HomeMy WebLinkAboutBldg Permit 05-0259
(Please type or print and si~ at bottom)
ADDRESS
5'045
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
1-. 7.05
I. White File I PERMIT N I
2 Pink City O. 05:. 0 250
3 Yellow Applicant I
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LEGAL DESCRIPTION (office use only)
LOT / BLOCK / ADDITION OaeRew B IH
OWNER
(Name)
SCvH~
~4-~
(Address)
BUILDER
(Company Name)
(Contact Name)
(Address)
ZONING (office use)
12/
PID 25. 399. ()CJ I. 0
ArrvL~
V l5'NL <..
bl v'"\ ~
(Phone)
(J))'\>.~uh6V\---'
(Phone)
(Phone)
~S2-- 440-'l~O
120.000,00
$ '33Q.oo
$ '2.:Z.0. ~ ~
$ to,oo
$
$
$
$
$
Park Support Fee
SAC
#
#
htm-MV"
~Ill
14461> ~U-\ i'\.<:>vdlf _ t?\L,^"V(
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TYPE OF WORK 0 New Construction ~eck c~~Ch ORe-Roofing ORe-Siding
DAddition OAlteration OUtili Connection 0 Misc.
~ SCKz..~ ,l.
CODE: !.R.C. D!.B.C.
Type of 0 tmction: I II III IV V A B
Occnpancy Group: A B E F HIM R S U
Division: I 2 3 4 5
~
Li'\. .
o Fireplace
20.000
I hcreby certifY that I have furnished mformation on this application which is to the best of my knowledge true and correct. I also certifY that I am the owncr or authoflzcd agent for the
above-mentIOned property and that aU construction will conform to all existmg state and local laws and will proceed in accordance with submitted plans. I am aware that the buildmg
:Ctal can revoke 1?~e:mtt or st cause Furthermore, I hereby agree that the CIty offiCIal or a deslgnez:;; .z:.e; ~ol t~operty to perform needed mS4t:n~ --1>
Contractor's License No. Date S
Permit Valuation
Permit Fee
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
OLower Level Finish
PROJECT COST /V ALUE $
(excluding land)
Water Meter Size 5/8"; I";
Pressure Reducer
Sewer/Water Connection Fee #
Water Tower Fee #
Builder's Deposit
Other
TOTAL DUE el'lU.-e?J 4-. 8.1) D
$
$
$
$
$
$
$
$
$ 5 toCj,:55
Paid
Date
~~(J~
+. /3. ~
Recei~~. -F?/tJ;.
By r'(/ ~
This Application Becomes Your Building Permit When Approved
~ki"~ 4/~!O~
ThIS IS to certify thatthc requcst in the abovc applicatIOn and accompanying documents is in accordance with the City Zoning Ordinancc and may proceed as rcqucstcd. This document
whcn signcd by the City Planner constItutcs a temporary Ccrtificate of Zoning compliance and allows construction to commence. Before llccupancy, a Ccrtlficatc 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 ~ ~ Date: "\- ( 7/0 S
Building Permit # PID: Zoning:
Site Address
Legal: L /
B
/
Subdivision: /)~<R 8L
Existing Structure~r NO
CONFORMS 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'
~
10'
I
/~
J}/~7
tnX.A Z5' I
. Rear Yard
25'
. Townhouses
Must be consistent with
approved plan for
development
.NA,
ANY PROPOSED DECK NOT MEETING THE ABOVE CRITERIA MUSTBE 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.
Tms 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 DEPAnlltlENTOF
BUILDING AND INSPECTION
INSPECTION RECORD
SITE ADDRESS $() 4/S ~ _ /JJI
NATURE OF WORK ~
USE OF BUILDING s;J::. ~
PERMIT NO. ~ Oi'TE _IS~UED ~
CONTRACTOR--~"'~_ ~ PH N . "I"~d'-?7Sc
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR"
J1ai
-----
I
I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
. /ATE /'
f//(!~
... ,~ .,
FRAMING
INSULATION
LECTRICAL
,
/11//1
/ltf!
\0. .
S/3/c .J
,
S /2~S~
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
#dMStr~ I I
FINALS
BUILDING
ELECTRICAL
/fA-
", .
7/ (Q/'(JJ
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DO NOT OCCUpy UNTIL ABOVE HAS BEEN SIGNED
NOTICE..
This card must be polted near an electrical eervlce cabinet prior to rough-In inspections
and maintained until all inapectlona have been approved. On buildinga and additions
where no service cabinet Is available, card ahall be placed near main entrance.
FOR ALL INSPECTIONS (952) 447-9850
CITY OF PRIOR LAKE
INSPECTION NOTICE
DATE TIME
U~~-
0(J~- ~d~ed;e--~' ~
SCHEDULED
ADDRESS
'"
OWNER
CONTR.
PHONE NO.
PERMIT NO.
cz- - .,2..5/
o FOOTING
o FOUNDATION
o FRAMING
~ ~TION
~~~~..,
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXlGRADIFILUNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
COMMENTS:
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%WORK SATISFA~TORY.PROCEED ./
/6 CORRECT ACTI~ r"v",o=o=~
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
'",pedoc n. Owne.lCo","
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTI