HomeMy WebLinkAboutBldg Permit 05-0792
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
g, /$ os-
White
Pink
Yellow
File
City
Applicant
I PERMIT NO. 050792-1
ase type or
and siJl:n at bottom)
1"3 "ti8 lc-t-NN,-.,.s-l-.....
.4 'II (.
ZONING (office use)
/2-(
LEGAL DES(:RIPTION (office use only)
LOT
BLOCK
ADDITION
PID 2S 4-13. OfB. 0
0"...:If
b,J,ooL,
ANJ..~O.J
(~ q50l-4'-1~'-2.'OO
(Address)
1'3 'I/'t3
lC<.N""hSSJ... Aile.. -
.1 tfiUILDo/
~.yl;ame)
(Contact ~e)
(Address)
FrO"'{.l<.k.. C.....s~.
'"B.II 0"- IC"I'.j\
l't'tuo W. ISv/",SI,,{{
(Phone) 9H.-4'fO-77'S'7)
(Phone)
PIC'"]
CODE: ~LR.C. OLB.C.
Type of &nstJtuction:
Occupancy Group: A B
Division:
o New Construction lI!fdeck DPorch ORe-Roofing
DAddltion DAlter~di{ DUtility ConnectIOn
DMisr
ORe-Siding DLower Level Finish
D Fireplace
TYPE OF WORK
I
E
II
F
I
III IV
H I
2 3
V
M
4
A
R
5
B
S U
PROJECT COST IV ALUE $
(excluding land)
I hereby certify lha~ I have furnished mformation on this application which is to the best of my knowledge true and correct. I also certify that I am the owner or authonzed agent for the
above-mcn!loned property and that all constru~t\nn ,,,dI conform to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the buildmg
:",.,., t"" ,",ok, C PC: ~~"~"bY 'g'" thot th, "ty Offid~'~;;~'/~~t"," "POD tht pmptrty to p'd"tm 0":;; ~o;p""n",
I... Signature ") Contractor's License No. ~
~ /Llo() ,00
$ , 51, z-S'
$ 3s. Zp
$ ,70
$
$
$
$
$
Plumbing Permit Fee
Water Tower Fee
#
$
$
$
$
$
$
$
$
$ '-to, ~f
Permit Valuation
Park Support Fee
#
Permit Fee
SAC
#
Plan Check Fee
Water Meter
Size 5/8"; 1";
State Surcharge
Pressure Reducer
Penalty
Sewer/Water Connection Fee
#
Mechanical Permit Fee
Builder's Deposit
Sewer & Water Permit Fee
Other
Gas Fireplace Permit Fee
TOTALDUE ~ 8.17.0S-
90, d-i_
x-I '1'-<'
Paid
Date
I Receipt No,""'- CJC/lc/
By C-i
vr----
This Application Becomes Your Building Permit When Approved
~ '-;(..,1;, J ~/OS-
BuildinilOflicial Date
ThIS IS 10 cntify that tht' request in the above applicatIOn and accompanying documents is in accordance with the City Zoning Ordinance and may proceed as requested This document
whcn signed by the City Planner constitutes a temporal)' Certificate of Zoning compliance and allows construction to commence Before occllpancy, a Certlflcate of Occupancy must be
issued
Planning Director
Date Special Conditions, if any
24 hour notice for all inspections (952) 447-9850. fn (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
Residential Building Permit Checklist
Deck Additions to Single Family Homes
BY:
~~
Date:
'?![/.~(~S
Building Permit #
Site Address
PID:
Zoning:
Legal: L 1
B
G.
Subdivision: ~ ~
E:Jisting Structur~r NO
CONFORMS TO ZONING
ORDINANCE
YES
NO
I Yard Setbacks: NOT APPUCABLE
! MEETS CODE
" Side Yard
(25' if abutting a street, 30' if abutting a street in
Cardinal Ridge)
I" Side Yard
I" Rear Yard
" Townhouses
Requirement
Proposed
10'
."~
10'
(
2-4. '+0 kv... J
2S
25'
r
~ 2..5
Must be consistent with
approved plan for
development
trl-u
ANY PROPOSED DECK NOT MEETING THE ABOVE CRITERIA MUST BE REFERRED TO THE
PLAL'INING DEPARTMENT. ALso, ANY DECK ON A LOT WITH A SUSPECTED BLUFF, OR ANY
OTHER UNUSUAL CIRCUMSTAL'ICE MUST BE REFERRED TO THE PLAL'INING DEPARTMENT.
TillS CHECKLIST MUST BE COMPLETED AND INCLUDED IN THE BUILDING PERMIT FILE TO
MAINTAIN A RECORD OF THE REVIEW.
L:\TEMPLA TEIDECKCHCK.DOC
~
PRIOR LAKE ~~rt~~~~~TD~~SPECTION
INSPECTION
RECORD
SITE ADDRESS /39/IJ UN."."'I AfG TVN Ave
TYPE OF WORK (JECr .
USE OF BUILDING /2:CS 11/ IC
PERMIT NO. 0 ~.079L I DATE ISSUED gjS OS
BUILDER riUJlJ77E/C- PHONE # #0. 77SU
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
I FOOTING I 'N7:t;/ I ~~/~
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
~~~ ..- I I
, FINAL
/7
IMI/ I
v -
f)/H.V'i
FOR ALL INSPECTIONS (952) 447-9850
DATE TlUE
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
?;~l..r..US:
ADDRESS
f s crf>r 16v1~'''' ,h~
OWNER
CONTR.
PHONE NO.
PERMIT NO.
6--7CfL
o FOOTING
o FOUNDATION
o FRAMING
o I~SULATION/l,
.Ii!"1'INAL f./-<-e.L{
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 Rl
o FIREPLACE FINAL
o GASLINE AIR TST
o
COMMENTS:
..,.~~~~-,----
/'
I
~
/' /
/ lOC,I
C~l -
j"'" ; I
~(V/
~
/
~
--~
'-
----
-----
o WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WOIl!- CA~R REINSPECTION BEFORE COVERING
Inspector: I / I/jl' OWner/Conlr:
v ,
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/
UiSNOTl