HomeMy WebLinkAboutBldg Permit 05-0761
Date Rec' d
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
~fI~ Wt:lP1
J rI'
LEGAL DESCRIPTION (office use only) c......_ A I _ I · \.../
LOTtkBLOCK ( ADDITION Ir~~),/,Ll{/
OWNER
(Name)
(Please type or print and sign at bottom)
ADDRESS
Ii.( "I ~6
. ,
(Address)
L (t\ ~'
\4.'t~O
L. \<'\D*~~
tu")\\t.1'"\.e.. w,,~
BUILDER
(Company Name)
(Contact Name) _
(Address)
White File
Pink City
Yellow Applicant
(Phone)
Nw
(Phone)
(Phone)
o New Construction ~eck. OPorch ORe-Roofing
DAddition DAlteratio~Utility Connection
o Misc.
TYPE OF WORK
CODE: OLR.C. OLB.C.
Type of Construction:
Occupancy Group:
Division:
A
B
I
E
1lI IV
H I
2 3
V
M
4
,
I PERMIT NO. ()~ -'i to {
ZONING (office use)
PID('~f~ (J/~-O
q-)a - "d11-SSc9
o Fireplace
ORe-Siding OLower Level Finish
A
R
5
B
S U
PROJECT COST IV ALUE $
(excluding land)
.........
-----
II
F
I
I hereby 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 owner or authonzed agent for the
above-menuo~ ~~Ind that all constfllction will c.onform to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the building
:ficial can re ~~~herebY agree that the CIty official or a designee may enter upon the property to perform needed m~:~s_ S
",Signature - Contractor's License No. Date
I Permit Valuation
I Permit Fee
I Plan Check Fee
I State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
$
$
$
$
$
$
$
$
:3 I bb(>. a>O
~~ :z. ~
" 7 ."3(,
( . sO
es Your Building Pennit When Approved
8"~-~
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
Paid
Date
I t.j1,t;
. t...~-~
# $
# $
$
$
# $
# $
$
$
$ ILlIJ. 1/
,
Receipt No.L/Q'71 f?'
By ~
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 Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate 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
BY:~ tt
Residential Building Permit Checklist
Deck Additions to Single Family Homes
Building Permit #
Site Address /4?/ L. D
I
~/ ~-S--
PID:
(laG/Ie fa i&
Date:
Zoning:
Legal: L {<c
B
Subdivision:
~ ",,~
Existing Structure: YES or NO
CONFORMS TO ZONING
ORDINANCE
~.
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'
o
1,-/' +-
10'
\
'20 '-"\.
52 r
. Rear Yard
25'
· 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, Ai"lY DECK ON A LOT WITH A SUSPECTED BLUFF, OR ANY
OTHER UNUSUAL CIRCUMSTANCE MUST BE REFERRED TO InJ!.PLANNING DEPARTMENT.
THIS CHECKLIST MUST BE COMPLETED AND INCLUDED IN l..1i.1!. BUILDING PERMIT FILE TO
MAINTAIN A RECORD OF THE REVIEW.
L:\ TE1vlPLA TE\DECKCHCK.DOC
PRIOR LAKE DEPARTMENT OF
BUILDING AND INSPECTION
INSPECTION
RE ORD
SITE ADDRESS J.!/!J.1.() Q4 k vJ
TYPE OF WORK oK I
USE OF BUILDING
PERMIT N1,gS-- ?J, I DATI:: ISSUED po S.S .
BUILDER · -t~ ~1-nJllY\ PHONE#,3'3- %(),
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
f~ I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
~ I I
I
I FINAL V~rJJ
"
FOR ALL INSPECTIONS (952) 447-9850
..--
,/
CITY OF PRIOR LAKE
INSPECTION NOTICE
D:l~
SCHEDULED ~~~
~~-l~ ~
(I
TillE
ADDRESS ~.~ (PO
OWNER
CONTR.
PHONE NO.
PERMIT NO.
~-7(,1
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
~NAL
-tJ SITE INSPECTION
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:
l. tJ~ ~ld- 1l.hS9,
'2. ~ ~<; dU.Q,,1 te.-o. €asl~ ~ .
-=;ru,'1 ~ ~l-~ \kl~& J(O.s~
. ,-
o WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
~ORRE1'1rr~LL FOR REINSPECTION BEFORE COVERING
Inspector: tV J Owner/Contr:
C '
CAL. J4': '9~OR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
V
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
Ut$NOTl
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS J '-(4 ~ 0
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
COMMENTS:
i. l:A::r k:
c:>.:;TE /E
SCHEDULED O~~
~.~
CONTR.
PERMIT NO.
5-7lof
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
auJl r- ~~~ ~
o WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
Jl..CORRE~RKI CALL FOR REINSPECTION BEFORE COVERING
Inspector: ) Owner/Contr:
CAL 7-98 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
UlREMENTS ARE FOR YOUR PERSONAL HEALTH &; SAFETY!
INSNOTl
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS j 4.4 ltD
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
'" 0 )NSULA TION
..Jl!f"FINAL
o SITE INSPECTION
COMMENTS:
1)0
"
.-
.. ",'<
J
DATE
SCHEDULED (p/~!'~~
r}(l~+\ .P ~
TIME
CONTR.
PERMIT NO.
l? -07&/
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
-~r
-
"
C-lb~ ~ t~ \'4'
o WORK SATISFACTORY, PROCEED
o CORREC TION AND PROCEED
o COR K, CALL FOR REINSPECTION BEFORE COVERING
Inspe .or: Owner/Contr:
uL. ~o FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH &I SAri!.l L'/
INSNOrl