HomeMy WebLinkAboutBldg Permit 05-0703
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CU"J .>!.CTION PERMIT
Date Rec'd
1 2/. a5'
; -=. ~::y I PERMIT NO. /1 c-.O "7/12 J
) Yellow A.pplu.:.nt VU, /V--J
(Please ~ OJ oriDt ad sim at bottom)
I ADDRESS
H\ $<Lj A~09n ~e_ N5
,
LEGAL DEsCRIPTION (office use only)
LOT
BLOCK
OWNER
(Name) ~{\.\V.(\1\\\
(Address) 1i4\ ~ L.j
BUILDER
(Company Name)
(Contact Name)
(Address)
ADDITION
I ZONING (offla:...)
pusD
PID 25. 2~ 02<1-.0
IAv'~V\ L
A.....~f\ Pru(>~
NE
(Phone) cl..<)d.- ,-\'1"'- d.S91
(phone)
(phone)
TYPE OF WORK 0 New Construction J5i1peck OPoreh ORe.Roofing ORe-Sidins OLower Lev<1 FinISh 0 Fireplace
OAddirion DAlteration DUtility Connection 0 Misc.
CODE: II1II.R,C. DI.B.c.
Type of Construction:
Ocropam:y Group: A B
Division:
I
E
V A B
M R S U
4 5
PROJECT COST IV ALUE $
(excludinlland)
D
F
I
ill IV
H I
Z 3
I hereby certify that I han furnished information on this application which is 10 the best of my knowledBe true and comet. J also certify that I am the uwner III authorized agent for the
.a_. _'" ___.... _~. ~rty and tbat aD ..u,...__~._.. will conform to III cxislina: state and local laws and will proceed in accordance with submitted pLtns. I am ;aware that me buildina
:ffici~O=" for 'U'; ,..... FU,;::;h""'Y .....,ha, ther'", offirwm, ""igo" m.y """ upoo 'h. prop<ny '0 pufonn ",,"'" ~i;f /O,r:::--
. re Conttactor's License No. Date
I Permit Valuation
I Permit Fee
I Plan Check Fee
I State Surcharge
I Penalty
I Plumbing Permit Fee
Mechanical Permit Fee
I Sewer & Water Pennit Fee
I Gas FireplaQc Pennit Fee
gr 'ZLJcio rOo
$ 1.'3, 7~
s 47. 9~
$ 1,00
s
$
S
S
$
I Park Support Fee
SAC
I Water Meter SizeS/S"; llOj
I Pressure Reducer
I Sewer/Water Connection Fee
1 WaterTowcrPee
I Builder's Deposit
I Other
I TOTALDUE
This Application Becomes Y 01U Buildiq Permit When Appro"",
~~
Buildin~ Official
7 /.;J...,;l-~ 5'
. Date-
I Paid
I Date
~ 'G-7
~7 '-:J..;' - e:::-
#
#
#
#
'S
S
S
S
S
S
$
S
s /22,fa'7
I ~~i"tNO.~7,1''(
;----
ThIS is to certil\t that the request in the above application and accompanying documents is in accordance with the City Zonin, Ordinance and may proceed as rtqul.'Stcd. This ducument
when siant.-d by the City Planner constitutes a temporary Cmi6cate of Zoning compliancr and allows constrUction to commence Before o<<upancy, a CL"'I'tiflClIC of Occupancy must be
issued
_ DirerlOY
Date SpcciaJ. Condition&. if any
24 hour notice for.1I inspections (952) 447.9850, fax ("2) ....'4245
16200 Ealle Creek Avenue Prior Lake, MN 55372
Residential Building Permit Checklist
Deck Additions to Single Family Homes
BY:~; .n
n
?~f
Date: ~Z- Yo 5:'
Building Permit # Pill:
Site Address /~/ tV ~ /~_
Zoning:
~. M6,
Legal: L
B
Subdivision:
Existing Structure:@or NO
CONFORMS TO ZONING
ORDINANCE
YES
NO
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
Proposed
10'
C"~
,
I "
'" Rear Yard
10'
It)
~.c..1 -\-0 ~
25'
(
0v'A- z...~
" Townhouses
Must be consistent with
approved plan for
development
tJ~,
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 T~ PLANNING DEPARTMENT.
Tms CHECKLIST MUST BE COMPLETED AND INCLUDED IN THE BUILDING PERMIT FILE TO
MAlNTAIN A RECORD OF THE REVIEW.
L:\TEMPLA TE\DECKCHCK.DOC
'"
PRIOR LAKE ~~rtD~~~~~TD~~SPECTION
INSPECTION
RECORD
SITE ADDRESS L#84- 1'1s-'EAI Ave.
TYPE OF WORK ~ ~
USE OF BUILDING I2€S ~
PERMIT NO. ()S'. ~ DATE ISSUED ~/. IS-
BUILDER ~ PHONE# 49/'.2-59/
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
'NSPECTOll< , ~TE /
, FOOtiNG I M~y I #1/6 r
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
I FRAMING I I
I FINALM;r- I ?I;C,/~
FOR ALL INSPECTIONS (952) 447-9850
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
/4// S"C/
A"LJ ~.e-.
/
CONTR,
OWNER
PHONE NO.
PERMIT NO.
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
COMMENTS: /1 /'
/' /~~ k
~
r
p~~
'7
/
/
DATE TIMe
~h,r
, 1
d~
05-:' /,0 ~
o EXlGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
~/
C/(r
--
~."- ------
/" ~
( /'1/ ~)
\.. c" hs-e /r' /e-/
fiORK ~ ~ CTORY, PROCEED
/ &-cORRECT ACTION AND PR
o CORRECT WORK, C:L~~~PECTION BEFORE COVERING
Inspector: /~~ef/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE"
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
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