HomeMy WebLinkAboutBldg Permit 06-0780
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
>>/ :1-3--:L
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City
Applicant
PERMIT NO.t'0~ 7~()
(Please type or print and si~ at bottom)
ADDRESS
ZONING (office use)
5Zt 6 (I v--.-J- 6-J.~_ rp.,
DV1 vL
~/
,
LEGAL DESCRIPTION (office use only)
LoJk BLOCK .,] ADDITION
I 0 J2i>>luJ!r]J / 0--0::-
- ( // -
PIJQ'J-' !/()/- ;;)?;d~ --,~)
(Address)
fl-rl\ ~G.k\.e~
SZIfe" ~s-t ~ p+
(Phone)
OWNER
(Name)
~~
BUILDER r \ r.
(Company Name) \ \Q\'-rne..\ ~)s: ~ h ~~_
(Contact Name) ::oJJ
(Address) JY'-iCO GxJ- BuWLSt.lk. Pk'-j
TYPE OF WORK 0 New Construction f:sI1Jeck OPorch ORe-Roofmg
DAddition DAlteration DUtiJity ConnectIOn
(Phone) cr;z - ~L{ D.,1SD
(Phone)
ORe-Siding OLower Level FinIsh 0 Fireplace
CODE: !.R.C. DI.B.c. o Mise.
Type of onstmction: I II III IV V A B
Occupancy Group: A B E F H I M R S U
Division: I 2 3 4 5
PROJECT COST IV ALUE $
(exduding land)
ytn:J. CD
,
I hereby certify that 1 have hlrmshed rnlilrmation on this application which IS to the best of my knowledge true and correct. I also certllY that I am the owner or authonzed agent for the
above-mentioned property d 1at all cunstruction will conform to all existrng state and local laws and will proceed rn accordance with submItted plans. 1 am aware that the buildrng
:rleial can revoke thiS per I I' Just cause Furthermore, I hereby agree that the City offICial or ~bZel ZY/jopon the propelty to perform needed 18/2;/ oL
/J Signature Contractor's License No. Date
1/ 11
Permit Valmtion /f L./otJO, () (J
Permit Fee $ 103,00
$ It,'',CfS"
$ 2.00
$
$
$
$
$
Plumbing Permit Fee
Water Tower Fee
#
$
$
$
$
$
$
$
$
$ 17(.QS
Park Support Fee
#
SAC
#
Plan Check Fee
Water Meter
Size 5/8"; I";
State Surcharge
Pressure Reducer
Penalty
Sewer/Water Connection Fee
#
Mechanical Permit Fee
Builder's Deposit
Sewer & Water Permit Fee
Other
~
~
:d31J~i6
TOTAL DUE t~6-t: 1l15r:; 9-7-6_ I
J I
/7 I. 'I r ReceAt No.
q. Z!'". 0 " By , L. .
a
Paid
Date
S- U.j>tJ
Gas Fireplace Permtt Fee
This Application Becomes Your Building Permit When Approved
Buildlllg Ollicial
ThiS IS to CcrtllY that the request in the above applicatHm and accompanyrng documents tS 111 accordance with the City loning Ordinance and may proceed as requested ThIS document
when signed by the City Planner constrtutes a temporary Certificate of lonll1g compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be
issued
Planning Director
Date
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
Special Conditions, if any
BY:
Residential Building Permit Checklist
Deck Additions to Single Family Homes .
. _ 0/ ;;3-1.,
Date: 0 ".
Building Permit #
Site Address _ 0-;;2/0
PID: Zoning:
E, Gll/C' PT /? O.
Legal: L
B
Subdivision:
Existing Structure: @r NO
CONFOR.J.vIS TO ZONING
ORDINANCE
(Yis~
NO
Yard Setbacks: NOT APPLICABLE
LYIEETS CODE
Requirement Proposed
10' PUO '. .
10'
,
25' t
Must be consistent with
approved plan for ~-~
development
· Side Yard
(25' if abutting a street, 30' if abutting a street in
Cardinal Ridge)
· Side Yard
· Rear Yard
· Townhouses
ANY PROPOSED DECK NOT MEETING THE ABOVE CRITERIA MUST BE REFERRED TO THE
PLANNING DEPARTMENT. ALSO, A1~Y DECK ON A LOT WITH A SUSPECTED BL UFF, OR ANY
OTHER UNUSUAL CIRCUMSTA.NCE MUST BE REFERRED TO THE PLA1~NING DEPARTMENT.
THIS CHECKLIST MUST BE COMPLETED A'ND L~CLUDED L~ THE BUILDL'IG PERIVIIT FILE TO
l\'IAlNTAIN A RECORD OF THE REVIEW.
~ ChJL ~ ~/.r~~ Ptn.d- ~ ~,
L: o,TEylPLA TE"D ECKCHCK.DOC
PRIOR LAKE DEPARTMENT OF
BUILDING AND INSPECTION
INSPECTION
RECORD
SITE ADDRESS S ~lJ. €. QJlJ( er: R.d
TYPE OF WORK l> "t:..~
USE OF BUILDIN..Q S .J=.
PERMIT NO. 04. 7 r~ DATE ISSUED S-' ~I./'"
BLHLDER f~~1t PHONE#~~.7?~
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
FOOTING ~ ~ ~ ~~(.p I tvil 1()'4~Uv
~C~O~~:.RETE UNilL ABOV~~S Bl~~~;:~
.'ki /Jt~ I l\.,
FINAL !~~ \~:-V. ItiY!;i~i.k
FOR ALL INSPECTIONS (952) 447-9850
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
/( j'I()-OC
ADDRESS
5l-IG
t!2-4..s)-
/'Jlilr
Co
On 1-
IZd
OWNER
CONTR.
PHONE NO.
PERMIT NO.
~ - 7uJ
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION 0 //
~NAL -cC.C
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
COMMENTS:
~-
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---------
~ORK SATISFACTORY, PROCEED
~ CORRECT ACTION AND PROCE
o CORRECT7) WR ,CA 0 SPECTION BEFORE COVERING
Inspector: Owner/Contr:
- I
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
INSNOTl