HomeMy WebLinkAboutBldg Permit 05-0592
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
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City
Applicant
I PERMIT NO. 0 s-, 05'1 ~ I
(Please tyue or print and siltll at bottom)
ADDRESS
5(p{o Co .-
\ (,'0 !-h..
S .--\- .
LEGAL DESCRIPTION (omce use only)
LOT 3 BLOCK f ADDITION
STlJ ter1 S
I~
OWNER
(Name)
/lJCtv\UI -:S+r::Jr.---.-....
(
t<:;'()\--'"-. ~~
(Phone)
~JA ~
(Address)
z:eo"'b
BUILDER 'T". n t\
(Company Name) 10"'-....... V<-.... L.-,,~I"'OUc_
(Contact Natne) SO hv- C u.5.c, ^r\' A;;..
(Address) 3Y;) 7 4- G~
CO''''"'-S
t1.;ol k --- T rI
i
Date Rec' d
(PjS. oS
ZONING (office use)
Ie 1St)
PID 25". z~9. 003. ()
':"'/4, - ~ 4'1,
TYPE OF WORK D New Construction ODeck ~orch ORe-Roofing ORe-Siding DLower Level Finish 0 Fireplace
DAddition DAlteration DUtility Connection 0 Misc.
(Phone) <{ 4 0 - <:) f 00
(Phone) 0/~ - 940--71 ty:6
~L.
CODE: DI.R.c. DI.B.c.
Type of Construction: I II III IV V A B
Occupancy Group: A B E F H I M R S U
Division: 1 2 3 4 5
PROJECT COST IV ALUE S
(excluding land)
I hereby certify thl1t I have h.lrnished information on this application which is to the best of my knowledge tme and correct. I also certify that I am the owner or authorized agent for the
above-mentioned propelty and that all construction will conform to all existing state and local laws and will proceed in accordance with submitted plans_ I am aware that the building
official/fn revrrthis prryit for Ju~t cause Furthermore, I hereby agree thatthe citY official or a designee may ~er upon the property to perform necd~d mspections
X (" <?VIAAt' ~ 1'JI[::)-6... _ '--J 12> > [ ~ -14 -or;-
Signature Contractor's License No. Date
Permit Valuation ~ t!:'- Park Support Fee
Permit Fee $ 73 -IS SAC
Plan Check Fee $ '-f7 Q'1 Water Meter Size 5/8"; 1";
State Surcharge $ 1 ~ Pressure Reducer
Penalty $ Sewer/Water Connection Fee
Plumbing Permit Fee $ Water Tower Fee
Mechanical Permit Fee $ Builder's Deposit
Sewer & Water Permit Fee $ Other
Gas Fireplace Permit Fee $ TOTAL DUE
Paid /2 Z (, 9
Date 7 .z #"5-"
Dutl'
#
#
#
#
I :':";l
$
$
$
$
$
$
$
$
$
11-1- " to I(
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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 Sig/li<ed y the City lanner constitutes a temporary Certificate of Zoning compliance and .aIlOWS constmction to commence. Before llccupancy, a C(,'rnficate of Occupancy musl be
Issurd
(,-U..CX fl..wl 411 yfr)!-r~ .J- !l-r-v.dwJ...,
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: (1Alk. fleJ.~~ Date: G -l-I-OS;-
Building Permit #
Site Address ~~ G ~
Legal: L ~ B I
PID:
fro 1V\. s~f
Zoning:
Subdivision:
Existing Structure: YES o@
CONFORMS TO ZONING
ORDINANCE
C~
NO
Yard Setbacks: NOT APPLICABLE
MEETS CODE
Requirement
I'
10'
Proposed
11If} 11"'-
GO
ClOt
r11+
. Side Yard
(25' if abutting a street, 30' if abutting a street in
Cardinal Ridl/:e)
Side Yard
10'
. Rear Yard
25'
. Townhouses
Must be consistent with
approved plan for
development
ANy PROPOSED DECK NOT MEETING THE ABOVE CRITERIA MUST BE REFERRED TO THE
PLAi'lNING DEPARTMENT. ALSO, ANY DECK ON A LOT WITH A SUSPECTED BLUFF, OR ANY
OTHER UNUSUAL CIRCUMSTANCE MUST BE REFERRED TO THE PLANNING DEPARTMENT.
TilllS CHECKLIST MUST BE COMPLETED AND INCLUDED IN THE BUILDING PERMIT FILE TO
MAINTAIN A RECORD OF THE REVIEW.
L:\TElvlPLA TEIDECKCHCK.DOC
PRIOR LAKE
INSPECTION RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS S'" trl '" $ l'
NATURE OF WORK ~"
USE OF BUILDING S .t:. 0
PERMIT NO. {)S. 0592- DATE ISSUED
CONTRACTOR C. Sa ft-.,. ~_,~ PHONE-"A,- "It,. 7nr
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR /
I FOOTING ~
''''-IT'' (7 . '.""} I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
DATE
//;;~s
I
FRAI\IIING t:1w M/..."wo{
INSULATION (
I
ELEOTRICAL
~reqUired)
~
~T
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
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7/;!6"/aS-
. -- , .
BUILblNG
ELECTRICAL
Jr "yr-
Pr
oi~s
~//s-105
tf" );/JI-6
BEEN SIGNED
HEAl1lNG
,
DO NOT OCCUpy UNTIL ABOVE HAS
NOTICE
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.
. ,
JfU1I
FOR ALL INSPECTIONS (952) 447-9850
___.____' +_~_..._____,__________."_..,_._..__,.___._.__.,~____.._.'"w...._.___......_._..____........._..___.'____
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
st$
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
~LAnON
~ ~~~~L
o SITE INSPECTION
COMMENTS:
.....-J/ /. /
r:/~c7/, C.er
DATE TIME
SCHEDULED ~~~~
/SOre 0;/
CONTR.
PERMIT NO.
.L)S-~~
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
~ ~BING FINAL
~"'CH FINAL
'J/?'//
/7~ rlO....,..
u/ /~~
/g, ff: ,% /~~, "//
,('-'-4k... L;i;ck..--~ /~
-fi"""'!;-/Jd ~ ,
o EXlGRADlFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
-d?:~
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-/~
4/'/
------
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( V/6-..r--r:3 H / e-- )
k'WORKSATISF~OCEED ~
'/0 'cORRECT ACTION AND P"v""""
o CORRECT WO~~ ~~)!pR REINSPECTION BEFORE COVERING
Inspector: /~ ~ner/Contr:
/
C/rc
~
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CALL ~7.9B50 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH'" SAFETYI
INS/'IOTI