HomeMy WebLinkAboutBldg Permit 05-1138
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERlulCATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
I /. /4- "OS
I. White File
2. Pink City
3 Yellow Applicant
I PERMIT NO. C/ 5'.113 ~
(Please type or print and sip at bottom)
ADDRESS
13'1 cr; 1\ ~>l~^- A\J.e-. ~ ~E: c
LEGAL DESCRIPTION (office use only)
LOT ~ BLOCK g ADDITION UJ ~ ^"~Sl>"'" E~-.ks
ZONING (office use)
,leI
PID Z5. +13. oz...a ~
OWNER ",- _, C'\ _I _
(Name) ~~~O ~fN:;)S_ CCiI\..C""N""-
(Address) ~~ D. bo"io. 1'Z9 -. 11/0 Q a.IYlo..~g_
(Phone) q Sd.. -7 s:i> -d.81/:J.
Ju ~~; MA.IJ - Sot:>? I
BUll,DER
(Company Name) 6'42.~ RtaS~.~-
(Contact Name) DCL~ 6.eMO
(Address) Sa."'-IL ~ ~~
(Phone) !!ls;A -? s", -2.lPt/,;J
(Phone) q.sz. - 24~ -3636
TYPE OF WORK 0 New Construction ~eck OPorch ORe-Roofing ORe-Siding DLower Level Finish 0 Fireplace
DAddition DAlteration DUtility Connection 0 Misc.
CODE: ~.R.C. OJ.B.C.
Type of cto;'struction:
Occupancy Group: A B
Division:
I
E
ill IV V A
HIM R
2 3 4 5
B
S U
PROJECTCOSTJVALUE $ ~~OO
(excluding land)
II
F
I
I hL'feby certifY that I have 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-menl1oned 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
official can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may enter upon the property to perform needed Inspections.
X ~ ~ ./II.s- /1-'tI-bS""
- Signature- Contractor'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
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
'$QaDI 00
$ 8-o.z~
$ S7.3~
$ I. Sd
$
$
$
$
$
I Park Support Fee #
I SAC #
I Water Meter Size 5/8"; 1";
I Pressure Reducer
I Sewer/Water Connection Fee #
I Water Tower Fee #
I Builder's Deposit
lather
I TOTALDUE ~ 11.14-.05
$
$
$
$
$
$
$
$
$ 1'17, II
This Application Becomes Your Building Pennit When Approved
~~
IIJ'&J~S
~eu
I Paid /9'7.1/
I Date /1. /r,gs
ReciJPt No. StJ.39/
(J-
Building Otlicial
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
;:~:: c~~ ~""'" C,,,tO,,,, ,f 7:;;~i..re;' .- =,~- ,,- Ildore ""'''"'' . C'~'fia" ,'()re,po", m<Of '"
I Planning Director . .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
./
Residential Building Permit Checklist
Deck Additions to Single Family Homes
BY:~
~ r/l
~.J..-.t
Date:
1/ Ii'! (os-
Building Permit #
Site Address /3 ? ~ '7
Legal: L ~ B 3
PID: Zoning:
K~~i~~.tJ~ ~
Existing Structure~or NO
CONFORMS TO ZONING
ORDINANCE
~ -"" ~
~S~
NO
Yard Setbacks: NOT APPUCABLE
MEETS CODE
Requirement
Proposed
· Side Yard
(25' if abutting a street, 30' if abutting a street in
Cardinal Ridge)
· Side Yard
10'
.'''''.
,
10 ~,~
10'
if)' -h. H~~". tj)
· Rear Yard
25'
~ 2..S' to c:l~
· Townhouses
Must be consistent with
approved plan for
development
fJ~
'.
ANy PROPOSED DECK NOT MEETING THE ABOVE CRITERIA MUST BE REFERRED TO 1.tU..
PLANNING DEPARTMENT. ALso, ANY DECK ON A LOT WITH A SUSPECTED BLUFF, OR ANY
OTHER UNUSUAL CIRCUMSTANCE MUST BE REFERRED TO l~ PLANNING DEPARTMENT.
THIS CHECKLIST MUST BE COMPLETED AND INCLUDED IN THE BUILDING PERMIT FILE TO
MAINTAIN A RECORD OF l.l1.l!. REVIEW.
L:\TEMPLATE\DECKCHCK.DOC
i
~
PRIOR LAKE DEPARTMENT OF
. BUILDING AND INSPECTION
INSPECTION
RECO.RD
SITE ADDRESS ~ 9/IJ 7 ~G')JS-I/-Jq,s,~ JJIb I Ai, C,
TYPE OF WORK Ale'lcJ 11/ ' )( l..)I' D&~~
USE OF BUILDING 5!F:J), A
PERMIT NO. 05.//38 DATE ISSUED IIII'I/~S
BUILDER $>1~LJ\ ~r: (J4t/cr, PHONE $ -Z94. ~"4
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR ~ DATE
FOOTING I //ftt I /(/;;'~A5'
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
I I
I FINAL
/1/1-
I /
I ///JetI6'
,,'
.
Call between 8:00 and 9:00 A.M. for all inspections
~
FOR ALL INSPECTIONS (952) 447-9850
CITY OF PRIOR LAKE
INSPECTION NOTICE
DATE TIME
SCHEDULED ~~~~S--
k"ZS;7~ ; 4te..
CONTR.
PERMIT NO. ~/8r
ADDRESS /3 f6?
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o !!t$ULA TION
~INAL
a SITE INSPECTION
COMMENTS:
o PLUMBING RI
a MECH RI
o WATER HOOKUP
o SEWER HOOKUP
a PLUMBING FINAL
o~
1,...00'
o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
a
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\ (~s:e.-- / ~ / ~
~ORK ~I..I u"' t';"1'R\J\.t:t:U ------
/' ~RECT ACTION AND PROCEED
a CORRECT WORK)/~ F~INSPECTIONBEFORE COVERING
Inspector: ~ ~ntr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
-~
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CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH 4 .t41'r.ll'l
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