HomeMy WebLinkAboutBldg Permit 05-0268
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
1-.80:;-
4-,21~
at bottom)
White
Pink
Yellow
File
City
Applicant
I PERMIT NO. O~()2 ~e; I
ZONING (office use)
ICI
I S+/6
C/V11V&
e,()l/~
#1-1/
LEGAL DESCRIPTION (office use only)
LOT
BLOCK 2. ADDITION
hl/ ~o..s
/' 7]f
19~
PID2
4/Z. 0/3. 0
OWNER
(N ame)
(Phone) P6:2- 1/-</;7-.:52/S7-
(Address)
BUILDER
(Company Name)
(Contact Name)
(Address)
(Phone)
(Phone)
TYPE OF WORK 0 New Construction ODeck OPorch ORe-Roofing ORe-Siding OLower Level Finish 0 Fireplace
OAddition o Alteration OUtility Connection 0 Misc.
CODE: ~I.R.C. DI.B.C.
Type of onstnlction: I II III IV V A B
Occupancy Group: A B E F H I M R S U
Division: I 2 3 4 5
PROJECT COST IV ALUE S
(excluding land)
I hereby certify that I have furnished mformation on this application which is to the best of my knowledge true and correcl. I also certify that I am the owner or authOrIzed agent for the
above-menuoned properry 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 buildmg
official can revok is!er~. i.. r cause FlIIthermore, I hereby agree that the Clry official or a designee may enter upon the property to perform need~~msp~ctions...-
X . w<:K~ ,-c?-C6
Permit Valuation ,t!J()
Permit Fee $
Plan Check Fee $
State Surcharge $
Penalty $
Plumbing Permit Fee $
Mechanical Permit Fee $
Sewer & Water Permit Fee $
Gas Fireplace Permit Fee $
Contractor's License No.
Date
Park Support Fee # $
SAC # $
Water Meter Size 5/8"; I"; $
Pressure Reducer $
Sewer/Water Connection Fee # $
Water Tower Fee # $
Builder's Deposit $
Other $
TOTAL DUE $ ~f, S-~
This Application Becomes Your Building Pennit When Approved
~~
Building Ollicial
1/~/6r
date
Paid
Date
.~ sCP
~ ~~~
I ~~ei~?
ThIS tS to certify 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 Ciry Planner conslllutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Ceruficate 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:~
r
~~
Date: 7"/8/05
Legal: L
9
B
'2-
Subdivision:
Zoning: "
~~
t.o!3: A-J--il~
Building Permit #
Site Address
PID:
. Existing Structure: YES o@
I CONFORMS TO ZONING
ORDINANCE
YES
NO
Yard Setbacks: NOT APPLICABLE Requirement Proposed
MEETS CODE
. Side Yard 10' ~
(25' if abutting a street, 30' if abutting a street in t
Cardinal Ridge) (1,33
. Side Yard 10' 10 I
. Rear Yard 25' t
~ ;}-S
. 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
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"
PRIOR LAKE DEPARTMENT OF
BUILDING AND INSPECTION
INSPECTION
RECORD
--
SITE ADDRESS /S 1- / S- ~6 (!Ajv/-'U
.
TYPE OF WORK O~7UL
USE OF BUILDING /C,CI A"I/~
PERMIT NO. ()<j.uZ((18 DATE ISSUED 4-, 8- oS-
BUILDER ~C/Z.. PHONE # 44 7. 5057
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
FOOTING we
PLACE NO CONCRETE UNTIL AB
- I
I FINAL I fh
DATE
I Ii"-?O
FOR ALL INSPECTIONS (952) 447-9850
..___,___,__,___"...._w..,._..,,__..~________._.__...__........._..~....~____...-___,_o_._,___~_.."~,,~..~____.._
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS 1'5 L( I)'
OWNER
r~:/~
SCHEDULED I~
~t+
TIME
CONTR.
PERMIT NO.
5 -24?!l
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
%,FINAL
o SITE INSPECTION
COMMENTS:
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXIGRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
o WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORR CT RK, CALL FOR REINSPECTION BEFORE COVERING
Inspecto
50 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
Owner/Conte
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
INSNOTl