HomeMy WebLinkAboutBldg Permit 04-0820
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND lJ llLITY CONNECTION PERMIT
(Please tv1Je or print and sip at b, .."...)
ADDRESS
3() s"c\, ~~10 L....\ ~l..., \
'\'\lw
LEGAL DESCRIPTION (office use only)
LO~LOCK~ ADDITION
Date Rec' d
~-tf-()t/
I. White File I PERMIT N ,~
i ~~~~w ~~~licanl .. O'u'l- Rd-I!!J
(j)~ ~
~ID~'" 8?A.-O~q_.()
O~R .s
(Name) m Q...'( \.... L... \-\ 0 L.\-
(Address)
BUILDER
(Company Name)
(Contact Name)
(Address)
ZONING (office use)
tel
(Phone) '\ S~. .;t3":\. '8,S"'1 )-
(Phone)
(Phone)
TYPE OF WORK 0 New Construction ~eck o Porch ORe-Roofing ORe-Siding OLower Level Finish 0 Fireplace
OAddition OAlter4~ OUtility Connection 0 Misc.
CODE: DI.R.c. DI.B.c.
Type of Construction:
Occupancy Group: A B
Division:
I
E
ill IV V A
HIM R
2 3 4 5
B
S U
PRomCT COST /V ALOE $
(excluding land)
I hereby certifY that I have furnished information on this application which is to the best of my knowledge true and correct. I also certifY ~at I am the owner or authonzed agent for the
above-mentioned property and that all construction will conform to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the building
:lcial can reM::Jl)rM\rthermore. I hereby agree that the city official or a designee may enter upon the property to Jlerforrn neededir~t/:'
Signature Contractor's License No. Date '1
I Permit Valuation
I Permit Fee
I Plan Check Fee
I State Surcharge
I Penalty
I Plumbing Permit Fee
I Mechanical Permit Fee
I Sewer & Water Permit Fee
I Gas Fireplace Permit Fee
II
F
I
$
$
$
$
$
$
$
$
UXJO o-y
7 ~ "7S
l.f 7 tit! I
{ 00 I
I
I
I
I
I
Thb1i1~.-m.Pumhg-~;;
BUlldl g Otliclal Date '
$
$
$
$
$
$
$
$
TOTAL DUE ~~ f..LAJ.- $ I z.. Z . f99
/l
Re~t No. ~1912-
(; .
I Park Support Fee
SAC
#-
#-
ThIs is to certifY that the request in the above application and accompanying documents is in accordance with the City Zoning Ordinance and may proceed as requested. This document
when signed by the City Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy. a Certificate of Occupancy must be
issued.
Planning Director
Water Meter
Size 5/8"; I";
Date Special Conditions. if any
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
Pressure Reducer
I Sewer/Water Connection Fee
I Water Tower Fee
Builder's Deposit
#-
#
Other
I Paid
I Date
/z,z.."" 'I
II. ",II #--
Residential Building Permit Checklist
Deck Additions to Single Family Homes
BY: (h ,Yt.. ~'"" Date: ?5 - (I-CJ q
Building Permit #
Site Address
Legal: L ). (" B
PID:
30S'9 ~:1z7~
..3
Subdivision:
Existing Structure: YES or @
CONFORMS TO ZONING
ORDINANCE
I~)
~
NO
1 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'
10'
I).
{1$
CD
11 A-
. Rear Yard
25'
. Townhouses
Must be consistent with
approved plan for
development
ANY PROPOSED DECK NOT MEETING THE ABOVE CRITERIA MUST BE REFER1p:D TO THE
PLANNING DEPARTMENT. ALso, ANY DECK ON A LOT WITH A SUSPECTED B-"UFF, OR ANY
OTHER UNUSUAL CIRCUMSTANCE MUST BE REFERRED TO Itl!!. PLANNING DtPARTMENT.
THIS CHECKLIST MUST BE COMPLETED AND INCLUDED IN Itl!!. BUILDING PE)lM1T FILE TO
MAINTAIN A RECORD OF THE REVIEW.
L:\TEMPLA TE\DECKCHCK.DOC
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. ... ._...__..: .___.:....:h '.~ _..______..____.....__._.._._~. ~.._'L_....._,~: .
PRIOR LAKE DEPARTMENt OF
BUILDING AND INSPECTION
INSPECTION
REC RD
SITE ADDRESS ? ^ re .."
TYPE OF WORK ~
USE OF BUILDING ~.
PERMIT NO. tJtj.. . 06 z. 0 DATE ISSUED
BUILDER O~, PHONE# 11~rlS"
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSP~CTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
...
....
INSPECTOR..., DATE
J FOOTING I l/lf) I . ~"'i-~\
PLACE NO CONCRETE UNTIL ABcfvE HAS BEI:N SIGNED
I. I I
I FINAL
,..,
II Vy /
lo- JL-05
FOR ALL INSPECTIONS (952) 447-9850
DATE TillE
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
IO-II-Of
ADDRESS
3~ (3()~J- rh-
OWNER
CONTR.
PHONE NO.
PERMIT NO.
L..{ -n.4
[] FOOTING
[] FOUNDATION
o FRAMING
[] JNSULA TION /l r/
.it" FINAL IJe <-
[] SITE INSPECTION
[] PLUMBING RI
[] MECH RI
o WATER HOOKUP
[] SEWER HOOKUP
[] PLUMBING FINAL
[] MECH FINAL
[] EXlGRADIFILLING
[] COMPLAINT
[] FIREPLACE RI
[] FIREPLACE FINAL
[] GASLINE AIR TST
[]
COMMENTS:
~
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I / ~ U~
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--..
~
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f /LJ- /
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KWORK SATISFACTORY, PROCEED
[] CORRECT ACTION AND PROCEED
[] CORRECT~' , ~ REINSPECTION BEFORE COVERING
Inspector: J 11 f . Owner/Contr:
CALL 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH cl SAFETY!
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