HomeMy WebLinkAboutBldg Permit 04-0929
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
(Please type or print and si~ at bottom)
ADDRESS
45'/0 Jacb"n
71 N E.
LEGA.L DES~RIPTlON (office use only)
l~~ .
LOTi BLoCK f ADDITION YI !ZLCj
-- I
OWNER
(Name)
frJ-pv 1-
if ~/ 0
(Address)
BUILDER
(Name)
(Address)
I. White File
2 Pink City
3. Yellow Applicant
Date Rec' d
PERMIT NO.I'J'-I- Cj~
I
fr;or laJ-fL
8 IIId
CJ~j,);~J-
T~ AJ E
ci- k;,' <;;
J'o c.i= .j t:J n
~ck
TYPE OF WORK
o New Construction
o Fireplace
o Misc.
OLower Level Finish
ZONING (office use)
((5
PID ;;;J.5-of/)- 6/ (- d
(Phone) 15""';.- L/9~-di.fr~
~e / (- qS'~ -;)..2M:J-/ d-~j'
(Phone)
o Porch
ORe-Roofing
ORe-Siding
OUtility Connection
4 roo,
I hereby certify that I 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 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 can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may
~ter upo~tJ~nspections-
Signature Contractor's License No. Date
I Permit Fee
I Plan Check Fee
I State Surcharge
I Penalty
I Plumbing Permit Fee
I Mechanical Permit Fee
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
~/
$ ~ LHtl&,1l a
$ /63..00
$ b~. Cj~
$ Z. {) eJ
$
$
$
$
OAddition
OAlteration
$
$
$
$
$
$
$
$
This Application Becomes Your Building Permit When Approved TOTAL DUE $ /7/, '7 S
~ ~ ~/;~;bo/ I Paid //llr95" / ReceiptNoJL'llf/jd-
Building Official Date I Date 1 - I C:-~ By 0-. .
ThiS IS to certify that the request In the above applicatIOn and accompanYIng documents IS In accordance with the City Zomng Ordinance and may procee~equ:ted 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
PROJECT COST /V ALUE (excluding land) $
I Park Support Fee #
I SAC #
I Water Meter Size 5/8"; I";
I Pressure Reducer
I Sewer/Water Connection Fee #
I Water Tower Fee #
I Builder's Deposit
I Other
Date Special Conditions, if any
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
Residential Building Permit Checklist
Deck Additions to Single Family Homes
/? '~()",
BY:~~
Date: 9- //-/-oij'
Building Permit #
Site Address
PID:
L/S/O
/7 .. Zoning: I
L/a4/~ T~/L
Subdivision: ,;TLAS 2..~ ~.
Legal: L 1\. 1 '2- B
,
Existing Structure@or NO
CONFORlVIS TO ZONING
ORDINANCE
YES
NO
Yard Setbacks: NOT APPLICABLE
LVIEETS CODE
Requirement
Proposed
. Side Yard
(25' if abutting a street, 30' if abutting a street in
Cardinal Ridge)
· Side Yard
10'
10'
~I 'f8J
II 5"0 r
· Rear Yard
25'
('
~L~
. Townhouses
Must be consistent with
approved plan for
development
fj~ .'
ANY PROPOSED DECK NOT MEETING THE ABOVE CRITERIA MUST BE REFERRED TO THE
PLANNING DEPARTMENT. ALSO, AL"'IY DECK ON A LOT WITH A SUSPECTED BLUFF, OR AL"'IY
OTHER UNUSUAL CIRCUMSTANCE MUST BE REFERRED TO THE PLANNING DEPARTlVlENT.
THIS CHECKLIST MUST BE COMPLETED AL"'ID INCLUDED IN THE BUILDING PERMIT FILE TO
MAINTAIN A RECORD OF THE REVIEW.
L:\TEivlPLA TE\DECKCHCK.DOC
PRIOR LAKE DEPARTMENT OF
BUILDING AND INSPECTION
INSPECTION
RECORD
SITE ADDRESS #5/tJ vA..~~ T'-AIL J).€.
TYPE OF WORK JJE /.t.J 1)ECJ<..
USE OF BUILDING $.F': D ·
PERMIT NO. ,M. 09.A? DATE ISSUED '1/JS/~6f
BUILDER bBAr t" ILI&is OST~ PHONE #~Z.n.D- 'Z~,
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR I DA1J' ,. f'
FOOTING I I'J/f-' I /o/6/oY
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
I I
FINAL r~ I J/~ leI /~
( v I I
FOR ALL INSPECTIONS (952) 447-9850
"
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
'-I 51 ()
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
[] FINAL
[] SITE INSPECTION
COMMENTS:
I
f)<k
DATE TIME
SCHEDULED ~
:J~~~ \1 r
CONTR.
PERMIT NO.
q - r'21
\
[] EXIGRADIFILLlNG
o COMPLAINT
[] FIREPLACE RI
o FIREPLACE FINAL
[] GASLINE AIR TST
[]
[] PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
[] PLUMBING FINAL
o MECH FINAL
o
( J {) ("\
<', \r~~ 'ti It
~RK SATISFACTORY, PROCEED
[] CORREC ACTION AND PROCEED
[] CORR T K, CALL FOR REINSPECTION BEFORE COVERING
Inspector: Owner/Contr:
7-985~R THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTI