HomeMy WebLinkAboutBldg Permit 05-0644
Ju1 07 05 05:40a
mike
763-684-1897
p. 1
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERrmCATE OF Zu..",.G COMPLIANCE..
AND UTILITY C". .. ..!.CTION PERMIT
rtTftV ~ UrJ b ~
(Pkuc.!Tl'!.06 prier _d sip.1IoUom)
I ADDIU!SS
:5 :l. 0.> WIL r:-,. /f-,.., r1S,. f'
Date Rec'd
1 7. 05-
~ ':: ~ I PERMIT NO. 05. 0 h .....d
J VolJ_ AJIIlIkIII If"'"'rl
P fl-s >
I zv';e?-URl I
LEGAL DESCJlJPT10N (0_.... ollly)
LOT /1 BLOCK 4- ADDITION tv itA? .J" SO 1./171
TYPE OF WORK 0 New C._ ~ OPon:b ORo-IlooIillI ORe-S..... OLD..... r-I F""1b
OAddilioo oAilEmioft OUtility CoM<<1iOft 0 Mite.
. COD)!' ~.Il.C." Or.B.c.
Typcof~..,.."..: I n m IV V A B
O.."",..GrulIp: A B E F HIM R. S U
DirisiOD: 1 Z 3 4 5
OWNER.
(Name) TUI.fArc.~
(AcIdress) 3, ~ 0C
BUlLDER
(Company Name)..ru.r,<.;
(Contact Name) r'V1 rl<~
(AcIdress) sr;n i 7 Tfl-
.s I J L L TV i"t-Ai
lJ'T L C\
if<<:. n.> f'
PID 25. 382-.12-4-.0
(Phone) 9'.>J- :l::Y. "Uo.C--
PN(
(" J'<1J.rs.m.lfC 1.T<''',u''(Phone) ..2". "<
(phone) 76"{
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b.~ 9 .3 ~9 ~
f.5jy'Jt-.5I<:IJ
l<lvvt-.r:. ~'JV
~]-. 5>(')
OF".....,w.e
PllOJECl'COST/V ALUE S
(excluclq lood)
4"U"'e. (') (')
I bcrebyqrti~ tllall bIw rumished ifIforma1iDn CD thi.! .applicUiDn wbictl 1110 lhc bCSI ofn'l)' bowJelltt true andC:Ol'l'leCf. I also crmfythat J am thrUWllerar autl'loti:r.cd.afl!rft fcIr lhr
... - ."., -,. ~~c1 dlalall:E'- wiIICOIlform"'d.rNciqSb~iU1db2l1nrsaDdwiUP'OCft'djD aeeordaIIcI: wilbsullm.Jnrdplans: 1.Iftl &warrlhatr~lNiWrlI
ofticW C'U ~~r.wt far jutcaase. ". .", _...... _.1 bmtJy ~ftUll1he dly oIfieiaI. Dr & ~ipttrnay mttt' IIp)fI 'Jb~ pmpmy TO pafonn Dteded iJUpl:'(1tOns.
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. ~ Con......~. u..... No. - Dm:
I Permit Valuation
I Permit Fee
I PI.., Check Fee
I S1ateSurd1arge
IPenaIty
I Plumbing Permit Fee
I Mechanical Permit Fee
I Sewer '" Water P<rmil Fee
I Gu FU<place Permit Fee
r,,'49c;>O, Ou
1$ 7'3.75
1$ t.-I7. ""4
I $ 1.<50
15
IS
5
5
S
Tblo App_ --..c. V..,IIDlliHoI_ WIlmA........
~. .. ?tWJ~
Buildin.OfflCi,1
7/7 It)~
. bate
I Park Support Fee /I S
I SAC /I S
I Water Mecer Size 5/8"j l'"j S
I Pressure: Il<dua::r 5
Sewer/Water Connection Pee /I 5
I Water Tower Fee /I 5
I ::.Oepoal :
I TOTAL DUE t!Hue;D 7. 1.or 5 I 2- 2. , (., "I
I Paid 1 d--d.. -b, - I R=il>B-y . I N:.';J.----., Llel 10;-
Dare 7 - i i c '") ;'
1'ha iltDurtiIy'lhal tllrreq~ ut.lhe Ibcrft; "t".... Ind,"u. ';", .J ... ., _ . ia:ina<<ord.nccwidllhe City ~ _ ::"., .. alllt may pt'CCnd.&I~. ThisdlteWISCM
whauiptdbrtbtCiIyPlulD<<ccnstitufeu..,,'l"' '''.' Cft'tUkatecf7.on.iDccocnpiuceull:h1low&CODJtnIaimto." Jcfi;lno ., .... .&CcniliateorOcnpantymuSlbe
bou<<l
PlIJaIi:IIIIOiRlcCI:r
.Dae S~ u.uuou.. if en
Z4 bo.r noUCI: for .11 htspa:tion. (9n) "7-9150. "I (951) ...,-4145
16200 Eagle C_k AVernJe Prior Lake. MN 55372
Residential Building Permit Checklist
Deck Additions to Single Family Homes
BY: ~ ~ Date: 717~S-
Building Permit #
Site Address
PID:
Zoning:
Legal: L I q
B
~
Subdivision:
tJ~~
Existing Structure:@1rNO
CONFORMS TO ZONING
ORDINANCE
YES
NO
. Yard Setbacks: NOT APPUCABLE
! MEETS CODE
Requirement
Proposed
. Side Yard
(25' if abutting a street, 30' if abutting a street in
Cardinal Ridge)
Side Yard
10'
C''''
I'
10'
n'
/1 ~~'--'
(,2-' -tv Hr.0l.
. Rear Yard
25'
. Townhouses
Must be consistent with
approved plan for
development
tJ I\: '
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.
Tms CHECKLIST MUST BE COMPLETED AND INCLUDED IN THE BUILDING PERMIT FILE TO
MAINTAIN A RECORD OF THE REVIEW.
L:\TEMPLA TEIDECKCHCK.DOC
..
PRIOR LAKE ~~r~~~~~~TD~~SPECTION
INSPECTION
RECORD
SITE ADDRESS ~ tJ5 MSS
TYPE OF WORK 'O/1t.
USE OF BUILDING '5 J/I/Jt:.,
PERMIT NO. DICE ISSUED 7. 7. D5
BUILDER . PHONE # 7e.I"3t_~
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
I FOOTING W 4- ~PEc:rOR 1//: J~
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SlGNED
I I I
I FINAL
J 1
I J9jltf/
FOR ALL INSPECTIONS (952) 447-9850
;(/,/
DATE TIME
~
LJ adL #dl"'U-
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS 3'2DlC:
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULAJ:lON (/7
)cUINAL U<2::lL--
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
_ r d\ ~d
( \ JI'l.,p ,AA ~ C?!
~-
5-oCnC/~
o EXIGRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
/'
~ORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
, CALL FOR REINSPECTION BEFORE COVERING
Inspector: Owner/Contr:
CALL 7-9 50 FOriHE NEXT INSPECTION Z4 HOURS IN ADVANCE.
CODE REQJ~Nn' ARE FOR YOUR PERSONAL HEALTH & SAFETY/
yam",