HomeMy WebLinkAboutBuilding Permit 04-0689
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
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ADDRESS
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LEGAL DESCRIPTION (office use only)
BLOCK ~ADDITION/Jtl'l1t1~
LOT
Date Rec'd
~;:. ~:~y I PERMIT NO. 0 J_. O/-M I
Yellow Applicant .,.- 1l1~
ZONING (office use)
)(2/50
Is! PID (15'- 306- tJ:}'f ()
OWNER
(Name)
f/o Ir't..lJ
(Address)
(Phone)
BUILDER
(Company Name)
(Contact Name)
(Address)
rt~ ,.o~f C1.r~
Ma.rA: ~~
~ r "'.ur.-...r ;:;v:
(Phone) 9'52--~6'o/- J/ ?~
c:
TYPE OF WORK 0 New Construction DDeck _arch ORe-Roofing ORe-Siding
DAddition DAlteration DUtility Connection 0 Misc.
OLower Level Finish 0 Fireplace
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$ e t7~C'J -
CODE: ll6'.R.C. DI.B.c. PROJECT COST IV ALUE
Type of Construction: I II ill IV V A B (excluding land)
Occupancy Group: A B E F H I M R S U
Division: I 2 3 4 5
n this application which is to the best of my knowledge true and corree!. I also certify that I am the uwner or authorized agent for the
o will conform to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the building
ore, I hereby a8m that the city official o. ~:e~ ~ ;,,;;n ;e pwperty tn petform nee, ~~r
Contractor's License No. ( Date
x
Permit Valuation '#YhOOO.o-o
Permit Fee $ '<1 Z.!C:'"O
Plan Check Fee $ 5~.t!
State Surcharge $ 3.00
Penalty $
Plumbing Permit Fee $
Mechanical Permit Fee $
Sewer & Water Permit Fee $
Gas Fireplace Permit Fee $
~:ati:<<om~:mgp;;i:;ved
Buildine Otlicial D~te
Park Support Fee # $
SAC # $
Water Meter Size 5/8"; 1 "; $
Pressure Reducer $
Sewer/Water Connection Fee # $
Water Tower Fee # $
Builder's Deposit $
Other $
TOTALDUE ......'7t1 '1. 91, OJ- $ Z 2../ . fa3
I ~~~ #-7U,Z-
Paid
Date
Z-t~~
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 documenl
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
f~.\ddition~ to Si;gle Family Homes . .
BY ~ ~p Date 7- ,--oc;
Building Permit #
Site Address
PID:
Zoning:
30:J--1- t./~~7 (2uV"
Legal: L
B
Subdivision:
E:Listing Structure:@or NO
CONFORMS TO ZON1l'{G YES NO
ORDINANCE
Yard Setbacks: NOT APPLICABLE Requirement Proposed
MEETS CODE
Side Yard 10' .
.
(25' if abutting a street. 30' if abutting a street in rO ,
Cardinal Ridge) ~
. . Side Yard 10' ~/O"
.
. Rear Yard 25' t
(:JV-eA. 2'S:'
. T O;>nhOllSes Must be consistent witl1
approved plan for PA. .
develooment
ANY PROPOSED DECK NOT MUTING TIiE A.BDV!CRlTERlA MUST BE REFERRED TO TIiE
PLAl'INIi'fG DEPARTiVW'IT. ALSO, ANY DECK ON A LOT WITH A SUSPECTED BLUFF, OR ANY
OTHER U!'IUSUAL CIRCUMSTANCE MUST BE REFERRED TO THF. P1..Al'll'l1NC DEPARTMENT,
THIs CH:ECKLlST ",rUST BE COMPLETED AND INCLUDED l1'I THE BU1LDING PE:R.c'lUT FILE TO
MAINTAIN A RECORD Of THE REVIEW,
L :'TEO,Il'LAIT\ DE CKCHCC.DOC
PRIOR LAKE
INSPECTION -RECORD
SITE ADDRESS 3:J~T C;JIU€, ~.oJ'
NATURE OF WORK oVft. betJL..
USE OF BUILDING ~.F:I>.
PERMIT NO. 04. Ofa~ DATE ISSUED ~
CONTRACTOR M.A&.~ PHONE II-WI.
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF
BUILDING AND INSPECTION
INSPECTOfI ~
iiiiiiiiiiiii : /#P/ I {-<<W
. =PLACE NO CONCRET: UNTIL ABOVE HAS BEEN SIGNED
~
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
DO NOT OCCUpy UNTIL ABOVE HAS BEEN SIGNED
NOTICE
This card must tie posted near an electri!:lll service cabinet prior to rough-in inspections
and maintained until all Inspections nave been approved. On buildings and additions
where no service cabinet is available, card shall be placed near main entrance.
FOR ALL INSPECTIONS (952) 447-9850
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
JcJ.29
OWNER
DATE TIllE
SCHEDULED ~~~
~ec.-...;C~~ rCJo-
CONTR.
PHONE NO.
PERMIT NO,
~7'-6ff
o FOOTING
o FOUNDATION
o FRAMING
2jal8ULA TION
~~L
o SITE INSPECTION
COMMENTS:
o PLUMBING R1
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXlGRADIFILUNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASUNE AIR TST
o
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WORK SATISFACTORY,
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL F EINSPECTION BEFORE COVERING
Inspector.
Owner/Contr.
CALL 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HMLTH 4 SAFETY!
INSNOTI