HomeMy WebLinkAboutBuilding Permit 04-1165
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
(Please ~ or mint and siG at bottom)
ADDRESS
3713J~~r5
LEGAL DESCRIPTION (office use only)
LOT/3BLOCK.3 ADDITION
OWNER
(Name)
~/7c.L
C7
(Address)
Date Rec' d
]. While file
2 Pink City
3 Yellow Applicant
I PERMIT NO. ()L/-.I / t::t<f
C~
ZONING (offi", u"j
K/
9~J'~
L GA"
PID;(6-395 - () h5 ~O
~ 9'S~.;(.::1 '" so'n'
(Phone) /o/L - 205 -7(;.00
(Phone) C,/Z- 2.05 -7~Od
",4.V-/" cA.11e-t. AtA/ 5S/;;zq
Q
BUILDER <"" . / ('
(Company Name) -:>v/Or<!/nL ~ ~Gz.5
(Contact Name) ~"U~/ .,tk/j"1
/.27'/ 7' LJ/;'~o-r/ A~
(Address)
TYPE OF WORK 0 New Construction ~'oeck DPorch ORe-Roofing
OAddition DAlterah'lt DUtility Connection 0 Misc.
CODE~' I.R.C. DI.B.C.
Type of onstroction: I II III IV V A B
Occup cyGroup: A B E F HIM R S U
Division: 1 2 3 4 5
ORe-Siding DLower Level Finish 0 Fireplace
PROJECTCOST/VALUE $ ~OG
(excluding land)
I hereby certify that I have furnished information on this application which is to the best of my knowledge h1Ie and correct. I also certify that I am the owner or authorized agent for the
above-menuoned property and that all construction will conform to all existing state and local laws and will proceed in accordance with submitted plans. 1 am aware that the building
:"i'I'~~~/7lhe~by,greeth"the"ty2;~~eeJqt~u;;i;upertytuperfonnneed~~?;5~'f
, / Signature ..., Contractor's License No. ' D~e
Permit Valuation
Permit Fee
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
I Mechanical Permit Fee
I Sewer & Water Permit Fee
I Gas Fireplace Permit Fee
,.
I i:I( 2.oDO. o-n
P
I $
I $
$
$
I $
I $
I $
73.7~
47.9'-/
/.f)t!)
This Application =,__...~___J Your Building Pennit When Approved
:~;dm~~ /ljI!fi
I Park Support Fee # $ I
I SAC # $ I
! Water Meter Size 5/8"; 1 "; $ I
I Pressure Reducer I $ I
I Sewer/Water Connection Fee # $ I
I Water Tower Fee # $ I
Builder's Deposit I $ I
Other I $ I
I TOTALDUE tA1.u30 11.1 (.04- P ;l.-2.6U
I Paid ''1-7/. (p '1 I Receiot ~o. -H1J"'-J
I Date II. 1-2.0 ~ Bv .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 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 (9S2) 447-9850. fax (9S2) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
\
c3'?/:5 9116u~ cP T
Subdivision:
Residential Building Permit Checklist
Deck Additions to Single Family Homes
BY:
. Date: II~ I~- -oLj
Building Permit #
Site Address
PID:
Legal: L B
Existing Structure: YES or NO
CONFORMS TO ZONING
ORDINANCE
YES
I Yard Setbacks: !'lOT APPLICABLE
MEETS CODE
" Side Yard
(25' if abutting a street, 30' ifabutting a street in
Cardinal Ridge)
I" Side Yard
I" Rear Yard
" Townhouses
Requirement
10'
10'
25'
Must be consistent with
approved plan for
development
NO
Proposed
f:HJo.IV.. I 0
~ /6'1
~"""! 7S" 1
~A.
ANy PROPOSED DECK NOT MEETING THE ABOVE CRITERIA MUST BE REFERRED TO THE
PLANNING DEPARTMENT. ALso, AL'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:\TElvIPLA TEIDECKCHCK.DOC
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PRIOR LAKE DEPARTMENT OF
. BUILDING AND INSPECTION
INSPECTION
srrEADDRESS $?~.~,g!tDa-+
TYPE OF WORK ~
'USE OF BUILDING:fj F
PERMIT NO. 0 q- "DA E ISSUED 11- IS-Y
BUILDER eS PHONE ft,/~-~IJS-"/,IJD
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
C.~ ~r..~ rc.4- q ~ ~ . - "151~ECTO!l-,........, ./ DATE
~ FOOnNG ~" ('f1.P 1...1/ -2 ~
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
,.-. I I
I FINAL
~ ,f /
{f(II I 1/ 7/()6
. / / /
FOR ALL INSPECTIONS (952) 447-9850
.
J
t
I
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
DATE
I~
nME
ADDRESS ~
OWNER
PHONE NO.
[J FOOTING
o FOUNDATION
[J FRAMING
[J INSULATION
XFINAL
[J SITE INSPECTION
COMMENTS:
,
.t~[~_
:'I (
\ /\ o4R
01-_
CONTR.
PERMIT NO.
d //1 --
~/4C,
[J EXlGRADlFILLING
[J COMPLAINT
[J FIREPLACE RI
[J FIREPLACE FINAL
[J GASUNE AIR TST
[J
[J PLUMBING RI
o MECH RI
[J WATER HOOKUP
[J SEWER HOOKUP
[J PLUMBING FINAL
[J MECH FINAL
n ' J1
~~
f() ~ I
~ '\-1' \p
XWORK SATISFACTORY, PROCEED
o CORRECT CTION AND PROCEED
[J COR CT RK, CALL FOR REINSPECTION BEFORE COVERING
Owner/Contr:
CA
\..
ev"", ltroQU/REMENTS AIlE FOR YOUR PERSONAL HElfLTH & SAFETYI
OR THE NEXT INSPECTION 2<1 HOURS IN ADVANCE..
INS"'m