HomeMy WebLinkAboutBldg Permit 05-0429
CITY OF PRIOR LAKE BUILDING PERMIT, ^.Y Date Rec'd
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE~ -:,:'" t...... ~
AND UTILITY CONNECTION PERMIT ,. ;;./. ,...h
,,/ 2-'a,/O~
PERMIT NO. 05".ol-z,,/
I
ZONING (office use)
(Please type or print and sign at bottom)
ADDRESS
4-/52
13~ vCiIi /1M
LEGAL DESCRIPTION (office use only)
I. White File
2. Pink City
3 YeHow Applicant
Of-VO
tel S 0
LOT 3 BLOCK I ADDITION M-~//J6e: ff/t..c./S 2/iR
PID 25. z.l31P.OD3. 0
OWNER
(Name) &(q;:=G E"-lEN.s
. (Address) '-( I~L t3rzO.v~A}.IV\ 13L\ID. N. '6.
(Phone) (:~~ ~ QS'l..4l.(O Ifo09
BUILDER
(CompanyName) S-.JV\JSIATlE. ~O~GE-t"", S
(Contact Name) -ro~.t> l<:Jo~
(Address) Y 00 S S,Mtza, h1~ 1::>"( U f2. S rRl N bpP.17 V" . J
f .
(Phone) VS\ L.ln 41'~
(Phone)
M~. CSt" ~8"\
I
TYPE OF WORK 0 New Construction blfDeck o Porch ORe-Roofing ORe-Siding OLower Level Finish 0 Fireplace
o Addition DAlter~ DUtility Connection .1'\
CODE: OI.R.C. OI.B.C. OM
Type of Construction: I IT 1lI IV V A B ,- . ..r-r-- - ---... --~ .
pR.OJECT COST IV ALUE $
Occupancy Group: A B E F H I M R S U (excluding land)
Division: I 2 3 4 5
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 that 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
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 ---r-uD{) (gO flfl S-/ r~1 0)
Signature Contractor's License No. . Date
$/ZZ.~ ~
/ 2-2.67 H?()~ I
~ ~ (/Z:3!o~ I Date (,. Z-l.fJr . r I
BlIIldmllOtlicial ' Date' ~~ ~ ~ ~
ThiS IS to certify that the request 10 the above applIcatIOn and accompany 109 documents:::~ ~c:~hee~~rfc~s re'qll~tcd. ThiS document
when signed by the City Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence, Before occupancy, a Celtificate of Occupancy must be
issued
Permit Valuation
Permit Fee
Plan Check Fee
State Surcharge
I Penalty
I Plumbing Permit Fee
I Mechanical Permit Fee
I Sewer & Water Permit Fee
I Gas Fireplace Permit Fee
b 000, dc) J
$ ~:J., '10'
$ tf-1. ~1
$ /_ 0 lJ I
$ I
$
$
$
$
This Application Becomes Your Building Permit When Approved
Planning Director
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
I Other
I TOTAL DUE
#
#
$
$
$
$
$
$
$
$
#
#
.fi:l
'1~
I Paid
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
~c L rJNL Y FU.7: S1a. ~ ".
Residential Building Permit Checklist
Deck Additions to Single Family Homes
BY: #~-
Date: ~/~...",/~s - to 12-~1 ~ ~
BuildingP "A lo.Uit # PID: ~s. ;Z~ . DO J. C) Zoning:,e 1.5 t::J
Site Address ~/~.2' &(H~.?~:-- &~j
Legal: L:1 B .I Subdivision: Un',' e #/6 ,?~
Existing Structure: ~r NO
-
CONFORMS TO ZONING
ORDINANCE
('0/
NO
Yard Setbacks: NOT APPUCABLE
MEETS CODE
Requirement
Proposed
10'
/C)' ~
H(}V!-e,
/t/ r r -/-67
. "'#"'5' 'C
c""
· Side Yard
(25' if abutting a street, 30' if abutting a street in
Cardinal RidlZe)
· Side Yard
10'
. Rear Yard
25'
,
3'S
. Townhouses
Must be consistent with
approved plan for
development
'I
ANY PROPOSED DECK NOT MEETING .lw, ABOVE CRITERIA MUSTBE REFERRED TO.lw,
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 .lw, BUILDING PERMIT FILE TO
MAINTAIN A RECORD OF .lJU. REVIEW.
L:\TEMPLA TE\DECKCHCK.DOC
PRIOR LAKE :r~:JoO.:.eCTlON
INSPECTION
RECORD
SITE ADDRESS 4/52 ~ /3,e()(/($t/11M 1.)t.,l!O
~PEOFWORK ~~~
USE OF BUILDING I26S I'f/!<..
PERMIT NO. OS'.o4-Z9 DATE ISSUED 5./3"OS-
BUILDER SUN..! I rl-rE, &JJJ~prr PHONE # (P5"1. z, 70. 9/2,2..
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
... ECTOR / pAlE I
J FOOTING 1/1111- 17/ f'/~
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
I I
FINAL
"J~
,Ii:'" r .'
I .I
7/JI/D0
FOR ALL INSPECTIONS (952) 447-9850
-.
\
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
~~
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
....t!!""fINAL
C SITE INSPECTION
COMMENTS:
DATE TIME
SCHEDULED ~~~
/4-"tJ~~ Lf ?c1
CO~.
PERMIT NO.
~-~7'
o PLUMBING RI
o MECH Rl
C WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o ~;9J FINAL
//.RC/
o EXIGRADJFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
./
Ii. , /
7/.4-'7 /
/
6J~
---
/~ /~)
a.oL~p~
~KSA ,EED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector. ~ ~ner/Contr:
, ---
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH &: SAFETY!
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