HomeMy WebLinkAboutBldg Permit 06-0825
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
(Please type or print and sign at bottom)
ADDRESS
14\ bl
PG'.r~'" ,; (, w 'l-N
LEGAL DESCRIPTION (office use only)
Date Rec' d
9./100
8 o......,kerr V
1 White
Pink
Yellow
File
City
Applicant
I PERMIT NO. Oft,. 0 e2~
(V~
LOT db BLOCK
ADDITION '5~(ftr') Pc.-l F.'r~+ AJ.J;+.~.",
PID ~-Lt3)-0cl&- 0
OWNER
(Name)
Bu. \J<.r
(Address)
BUILDER
(Company Name)
(Contact Name)
(Address) R H S
(Phone)
ZONING (office use)
\IV t.."S M{).r'\ ~ J..l o~ (
Or .......^:.s. fL~('_h^,-:.le,-
l:L.-'J..:,,4. I ~~~ 1"0.'7(1.. ~ ) S..,;Jt' '\00
...J \
(Phone) h. S 1-40"" '1 ~() 0
(Phon*, hi .\-\ ~ 'l- ) q~ 1.1
/;; tl :it. "'- I fv\ JJ S_I;,- J II
TYPE OF WORK 0 New Construction .eck OPorch ORe-Roofing ORe-Siding ..Lower Level Finish ~ Fireplace
DAddition DAlteration DUtility ConnectIon
CODE: !.R.C. OLB.C. o Mise
Type of onstroction: I II III IV V A B
Occupancy Group: A B E F H I M R S U
Division: 1 2 3 4 5
PROJECT COST /V ALUE $ q t\ t:JI..,
(excluding land)
I hereby certify that I have hlrnlshed mf()rmation on this application which IS to the best of my knowledge true and correct. I also certify thatl am the owner or authonzed agent tlll the
above-mentIOned property and that all CIlnstruction will conform to all eXlstmg state and local laws and will proceed in accordance with submmed plans, I am aware that the buildmg
of1jcial can revoke this permit for Just cause Furthermore, I hereby agree that the City official or a deSignee may enter upon the propelty to perform needed mspectlons
8~ 9:.L~
x
Signature
Permit Valuation
Permit Fee
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
1'4S' g
Contractor's License No.
$
$
$
$
$
$
$
$
06 :z.s
~7 .3("
I.t"b
Park Support Fee
SAC
#
#
Water Meter Size 5/8"; I";
Pressure Reducer
Sewer/Water Connection Fee
#
#
4-0 . 00
Water Tower Fee
Builder's Deposit
Other
~.oo
TOTAL DUE
9 -\)-04.,
Date
$
$
$
$
$
$
$
$
$ ZZ I~ J /
,
This Application Becomes Your Building Permit When Approved
~~
-Vlz/L(p
Dale
Paid
Date
27-'7, II
9. IZ "Of,
/7
Re,l~t No. 52 z.94-
O'
Buildlllg OtliCi;ll
ThiS IS to cCItify that the request in the above applicatIon and accompanymg documents is m accordance with the City loning Ordinance and may proceed as requested TIllS document
when signed by the City Planner Cllnstltutes a temporary Certificate of lonmg compliance and allows constructIOn to commence Bcfme 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
Residential Building Permit Checklist
Basement Finish or Interior Alteration to Single Family Homes
BY:
~
Date:
1;/Z;;ro
~t-
Building Permit #
Site Address I ~ / ~ /
Legal: L ~ B
PID:
~;,:J ~
I Subdivision:
Existing Structur~ or NO
Zoning:
AJ.4.J.
1~~
CONFORMS TO ZONING
ORDINANCE
~
Is this an expansion of the existing footprint or
building height?
YES
Refer to Planning
Is the property located within the flood plain?
Refer to Planning
Does the alteration include any additional kitchens?
Refer to Planning
Does the proposed alteration include any outside
entrances other than patio doors?
Refer to Planning
Is the proposed use of the finished space or
alteration for anything other than a normal single
. family home (office, group home, day care, etc.)?
Refer to Planning
NO
NO
foJa
~o
~tJ
tJo
,.Jo
THIS CHECKLIST MUST BE COMPLETED AND INCLUDED IN THE BUILDING PERMIT FILE TO
MAINTAIN A RECORD OF THE REVIEW.
L:\TEMPLA TE\AL TCHCK.DOC
/~
Residential Building Permit Checklist
Deck Additions to Single Family Homes
~, ,,"' ~.." '-:"t _ . 0 Q.....)
BY: ~-vr-- ~
Date: 7 /IZ,~ '-
Building Permit #
Site Address / L.( / (p (
Legal: L ~G, B {
PID:
~~
Subdivision:
Zoning:
)J.uJ.
c:;~ ~ Itt
Existing Structure: ~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'
I ., (fu.. 0)
~ - f.o
rJA.
PUO - ok-
. Rear Yard
25'
. Townhouses
Must be consistent with
approved plan for
development
f~.
ANY PROPOSED DECK NOT MEETING THE ABOVE CRITERIA MUST BE REFERRED TO THE
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
PRIOR LAKE
INSPECTION RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS /+/~/ f?,4~/cvle tv'L/1N6
NATURE OF WORK D5~ /lNLJ L-owr;.t::::. L-e:(/~ L.
USE OF BUILDING REs /II/<-.
PERMIT NO. ()~. 087 C) 6ATE ISSUED 9, II. 0 ~
CONTRACTOR W6/'1Sr//1N'/'J PHONE
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
FOOTING/De~
,
/ DAlE
-, q.Jt5/~
I I
) I I '
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
)f1SPECTOR
(If:;
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
~~
~v
I
;1J; '" I:? ~);. "
p.e 0::.
1-01.#57(..
/-evet.-
,
D
.L U
/O/<C/-lfi~
~UILDING
E::LECTRICAL
PLUMBING
HEATING
DO NOT OCCUpy UNTIL ABOVE HAS BEEN SIGNED
NOTICE
This card must be posted near an electrical service cabinet prior to rough-in inspections
and maintained until all inspections have been approved. On buildings and additions
where no service cabinet is available, card shall be placed near main entrance.
FOR ALL INSPECTIONS (952) 447-9850
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS /4111l
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
g INSULATION
.to FINAL
o SITE INSPECTION
COMMENTS:
SCHEDULED
DATE
/o/27/~
TIME
~V~&J
CONTR.
PERMIT NO.
t.
3z~
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
Ef GASLlNE AIR TST
o
L L H",,~c; ~ d- .o,.,~ .
I
!JK '.0
f 1 () nl
(J6~'K1t ~ LP
\J. WORK SATISFACTORY, PROCEED
~RRECT ACTION PROCEED
o CORRECT WO .A L FOR REINSPECTION BEFORE COVERING
Inspector:
Owner/Contr:
OR THE NEXT INSPECTION 24 HOURS IN ADVANCE..
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH .{ SAFETY!
INSNOTl