HomeMy WebLinkAboutBuilding 05-0312
State SUI
Penalty
Plumbin
Meehan
Sewer &
Gas Fireplace Permit Fee
(Please e (
ADDRES~
LEGAL I
LOTS
OWNER
(Name) _
(Address)
BUILDE:
(Compan
(Contact
(Address)
TYPE 0:
CODE: ~
Type of q
Occupanc
Division:
I 1 hereby cen
I above-ment!
I "mcial can!
'X~
I
Permit V
Permit F
Plan Chc
CITY OF PRIOR LAKE DATE TIME
INSPECTION NOTICE SCHEDULED ~k/t2B
/t(O 4(
ADDRESS 53/3 $+.
OWNER CONTR.
PHONE NO. PERMIT NO. 5- J> 12-
o FOOTING o PLUMBING RI o EX/GRAD/FILLING
o FOUNDATION o MECH RI
o FRAMING o WATER HOOKUP o COMPLAINT
;INSULATION o FIREPLACE RI
FINAL o SEWER HOOKUP o FIREPLACE FINAL
o SITE INSPECTION o PLUMBING FINAL o GASLlNE AIR TST
o MECH FINAL 0
COMMENTS:
~I,,'R- ~. ftQ rQ,~ ~ /~<t~
o WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRE W , CALL FOR REINSPECTION BEFORE COVERING
Inspector:
Owner/Contr:
-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTl
$
TOTAL DUE
Date Rec' d
~~5
NO. OS --f) 31 z.+
]
ZONING (office use)
,e/
s. O~". (.I t.y~ 0
'2'-' L-ji.f('- S-Mz..
h 0 Fireplace
1 the owner or authOrIzed agent for the
:d plans. I am aware that the buildmg
needed mspectlons.
t-/ - z -Z~O..s-
Date
$
$
$
$
$
$
$
$
$
Paid
Date
!47:~;,,~
r
This Application Becomes Your Building Permit When Approved
~ ~f-' -1f'l2/o~
Buildlllg OIlicla1 Date
I ~~"i~t~~/Z5
ThIS IS to certifY that the request in the above applicatIon and accompanymg documents is 10 accordance with the City Zoning Ordinance and may proceed as requested. ThiS document
when signed by the City Planner constItutes a temporary Certificate of Zonmg compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be
issued
Planning Director
Date Special Conditions, if any
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
~ ~AdditiOnS :::~fl::~;
BY:
Building Permit #
Site Address 53 { '3
PID: Zoning:
I~b 1J:= ::;r~ ~,G(
Legal: L
B
Subdivision:
Existing Structure@r NO
I CONFORMS 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 (~ r
Cardinal Ridge)
. Side Yard 10' sC) I
. Rear Yard 25' ,
- 73
. Townhouses Must be consistent with
approved plan for tJA
development
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
P'
DEPARTMENT OF
R' 0 R LAKe. BUILDING AND INSPECTION
INSPECTION
RECORD
SITE ADDRESS .s3;t 1~fl(. oPT: AlG,
TYPE OF WORK IU . 6t;1C"
USE OF BUILDING s:. F: b . ~_
PERMIT NO. Of'. OJI2-:- DATE ISSUED 1'/7 J./tJr
BUILDER j(bg sMirH PHONE.6 .....~.gl'z.
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
FOOTING
~ETE UNTIL AS
I
- J ~,-
VE HAS BEEN SIGNED
I
I
l FINAL
]
FOR ALL INSPECTIONS (952) 447-9850
~
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
White
Pink
J Yellow
~~5
I PERMIT NO. OS --f)3/~
File
City
Applicant
(Please
ADDRESS
53/3
,e/
ZONING (office use)
/40/7'- sT ;V~
LOT S BLOCK
LEGAL DESCRIPTION (offIce use only)
pm co5. O~". (.It.y~ 0
ADDITION fl!O~ slit'/L6 tll"ft'U jrr
OWNER
(Name)
Koe.../
/
(Address)
~fV[r;.r)-I
952'-' L-ji.f('- S-Mz..
(Phone)
BUILDER
(Company Name)
(Contact Name)
(Address)
(Phone)
(Phone)
TYPE OF WORK 0 New Construction
DAddition DAlter
CODE: MLR.C. OLB.C.
Type of q;;nstruction: I II
Occupancy Group: A B E F
Division: 1
ORe-Siding OLower Level Finish
o Fireplace
IOn
eck OPorch ORe-Roofing
DUtility Connection 0 Mise.
III
H
2
IV V A
I M R
3 4 5
B
S U
PROJECT COST IV ALUE $
(excluding land)
I hcreby certify that I have furnished mformation on this applicatIon whIch is to the best of my knowledge true and correct. I also certifY that I am the owner or authorIzcd agent for the
above-mentIoned property and that all construction will conform to all eXistIng state and local laws and will proceed in accordance with submitted plans I am aware that the buildmg
"tlicial can revoke thrs permit for Just cause Furthermore, 1 hereby agree that the City official or a deSIgnee may enter upon the property to perform necdcd mspcctIons.
t-/ - z -Z '-O..s-
This Application Becomes Your Building Permit When Approved
~ ~f-' -1f'l2/o~
Buildlllg Otliclal Date
x
Permit Valuation
Permit Fee
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
Contractor's License No.
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 $ I t..f?, II
Paid
Date
'47:~~~
I ~~"iPt ~~ I Z5
ThiS IS to ccrtifY that the request 10 the above applicatIon and accompany 109 documents is In accordance with the City Zoning Ordinance and may procecd as requested. ThiS documcnt
when signcd by the City Planner conSl1lutes a temporary Certificate of Zonmg complrancc 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