HomeMy WebLinkAboutBldg Permit 05-0621
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec'd
~.30.05
While
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Yellow
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City
Applicant
I PERMIT NO. 05.00ZI
(Please type or print and sien at bottom)
I ADDRESS
is 0 +c:> ~ec.tJ
ZONING (office use)
oJ\ K!i"R4/ '-
;eISD
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID 25. 125 ()o+' 0
OWNER
(Name)
~ MolA..m,;""
ISD'10 ke" o~~ 'j.,.,,:/
(Phone)
9'S:2. -1'17. 3.:l.lJ3
(Address)
BUILDER
(Company N~me)
(Contact Nanre)
(Address)
&w-l . t)'~ [~~t~""'
Eu.-I ~"'9..J.+v<.}-
1t-J:r7 't ~..., t":\ ",J 1"' a
(Phone)
~c.d' (Phone)
21J .
tt;l. .
903. 9(,.'1.r
~ J "f ~?J1sl1
TYPE OF WcpRK 0 New Construction l7!S)eck OPorch ORe-Roofing
DAddition DAlterafu;'"n~ DUtility Connection
CODE: rYh.RiC. OLB.C.
Type o~strj1ction: I II III IV V A B
Occupancy Gnjup: A B E F HIM R S U
Division: 1 2 3 4 5
ORe-Siding o Lower Level Finish
o Fireplace
o Misc.
PROJECT COST IV ALUE $
(excluding land)
Signature Contractor's License No
Permit Valuation I .! 7 vo. CAP I Park Support Fee # $
Permit Fee 1$ /da.oc-. r- I SAC # $
Plan Check Feei $ ". f>.S-- -- Water Meter Size 5/8"; 1"; $
State Surcharge $ ..2. - t~ Pressure Reducer $
Penalty $ Sewer/Water Connection Fee # $
Plumbing Permlt Fee $ Water Tower Fee # $
Mechanical Permit Fee $ Builder's Deposit S
Sewer & Water permit Fee $ Other $
Gas Fireplace Permit Fee $ TOTAL DUE Mua.J V.JO.OS" $ I'll 95
d/ A/ h?_,_
.//$'-'I7~r..
Buildidg Official
~~.s'-
Paid
Date
/719'S-
"7J.(/j'
I ReceiP~' ~f'7z,7
Bv T~
This Applicatio~ Becomes Your Building Permit When Approved
ThiS IS to ct'ftify that the request in the above applicatIOn and accompanying documents is in accordance with the City Zoning Ordinance and may proceed ,\S requested TIllS ducumL'Ot
when signrd by the City Planner CllnSlItutcs a temporary Certificate of Zoning compliance and allows construction to commence Before llCC\lpancy, a Cl'ltllicatl' of Occupancy must be
issued
Planning Director
Date
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Aveoue Prior Lake, MN 55372
Special Conditions, if any
Residential Building Permit Checklist
Deck Additions to Single Family Homes
B1I: _4/ ~ .
! "/"~ - _..
Date: ~?a~j
B~ilding Permit # 05- -~ / PID:,z.r: / ~~ ooY 0 Zoning: /2. (<oS ~
SIte Address /S"O~O tl!f:ee... CJQIs ~,,/
L~aI: L ( B Subdivision: ~ t!'~ ~ is
Efisting Structure: YES or NO
dONFORMS TO ZONING
QRDINANCE
/),
~
NO
Y~d Setbacks: NOT APPLICABLE
MEETS CODE
Requirement
Proposed
" SideYard
(2$' if abutting a street, 30' if abutting a street in
, Cardinal Ridl(e)
'" Side Yard
" Rear Yard
10'
r
10'
.27
.23.r
25'
~r-
" Townhouses
Must be consistent "ith
approved plan for
development
ANY PROPOSED DECK NOT MEETING THE ABOVE CRITERIA MUST BE REFERRED TO THE
PLj\NNING DEPART"'IENT. ALSO, ANY DECK ON A LOT WITH A SUSPECTED BLUFF, OR AJ.'IY
OT1n;R UNUSUAL CIRCUMSTANCE MUST BE REFERRED TO THE PLAJ.'rnING DEPARTMENT.
'fHiIS CHECKLIST MUST BE COMPLETED AND INCLUDED IN THE BUILDING PERMIT FILE TO
MAiINT AIN A RECORD OF THE REVIEW.
L:\TiElvIPLA TE\DECKCHCKDOC
"
PAIOR LAKE
,
INSPECTION
RECORD
SITE,ADDRESS /5040 GIeGE;1'/ ()A--/c..I' 7kA1 G
TYPIE OF WORK Or:; CK..
USE!OF BUILDING /265 A/~
PERMIT NO. 05.0rczj DATE ISSUED &.30,05
BUILlDER 0'i/0G D'S PHONE # /.;16.4--/9. 3./8/
,
NOT!E: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF
BUILDING AND INSPECTION
INS':ECT,Cjfl . DAiE
, FO<l>TING I ~if.j- I 1/7 It:<
\ ! Pl-ACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
I FR~MING I I
('-
, FINAL
A
1Ib7
/ /
/(//2/"'S
l
I
FOR ALL INSPECTIONS (952) 447-9850
ADDRESS
/5~s/O
DArE TIME
SCHEDULED ~..?~r ~
~-r::e~ ~4', z;/
CITY OF PRIOR LAKE
INSPECTION NOTICE
OWNER
CONTR.
PHONE NO.
PERMIT NO.
O)~"A2/
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
~AL
o SITE INSPECTION
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
COMMENTS:
r7 /
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/ C!:!JL .
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,
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~'VRKSATISF~y.PROC:;!;~J:l___~
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
~
Inspector:
Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH .{ SAFETY!
INSJlfOTl