HomeMy WebLinkAboutBldg Permit 05-0420
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~J.J. i OF PRIOR LAKE BUILDING PERMIT,
l1!.ldPORARY ~~.a."ATE OF ZONING COMPLIANCE
AND II...u..ITY CONNL.II0N PERMIT
POK. ~
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/12 i1fl L4IL.t::. oW ..s ~..'S /::L
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LEGALDESCLa :u:...;.~ (office use oaIy)
LOTI c) BLOCK .z. ADDmON 1l-l67.vI('95
...IU..nnl
(Name)
"JOHfJ ~",,~LL~ <Bi2fF/)Y
Z~/, Fpt. fNLlL))J
(Address)
BUILDER
(C"""'I''' ..y Name) AtJf:1te2../ 'Yk lid tt!J
(Contact Name)
(Address)
Date he'd
.5-11. oS
~ =:.~. I Ji~A!~T NO. 05. 04- ZD
. ZONlNG(~_)
P (}..J()
(Phone)
I PO/on.. L~. mJ4/
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,
PID ~ r. ,l...q 7. 01", ()
9.0 --'fib - 3~ ~
s ::> 37-vP
(Phone) 1-1'Z-ZS'l-/'j)f\"""
(phone) ~/7- 2n - ~ 9Ir-
, .
TYPE OF WORK 0 New Coastructioa ~ OPorch ORe-RooIinI DRe-Sic:Iing CLower Level finish
OAddition OA1tera~ . OUtility Coa.nection 0 Misc.
. CODE: M1.R..c. OI.B.C. PllomcrcoST/VALUB S
Type of &stnaum: I n m IV V A B (cxchuliDllmd)
Oaapu..J Group: A B E F HIM 1l S U
Dirilioa: 1 % 3 " 5
o fiteplace
eq)
/~~,.
I heRby ClerliIY tball haft :.. :",.., iDIclmRIioa 011 this '''. ,,', ~ ,.- . whidl is to !he bat or my r" .,. ",., d,' III1Uncl aJIIllCt. 1 a1SO mtify Ibat Iamlllr OWllen.. audll..imh,enr blllr
alJoft-meauoned, ." ...! aad dIat aD ., ..,.. ".,'" . wi1I--.m to aD _ :,,,..,,, __ ancllocaJ laws iIIlCI will Jll'CIQiled ill" ....." % widlSllbrnIned plus. I iIIIlll_ that Ibe lNlllIinI
oII'ic:ialcmmoolre~" .....,... fcI'~1 ,. ;t;A" , ", IIIadIyll8lft1llatlhecityofticia1c. it drsipeemay eftterupon Ihe, ,'. , .. ..1 10" ..1. Dftlded..." ..:MlS,
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SipahB'e CoDIncror's LicIeDse No. / /DaII:
Permit Valuation
Permit Fee
Plan Check Fee
State S1l1'dwgc
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Pee
Gas Phep1ace P~:... Fee
-?~. c..Q
s 2f(. Z.s-
s $~~
s /. ..So
S
S
S
$
S
'l'hIaAp,r.,: ,'B..... _ Y_IhaiWialPawlitWlwaA.I"" ,.1
d~_
/7'-".. --
BuiJdinl. OWlCiaJ
~I'~S-
, ;Date
Park SUpport Pee
SAC
Water Meter Size 5/8"; I";
P., ."'.". R..l.....
Sewer/WaU!rC., ..:onFee
Water Tower Fee
Builder's Deposit
Odter
TOTAL DUB
Paid /4>7. / /
Date . ~/r,(;/J--
# S
# S
$
1$
# $
" S
S
$
s /y?: N
R..~~:"~ Nd ff,)O..7
Bv .J-
0
TIus is II) cenify lhat dIr Ieq\Iat ill die abcM '" ,: ..:. aad I ...", ", :,." Ii , .. ..,,, is ill aa:ordanc:c widllbe Cily ZaaiDc Ordiaanc:e IlId IIllIY .. ... J as ''', . .". 1. This doculllClll '
wilen siped by the: City Planner conslit11rcs it" " "'",' Certific:ate or Zoniq compIiaace IlId a1Iows COIISlIUCtioa II) _. Iefon ,. "..,'" ~. a C. :1 ~ d. oro..."... cy_be
issued.
1'[. ....:\...1:1......
DatIl Speci8l o. :,'. :. I, if 8QY
Z411m1r '" :". r... .U JlIIpKlIou ('952) ....,....51. ru em) 447-4245
16200 Eagle Cleek Avame Prior Lake, MN SS372
. '-.-
Residential Building Permit Checklist
Deck Additions to Single Family Homes
BY:/#~~
Date: ~A- ~S-
Building Permit # ~- ~".2.0 PID: ,IS': .-J.?? CI/~. 0 Zoning: ~t/SP
Site Address -2 ?~6 .r;;c ,d11tJL....J
Legal: L /0
B~
Subdivision: ~/ /.i j ,/
~.e ~.. /d...s
Existing Structure: @ or NO
CONFORJ.\'IS TO ZONING
ORDINANCE
(59
NO
I 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'
,
.-
~~.
10'
. Rear Yard
25'
S-S'
. To~ouses
Must be consistent with
approved plan for
development
-'
53
ANY PROPOSED DECK NOT MEETING THE ABOVE CRITERIA MUST BE REFERRED TO THE
PLANNING DEPARTl.\'IENT. ALSO, ANY DECK ON A LOT WITH A SUSPECTED BLUFF, OR ANY
OTHER UNUSUAL CIRCUMSTA1~CE MUST BE REFERRED TO THE PLAJ."lNING DEPARTMENT.
THIs CHECKLIST MUST BE COMPLETED AND INCLUDED IN THE BUILDING PERI\'IIT FILE TO
MAINTAIN A RECORD OF THE REVIEW.
L:\TEiv1PLA TE\DECKCHCK.DOC
----<'------'-_......,......
.oJ
PRIOR LAKE DEPARTMENT OF
BUILDING AND INSPECTION
INSPECTION
RECORD
SITE ADDRESS Z.1~ '1))( /MU,tJIV
TYPE OF WORK (,:)6*fJt!.
USE OF BUILDING M.t ~~
PERMIT NO. ~~ NZlJ DATE ISSUED 5': II. flS-
BUILDER~ ~ PHONE#~.as-~~
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR / DJTE
I FOOTING Ytnlll-A. ~Z(i 14AiIA frlil't ~~ , f/I':? I ~/Z61'Af'
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
I ~ I gJ~/
/1b
I FINAL
v
J I
I G /G;/a,<
f /
FOR ALL INSPECTIONS (952) 447-9850
r i; \
thi~. ,
"'-,: 1.fa kt_ .. "',
-'iz' CU!L
2r'I:' ,"'iti"iJcr"
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t ' ~ f!
0j
./-<.;
.. ,DateA -) 7-fY~1
Scale: 1"=40'
Page 2 of 2
James R. Hill, Inc.
SURV~Y
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ADDRESS
DATE
SCHEDULED ~
2-~ kx ~ l10u \
TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
OWNER
CONTR.
PHONE NO.
~ -'-/1.O
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION J
.J!= FINAL D.DCJ'^-'
o SITE INjJ{ECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
COMMENTS:
~ORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORR T ORK, CALL FOR REINSPECTION BEFORE COVERING
Inspectc':
Owner/Contr:
50 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
UlREMENTS ARE FOR YOUR PERSONAL HEALTH cl SAFETY!
INSNOTl
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