
......"rNAL
o SITE INSPECTION
COMMENTS:
DATE TIllE
SCHEDULED ~~~S--
~ct e-cf9'f>
CONTR.
PERMIT NO.
o PLUMBING Rl
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o ~C.H FINAr
..{ ./-e.c./r:..
./
~j /
r. --t "i /
?1/
(~rL
......
~r- ~e
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE Rl
o FIREPLACE FINAL
o GASLINE AIR TST
o
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RK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WO.Oj";l}JfR REINSPECTION BEFORE COVERING
Inspector: .1"'" 1.-/ Owner/Conlr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
~/
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CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH'" SAFETY!
IN$IWTI