HomeMy WebLinkAboutBldg Permit 06-0383
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
(Please type or print and si~ at b, ,."..,)
ADDRESS
Z99S
L50tJ~/
LEGAL DESCRIPTION (office use only)
LOT/7BLOCK...3 ADDITION
OWNER
(Name)
Date Rec' d
s: /11J6
I. White File I PERMIT NO
2. Pink City . 0(,. 038'2
3 Yellow Applicant '...J
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ft/Il/OJ JOt/TH
Mt(J/.AtL 9-(AQUt eOr)l:,").)
<2~..s (j3oEc-A1 ,t~/L
(Address)
BUILDER
(Company Name) JHt: Deck ,.. tk.c.tl
(Contact Name) f.i\ I~' &CVDH
(Address) \\ C. ~1 f\ t n AJ A Vf.
Co~f^,v\(
E. I ~vtt
(Phone)
(Phone)
(Phone)
G tCi\l HE K.J. K /vi ~
ZONING (office use)
te-I
PID ;ZS-: 3,1>'2.071.. cJ
c,s 1- ~s4 -t 40}
o,W) 1-- ~ ~2 - '2~11 1.)(1 Ie;?
~ &C")1
TYPE OF WORK 0 New Construction ~eck o Porch ORe-Roofing ORe-Siding OLower Level Finish 0 Fireplace
OAddition OAlterat~ OUtility Connection
CODE:~.R.C. DI.B.C.
Type of Constnlction:
Occupancy Group: A B
Division:
I
E
II
F
I
III IV
H I
2 3
V
M
4
o Misc.
A
R
5
B
S U
PROJECT COST IV ALUE $
(excluding land)
0, /CXXJ ~
..-..-
I hereby certifY that I have ntrnished 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-mentIOned properry and that aU construction will conform to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the building
official can revoke this permit for just cause. FlIlthermore, I hereby agree that the ciry official or a designee may enter upon the properry to perform needed mspections.
X #? t>t-- JL.. 545) ') -I [~Oc.
Signature Contractor's License No. Date
I Permit Valuation
I 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
$
$
$
$
$
$
$
$
101. 00
. (oG 4S-
)-W
A
::J1m"{j;"~' Y- Boil'''' Pmnit Wh<n A.....,'
Buildll1g Otlicml Dale
I Park Support Fee
I SAC
I Water Meter Size 5/8"; I";
Pressure Reducer
Sewer/Water Connection Fee
Water Tower Fee
I Builder's Deposit
I Other
I TOTAL DUE ~
I Paid 1'/ i/f:~
I Date - !5- J .~- v,
# $
# $
$
$
# $
# $
$
$
5J8,tJ6 $ (7f ~
.~
I ~:;Y;;M"'~
I
I
~
~
I
ThIS IS to certifY that the request in the abov~application and accompanying documents is in accordance with the Ciry Zoning Ordinance and may proceed as requested. This document
when signed by the Clry Planner constItutes a temporary CertIficate of Zomng comphanee and allows construction t01:)O mence Before occupancy, a Certtficate of Occupancy must be
Issued
rI.dL I~+-
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:
Residential Building Permit Checklist
A J It Deck Additions to Single Family Homes
{fl( fR-- Date: S~ror,
Building Permit #
Site Address
2 q f(S
3
PID:
MUff
Zoning:
Legal: L l'l 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'
Zo!
.'..,
10'
Jd ( 7
(J(
(1/ It-
. Rear Yard
25'
. Townhouses
Must be consistent with
approved plan for
development
ANY PROPOSED DECK NOT MEETING U::LI!. ABOVE CRITERIA MUST BE REFERRED TO J..tI..I!.
PLANNING DEPARTMENT. ALso, ANY DECK ON A LOT WITH A SUSPECTED BLUFF, OR ANY
OTHER UNUSUAL CIRCUMSTANCE MUST BE REFERRED TO !~ PLANNING DEPARTMENT.
THIS CHECKLIST MUST BE COMPLETED AND INCLUDED IN J..tI..I!. BUILDING PERMIT FILE TO
l\1AINTAIN A RECORD OF !nJ!. REVIEW.
L:\TE1v1PLA TE\DECKCHCK.DOC
..
"
PRIOR LAKE
INSPECTION
RE ORD
Lftr "..,
(h.L
USE OF BUILDING U (1
PERMIT NO. C)~. 03Y3 DATE ISSUED
BUILDER fk,.L", a.-,.. PHONE # Cf.lL. J.lLL
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
'NSPECT~ / DA-r).
FOOTING We.. I .41/? I 'U/~/ I d{
PLACE NO CONCRETE UNTIL ABOVE HAS BE&f" S1GNED
I FRAMING I I
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS
TYPE OF WORK
I FINAL
~ , I
I J#; I ~~~
\,./' J"""'"
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (952) 447-9850
DATE TIME
CITY OF PRIOR LAKE *
INSPECTION NOTICE SCHEDULED
ADDRESS lens ~
OWNER CONTR.
PHONE NO. PERMIT NO. &-~J
[J FOOTING [J PLUMBING RI [J EXIGRADIFILLlNG
[J FOUNDATION [J MECH RI [J COMPLAINT
[J FRAMING [J WATER HOOKUP [J FIREPLACE RI
[J INSULA~ ~ [J SEWER HOOKUP [J FIREPLACE FINAL
~~~~N P CTIO [J PLUMBING FINAL [J GASLINE AIR TST
[J MECH FINAL [J
COMMENTS:
C.t:JY
"-
/ /J I' I
(j-h{. -D - \ t?
~ORK SATISFACTORY, PROCEED
f CORRECT ACTION AND PROCEED
[J COR CT W LL FOR REINSPECTION BEFORE COVERING
Owner/Contr:
o FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE..
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/
INSNOTl