HomeMy WebLinkAboutBuilding Permit 05-0244
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
(Please type or print and sign at bottom)
ADDRESS
8~ ~I/
Date Rec' d
~~~:~ew ~::Iic.nl I PERMIT NO'(J5 - ;}.1Jt.j I
TaX
tai L Tr-
LEGAL DESCRIPTION (office use only)
LOT ti BLOCK), ADDITION
/j)~
<;..
~~
PIu2S. t.J /.)... 0 e;g-p
~'::e~R'bMtt) V\,~ "R~TA- ~\ -hORTBS
(Address) ~28'-\ Fb)<. ~'L. NvJ l f1\'OR lJ\'t\5 J MtJ
BUILDER ' S'
(Company Name) TOM .... ~t:.p~\
(Contact Name) mN\ ~z.~AN~ \
(Address)
ZONING (office us~)
RI
.
(Phone)
QS2 ,21A(.Q t ~ZB~
'FY53'12- ~t q5Z,2.L\'O,~I~
(Phone) .952.,
(Phone)
TYPE OF WORK D New Construction IifDeck OPorch ORe-Roofing
OAddition OAltera~ OUtiJity Connection 0 Misc.
CODE: ~.R.C. OI.B.C.
Type orc;;nstmction:
Occupancy Group: A B
Division:
I
E
ORe-Siding OLower Level Finish
F&en ~:s 12>
PROJECT COST IV ALUE
(excluding land)
o Fireplace
R.cru.eE" Po n..c...t\:
$
t
De:(j~"
II
F
I
III IV V A
HIM R
2 3 4 5
B
S U
on this application which is to the best of my knowledge rrue and correct. I also certify lhar I am the owner or authonzed agent for rhe
'11 con~ m to all exisllng srare and local laws and will proceed in accordance wirh submitted plans, I am aware rharrhe buildmg
ore ere~ a~he CIty official or a designee may enrer upon the property to perform needed mspeclions, ___
~ ?-5~
Contractor's License No. Date
x
Permit Valuation
Permit Fee
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
l.!lf&)oo, ~
Park Support Fee
SAC
$
$
$
$
$
$
$
$
Be, z.s
7;7. 3'
J. ~o
Water Meter Size 5/8"; 1 ";
Pressure Reducer
Sewer/Water Connection Fee
Water Tower Fee
Builder's Deposit
Other
TOTAL DUE
_~=t~mg~~;"d
Building Ollicial ., Date
Paid
Date
/q'J, / f
4- .~- I..)
Receipt No. L.I K'I Ot{
By C '
{/-
#
#
#
#
$
$
$
$
$
$
$
$
$ /47./1
ThiS IS to cerlify lhatthe requesr in the above applicatton and accompanying documents is in accordance wirh rhe City Zoning Ordinance and may proceed as requesled, ThIS document
when signed by the City Planner constllutcs a remporary Cerlificate of Zoning compliance and allows construction to commence, Before occupancy, a Cerllficatc of Occupancy musl be
issued
Planning Director
Date
24 hour noticc for all inspections (952) 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
BY ~ 1.dJf-J Date <;~ .>-05'
Building Permit #
Site Address
PID:
Legal: L
B
Existing Structure: YES or NO
CONFORMS TO ZONING
ORDINANCE
Yard Setbacks: NOT APPLICABLE
MEETS CODE
· Side Yard
(25' if abutting a street, 30' if abutting a street in
Cardinal Ridge)
. Side Yard
· Rear Yard
. Townhouses
Zoning:
3d-?9 /OX ToUfJ T;-
Subdivision:
YES
NO
Requirement Proposed
10'
I fa '
10' f3,l{'
25' .
tis +0 "..H,Q L ,
Must be consistent with
approved plan for ~f\ '
development
ANY PROPOSED DECK NOT MEETING THE ABOVE CRITERIA MUST BE REFERRED TO THE
PLANNING DEPARTMENT. ALSO, AL"lY DECK ON A LOT WITH A SUSPECTED BLUFF, OR AL'N
OTHER UNUSUAL CIRCUMSTANCE MUST BE REFERRED TO THE PLAi~NING DEPARTMENT.
THIS CHECKLIST MUST BE COMPLETED AND INCLUDED IN THE BUILDING PERMIT FILE TO
l\1AINT AIN A RECORD OF THE REVIEW.
L:\ TETvlPLA TE\DECKCHCK.DOC
PRIOR LAKE DEPARTMENT OF
. . BUILDING AND INSPECTION
,
INSPECTION
RECORD
SITE ADDRESS Sl'" AMC ",",i~ 'TIU,... r
TYPE OF WORK Ft(rU.U ~c..I( ~~ C,AI.(.;.L
USE OF BUILDING $. t::. 0 '. -
PERMIT NO. DATE ISSUED ~"~JdS
BUILDER~ UE~~SIL' PHONE~.__.~~
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELO"'t\ 7
THE PERMIT IS BY SEPARATE DOCUMENT ~ 'r''''-4I
FC4TU.K INSPECTOR J S ; 4o.P-( J:TE ~
FOOTING ,f 6~ Ch I
PLAC NO CONCRE UNTIL ABOVE'mS BEEN SIGNED
__ I I
I FINAL
I
I (r1(J, 15/~ ~,J:t;
" / :;
FOR ALL INSPECTIONS (952) 447-9850
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS 51?; Y
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULAT~ - - k.
~~~~NS~N
COMMENTS:
~ZD;&
SCHEDULED ~/ 2 F
~K i~.-1 Ct'r
, ,
TIME
CONTR.
PERMIT NO.
~ -Zcf'f
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 RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
. I 1) r /),
( - .. 1/) I /7
l_)J'1~/ f'"C\" \~-
/
roRK TISFACTORY. PROCEED
o COR EC ACTION AND PROCEED
o CO REC ,yRK. CALL FOR REINSPECTION BEFORE COVERING
Inspe to: 11 / Owner/Contr:
C\::JJU-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
~ REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
lNSNon