HomeMy WebLinkAboutBldg Permit 05-1049
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
White
Pink
Yellow
File
City
Applicant
I PERMIT NO. 05./049
(Please type or print and si~ at bottom)
ADDRESS
ZONING (office use)
143?5
h"Shu ~I )J~.
LEGAL DESCRIPTION (office use only)
LOT g' BLOCK
I
ADDITION
5,xK
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J1-dJ."-.h'1M J.o AJ,.r.,J{..S'I..-<" PID zs. LfI""'. t1()8.0
OWNER ,)
(Name) f(f)W+- .... L:SA-
(Address) J 1{17S
b:slbY
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(Phone)
&eLl-
q5~- t.Jl./S-Ss Ii./
#51. 575Y
BUILDER
(Company Name) () t~Vle"y-
(Contact Name)
(Address)
(Phone)
(Phone)
TYPE OF WORK 0 New Construction ~eck OPorch ORe-Roofing ORe.Siding OLower Level Finish 0 Fireplace
OAddition OAlter~ OUtility Connection
CODE: DI.R.C. DI.B.c.
Type of Construction:
Occupancy Group: A B
Division:
o Misc.
I
E
II
F
I
III IV
H I
2 3
V
M
4
A
R
5
B
S U
PROJECT COST IV ALUE $
(excluding land)
~,()/l) ?
I hcreby certify that I have hlmished mformation on this application which is to the best of my knowlcdge true and correct. I also certify that I am the owncr or authonzcd agcnt for thc
abovc.mcntlOned property and that all construction will conform to all existing state and local laws and will proceed in accordance with submittcd plans. I am awarc that thc building
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IStgnature Contractor's License No Date
Water Meter Size 5/8"; 1";
Pressure Reducer
Sewer/Water Connection Fee
Water Tower Fee
#
#
$
$
$
$
$
$
$
$
Permit Valuation 30::>0"
Permit Fee $ Re~
Plan Check Fee $ ~7 - ~f..p
State Surcharge $ I · Sl)
Penalty $
Plumbing Permit Fee $
Mechanical Permit Fee $
Sewer & Water Permit Fee $
Gas Fireplace Permit Fee $
Park Support Fee
SAC
#
#
Builder's Deposit
Other
Paid
Date
, J
rH'/~11 ~
- /Crlq-~
~ /fJ.1If. tJS' I $ /+7.. / /
Receipt No. 5w~J
By .C
~
TOTAL DUE
ertify that the rcquest in the above applicatIOn and accompanymg documents is in accordance with the City Zoning Ordinancc and may proceed as rcqucstcd. This documcnt
by the City Planner constltutcs a temporary Certificate of Zonmg compliance and allows construction to commence. Before occupancy, a Ccrl1ficatc of Occllpancy mllst be
f()~. 1-
Planning Director ~te 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:(?6
Residential Building Permit Checklist
Deck Additions to Single Family Homes
Date: I b (,e!41/f!;:?
Building Permit #
Site Address 19"!' 70
Legal: L ~J B
PID:
r::~ ~
,
Zoning:
Subdivision: (, ~ ~
lUo~~
. 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'
.'.
10'
..f2.,
Lf 27{
3~ (
· Rear Yard
25'
· Townhouses
Must be consistent with
approved plan for
development
ANY PROPOSED DECK NOT MEETING THE ABOVE CRITERIA MUST BE REFERRED TO l.tl..1!.
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 1.n.J!. REVIEW.
L:\TEMPLA TE\DECKCHCK.DOC
~
PRIOR LAKE DEPARTMENT OF
BUilDING AND INSPECTION
INSPECTION
RECORD
SITE ADDRESS Ilf3JS fi, h4'r A1L N f=
TYPE OF WORK Ne:~ ~ c Ie...
USE OF BUILDING SFO .
PERMIT NO. 05. /d4-7 DATE ISSUED (0/'9 I D--r-
. I ,
BUILDER J2.okrt- S~ PHONE #
NOTE: THIS IS NOT A PE~MIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
FOOTING I '#J I /6P~/;r
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
I~ I I
I FINAL
/J
rVy/
I J JVI""
". .
.-e
FOR ALL INSPECTIONS (952) 447-9850
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
7--iLf-a
ADDRESS
IL(37)
Fzft.vtL
OWNER
CONTR.
PHONE NO.
PERMIT NO.
/ t;' -fd' I{
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION ,/L /'.
~L ~~~
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
COMMENTS:
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'--"" --------
--------
o WORK SATISFACTORY. PROCEED
lICORRECT ACTION AND PROCEED
o CORRECT WOry<} lfdOR REINSPECTION BEFORE COVERING
Inspector: 1U Owner/Contr:
CALL 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
lNSNOTl