HomeMy WebLinkAboutBldg Permit 05-0299
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
(Please type or print and si2l1 at bottom)
ADDRESS
I White
2 Pink
) Yellow
File
City
Applicant
1/1//1/
.
~Naf- ~~
LEGAL DESCRIPTION (office use only)
LOT 7BLOCK (ADDITION~tJe ~ ijz::lL
OWNER
(Name)
J)d~\A.5
Vc-.vJ~ Wa.;J4..
(Address)
BUILDER
(Company Name)
(Contact Name)
(Address)
(Phone)
(Phone)
(Phone)
Date Rec' d
I PERMIT NO.aT- dCJ9 I
ZONING (office use)
Rj
PID;(S'3/ij - t?cY?-L:
(PI;} ~SSi.f-7/b D
TYPE OF WORK 0 New Construction l5lDeck OPorch ORe-Roofing ORe-Siding OLower Level Finish 0 Fireplace
DAddition OAltera~ DUtility Connection 0 Misc.
CODE: DI.R.C. DI.B.c.
Type of Construction:
Occupancy Group: A B
Division:
I
E
II
F
I
III IV VA
HIM R
2 3 4 5
B
S U
PROJECT COST /V ALUE $
(excluding land)
I hereby cerrifY that I have furnished mformation on this application which is to the best of my knowledge tme and correct. I also certifY that I am the owner or authorIzed agent for the
above.mentlOned 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 buildmg
;cial can revotf7;r~use urthermore, I hereby agree that the city official or a designee may enter upon the properry to perform nee; :;s:c~n~ ~ t) 5'
'" ,
Signature
Permit Valuation 7.... SlJO
Permit Fee $ 7'1 7.F
Plan Check Fee $ 47 4~
State Surcharge $ , 00
Penalty $
Plumbing Permit Fee $
Mechanical Permit Fee $
Sewer & Water Permit Fee $
Gas Fireplace Permit Fee $
mes Your Building Permit When Approved
ii- )0-0)
Date
Contractor's License No.
Park Support Fee
SAC
Water Meter Size 5/8"; 1";
Pressure Reducer
Sewer/Water Connection Fee
Water Tower Fee
Builder's Deposit
Other
TOTAL DUE
Paid
Date
/2.2. & 0/
4. z,o:o~
Date
#
#
$
$
$
$
$
$
$
$
$
I)"),, 6_q
#
#
Receipt No. 9f 12 '1--
By ALP'A
/
ThIS IS 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 City Planner constitutes a temporary Cerrificate of Zoning compliance and allows constmction to commence. Before occupancy, a Certificate of Occupancy must be
issued
Planning Director
f2~4 ~
Date
24 hour notice for all inspections (952) 447-9850. fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
a If
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Special Conditions. if any
Residential Building Permit Checklist
Deck Additions to Single Family Homes
BY i/r);tt- Date: q~d() -5---
Building Permit # PID: Zoning:
Site Address 517/ "'-/ 6A~tV;.J- c1 d-
Legal: L B Subdivision:
Existing Structure: YES or~
CONFORMS TO ZONING
ORDINANCE
Yard Setbacks: NOT APPLICABLE
.MEETS CODE
Requirement
· Side Yard
(25' if abutting a street, 30' if abutting a street in
Cardinal Ridge)
. Side Yard
10'
10'
. Rear Yard
25'
. Townhouses
Must be consistent with
approved plan for
development
$- :2-9'9
o .
NO
Proposed
(lJ3
1lJ~
5()+-
/1)4
ANY PROPOSED DECK NOT MEETli'iG THE ABOVE CRITERIA MUST BE REFERRED TO THE
PLANNING DEPARTMENT. ALSO, ANY DECK ON A LOT WITH A SUSPECTED BLUFF, OR A1~Y
OTHER UNUSUAL CIRCUMSTANCE MUST BE REFERRED TO THE PLANNING DEPARTMENT.
THIS CHECKLIST MUST BE COMPLETED Ai~D INCLUDED IN THE BUILDING PERMIT FILE TO
MAINTAIN A RECORD OF THE REVIEW.
L\ TETvlPLA TE\DECKCHCK.DOC
PRIOR LAKE DEPARTMENT OF
BUILDING AND INSPECTION
INSPECTION
RECORD
SITE ADDRESS I./!ilY. Gbesf JUt( t W
TYPE OF WORK oe:c;k .
USE OF BUILDING'--s F'
PERMIT ~. Or-~ DATE ISSUED (.;/... ~O - 5
BUILDERJ,)__/4~ 1J,J,M/4--- PHONE b/~.5Si./" 716 (J
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
I FOOTING I !;J;'2" I 1/- :?&:--t?S- I
PLACE NO CONCRETE UNTIL WBcfvE HAS BEEN SIGNED
~ I I
I FINAL
I //
6/8/kJ
I I
FOR ALL INSPECTIONS (952) 447-9850
..1.
y!
j
I
DATE TIME
CITY OF PRIOR LAKE W67
INSPECTION NOTICE SCHEDULED
ADDRESS 'I41f ~
OWNER CONTR.
PHONE NO. PERMIT NO. 5 --2f:t
o FOOTING o PLUMBING RI o EXIGRADIFILLING
o FOUNDATION o MECH RI o COMPLAINT
o FRAMING o WATER HOOKUP o FIREPLACE RI
;;ULATION o SEWER HOOKUP o FIREPLACE FINAL
IHAL o PLUMBING FINAL o GASLINE AIR TST
o SITE INSPECTION o MECH FINAL 0
COMMENTS:
~t7 (l)~ ~
/:/
-+, ( .P
- -,
/'
~RK SATISFACTORY, PROCEED
o CORRE A liON AND PROCEED
K, CALL FOR REINSPECTION BEFORE COVERING
Inspect: I Owner/Contr:
C,LL :jr.J/so F~E NEXT INSPECTION 24 HOURS IN ADVANCE.
CO~ENTS ARE FOR YOUR PERSONAL HEALTH &: SAFETYI
INSNOTl