HomeMy WebLinkAboutBldg Permit 05-0006
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
(Please tyoe or orint and sip at bottom)
ADDRESS
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White
Pink
Yellow
File
City
Applicant
/("""1..) C"".~ T ,vi.
LEGAL DESCRIPTION (office use only)
H1 ~ .b'{7-r
LOT h BLOCK 3 ADDITION woO
OWNER
(Name) .ST'l.n..J
(Address)
BUILDER
(Company Name)
(Contact Name)
(Address)
Q"7
surtRt.a..
(Phone)
Date Rec' d
Iz, /(",04-
I PERMITNO.~S. 000(0
/l'-;offi""")
PID 25. 3G.8. o'?57. ()
/.;;-.'iq
95'" '1.J.,....I',
~ S 8!
TYPE OF WORK D New Construction DDeck DPorch ORe-Roofing ORe-Siding DLower Level Finish 0 Fireplace
DAddilIDn DAUeralion DUlilityConneclion J&MiSC.<=,A..."'2.€:6o ~OS'U 12-E: .,.,
PROJECT COST/VALUE $ "ZsOO -
(excluding land)
CODE: X11.R,C. DI.B.C.
Type of~~nstmction:
Occupancy Group: A B
Division:
x
t-_
Permit Valuation
Permit Fee
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
(Phone)
(Phone)
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V
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4
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ion on this application which is to the best of my knowledge true and correct. I also certify that I am the owner or authnnzed agent for the
UClion will conform 10 all existing Slale and local laws and will proceed in accordance with submitted plans_ I am aware that the building
urthermore, I hereby agree that the clly official or a designee may enter upon the property to perform needed IOspections
Date
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
I</II,./?<>~ '1
Date
# $
# $
$
$
# $
# $
$
$
$ /76.(JO
.
Receipr No. l,I J>(U.=:> ~
By C~
cr-
ThIS is to certify that the request in the above applicatum and accompanying documents is in accordance with the City Zoning Ordinance and may proceed as requested. This document
when signed by the City Planner comlltutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a CertIfIcate of Occupancy mllst be
issued
A
R
5
B
S U
II
F
I
III IV
H I
Z 3
Signature
Contractor's License No.
This Application Becomes Your Building Permit When Approved
~~
Build"wOtlk,al IZ/'flti
Planning Director
"
'lt2-S00. O~
$ '7L{,75
$
$
$
$
$
$
$
Park Support Fee
SAC
I, -z...S;
Water Meter Size 5/8"; 1";
Pressure Reducer
Sewer/Water Connection Fee
Water Tower Fee
Builder's Deposit
Other
TOTAL DUE
Paid
Date
~/~.
1-
104 -U '-I
Special Conditions, if any
Residential Building Permit Checklist
New Construction for Single or Two-family Dwellings in R-1 or R.2 Districts
Reviewed by: ~ ~
Date /a-/~/; L(
Building Permit #
Address: / L.( '15?p
Legal: L ft, , B :3
PID: Zoning:
;&wb-iJ ~(..(~
Subdivision: I:~ ~ 511-{...
Existing Structure? ~I NO
Existing Nonconforming Structure? YES I@
CONFORMS TO ZONING
ORDINANCE
YES
, Yard Setbacks: NA 1 FAILsnbMPLlE;,S:)
1 0 Front Yard (can be 20' if ;Vq. w/in150')
o Side Yards
Standard
25'
10'1
25' if abutting a street
o Sidewall exceeding 50' requires additional side 2"
setback for everv l' over 50' in leneth
. Rear Yard
10 Patio Door: provide for minimum 10' deck or sign
statement indicatinq no deck will be buBt in the future
I. From 100 yearfiood elevation ofwetland/NURP
eond
. From OHW (Prior or Spring Lake)
10' setback +
2"/1' over 50'
25'
10' sidel
25' rear
30'
75' or setback average of
adjacent structures, but no
less than 50'
, Floor Area Ratio: NA 1 FAILS I(('!JMPLTe!'
.30 Maximum
, Yard Encroachments: NA 1 FAILS::.!l<c'lilr'UJ;.:I
I' E<lves and Gutters no more than 2 feet in width and no
closer than 5 feet to a lot line (Easements).
I. Alt and otha- equipment cannot encroach on interior
side yards.
Standard
I Tree Preservation: IJ1jJI FAILS 1 COMPLIES
1. Total calioer inches
I. Permit 25% Removal
I. CaliPer Inches Removed
I. Caliper Inches Preserved
. Reolacement
Standard
%:1
L:\TEMPLA TEIBLDGLIST.DOC
NO
Proposed
2...S.S'
r
'2" .'-( I~"'$e.
'30, S'. P(Z.tJfOSl~
30.:;1,:;
ad +/-'
,uP..
f'\A
NA
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Proposecf .
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Proposed
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PRIOR LAKE DEPARTMENT OF
. . BUILDING AND INSPECTION
INSPECTION
SITE ADDRESS ~5~~9!12u,rr #E. . ~
TYPE OF WORK e,rMl /t:,~,-lf:tI.c/AM"
USE OF BUILDING S 1:": l>. ~-
PERMIT NO. ()5000& DATE ISSUED It/I, ~~"
BUILDER ~1t/l1EJJ ~ PHO~E# -1/oI./ZI.I
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
........"'.......n
DATE
I FOOTING I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
, FRAMING I I
, FINAL
~ / 1
.-Wt7 I /0 /1) t"k<:-7
V" I I~(
FOR ALL INSPECTIONS (952) 447-9850
J
I
I
ADDRESS
14Ll<; {,
LOA; _
SCHEDULED ID~
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TIMf
CITY OF PRIOR LAKE
INSPECTION NOTICE
OWNER
CONTR.
PHONE NO.
PERMIT NO,
5- OO~
o FOOTING
o FOUNDATION
o FRAMING
~NSULATION
FINAL
. 0 SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
COMMENTS:
ok *., c t.o~ 19
f-FJv. ,+', Le
.,/
~RK SATISFACTORY, PROCEED
o CORREC ACTION AND PROCEED
o CORR T CALL FOR REINSPECTION BEFORE COVERING
Inspecte : Owner/Centr:
C~L J.r.g/so FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CO>J REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
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