HomeMy WebLinkAboutBuilding Permit 04-0469
CITY OF PRIOR LAKE BillLDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
O~ PR/O>\,
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(Please tr.J!e or print and sign at bottom)
ADDRESS
+5 +-/ II 1/1'11"'11 tv'c:; 8/ AU:)
LEGAL DESCRIPTION (office use only)
L White
2_ Pink
) Yellow
File
City
Applicant
7lt.AI'- N e:
LOT 6" BLOCK Z- ADDITION WOf> HILI.- -3 eo
OWNER
(Name)
Date Rec'd
6-/11-d-j
I PERMITNO'/J'I_oc.{61~ I
ZONING (office use)
leI
PIDZS: 3+Cl. OIl. 0
f3Je(~N P~n:Je... n6Y6K-
I
(Phone) >I,sd - YO~ -0880
tZeJ (- ~/;l~J.--fJ?/3 I
(Address)
BUILDER
(Company Name)
(Contact Name)
(Address)
(Phone)
(Phone)
TYPE OF WORK 0 New ConstrUction lItbeck OPorch ORe-Roofing ORe-Siding OLower Level Finish 0 Fireplace
DAddition DAlterati~ DUtility Connection 0 Misc.
CODE: Il1f'I.R.C. OLB.C.
Type of llo'~ction:
Occupancy Group: A B
Division:
I
E
III IV V A
HIM R
2 3 4 5
B
S U
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 property and t onstruction 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 rev~is pe:~' or jus use FlIrt::rmore. I hereby agree that the city official or a designee may enter lIpon the property to perform needed mspections.
X /f"':' / . ----r ____ - _ /7 /lJ?1 bt/
~ -, _ Jtgzlature Contractor's License No. bate
I Permit Valuation
I Permit Fee
I Plan Check Fee
I State Surcharge
I Penalty
! Plumbing Permit Fee
\ Mechanical Permit Fee
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
II
F
I
$
$
$
$
$
$
$
$
C:Jt}tH). Dol
63.zsl
S7.31L
(, $"0
pplication Becomes Your Building Pennit When Approved
BlIildm.:~ Sfror!o'f
I Park Support Fee
I SAC
I Water Meter Size 5/8"; 1";
I Pressure Reducer
I Sewer/Water Connection Fee
I Water Tower Fee
I Builder's Deposit
I Other
I TOTAL DUE
Paid
Date
/-'7. I I
5. I J:(I~
# $
# $
$
$
# $
# $
$
$
/I $ ''''.If
/I ~'/J'~
l~rtNO.
0
ThlS 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 constitutcs 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
~
D~ck Addition~ to Sjllg1~ F,~mily aom~~
BY~~
Date:
S-/?-d~
J ~onjng: < I
//5L/I ~cfkd~~
Building .Permit #
Site Addres~
PID:
Legal: L
B
Subdivision:
E.I.isting StruL'ture: YES or NO
CONFORMS TO ZONTh-C
ORDINANCE
I'ES
NO
YaI'd S~tbucki: NOT A.PPLlCABLE
MEETS CODE
&.quirem~nt
Propo~ed
- Side Yard
(2j' if abutting a street, 30' if abutting a street in
C ardi.n:L1 Ridgel
I - . Side Yard
I- Rear Yard
- Townhouses
to'
. r
22
Ie; r
~z~/I
10'
U'
Must be consistent with
approved pbn for
development
f\)~
ANY PROPOSED DECK NOT L'lCEETli'!G THE ABOVECRlTERlA "'lUST BE R.E:FERRED TO THE
PLAf'il'fING DEl'..\.RTi'lJ:Eri1'. ALSO, ANY DECK ON A LOT WITH A SUSPECTED BLU'FF, OR AJ.'f'{
OTHER. UN1JSU.U CIRClfL'llST....NC! L'llUST SE RfFERR.E:D TO THE PL..",i',N1NG DEl'A.RTlHENT.
T1iIs CHEC.KLlST MUST BE. COMPLETED AJ.'ID lJ'ICLUDED [l'lTIll BlIU.DJNG l'ElUVUT FUE TO
l';lAIl'ITALN A R.E:CO.RD Of TIll REVIEW.
L:-'.T2vlPLA TE" DE CK~:HC(.DO(
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PRIOR LAKE
.I_NSPECTION
srrEAQDRESS 'i~~/EE~!I],il'ti T..
TYPE OF WORK Dee..k.. - ,
USE OF BUILDING .s F -
PERMIT ~ 01./- J-,flV3 DATE ISSUED S' /lr t./
BUILDER-~n.4IN-~~/l!' r PHONE# tl4-..an<::J
. NOTE: THIS IS NOT A PERMIT FOR' ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF
BUILDING AND INSPECTION
I FOOTING
e
INSPECTOR DA~
I /MY I ~/2'/4'f
NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
I I
,
I
I
I FINAL
FOR ALL INSPECTIONS (952) 447-9850
~
.
---
\
DATI! TillE
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
'1-117
ADDRESS
q,~-t./ /
~~
- CONnO
PERMIT NO. "'"""'4 -q if
I
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
,;;r'FINAL
o SITE I SPECTIO
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXlGRADlFILUNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASUNE AIR TST
o
COMMENTS:
~ ~ c--loc.&.- ~--L le.
~RKSATISFACTORY. PROCEED
o CORRE C ON AND PROCEED
o COR CT . CALL FOR REINSPECTION BEFORE COVERING
Inspect r.
OWner/Contr:
50 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
~
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/
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