HomeMy WebLinkAboutBldg Permit 05-0652
(Please tvoe or print and sien at bottom)
ADDRESS
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
I White
Pink
Yellow
File
Cily
Applicanl
I PERMIT NO. OS". Ol'P5~
295& CfOLi'U1"/
~/L-
LOT
BLOCK
LEGAL DESCRIPTION (office use only)
ADDITION
PID 2[: .?YZ. CdC[ 0
OWNER
(Name)
}df
(Address)
BUILDER
(Company Name)
(Contact Name)
(Address)
Date Rec'd
7r.05
ZONING (office use}
Cook
(Phone)
~/L) 3o<i;-1300
1k. ServiCeS
~"d.1I Lc_,:+z..
&~r("<.{..J- circfL
(Phone)
(Phone)
L<r5L) '1'15-/297
TYPE OF WORK 0 New Construction ~eck o Porch ORe-Roofing
DAddition DAlter~n DUtiIity ConnectIOn
~ISC
f-/()U:) ~.
15371
CODE: ~I.R.C. DLB.c.
Type of ~strnction:
Occupancy Group: A B
Division:
ORe-Siding DLower Level Finish D Fireplace
~~ .1sn ~(~)
8 f) \.j
PROJECT COST IV ALUE $
(exduding land)
uc
I
E
II
F
I
III
H
2
IV
I
3
V
M
4
A
R
5
B
S
U
[ hereby certify that I haw furnished information on this application which is to the best of my knowledge true and correct. I also certify that I am the owner or authOrized agent for the
above-mentlOned property and that a1l construction will conform to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the buildmg
;"" con '?J:';ZJ"~;;PJmo'" hmby 'gm thot the"~ offi,i,' m '203 i'1 ';t;"9" th, pmperty to pcefolm n"je~,/~"t~: 2W5
., Signature .... Contractor's License No. r Date
Permit Valuation
Permit Fee
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
Gas Fireplace Permtt Fee
(,300{) lea
$ es. ts
$ 5?3<P
$ l.~o
$
$
$
$
$
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 CIttvCD "7.15.05
~eCOlUildingpermit When Apptoved
B,,,ld,,,.om,,,,1 ~ID 5'
Paid
Date
/47,//
7/Jf.tJs'
I ReceiPt,,No. 9-'t'gjO
I By A
U
$
$
$
$
$
$
$
$
$ I <f7. / /
ThiS IS to certify that the request in the above applicatIOn and accumpanymg documents is in accordance with the City loning Ordinance and may proceed as requcsted. This document
when signed by the City Planner constllutcs a temporary Certificate of Zoning compliance and alluws construction to commence. Before occupancy, it Crrtlflcate 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
~. ~ ~--t~.r().
BY:~~
Date: 7(gjp-
Building Permit #
Site Address
PID:
Zoning:
Legal: L 1"1
B
Subdivision: f"j~ ~
Existing Structur(@)r NO
CONFORMS TO ZONING
ORDINANCE
YES
NO
i Yard Setbacks: NOT APPLICABLE
I MEETS CODE
. Side Yard
(25' if abutting a street, 30' if abutting a street in
Cardinal Ridge)
Side Yard
Requirement
Proposed
10'
..-'~
I.
I.
10'
I
\<.. -k ~
1'1, 311' ,..,,' i4vk
~C.c;;,'~I4\)L~
Rear Yard
25'
. Townhouses
Must be consistent with
approved plan for
development
JJA
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
l\'1AINTAIN A RECORD OF THE REVIEW.
L:\TElvIPLA TEIDECKCHCK.DOC
..
PRIOR LAKE DEPARTMENT OF
, BUILDING AND INSPECTION
INSPECTION
RECORD
SITE ADDRESS 2 958 (j'OJf'MT 77C/1/ L--
TYPE OF WORK 08CL 1)~ lm ~ ~
USE OF BUILDING /2I5S /1//"<-- \J v 0
PERMIT NO. {)!:J-' () fr,52- DATE ISSUED "7 7:r os-
BUILDER HOtJS6 LJ/C." SVCS. PHONE # 445. /2-17
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INS~1J1 J DATE
, FOOTING I bY / ;? I 7/27-/ ()2>
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SI6NED
I I
I FINAL
SeP~ ~ ~~
)" -7'110<)
FOR ALL INSPECTIONS (952) 447-9850
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS 215"5
'Ee?bJ:
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
Q.\~~~~
OATE TIME
~.
os- - I _-c?.
~~
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
~ ((jj~ *~-'6{,,-
('rnAN~
~
-\-or
o WORK SATISFACTORY, PROCEED
o CORRECT ON AND PROCEEO
o CaRR TWO ,!All FOR REINSPECTION BEFORE COVERING
Inspec' . \ Owner/Contr:
( AL .Jso FO~E NEXT INSPECTION 24 HOURS IN ADVANCE.
cO;;; RU.~NTS ARE FOR YOUR PERSONAL HEALTH 4 SAFETY!
~ INSlWTI