HomeMy WebLinkAboutBldg Permit 05-0338
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
f If()S-
White
Pink
Yellow
File
City
Applicant
I PERMIT NO.S 33Jt
(Please type or print and si2Jl at bottom)
ADDRESS
2~,",D 1; DbC.~+ Tr\,
w~
LOT
BLOCK
LEGAL DESCRIPTION (office use only)
ADDITION
PID 2 r-. -;>,rZ . C I Z. Q
OWNER Clw~~ ~\e\c.-'Z.-1-
(Name) .. \
(Address)
BUILDER
(Company Name)
(Contact Name)
(Address)
A
ZONING7 (office use)
PL 0
(Phone)
'1S'2.-QD 5 -) DDs
(Phone)
(Phone)
OLower Level Finish
B
I
E
II
F
1
III IV
H I
2 3
PROJECT COST IV ALUE $
(excluding land)
o Fireplace
I hereby certity that I have furnished information on this application which is to the best of my knowledge true and correct. I also certity that I am the owner or authonzed agent for the
above-menlloned 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
:fiClal f r~~t ~~:t ca~Fu;:~+:rebY agree that the City offiCial or a designee may enter upon the property to perform need~t r::~10ro S-
- - SIgnature \ Contractor's Ltcense No. Date
TYPE OF WORK 0 New Construction ~Deck OPorch ORe-Roofing ORe-Siding
DAddition OAlteral101\ OUtility Connection 0 Misc.
CODE: DI.R.C. DI.B.C.
Type of Construction:
Occupancy Group:
Division:
Permit Valuation
Permit Fee
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
V
M
4
A
R
5
B
S U
113000. De
$ E38. ZS-
$ 57,3"
$ I, So
$
$
$
$
$
Park Support Fee
SAC
#
#
Water Meter Size 5/8"; I";
I Pressure Reducer
I Sewer/Water Connection Fee
I Water Tower Fee
I Builder's Deposit
I Other
I TOTAL DUE
#
#
$
$
$
$
$
$
$
$
$ I t..f7, 1/
This Application Becomes Your Building Permit When Approved
Paid
Date
, ~7 II
4. '2 e- tJr-
Receipt No. 491fl.,-
By 4/J~!t~
'j
~
,.
~ I-.J
Buildll1g Ollicial
1P-~/t;5
Date
ThiS IS to certity that the request in the above applicatIOn and accompanying documents is in accordance with the City Zoning Ordinance and may proceed as requested. This document
when signed by the City Planner consllllltes a temporary Certificate of Zonmg compliance and allows construction to commence. Before occupancy, a Ceruftcate 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
Residential Building Permit Checklist
Deck Additions to Single Family Homes
BY: ~ {o.~ Date: 1/- {;(R-S-
Building Permit #
Site Address
PID:
A:b & J-ni~
Legal: L B
;( ?f j
Subdivision:
Existing Structure~or NO
CONFORM:S TO ZONING
ORDINANCE
YES
NO
Yard Setbacks: NOT APPLICABLE
MEETS CODE
Requirement
Proposed
· Side Yard
(25' if abutting a street, 30' if abutting a street in
Cardinal Ridge)
. Side Yard
10'
25,&:'2..
10'
{D.(p'
I
~2S
· Rear Yard
25'
· Townhouses
Must be consistent with
approved plan for
development
",'1\\ A
ANY PROPOSED DECK NOT MEETING THE ABOVE CRITERIA MUST BE REFERRED TO THE
PLANNING DEPARTMENT. ALSO, A1~Y 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:\ TETvlPLA TE\D E CKCHCK.DOC
P RIO R LA K E ~~rto~~:~r::D ~:SPECTION
INSPECTION
RECORD.
SITE ADDRESS Zatto l508CAT' ~ tL fJ.W.
TYPE OF WORK tJe.J ~
USE OF BUILDING -s,F: 1:>.
PERMIT NO. .bS'" fJ'Ja DATE ISSUED ~
BUILDER.Qt&l.s "'r~ PHONE ~- amI - ~O'J
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR J. ~TE "
I FOOnNG I /!"c# I SP/"5'
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
I I
I FINAL I (jr;( I~
FOR ALL INSPECTIONS (952) 447-9850
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS :J.~O ~b!- \IT'.
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
~SULATION
FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
, I '1 " .f) ,I) t
ok fq C(o~ ~ F-P'{CJ
. r
DATE
o/2~/{f,
TIME
f:"-'5~
o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
./
~RK SATISFACTORY, PROCEED
o CORRECT ON AND PROCEED
C COME rI# CALL FOR REINSPECTIOH BEFORE COVERING
/ A Owner/Contr:
~850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE..
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSIIOTl