HomeMy WebLinkAboutBuilding Permit 04-0231
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
t. 8.04-
; ~~ ~:~ I PERMIT NO. 04- .0 ..,? I I
3. Yellow Applicant ~
(Please!vpe or print and sUm at bottom)
ADDRESS
3'';1- Jef-Ry~ Loux-t-
LECiAL DESCRIPTION (office use only) ~
LOT 10 BLOCK 3 ADDITION ~
~
OWNER 12 . c.. \> \ '{)I). vtlt.-
(Name)
(Address) ~~H2- j-e,-tfo.,-L., touv+
ZONINCi (office U~)
/2./
PID zS: '315. 0(,2. 0
(Phone) _(;C,1-401:;- n?J I
BUILDER .
(Name) Wt>Y'\-h,,_v rnY)<....-+v\AcchuY"\
(Contact Name) RII\ P.rlx-hn
(Address) \44-t>D ~un"'\i\\k
TYPE OF WORK
o Misc.
~ew Construction
DLower Level Finish
(Phone) q~'"2- - 44'0 - f" C; 0 '
(Phone)
OPorch
ORe-Roofing
OAddition
OAlteration
~
ORe-Siding
DUtility Connection ..
4 IOOD
.
I hereby certifY that I have furnished information 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-mentioned r--r--:J 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 building official can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may
enter upon the property to pe 0 needed inspections. 4/ I
x~_ _ A_ ' 1-D7_HgllO ., 04-
Slgnatu Contractor's License No. Date
Permit Valuation
Permit Fee
I Plan Check Fee
I State Surcharge
I Penalty
I Plumbing Permit Fee
1 Mechanical Permit Fee
I Sewer & Water Permit Fee
I Gas Fireplace Permit Fee
P\L'N~
. .
~k
o Fireplace
PROJECT COST IV ALUE (excluding land) $
,f ZaJo. 00
$ 73.75
$ L/7.1'1
$ /.00
$
$
$
$
$
, This Application Becomes Your Building Permit When Approved
~~~ci~ f<cfdY
I Park Support Fee
I SAC
I Water Meter SizeS/8"'!'"
, ,
I Pressure Reducer
I City SAC and WAC
I Water Tower Fee
I Builder's Deposit
I Other
I TOTAL DUE
I Paid
I Date
/;';':1- h 'f
v-p,-q
.
# $
# $
$
$
# $
# $
$
$
$ /~Z-.'9
I ReceiptNo. &/~~i&3
Bv c;-
O-
This is to certify that the request in the above application and accompanying documents is in accordance with the City Zoning Ordinance and may proceed as requested. This document
when signed by the City Planner constitutes a temporary Certificate of Zoning 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
Dtck Addition~ to Single Family Homts
4 . d (-;;
BY.~~
D~te 71~ f
Building Permit #
Site Address 3 7 ~ b
Legal: L B
PID:
~
Zoning:
~.
Subdivision:
1
Existing Structure: ~r NO
CONFORMS TO ZONll'{G
ORDINANCE
)"ES
NO
Yard Sdbacks: NOT APPLICABLE
MEETS CODE
Requirement
Proposed
. Side Yard
(25' ifabucting a street. 30' if abutting a street in
Cardinal Ridge)
Side Yard
10'
3'5'
52-
~~ t
I .
,.
lO'
Rear Yard
)-'
-~
. T o"nhouses
Must be consistent with
approved plan for
development
N~
ANY PROPOSED DECK NOT i'YlEETLNG THE ABOVE CRlTERIA MUST BE REFERRED TO THE
PL.'u'iNll'iG DEPARTl'<lENT. ALSO, ANY DECK ON A LOT WITH A SUSPECTED BLUFF, OR ANY
OTHER UNUSUAL CIRCUMSTMiCE il<IliST BE REFERRED TO THE PL.'u'{N1NG DEPARTl'<lENT.
THls CHECKL1ST MUST BE COMPLETED AND INCLUDED It'! THE BURDING PER:,llT FILE TO
MAINTAIN A RECORD OF THE REVIEW.
l.. : "TE:vlP LA IE'. DE CKCHCl(.D()(
~
PRIOR LAKE DEPARTMENT OF
BUILDING AND INSPECTION
INSPECTION
RECORD
SITE ADDRESS -3732- JE:PFER5 C"T
TYPE OF WORK OWe...
USE OF BUILDING ICEd fJ/te..
PERMIT NO. 64-. ()Z3/ DATE ISSUED 1-.8.04-
BUILDER r~oNTI6J2. PHONE # 440. 7750
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
I FOOTING I I
. PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
I I
.
I FINAL
I Me.,
~
FOR ALL INSPECTIONS (952) 447-9850
"
j
!
j
""
DATI! TIME
CITY OF PRIOR LAKE I J
INSPECTION NOTICE SCHEDULED-Id1=dj
ADDRESS .3j'1? L!~o; Q~.
OWNER CONTR.
PHONE NO.
PERMIT NO.
3 - o?.2/
o FOOTING
o FOUNDATION
o FRAMING
~NSULAT~(
/! ~INAL
o SITE INS ION
o PLUMBING R1
o MECH R1
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXIGRADlFILLlNG
o COMPLAINT
o FIREPLACE R1
o FIREPLACE FINAL
o GASLlNE AIR TST
o
CoMMENTS:
~WORKSATISFACTORY. PROCEED
o CORREC N AND PROCEED
o COR T K CALL FOR REINSPECTION BEFORE COVERING
Inspeel :
Owner/Contr.
CA
850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE..
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOT'