HomeMy WebLinkAboutBuilding Permit 05-0313
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS 3tJ 1'\ ~\ra!
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDA nON
o FRAMING
o INSU~\ _
..QI FINAL V7
../[)SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
DATE TIME
'.
S-<Sl~
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
oH clOSt. ~ ~
~RK SATISFACTORY, PROCEED
TION AND PROCEED
ALL FOR REINSPECTION BEFORE COVERING
Inspector:
Owner/Contr:
R THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CA
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/
INSNOTI
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
at bottom)
30/ c;
Date Rec' d
f. z 2.0$"
I White
Pink
Yellow
File
City
Applicant
PERMIT NO. 05', 031 '3
ZONING (office use)
LY~Ift'/ffT 77'~/L-
K/
LEGAL DESCRIPTION (office use only)
LOT
ADDITION
BLOCK
PID zS. Sac- .074-. 0
OWNER
(N ame) zH.L LW
Hc,;wRn
XL
(Phone)
t[Sd -4-'1-5 - S-3?O
(Address)
BUILDER
(Company Name)
(Contact Name)
(Address)
(Phone)
(Phone)
TYPE OF WORK 0 New Construction ~eck OPorch ORe-Roofing ORe-Siding OLower Level Finish 0 Fireplace
OAddition OAlter~' o Utility Connection 0 Misc.
CODE: DI.R.C. DI.B.c.
Type of Construction:
Occupancy Group: A B
Division:
II
F
1
III IV V A
HIM R
2 3 4 5
I
E
B
S V
PROJECT COST/VALVE $
(excluding land)
I hereby certify that I have fillnished mformation on this applicatlOn which is to the best of my knowledge true and correct. I also certIfY that I am the owner or alllhonzed agent for the
above.mentlOned property and that all construction will conform to all existmg state and local laws and will proceed in accordance with submitted plans I am aware that the buildmg
offICIal can revoke thiS pelmIt for Just cause FlIIthelmore, I hereby agree that the City offiCIal or a deSIgnee may enter upon the property to perform needed mspectHms
X 3 t'1/1' L; vl 4/)..y'~r.
Stgnature Contractor's Ltcense No Date
Permit Valuation ], Ct:X) W
Permit Fee $ f(g' ).. ~
Plan Check Fee $ S7 J'
State Surcharge $ l 5>0
..
Penalty $
Plumbing Permit Fee $
Mechanical Permit Fee $
Sewer & Water Permit Fee $
Gas Fireplace Permit Fee $
comes Your Building Pennit When Approved
i-('" ""--0<;
Date
Park Support Fee # $
SAC # $
Water Meter Size 5/8"; I"; $
Pressure Reducer $
Sewer/Water Connection Fee # $
Water Tower Fee # $
Builder's Deposit $
Other $
TOTAL DUE $ /47 If
Paid
Date
/?7jl
4.22. cC'
~~ce~
/
~~llz 7
ThiS IS to certifY that the request in the above application and accompanymg documents is in accordance with the City Zoning Ordinance and may proceed as requcsted ThiS document
when signed by the City Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certlficatc of Occupancy must be
issued
Planning Director
~qJ Gale (-tzMLJ (jut;.
Date Special Conditions, i any
24 hour uotice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
.j
j
Residential Building Permit Checklist
Deck Additions to Single Family Homes
BY ~;It:.. [2.L~ Date ?/-.L)OS
Building Permit #
Site Address 3 01 q
PID:
f3c>~Lt( +
Zoning:
Legal: L
B
Subdivision:
Existing Structure: YES o@
I ~I
I CONFORMS TO ZONING
ORDINAL~CE
NO
Yard Setbacks: NOT APPLICABLE Requirement Proposed
MEETS CODE
. Side Yard 10' Ie; r
(25' if abutting a street, 30' if abutting a street in
Cardinal Ridge)
. Side Yard 10' S-O I
. Rear Yard 25' so 1-
. Townhouses Must be consistent ~ith IV It-
approved plan for
development
AJ."lY PROPOSED DECK NOT MEETING THE ABOVE CRITERIA MUST BE REFERRED TO THE
PLANNING DEPARTMENT. ALSO, ANY DECK ON A LOT WITH A SUSPECTED BLlTFF, OR At'IY
OTHER UNUSUAL CIRCUMSTAl"fCE MUST BE REFERRED TO THE PLAl'lNlNG DEPART;\tlENT.
THIs CHECKLIST MUST BE COMPLETED AND INCLUDED IN THE BUILDING PER...\'IlT FILE TO
MAINTAIN A RECORD OF THE REVIEW.
*
L:\TEl\tJPLA TE\DECKCHCK.DOC
PRIOR LAKE
INSPECTION
RECORD
SITE ADDRESS 3~ dfb ,,..f
TYPE OF WORK CL
USE OF BUILDING S . ~ .
PERMIT NO. cJ5. ()313 DATE ISSUED I.f-J.wJ.. t)r
BUILDER ~~, PHONE # tillS-. .olD
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF
BUILDING AND INSPECTION
FOOTING we
PLACE NO CONCRETE UNTIL ABOVE HAS BE
~ I I
I
I FINAL
J .
1/0/3/6
.. .
Call between 8:00 and 9:00 A.M. for all inspections
fb
FOR ALL INSPECTIONS (952) 447-9850