HomeMy WebLinkAboutBuilding Permit 05-0452
C\Tf Of PR\OR \J\"'~
DATE TIME
~,)L)~
INSPECTION NOTICE
SCHEDULED
ADDRESS
S7Ho
p~ ,h~~j
OWNER
CONTR.
PHONE NO.
PERMIT NO.
') .( -LJD-
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
~AL
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 GASLlNE AIR TST
o
COMMENTS:
~K SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
D CORRECT WC:'Jf"."";!?OR REINSPEcnON BEFORE COVERING
Inspector: ~ Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH'" SAFETY!
INSNOTI
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
(2,) PU1IJ~
Date Rec' d
~~~:~: ~~;licant I PERMIT NO. ~ - Ot(~2/ I
(Please e or lint and si n at bottom)
ADDRESS ZONING (office use)
SOl\O ?0f\.t)5t~~ Lro ~t
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID 2.5: .3t:j'Cl 017. 0
OWNER \) N\
(Name) .~txu ,- HL\J...'LTY
(Phone) C1s <.. - l\l\"\ - <)?l. ~ "2.
(Address)
BUILDER
(Company Name)
(Contact Name)
(Address)
(Phone)
(Phone)
Deck OPorch ORe-Roofing
OUtility ConnectIOn 0 Misc.
ORe-Siding OLower Level FinIsh
TYPE OF WORK 0 New Construction
OAddition OAlter io
CODE: ~,.R.C. OLB.C.
Type of ~struction: I II
Occupancy Group: A B E F
Division: 1
B
S U
PROJECT COST /V ALUE $
(excluding land)
III
H
2
IV
I
3
V
M
4
A
R
5
o Fireplace
I hereby certify that I have hlmished mformation on this application which IS to the best of my knowledge true and correct. I also certify that I am the owner or authorIzed agent for the
above-mentlOned property and that all construction will conform to all eXlstmg state and local laws and will proceed in accordance with submitted plans I am aware that the buildmg
(X)ftiCl~ c1 revoke this~ermlt ~ ust causc Furthermore, I hereby agree that the City official or a designee may enter upon the property to perform needcd mspecl10ns
,~ g'\l-Oi
Signature Contractor's License No. Date
Permit Valuation
Permit Fee
#
#
Park Support Fee
SAC
#
#
Plan Check Fee
Water Meter Size 5/8"; 1";
Pressure Reducer
Sewer/Water Connection Fee
Water Tower Fee
Builder's Deposit
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
$
$
Other
Gas Fireplace Permit Fee
TOTAL DUE
I~~~/~~
This Application Becomes Your Building Pennit When Approved
I :V=i~~
~~
s-/~~~~
, Date'
Bui/dlll!! Otlicial
$
$
$
$
$
$
$
$
$ I
~3t?'
ThiS .S to certify that the request in the above applical10n and accompanying documents is in accordance with the City Zoning Ordinance and may proceed as requested. This document
when signed by the City Planner consl1lutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be
issued
Special Conditions, if any
Planning Director
Date
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: S /Z-O /0 S-
Building Permit #
Site Address
S2J ~ ()
Legal: L
B
PID: Zoning:
,c;~~ ~ ~6)
Subdivision:
Existing Structurec@or NO
I CONFORlVlS TO ZONING
ORDINANCE
YES
NO
Yard Setbacks: NOT APPLICABLE Requirement Proposed
MEETS CODE
. Side Yard 10'
(25' if abutting a street, 30' if abutting a street in IF; 77' 1
Cardinal Ridge)
. Side Yard 10' /
/51 Z
. Rear Yard 25' ;;;~I
(;VeIl
. Townhouses Must be consistent with
approved plan for j1!/f~'
development
ANY PROPOSED DECK NOT MEETING THE ABOVE CRITERIA MUST BE REFERRED TO THE
PLANNING DEPARTMENT. ALSO, A1'1Y DECK ON A LOT WITH A SUSPECTED BLUFF, OR ANY
OTHER UNUSUAL CIRCUMSTANCE MUST BE REFERRED TO THE PLAl'lNING DEPARTMENT.
THIS CHECKLIST MUST BE COMPLETED A.'1D INCLUDED IN THE BUlLDL'IG PERIVIIT FILE TO
iVlAINTAlN A RECORD OF THE REVIEW.
L:\TE.tvIPLA TE\DECKCHCK.DOC
PRIOR LAKE DEPARTMENT OF
BUILDING AND INSPECTION
.
INSPECTION
~a~2~2- tMG.r:c~
~~
SITE ADDRESS
TYPE OF WORK
USE OF BUILDING . ,
PERMIT NO. &5'- Otf 52-DATE ISSUED 0 .
BUllDER.KltIJ IM~" PHONE # .14 'l8z..
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
FOOTING S/'...l~
~ETE UNI'l ABOVE HAS BrEN IGNED
<:J
I FINAL ;/tzP' I <p ~4~(/7 I
FOR ALL INSPECTIONS (952) 447-9850
.'