HomeMy WebLinkAboutBuilding Permit 04-0416
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
(Please ~ or 'Orint and sio. at bottom)
ADDRESS
4--581
Date Rec' d
5. 5. 04-
I. White File I PERMIT NO
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pt#t L-
ZONING (office use)
,L/
LEGAL DESCRIPTION (office use only)
LOT J BLOCK I ADDITION ~O({ rI/(A.; :J KA?
OWNER
(Name)
(Address)
PID ZJ: J~. ()c/7. 0
(Phone)
BUILDER
(Company Name)
(Contact Name)
(Address) PO.
~^;~J.. d#NS. J;:;~.
IVJ.,U J-k/l~t.
Jl,}( Itr- ~/urt4"k. AW
(Phone) IPsz )QipJ-70lS
(Ph~ {tl~ZJ'Z-'1'Z- - 7fjilS"
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TYPE OF WORK. 0 New Construction DDeck Xu10rch ORe-Roofing ORe-SIding OLower Level FID1sh 0 Fireplace
DAddlt10n DAlteratlon D1(tility~ 0 ~~ ~/~
CODE: I2II.R.C. Dr.B.C. PROJECTCOST/VALUE $
Type of &stroction: r II III IV €J A @ (excluding land)
Occupancy Group: A B E F H r MallS U
Division: I 2 If) 4 5
x
I hereby certify that J 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 th t all construction . I 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 p st cause Furt ore, I hereby agree that the city offkial or a designee may enter upon the property to perform needed Inspections.
I Permit Valuation
Permit Fee
Plan Check Fee
I State Surcharge
I Penalty
I Plumbing Permit Fee
I Mechanical Permit Fee
I Sewer & Water Permit Fee
I Gas Fireplace Permit Fee
Signat6re
.fIfn600. DO
$ 13,.Z.50
$ fJfD./~
$ 3.00
$
$
$
$
$
This Application Becomes Your BuDding Pennit When Approved
"$t;~ ~
Building Otlicial
.sftj/o'l
Date
2Ll.z.!)6FW s4fr",_ Pf
Contractor's License No. Date
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 TOTALDUE~ ~.IO..~ $ -z. 'l I. fo3
I Paid
I Date
2'-?I. (,3
~,IO.O.r-
I Receiol.No.
Bv t...
o
.,.r, If / e
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
i~..-.,,' ~~ silO!" ~ ~ ~
Pianning 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
'\:::) :g!. Additions to Single Family Homes
\on-c:..lJo\
BY: r;5~;t; Fii'lo'- Date: S;/D/o <I"
BuUding Permit # Pill: Zoning:
Site Address y'S?? 1I~~;y I:>/~~ 77e.-f',
Legal: L.3' B / Subdivision: ~~ #/Lt.. 71Iti:.a
Existing Structure~or NO
CONFORMS TO ZONING
ORDINANCE
YES
NO
Yard Setbacks: NOT APPLICABLE
MEETS CODE
Requirement
Proposed
. Side Yard
(25' if abutting a street, 30' if abutting a street in
Cardinal Ridge)
I. Side Yard
I. Rear Yard
. Townhouses
10'
10'
,
IS
I
45
I
85
25'
Must be consistent with
approved plan for
development
tJA
ANY PROPOSED DECK NOT MEETING THE ABOVE CRITERIA MUST BE REFERRED TO THE
PLANNING DEPARTMENT. ALSO, ANY 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 TEIDECKCHCK.DOC
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('White - Builrli.;g::>
Canary - Engineering
Pink - Planning
Thf ('tnluof tht Llh(.'ounlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
HANISH H0I165
5. 5. 04-
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
468CJ f/t//l1/V/r /V'GIS/IGO 77V7/L
.
Accepted
Accepted With Corrections
/'
Denied
~~r-
~9 I~
~ -+0 ~ ~~ ~
~_dr,
Reviewed By:
Comments: "f u.:t-
Date: .sA % Y
.::y~~~~~~
J.iJ-c... ~;:J-::' ) ~~
~ -
-
"The issuance or granting of a permit or approval of plans, specifications and
computations shall not be construed to be a permit for, or an approval of, any violation of
any of the provisions of this code or of any other ordinance of the jurisdiction. Permits
presuming to give authority to violate or cancel the provisions of this code or other
ordinances of the jurisdiction shall not be valid."
~~
White . Building
Canaooy . Fn~ineering
~k . Plariiiin!:r-,
Th('('t'nlt'r or lht' l..kt' COQlltl)
6.\JlL.DING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
/-1 rIAl / S H H 0/16.5
E"'""' r 04-
::J. --'
APPLICATION RECEIVED
The Building, Engineering, and Planning Depanments have reviewed the building permit
application for construction activity which is proposed at:
45 81 f-!(//'1IV!I/v G6110 77d1/L
.
Accepted
Accepted With Corrections
/"
Denied
,..
i
Reviewed By:
~~
. ~
M/J.,--r~ ~
Date: oil () 10 'i
. .
-1./lj~ ~
.1-, ~f:::":" 'l!oc::>
0,
Comments:
. ~ ~~.
"I,
"The issuance or granting of a permit or approval of plans, specifications and
computations shall not be construed to be a permit for, or an approval of, any violation of
any of the provisions of this code or of any other ordinance of the jurisdictign. Permits
presuming to give authority to violate or cancel the provisions of this code or other
ordinances of the jurisdiction shall not be valid."
PRIOR LAKE ~~rtD~:~NJD~~SPECTION
.
INSPECTION RECORD
SITE ADDRESS 46i~q HU.M[H./i.J&. ~ilfltJ T/J.{,
NATURE OF WORK ~~ &AUf
USE OF BUILDING ~~ D. .
PERMIT NO. () 4 . (J h (, DATE ISSUED .a1l;f~" .
CONTRACTOR fMJJJr'/'I ~Mk. PHONE ___..21Z.ms
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
kJc...1 fJ$ hS'-..//
I I
CONCRE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
Ghl
Y I
I
t
I FOOTING
FRAMING
INSULATION
ELECTRICAL
INSPECTOR
...JIAIi
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
BUILDING
ELECTRICAL
QD
L-
I I
']j J /p~
J J "
P
I
I
-J
HiS
BEEN SIGNED
DO NOT OCCUPY UNTIL ABOVE
NOnCE
This card must be posted near an electrical service cabinet prior to rough-in inspections .
and maintained until all Inspections have 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 Lf~
OWNER
PHONE NO.
a FOOTING
o FOUNDATION
a FRAMING
o INSULATION
bL5INAL
li SITE INSPECTION
COMMENTS:
DATI!
SCHEDULED ~ .
.~~~
4-t/1c'
TIME
PERMIT NO.
I -
a PLUMBING RI
o MECH RI
a WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
a MECH FINAL
a EXlGRADlFILUNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
a GASUNE AIR TST
a
{ I
oKt~
r~9
~ /
(_ l () cCA:
Ih
.~
i WORK SATISFACTORY, PROCEED
a CORRECT ON AND PROCEED
o CORRE WOR CALL FOR REINSPECTION BEFORE COVERING
Inspector Owner/Contr:
~R THE NEXT INSPECTION 2. HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/
INSNOT'