HomeMy WebLinkAboutBldg Permit 06-0538
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
". Z O. O~
I. White File I PERMIT NO
2. Pink City . ()/-. OS,3Q
3 Yellow Applicant U7 'c;1
(Please type or Print and sip at b, .... ..,.)
ADDRESS
ILl-Ifl2 Ot.stle.~~te..- LJo..1' fC,OY Ld:::~ J I--1N SS312
LEGAL DESCRIPTION (office use only)
ZONING (office use)
te2-
LOT
ADDITION
PID 2.5.~H-. 010. D
BLOCK
OWNER
(Name)
A l-f'<"edo
Sa IAt\
G.o.."
/
(Phone)
(Address)
BUILDER
(Company Name)
(Contact Name)
(Address)
(Phone)
(Phone)
'fs~ - 402- 3Slf
~
--
TYPE OF WORK D New Construction DDeck o Porch ORe-Roofing ORe-Siding DLower Level Finish 0 Fireplace
DAddition DAlteration OUtility Connection
PROJECT COST IV ALUE $
(excluding I~
~
I hereby certify that I have fi.Jrnished information on this application which is to the best of my knowlcdge true and correct. I also certify that I am~wner or authonzed agent for the
above-mentIOned propeny and that all construction will conform to all existing state and local laws and will proceed in accordance with submittcd pla~ aware that the buildmg
:cial can revoket;;:!Or JUs:~: F':r.:reby "'" <h" ",,"~ ,'''"' oc. "'''"''oc =, ""' 'p'" <h, -"'" ",rocm "ocd." 'mJD;~ ~.L
~/~~ ~~ Contractor's License No. ___
CODE: ~.R.C. DI.B.c.
Type of ~struction:
Occupancy Group: A B
Division:
o Misc.
II . ill" IV
F H I
1 2 3
I
E
V
M
4
A
R
5
B
S U
Permit Valuation fl3ootJ.oO
Permit Fee $ 8~,2.S"
Plan Check Fee $ 57. at,
State Surcharge $ 1. S'a
Penalty $
Plumbing Permit Fee $
Mechanical Permit Fee $
Sewer & Water Permit Fee $
Gas Fireplace Permit Fee $
Park Support Fee
SAC
#
#
Water Meter Size 5/8"; 1";
Pressure Reducer
Sewer/Water Connection Fee
#
#
Water Tower Fee
Builder's Deposit
Other
TOTAL DUE
This Application Becomes Your Building Pennit When Approved
/~7.11
/'.-1 '1. 0 (,
Re!liipt No. Sl.s 7C!
'it[ . " /
()
~~
Jdzo(OlL,
Date
Paid
Date
Building Otlicial
$
$
$
$
$
$
$
$
$ !<<.{7.1'
ThiS IS to certify that Ihe request in the above application and accompanying documents is in accordance with the City Zoning Ordinance and may proceed as requcsted. This document
when signed by the City Planner conSlllutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Cettificate 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 Checklist
Deck Additions to Single Family Homes
BY:
~
Date: "(2-d/ 0 f4
~-
..
-Q.
Building Permit #
Site Address / 'I 'f 7 pt
Legal: L B
PID: Zoning:
~~~
Subdivision:
. Existing Structure~ NO
CONFORMS TO ZONING
ORDINANCE
-
@J
I Yard Setbacks: NOT APPLICABLE
MEETS CODE
· Side Yard
(25' if abutting a street, 30' if abutting a street in
Cardinal Ridge)
. Side Yard
Requirement
10'
10'
· Rear Yard
25'
· Townhouses
Must be consistent with
approved plan for
development
NO
Proposed
t:rV<A I 0 '
~ 10'
2S-'
NI\..
ANy PROPOSED DECK NOT MEETING THE ABOVE CRITERIA MUSTBE REFERRED TOtti.!!.
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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----
..
PRIOR LAKE
INS~ECTION
REC{)RD
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS /4472 C!As/~/J-/e:: Wfll./
/ r
TYPE OF WORK -t:JEf!K...
USE OF BUILDING ,ee:.r #/~
,
PERMIT NO. ()~. 0538 DATE ISSUED ~. 20,0 b
BUILDER SrlJt1 PHONE # ."
, NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
.......... .
'l'TE
? za tJ (,
aVE HAS BEE IGfJED
LJ (/I~
, . r t
V. I
I r jz~I'''
FOR ALL INSPECTIONS (952) 447-9850
IFOOTING ~~
PLACE NO CONCRETE UNTIL
, FRAMING
FINAL
fl8
~.
. .
. DATE TIME
CITY OF PRIOR LAKE ~
INSPECTION NOTICE SCHEDULED
ADDRESS 1L\Ll!'LL C&tl\~ .~\
OWNER CONTR.
PHONE NO. PERMIT NO. (p - ?'7~
o FOOTING o PLUMBING RI o EXIGRADIFILLING
o FOUNDATION o MECH RI o COMPLAINT
o FRAMING o WATER HOOKUP o FIREPLACE RI
o INSULAT~ o SEWER HOOKUP o FIREPLACE FINAL
"%H=INAL o PLUMBING FINAL o GASLlNE AIR TST
o SITE INS CTIONt o MECH FINAL 0
COMMENTS:
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............. - - -
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'MENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
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