HomeMy WebLinkAboutBuilding Permit 04-0327
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec'd
4. 2~, 04-
(Please tvoe or Drint and sien at bottom)
ADDRESS ZONING (offi"u,,)
; -::,~~ ~:~ IPEKMIT NO.O A , 0"7271
3_ Yellow Applicant I - ~ .:>
3C:/.,J(' ,,: fULl l')c;CI::- D~:.- I.,),
pun
LEGAL DESCRIPTION (office use only)
LOT / BLOCK
I ADDITION
fill UJ S' 3/UJ
PIDZ5:' 337.06/.0
OWNER
(Name) 1-\\)..( PHrAI\. .- LI/ul-t- i\.;(, l' YCIU
(Phone) CfS2 -44t - Lt4 4- <.}
610-- 703- 5/1--1
(Address)
BUILDER
(Name)
(Contact Name)
(Address)
(Phone)
(Phone)
TYPE OF WORK
o New Construction
~Deck
DLower Level Finish
o Fireplace
DPorch
DAddition
ORe-Roofing
OAlteration
ORe-Siding
Dutility Connection
o Misc.
PROJECT COST IV ALUE (excluding land) $
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 y.vY.....J and that all construction will conform to all existing state and local laws and will proce~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
~terupon iliepro~;~7)7ff <1/ Zq /0 S
,// fi.j:. Signature' Contractor's License No. Date
I Permit Valuation f(~f). 0-0 Park Support Fee # $
I Permit Fee $ R5? 2,5 SAC # $
I Plan Check Fee $ ,C:;7. 3" I Vi ater Meter Size 5/8"; 1 "j $
I State Surcharge $ /.~O I Pressure Reducer $
I Penalty $ I City SAC and WAC # $
I Plumbing Permit Fee $ I 'i,Vater Tower Fee # $
\ Mechanical Permit Fee $ I Builder's Deposit $
I Sewer & Water Permit Fee $ I Other $
I Gas Fireplace Permit Fee $ I TOTAL DUE emA,r,)) 4-, 1- -UA-- $ /L/7. II
. _ ,J
, This Application Becomes Your Building Permit When Approved Paid lJlTf/ I ~~ceiPt 8 4bt{'1Y
${:(:::~ci~~ ~~-~ i Date u_ }-CJ-/J U
( - , )
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
Deck Additions to Single Family Homes
BY. ~ 4p
Date.
lI~ft V
Building Permit # PID: Zoning:
Site Address c5b" i' ~ ~:.IJ
Legal: L_ I B / Subdivision: uJdh 3t!f---
Existing Structu~or NO
CONFORMS TO ZONING
ORDINANCE
YES
NO
'Yard Setbacks: NOT APPLICABLE
MEETS CODE
o Side Yard
(25' if abutting a street, 30' if abutting a street in
Cardinal Ridge)
Side Yard
Requirement
Proposed
10'
\
23
'15 I
35
10
10
10'
Rear Yard
25'
o Townhouses
Must be consistent with
approved plan for
development
NA-,
ANY PROPOSED DECK NOT MEETING THE AROVI: CRITERIA MUST BE REFERRED TO THE
PLANNING DEPARTMENT. ALso, Ai'lY 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\DECKCHCKDOC
"
PRIOR LAKE DEPARTMENT OF
BUILDING AND INSPECTION
INSPECTION
RECORD
SITE ADDRESS 30iLe wee
TYPE OF WORK DJ!:lIt!-.
USE OF BUILDING _ AIIL
PERMIT NO. b9-.tJ DAfisUED 4.~
BUILDER PHONE #
NOTE: THIS IS OT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
1 FOOTING I ;~OR 16_CODATE
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
-I....... I I
, 1 FINAL W /~ /;0 1~1J
/ / I
FOR ALL INSPECTIONS (952) 447-9850
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
?()~
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
~INSUL.U!ON I
:l"-FINAL~
o SITE INSPECTION
COMMENTS:
SCHEDULED / ;;;0'1'
41?l~{)(JcfJ)
TIME
-
CONTR.
PERMIT NO.
4- 3~'7
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
...... -
~k to cloSe ~ tr~
r
'ta( WORK SATISFACTORY. PROCEED
/0 'cORRECT ACTION AND PROCEED
a ~{[:J,~" ~.""'"'""""""'-""
Inspector: J Owner/Contr:
CA 7 50 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE_
v ,
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTJ