HomeMy WebLinkAboutBldg Permit 05-0248
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
& c /,c-
7 ;.:::::>.v~
I White
2. Pink
3 Yellow
File
City
Applicant
PERMIT NO. 05: 02-48
(Please type or print and si~ at bottom)
ADDRESS
3()4-0
8 ()IJ MT
~(~
ZONING (office use)
~
LEGAL DESCRIPTION (office use only)
LOT 33BLOCK / ADDITION
V!IUV.r J(jJIPf
PID ~ 3%'2.0;>J. 0
OWNER
(N ame)
L'<'A
L '(\( kt \J
(Phone)
'151: 23l- 2" LI 2
(Address)
BUILDER
(Company NameL.:IHLl):ECok" 0- Poo e
MItE ~V~,
\ l6 32 1\ ~ec-w A vi.
Co MPMJ'(
(Phone)
(Phone)
HL'4.+nS
QS1- L\~2 - LsH c'llllc;8
(Contact Name)
(Address)
~ , ) tJ It LeG to .J t
Mrv
S-~6 7 7
.1
TYPE OF WORK 0 New Construction ll1Deck OPorch ORe-Roofing ORe-Siding OLower Level Finish 0 Fireplace
OAddition OAltera~ DUtility Connection 0 Misc.
CODE:~I.R.C. DI.B.c.
Type of onstruction: I II III IV V A B
Occupancy Group: A B E F H I M R S U
Division: 1 2 3 4 5
PROJECT COST/VALUE $
(excluding land)
7L566 ~
I hereby certifY that I have tiJrnished mformation on this application which is to the best of my knowledge true and correct. I also certify that I am the owner or authonzed agent for the
above-mentlOned 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
:ncial can regmit fo~cause Flllth~ hereby agree that the Ctty official or a des~~ ~?nter upon the property to perform neede4n~peSi:n2 a:.. S
- Signature Contractor's License No. Date
Permit Valuation 3~oo,o tJ
Permit Fee $ 8P,. U-
Plan Check Fee $ ;; 7, "3"
State Surcharge $ J, S"e>
Penalty $
Plumbing Permit Fee $
Mechanical Permit Fee $
Sewer & Water Permit Fee $
Gas Fireplace Permit Fee $
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 ~~ 4-.'7,05' $ / Lfl,l/
~~
Building Otlicial
~/7~S
I 'Date
Paid
Date
/~/.II
./. /2--Cl.r-
Receipt NQ. . ~fIO?
BY~
This Application Becomes Your Building Pennit When Approved
ThIS IS to certify that the request in the above applicallon and accompanying documents is in accordance with the City Zoning Ordinance and may proceed as requested. This document
when signed by the City Planner constllutcs a temporary Celtificate of Zoning compliance and allows construction to commence. Before occupancy. a Certtftcate of Occupancy must be
issued
Planning Director
Date
24 hour notice 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:~ ~ Date: #?~S-
Building Permit #
Site Address
3a~ (::)
(
PID: Zoning:
~(1dJ(--//~
.,;t'G'
Subdivision: /AJ ~
Legal: L Y:J B
Existing Structure:~r NO
CONFORMS TO ZONING
ORDINANCE
YES
Yard Setbacks: NOT APPLICABLE
MEETS CODE
Requirement
· Side Yard
(25' if abutting a street, 30' if abutting a street in
Cardinal Ridge)
· Side Yard
10'
10'
· Rear Yard
25'
· Townhouses
Must be consistent with
approved plan for
development
~
NO
Proposed
it
,
fDW~'
rO\'to~
~ G~(
NAJ
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 ANY
OTHER UNUSUAL CIRCUMSTANCE MUST BE REFERRED TO THE PLANNING DEPARTMENT.
THIS CHECKLIST MUST BE COMPLETED AND INCLUDED IN THE BUILDING PERMIT FILE TO
MAINTAIN A RECORD OF THE REVIEW.
L:\TEMPLA TE\DECKCHCK.DOC
..,
PRIOR LAKE DEPARTMENT OF
BUILDING AND INSPECTION
INSPECTION
RECORD
SITE ADDRESS 3tJ4a 806tAr 7JJ!A1L.
TYPE OF WORK ~ -
USE OF BUILDING A/~
PERMIT NO. DlTEISSUED 4.. t5.fJS
BUILDER ~ , PHONE # 43~ I Z311
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
,'\ INSPECTOR I / DATE
FOOTING kt I filA ?,/zG.o/~ , .
PLACE NO CONCRETE UNTIL A'BOVE HAS BEEN SIGNED
, FRAMING I 1 ,
FINAL
..,~n''''''""",,-,__,,,_~_,_, ",~~-"" ,-"~""~.
?fJ
. I J
16/1M'1
I I
FOR ALL INSPECTIONS (952) 447-9850
DATE TIME
,y OF PRIOR LAKE .::/-:1/a;-
4SPECnON NOTICE SCHEDULED
ADDRESS ..S04D ~.
OWNER CONTR.
PHONE NO. PERMIT NO. S - '2.<f6
o FOOTING o PLUMBING RI o EXIGRADIFILLlNG
o FOUNDATION o MECH RI o COMPLAINT
o FRAMING o WATER HOOKUP o FIREPLACE RI
~SU~O~ o SEWER HOOKUP o FIREPLACE FINAL
FINAL e o PLUMBING FINAL o GASLINE AIR TST
o SITE PECT. o MECH FINAL 0
COMMENTS:
/
~ORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT V'ORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: ~ \':-1 Owner/Contr:
CALL ~50 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH &: SAFETY!
INS1iOTl