HomeMy WebLinkAboutBldg Permit 05-0376
CITY OF PRIOR LAKE
, INSPECTION NOTICE
ADDRESS 5))~
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
COMMENTS:
SCHEDULED
t!'lL ~
o .
CONTR.
PERMIT NO.
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
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o EXIGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
o WORK SATISFACTORY, PROCEED
D""CORREmT TION AND PROCEED
~ CORREC ~Ik. CALL FOR REINSPECTION BEFORE COVERING
Inspector: II ) Owner/Contr:
r-
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH .{ SAFETY!
INSNOTl
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
White
Pink
Yellow
File
City
Applicant
PERMIT NO.
(Please type or print and si~ at bottom)
ADDRESS
rrc3
..... Q,j
/f 16 H /.? (J / IV / c-
(!;:f
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID 2,::> .37.5-. h of. 0
OWNER /1 .'
(N ame) (../1f7V) /t'/?/~
,4 " ;C It-{..,. i;'/ /
Date Rec' d
5.4.{/:;-
os. Cfs7h I
ZONING (office use)
(Phone)
'752 - .,Q7- F// Z--
I hcreby certify th have furnished Information on this application which IS to the best of my knowledge true and correct. I also cerufy that I am the owner or authOrIzed agent for the
above.men~' e roperty and that aU consu-uction will co to all existmg state and local laws and will proceed in accordance with submitted plans. I am aware that the building
official cyr e thiS permit f Just cause Furthermor. reby agree that the my offiCIal or a deSignee may enter upon the property to perform needed Insp;?;ectlO s
X (t / ./ 7 - ?/~ CJ7-
/ signarurSf. / Contractor's LIcense No Date
/ ~OrOO
$ 7~r 75
$ 4(7 r Cj Lj
$ ;. e CJ
$
$
$
$
$
(Address)
BUILDER
(Company Name)
(Contact Name)
(Address)
(Phone)
(Phone)
. /
TYPE OF WORK. 0 New Construction &eck OPorch ORe-Roofing
OAddition OAlter~ion OUtility Connection 0 Misc.
CODE: ~.R.C. DI.B.c.
Type of ~struction: I II III IV V A B
Occupancy Group: A B E F HIM R S U
Division: I 2 3 4 5
ORe.Siding OLower Level Finish
PROJECT COST IV ALUE $
(excluding land)
Permit Valuation
Park Support Fee
#
Permit Fee
SAC
#
Plan Check Fee
Water Meter
Size 5/8"; 1";
State Surcharge
Pressure Reducer
Penalty
Sewer/Water Connection Fee
#
Plumbing Permit Fee
Mechanical Permit Fee
Water Tower Fee
#
Builder's Deposit
Sewer & Water Permit Fee
Other
Gas Fireplace Permit Fee
TOTAL DUE
o Fireplace
$
$
$
$
$
$
$
$
$ / ZZ//J9 .
This Application Becomes Your Building Permit When Approved
~
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BUI Ill!! Otllcla
Paid
Date
I Z Z, ~. e:;
.S-. 4. L'';-
i Receipt l>J"o, ~ y/c, '7
I By ~--6?.. .
/
S-/Y~5
D&te
ThIS IS to certify that the request In the above apphcanon and accompanying documents is In accordance with the City Zoning Ordinance and may proceed as requested ThiS dDeument
when signed by the Cay Planner constItutes a temporary Certificate of Zonmg compliance and allows construetlon to commence. Before occupancy, a Certlticate Df Occupancy must be
i~sued
Planning Director
Date
24 hOllr 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
Deck Additions to Single Family Homes
BY:~
r-
~f--)
Date: 5/1(05
Building Permit #
Site Address 55 53
Legal: L B
PID: Zoning:
Z;;~ {!;t-.
Subdivision:
Existing Structure: @)r NO
CONFORMS TO ZONING
ORDINANCE
YES
NO
I' Yard Setbacks: NOT APPLICABLE
MEETS CODE
. Side Yard
(25' if abutting a street, 30' if abutting a street in
Cardinal Ridge)
. Side Yard
Requirement
Proposed
10'
J:
10'
L(~ I 7-
~c, ,
. Rear Yard
25'
I
~2S
. Townhouses
Must be consistent with
approved plan for
develooment
;Vft-,
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
MAINT A1N A RECORD OF THE REVIEW.
L:\TEMPLA TE\DECKCHCK.DOC
~
PRIOR LAKE DEPARTMENT OF
BUILDING AND INSPECTION
INSPECTION
RECORD
SITE ADDRESS 5553 H/c5l-1/..JCi!lv7b U
TYPE OF WORK /J6C/c-
USE OF BUILDING 1Z6.J~ 11/12-
PERMIT NO. () S, () ,:57 (0 , DATE ISSUED 5. +, oS-
BUILDER ;:: I ~t, I PI PHONE # 4-+7,.5/ /7
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECT~R , JDATI
I FOOTING I #tlf I S/6/dS:
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
I I
I FINAL.
FOR ALL INSPECTIONS (952) 447-9850