HomeMy WebLinkAboutBldg Permit 06-0877
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
File
City
Applicant
I PERMIT NO. O~- [7'71
I White
Pink
Yellow
(Please type or print and sil:n at bottom)
ADDRESS
/ (12<1&
t:3 / ~ 8 t.:U.J
In- {fib
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER _
(Name) TQff/p/ .,- rr., C-rlt3MS" 5 Yvt ,,\. "J1e-1--
(Address) IYL q& IJLf/Le 9/~ '?L r/~
ZONING (office use)
(Phone) _& 1 )-2/L - <t!lLf
BUILDER .
(Company Name) j)~ .{ l3~e rJ)cnl'3
(Contact Name) . ~ At"?.<5Yl IS~ ,~
'" . .
'1)& /}b-/9~ rYL~T
(Phone) VI Lbt::X( / / / /
(Phone) ~JL- W/-- 1/ftZJ
r"1t /]/ 5fJ) 9
,
(Address)
5/1 ~)p L-l:f
.
TYPE OF WORK 0 New Construction ODeck OPorch ORe-Roofing ORe-Siding OLower Level FInish 0 Fireplace
OAddition OAlteration OUtility ConnectIOn
CODE: !.R.C. OLB.C. ~ Mise. ge -OLC0k-I./(J ()~
Type of onstruction: I II III IV V A B PROJECT COST/VALVE $ 5Dc.D
Occupancy Group: A B E F H I M R S V (excluding land)
Division: I 2 3 4 5
I hereby certity that I have hlrnishcd Information on this application which is to the hest of my knowledge true and correct. I also certIfy that I am the owner or authOrIzed agent for the
abllve.mcntlOned property and that all wnstructl"n WIll conflllm to all eXISting state and local laws and will proceed In accordance with submitted plans I am aware that the building
~fjClal can I~~~~ust cause Furthermore. I hereby agree that the CIty Offic~oC;;Je '2-~tJ 7110 the propel1y to perform need9':e2"'3-- b~
- I Signature Contractor's License No . Date
Permit Valuation OtJO ,{)t::J
Permit Fee $ 2..~, 011
Plan Check Fee $ , (" I 2.5
State Surcharge $ .50
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
TOTALDVE ~ ~'27-~~
4-1.7 J Re4lX'Pt No.
/0'/(,/ () " B1f
rf
C~~Id;ngp';;::~':'d
Paid
Date
lluildll1~ Uf1Iclal
, Date (
$
$
$
$
$
$
$
$
$
41. 75'
$~ ~()
1'1115 IS to certify that the request 111 the above apphcatlOn and accllmpanY1l1g documents IS 111 accordance with the Cay loning Ordinance and may proceed as requested 1'1115 document
when signed by the City Planner constItutes a temporary Certifi.cate of ZOIlll1g compliance and allows construction to commence. Before occupancy, a Certificate l)f Occupancy mllst be
Issued
Planning Director
Date
24 hour notice for all inspections (952) ....7-9850. fax (952) 4..7-..2..5
4646 Dakota Street Prior Lake, MN 55372
Special Conditions. if any
BY.~
Residential Building Permit Checklist
Deck Additions to Single Family Homes
.
~ Date Cf;;<~-tlt,
Building Permit # PID: Zoning:
Sile Address ~/:2 q b g ~ T" (
Legal: L
B
Subdivision:
Existing Structurec9r NO
CONFORlvIS TO ZONING
ORDINANCE
~~lftd.-
I YES NO
I Yard Setbacks: NOT APPLICABLE
lYIEETS CODE
· Side Yard
(25' if abutting a street, 30' if abutting a street in
Cardinal Ridge)
· Side Yard
Requirement
Proposed
10'
10'
· Rear Yard
25'
\
· Townhouses
Must be consistent with
approved plan for
development
fu"iY PROPOSED DECK NOT MEETING THE ABOVE CRITERIA MUST BE REFERRED TO THE
PLAJ.'iNING DEPARTMENT. ALso, AJ."iY DECK ON A LOT WITH A SUSPECTED BLUFF, OR ANY
OTHER UNUSUAL CIRCUMSTA1'iCE MUST BE REFERRED TO THE PLAJ."iNING DEPARTl\'IENT.
THIS CHECKLIST MUST BE COMPLETED AND L"iCLUDED IN THE BUlLDL"iG PERlVIIT FILE TO
i.\1AINTAIN A RECORD OF THE REVIEW.
~~
~~.
Lu~
L:'TEvIPLA TE'D ECKCHCK.DOC
-.I
PRIOR LAKE DEPARTMENT OF
BUILDING AND INSPECTION
INSPECTION
SITEADDRESS J}ECa2~~/~ IrL
TYPE OF WORK ,.. 1- tJ..~. ~J '-
USE OF BUILDING ,.
PERMIT NO. .12J... , '1~ DATE ISSUED q- ~..,. "
BUILDER ..D~~ ".. ~ ''Jets PHONE # ~~ ( ·
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
1-. I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
I~
,
FINAL
/7
(j/3
;'.
Irp~
FOR ALL INSPECTIONS (952) 447-9850
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS 1 y. '2 4,k ~~~ 1 ;.
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
~NSULA TION
~ ~INAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
- .
C~<hV j, ~ ~( ~
'---
DATE
~
TIME
{,,- S/?
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
/
~RK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: (g\ Owner/Contr:
CALL~OR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYl
INSNOTI