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HomeMy WebLinkAboutBldg Permit 05-0238 CITY OF PRIOR LAKE BUILDING PERMIT, TEMPORARY CERTIFICATE OF ZONING COMPLIANCE AND UTILITY CONNECTION PERMIT (Please type or print and si2l1 at bottom) ADDRESS 1140~ OWNER (N ame) (Address) BUILDER (Company Name) (Contact Name) (Address) Date Rec' d White File I PERMIT 30 ~~~I~w ~~':Iicant NO.05- d 0 (Phone) (Phone) TYPE OF WORK 0 New Construction )l!!?eck o Porch ORe-Roofing ORe-Siding DAddition OAlteratJon OUtility Connection 0 Misc. CODE: MI.R.C. DI.B.c. Type of l;'nstmction: I II III IV V A B Occupancy Group: A B E F HIM R S U Division: 1 2 3 4 5 Oee~+\e.\cl Or 5~ .Yr^'IOr- LakeL , LEGAL DESCRIPTION (office use only) . , -'Crrk'esf- Corntn.(jn~fy 110 10 flJ LOT/"]BLOCK.:5 ADDITION ()eerhpM //Jllfi Un7(110fl.J.-1 PID dS-L/06-0sfi-o - '/ S Y\UY(JA A. ~C'~-tc\vJ (Phone) q6~Cl(o....lo~dl.L }lYO~ ()eer-he.; ~~ ar SS,Yr'(O( La_~) ~ V ZONING (office use) 7<~ YY\n OLower Level Finish o Fireplace PROJECT COST /V ALUE $ (excluding land) /300. .-' I hereby certify that I have htrnished 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-mentIOned Y'~ ,"I and that all construction will conform to existing tate and local laws and will proceed in accordance with submitted plans. I am aware that the buildmg :cial can rev ~/,~~l1~e, ,I hereb a city official or a designee may enter upon the property to perform needed mS:;;I~ -Q5 Signature Contractor's License No. Date Permit Valuation 13CX:>- - Permit Fee $ .o/...oD Plan Check Fee $ ,~3,15' State Surcharge $ ,hS Penalty $ Plumbing Permit Fee $ Mechanical Permit Fee $ Sewer & Water Permit Fee $ Gas Fireplace Permit Fee $ ~=ZQ:'P''''/b<n;;;'' Building Otliciaf I~t Park Support Fee SAC Water Meter Size 5/8"; I"; Pressure Reducer Sewer/Water Connection Fee Water Tower Fee Builder's Deposit Other TOTAL DUE Paid c;( L/ / ~ () Date "il-lA- t:;" # $ # $ $ $ # $ # $ $ $ $ t64" ~6 Receipt N oij 8i L/~ By (./ (J ThiS IS to certify that the request in the above applicalton 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 Cerltficate of Occupancy mllst be issued Planning Director Date 24 hour notiee for all inspection.u!l52) 447-9850, fax (952) 447-4245 16200 Eagle Creek Avenue Prior Lake, MN 55372 Special Conditions, if any Residential Building Permit Checklist Deck Additions to Single Family Homes ~ '--1':7_ BY:~~ Date: V -: ?-/-o'7" Building Permit # Site Address PID: / '7 LID,) - ~ 0 (kf) A'Y/L..; Subdivision: Legal: L B Existing Structure: YES or NO CONFORMS TO ZONING ORDINANCE YES 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' ~ oi-t- ~ ~ Pel'L P u... 0 ~ s p(f(l..lJ\J 6'fJ 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 A.t~Y OTHER UNUSUAL CIRCUMSTANCE MUST BE REFERRED TO THE PLAt~NING DEPARTMENT. 10' . Rear Yard 25' . Townhouses Must be consistent with approved plan for development THIS CHECKLIST MUST BE COMPLETED AND INCLUDED IN THE BUILDING PERlVIIT FILE TO MAINTAIN A RECORD OF THE REVIEW. L:\ TElVrPLA TE\DECKCHCK.DOC P RIO R LA K E ~~rtD~~~~~D ~~SPECTION INSPECTION SITE ADDRESS 1,,~,,~~gJjP/J Dr TYPE OF WORK l:>el,,1' USE OF BUILDING SF PERMIT NO. r;S-- ~ DATE ISSUED q.. ~"s- BUILDER S/'I4.r-tJAJ &.st-04) PHONE#~~-~~~ NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT INSPECTOR DATE Plt5- r/id9 . I I E NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED I t I FINAL ,/ #"Yr / / 7'" / P-- jar FOR ALL INSPECTIONS (952) 447-9850 ADDRESS /7$"a-2 DATE TIME SCHED.U. LED. ~ ~~ /l.,P_~ '/{ ~ I' dr CITY OF PRIOR LAKE INSPECTION NOTICE OWNER CONTR. PHONE NO. PERMIT NO. CJ5 -A.f r COMMENTS: o PLUMBING RI 0 EXIGRADIFILLING o MECH RI 0 COMPLAINT o WATER HOOKUP 0 FIREPLACE RI o SEWER HOOKUP 0 FIREPLACE FINAL o PLUMBING FINAL 0 GASLINE AIR TST /3. MECH 'J'AL ~ 0 //.pC~ h'n~/ o FOOTING o FOUNDATION o FRAMING o INSULATION ",II. ",-".,,\lAL o SITE INSPECTION / ~/ ;{1/-- L/ ( ~ ~~ ,~ ~ ff/"//5 (.{J-/ J-t~ / l' ~t- ..... AWORKSA~IUKI.I"'KU~ / ~~ORRECT ACTION AND PROCEED o CORRECT Wf}Pf/7CA7f~R REI~SPECTION BEFORE COVERING Inspector: / j/ V f- Owner/Contr: , , CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. -. ~ ~, ) / ~ CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI 1NSN071