HomeMy WebLinkAboutBldg Permit 05-0440
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
0./7. oS-
I. White File I PERMIT NO 5 I
; ~~~:w ~:;licant . 0 . 044<;
ZONING (office use)
72- v..::> I LD L2AI c
.s.~
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PIDZ~. .310. 033. D
OWNER 0
(Name) -.J-'A-uL t..- ~LJJ1
1ft:,
T12- I ~I Ll7l"""" r
(Phone)
L/l/7 - 9~YS
(Address)
, ~ lJl.AJ
'TJl.4.,tL ~~
BUILDER
(Company Name)
(Contact Name)
(Address)
('J lJ'T'C0t:;)~ S, l.JJ'TJou ~
..:I } J'V1 .f="UA//~
-..." ...........
0" .I1V '2. ~.
tNL (Phone) 9S';>'- 88' -fa 97 <-
(Phone) 9~- 8-92.- (pd38
o /H,,,..)(. 2JJ MA...J.
ORK 0 New Construction
OAddition OAlteration
eck o Porch ORe-Roofing
OUtility Connection
ORe-Siding
OLower Level Finish
o Fireplace
CODE: .R.C. DI.B.C.
Type of C nstmction:
Occupancy Group: A B
Division:
o Misc.
I
E
II
F
I
ill IV V
HIM
234
A
R
5
B
S U
PROJECT COST /V ALUE $
(excluding land)
5,(X)o 00
I hereby certify that I have filmished 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 nstruction 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 ermit for JU use Furthermore, I hereby agree that the City official or a designee may enter upon the property to perform needed mspec 'ons.
~3? 9 '-
Contractor's License No. Date
I f; 00.00 Park Support Fee # $
Permit Fee $ (p7. z.5 SAC # $
Plan Check Fee $ 4-5.7/ Water Meter Size 5/8"; I"; $
State Surcharge $ .90 Pressure Reducer $
Penalty $ Sewer/Water Connection Fee # $
Plumbing Permit Fee $ Water Tower Fee # $
Mechanical Permit Fee $ Builder's Deposit $
Sewer & Water Permit Fee $ Other $
Gas Fireplace Permit Fee $ TOTAL DUE ~ s-~n. oS- $ III. e"
ThiS IS to certify that the request in the above a lication and accompanying documents is in accordance with the City Zoning Ordinance and may proceed as requested. This document
when signed by the City Planner consl1tutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be
issued
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
BY:?.B>
Residential Building Permit Checklist
Deck Additions to Single Family Homes
Date: !lt7{~
Building Permit #
Site Address
PID:
Zoning:
Legal: L---1.L B L
Subdivision: IV;~ ~
Existing Structure: YES or NO
I CONFORMS TO ZONING
ORDINANCE
YES
NO
Yard Setbacks: NOT APPLICABLE Requirement . Proposed
MEETS CODE
. Side Yard 10' I ~'
(25' if abutting a street, 30' if abutting a street in
Cardinal RidlZe)
. Side Yard 10' ttO'
. Rear Yard 25' J~'
. Townhouses Must be consistent with
approved plan for
development
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 /(,_'zjfl~r 7'1U.,
TYPE OF WORK .~~
USE OF BUILDING ~ Lf'JC, .
PERMIT NO. ()6,6 .' DATE ISSUED J;/7:iJ!,
BUILDER #J.r PHONE #--'1. 197Z,
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR DATE
I FOOTING I V1/ I L..f..05
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
~ I I
I FINAL I I/tI I ~..6J
FOR ALL INSPECTIONS (952) 447-9850
DATE
~~
/6 <f 7..2 ~;ckr-,e~ps ?:-- /
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
"""""NAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
;2~7
COMMENTS:
TIME
~..~~
o EXlGRADlFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASUNE AIR TST
o
h/
~ . ~/
o/{
,
..
WORK SATISFACTORY, PROCEED
o ORRECT ACTION AND PROCEED
o CORRECT WORK, CAL OR REINSPECTION BEFORE COVERING
Inspector:
Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH cl SAFETY!
INSNOTI