HomeMy WebLinkAboutBldg Permit 04-0794
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
(Please type or print and sign at b. .". .)
ADDRESS / SiR 7 (P ASH rr. I!!-O.
LEGAL DESCRIPTION (office use only)
LOT K BLOCK / ADDITION
7J1e;~~ .')'
OWNER
(Name)
(Address)
BUILDER
(Company Name)
(Contact Name)
(Address) I 32..'
V"R. \l \3\1' t. \) eRS
\ ~ ":I2t S-m.\J ~
LA. \C- E:1. \:> 12.- ,.t.J .
Date Rec' d
7. >~ 0<1-
I White File
2. Pink City
3 Yellow Applicant
PERMIT NO. f">4,..o1q~
I
ZONING (office use)
~I
PID z.s-: U, 7, Do8. 0
(Phone)
(Phone) &J l-l.-2J - Z'1 '2 1
(Phone)
CHMvH}\-~~) ~.
~3f7
TYPE OF WORK 0 New Construction ~eck OPorch ORe-Roofing ORe-Siding
OAddition o Alteralc;"n OUtility Connection 0 Misc.
I hereby certify t.hat I have fumished~formation on this application which is to th.e best of my knowledge true and correct. I also certify that I am the owner or.authOTlZed agent for the
above~mentlOned pro. peTty a at construction W.ill conform to all existing state and local laws and will proceed in accordance with submitted plans. I am aware7h the building
v~ revofe uus 1" st use Furtherm~CJty official or a designee may enter upon the property to perform needed inspectIons.
X ~y :..- - 7-'2-'7-()J.'
~'Iature [J Contractor's License No. Date '
"~, Of) I Park Support Fee # $
$ 10 $.00 I SAC # $
$ l.Dlo.1~ I Water Meter Size 5/8"; I"; $
$ l, 0 c) I Pressure Reducer $
$ I Sewer/Water Connection Fee # $
$ I Water Tower Fee # $
$ I Builder's Deposit $
$ IOili~ $
$ I TOTAL DUE ~ 1.7//.()4- $ /7/, 'S
Receipt No. f'14"'1"Q
By J',
CODE~' .R.C. DI.B.C.
Type of onstruction:
Occup cy Group: A B
Division:
IDrv
H I
2 3
V
M
4
I
E
II
F
1
Permit Valuation
Permit Fee
Plan Check Fee
State Surcharge
I Penalty
I Plumbing Permit Fee
I Mechanical Permit Fee
I Sewer & Water Permit Fee
I Gas Fireplace Permit Fee
This Application Becomes Your Building Permit When Approved
~~
Building Otlicial
7/':;9/ocL
, Date' ,
OLower Level Finish
o Fireplace
A
R
5
PROJECT COST IV ALUE
(excluding land)
_ DO
$ 6' ')()O
)
B
S U
I Paid
I Date
- ----
J/} {. c.y c.,
, ~- J - - L/
~ f.r \
ThiS is to certify that the reqllest 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
isslled
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/..=>.7/t:J y
Building Permit # () ""..07,4--- PID:
Site Address
Zoning:
Legal: L ~
B
Subdivision: T!'f-C TIU:; t:: ~
Existing Structur~r NO
CONFORMS TO ZONING
ORDINANCE
YES
NO
I 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'
2.. I ;-
~ fa
~ Z-S'"
· Rear Yard
25'
· Townhouses
Must be consistent with
approved plan for
development
N~'
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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- " _..___ __.-.:..___....:... c;..:- _._._.. _'___~.'___'__-'
PRIOR LAKE DEPARTMENT OF
BUILDING AND INSPECTION
INSPECTION
RECORD. .
SITE ADDRESS /5'7/P FlSl-I ,o/JINr- ~O
TYPE OF WORK }JEp:J l)E:'f!.1L
USE OF BUILDING ~ F: 0 · -
PERMIT NO. ()~. 0 7q~ DATE ISSUED 2L;l*J~~
BUILDER Jill. V 13uii.DC:I,c,s' PH6NE#"Z-~2/-e9Z,
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR / ,lTE /' .
FOOTING I ~ I ,?1~/'~
PLACE NO CONCRETE UNTIL ABOVE 'HA,S BEEN SlgN~D~
~FRAMING ~ I ?/7/a'l
. ~Mt. n Dell- ~A.l) P/AC~IH~r I / I
I FINAL I ,f//of- I 'I /j/c Ph
,
FOR ALL INSPECTIONS (952) 447-9850
"
SCHEDULED ~~
~~ // L'/
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS / 5b ? ,
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULA nON
~L
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL /
4~ c /c..
COMMENTS:
/'
/'? /
r; hq, t'
,
~/
(/rC
....
TIME
~- 70/
o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
/
/ /'/ ~/ )
( L /dS--e r; (p_ /
~O~A;TORy.PROCEE~
~CORRECT ACTION ANI':'iPROCEED
o COAAECT i"~~ RE.'NSPECT'ON BEFORE COVERING
Inspector: ,,1/ V,,?--. .,....6wner/Contr:
CA1"L 447-9850 FOR TH~ NEXT INSPECTION 24 HOURS IN ADVANCE.,
INSNOTI
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH cl SAFETY!