HomeMy WebLinkAboutBldg Permit 04-0170
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
(Please type or Print and sip at bottom)
ADDRESS
5a-<z~
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.
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I. White File
2. Pink City
3 Yellow Applicant
Date Rec' d
3 --;;ILI-()tj
PERMIT NO.O~~ 0/70
LEGAL DESCRIPTION (office use only) //7 .
LOTh BLOCK I ADDITION ~k.f~Rzz:.-
U
OWNER ()
(Name) ~l<nfll..J)~fII
C HJ1-1'1
(Address) 5(L~Ci FON 1)$;: 'j)~jl & <~
BUILDER
(Company Name)
(Contact Name)
(Address)
(Phone)
&my
w.
M..J\/ q t:1 ? 7 1-
(Phone)
(Phone)
ZONING (office use)
~/
PI~~5- 3Cfrt- ()O~-()
~ 440 -J. 9 i./LI.
TYPE OF WORK. 0 New Construction ~Deck o Porch ORe-Roofing ORe-Siding OLower Level Finish 0 Fireplace
DAddition DAlteration DUtility Connection 0 Misc.
CODE: !)3I.R.C. DI.B.c.
Type of &nstroction: I
Occupancy Group: A B E
Division:
II
F
I
illIV&)A(B)
H~MlB'sU
2 W 4 5
PROJECT COST IV ALUE $
(excluding land)
I hereby certify that I have furnished information 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-menl1o property and that all cZinstru tion will conform to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the building
official ca v e this permit fi just caus u herrnore, I hereby agree that the city official or a designee may enter upon the property to perform needed inspectIons.
X ~-/ ~--- II1 '::;;:v - () L/
. - ;; Signature Contractor's License No. - Date .
I Permit Valuation
I Permit Fee
I Plan Check Fee
I State Surcharge
I Penalty
I Plumbing Permit Fee
I Mechanical Permit Fee
I Sewer & Water Permit Fee
I Gas Fireplace Permit Fee
f4/;o~,/)a
$ /d ~.OO
$ G,lo.~S
$ Z.~
$
$
$
$
$
This Application Becomes Your Building Permit When Approved
<2.. .~
~Id"l-'I"
BUI IIlg Of ICIa
3fr~'L
, Date '
I Park Support Fee
I SAC
I Water Meter Size 5/8"; I";
I Pressure Reducer
I Sewer/Water Connection Fee
I Water Tower Fee
I Builder's Deposit
I Other
I TOTAL DUE
I Paid
I Date
/71..C(S
_7 zA'..eJ~
#
#
#
#
$
$
$
$
$
$
$
$
$/7/.QS-
,
~
ThiS IS to certify that the requcst in the above application and accompanying documents is in accordance with the City Zoning Ordinance and may proceed as requestcd. This document
when signed by the City Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificatc 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 CheckJist
'-
D~ck Addition:.l to Sillgi~ Family aom~:l
BY'~
--
Building 'P~rmit #-
Site Addre:l:i
Legal: L It; B
I
~ Date 3 _ ~. LI-O'-(
PID~OFS- 1J~:;':g~ ~
Subdivisit}n: J).R.L-{pd 81::f::-
E.ri.::lting Structur~or NO
CONFORl\IS TO ZONTI'{G
ORDINANCE
x'ES
NO
Yar.dSetbuck:i: NOT APPLICABLE
iVtEETS CODE
R~quirement
Propo::ied
· Side Yard
(2j' if abutting a street, 30' if abutting a street in
Cardinal Ridge)
· . Side Yard
10'
,
lO~
rs
32'
~ Z~/.
· Rear Yard
2j'
· Townhouses
Must be consistent with
approved plan for
development
N~.
Ai'fY PROPOSED DECK NOT M:EETlNG THE ABCJVECRlTERlA MUST BE REFERRED TO THE
PLAl'iNlJ."fG DEPARTlYI:E.l'fT. ALSO, A.NY DECK ON A LOT WITH A SUSPECTED BLUFF, OR Al.'iY
OTHER UNUSUAl. CIRCUiYLST.'-U'iCE lYIUST BE REFE.RRLD TO THE. PLAJ.'fNll'iG DUARTl'tI:ENT.
THls CHEC.KL1ST lVIUST BE COMPLETED AJ.'fD ll'ICLUDED f.l'i THE BUll.DlI'iG P~YnT FILL TO
iYlAlN1'AlN A RECORD OF THE RLV1EW.
L.:'TEvJPU. IT', 0 E G:~=HCX..DOC
'>t/
PRIOR LAKE DEPARTMENT OF
BUILDING AND INSPECTION
INSPECTION
RECORD
SITE ADDRESS GtlaS 1'~DS E1)G6 UJ. r.E" I
TYPE OF WORK NE.-.I 1)8!JL-
USE OF BUILDING ~ ~#t::D.
PERMIT NO. 04. Of/a DATE ISSUED 3/z.l{/fJlf
BUILDER ~rlAtJ~t-\ ~ PHONE #ZZ-''kJ-~~
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
, FOOTING 'WY/ I L+-7-oL( f
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
I , ~
. I FINAL I fIi; ~~ Ze f
FOR ALL INSPECTIONS (952) 447-9850
INSPECTOR
DATE
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADORESS 50f6 <(~ ., ~1}(
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
SLATION
FINAL
o SITE INSPECTION
COMMENTS:
CONTR.
PERMIT NO.
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
DATE TIME
~-w
{I- /70
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
~ORK SATISFACTORY. PROCEED
o CORREC TION AND PROCEED
o CORR CT Wi. CA L FOR REINSPECTION BEFORE COVERING
Inspector:
OwnerlContr:
o FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE..
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
INSNOTl