HomeMy WebLinkAboutBldg Permit 05-0871
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
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File
City
Applicant
(Please type or print and si~ at b, .",... ..)
ADDRESS
5 ~'/ 2H ~~ ,,/;Ic~
CI/L ~~
LEGAL DJSCRIPTION (office use only)
LOT t1BLOCK I ADDITION I/I~ {]JcoJU
OWNER I \ A I . _ _ r-
(Name) ~/L:~ ()~~(,~../L
(Address) ("/i.(? 71, ,/i.}1.:> - RI."l ....
/!H-
Date Rec' d
I PERMIT NOt:?S- P7/
ZONING (office use)
PID
1J'?3-00~
>(..S
arv~
(Phone) C)~?-'Z?.~.- L./L/y'l
I ~t..r
BUILDER
(Company Name)
(Contact Name)
(Address)
(Phone)
(Phone)
TYPE OF WORK 0 New Construction ~T1eck OPorch o Re.Roofing
DAddition OAlterat~ OUtility Connection 0 Misc.
CODE: ~I.R.C. OI.B.C.
Type of Construction: I
Occupancy Group: A B E
Division:
ORe.Siding OLower Level Finish
o Fireplace
II
F
1
B
S U
PROJECT COST /V ALUE $
(excluding land)
III IV
H I
2 3
V
M
4
A
R
5
certify that J have filrnished 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. entlOned 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 buildmg
:fIcial c revoke .S?it ~ 1st cause FUlthelmore, I hereby agree that the City offiCial or a designee may enter upon the property to perform~;i;)r
Contractor's License No ' , Date
Permit Valuation
Permit Fee
\ ~ :5000,00
$ as . Z5
$ 57.3(p
$ I. So
$
$
$
$
$
TOTAL DUE
Park Support Fee
SAC
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
Water Meter SizeS/S";I";
Pressure Reducer
Sewer/Water Connection Fee
Water Tower Fee
Builder's Deposit
Other
Gas Fireplace Permit Fee
This Application Becomes Your Building Permit When Approved
~~
/ ~ 7- /".
~ ~ CIS
Building Ofticial
9/~os
Paid
Date
# $
# $
$
$
# $
# $
$
$
$ /L//. II
Recj"#?.5f
By
ThiS IS to certify that the request in the above applical10n and accompanymg 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 (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:
9-- C/-- s-
Date:
Building Permit #
Site Address
Pill:
~9L/d.
N/C/~ ()~ 6u
Legal: L
B
Subdivision:
Existing Structure: YES or NO
CONFORlvIS TO ZONING
ORDINANCE
YES
NO
Yard Setbacks: NOT APPLICABLE
l\iIEETS CODE
Requirement
Proposed
. Side Yard
(25' if abutting a street, 30' if abutting a street in
Cardinal Ridge)
. Side Yard
10'
10'
r
(~
~ (?J f
)\: :-
. Rear Yard
25'
I
Cli-0t Z S"
. Townhouses
Must be consistent with
approved plan for
development
/Jlh
A."fY PROPOSED DECK NOT MEETING THE ABOVE CRITERIA MUST BE REFERRED TO THE
PLAJ.'fNING DEPARTlVIENT. ALso, AJ.'IY DECK ON A LOT WITH A SUSPECTED BLUFF, OR AJ."'fY
OTHER UNUSUAL CIRCUMSTAl'iCE MUST BE REFERRED TO THE PLANNING DEPARTMENT.
THIS CHECKLIST MUST BE COMPLETED AND lJ.'fCLUDED IN THE BUlLDlJ.'1G PERtVllT FILE TO
MAINTAIN A RECORD OF THE REVIEW.
L:\TEylPLA TE\DECKCHCK.DOC
~
~
PRIOR LAKE DEPARTMENT OF
BUILDING AND INSPECTION
INSPECTION
SITE ADDRESS 5f!!?~2B~/(~ e,,'~
TYPE OF WORK [) ~
USE OF BUILDING 5 F
PERMIT NOn_ ,C>~- }J?/ DATE ISSUED
BUILDER ~N $ l'!Ul "'\.f PHONE#~"UUfl/
NOTE: THIS IS NOT A PERMIT f;OR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
FINAL
#
FOR ALL INSPECTIONS (952) 447-9850
l-
~._.,_...-"_.' ".0,... ~_'____'.~""___~"",'__,__~'4"'.."".
DATE TIME
SCHEDULED / P(&S-
dcIL~.C1kCv
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
. r(f~2
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
.c.-"FfNAL
-'0 SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
/'l.MEC.H FI~
/ ./e c:/c
COMMENTS:
~..
r-~q
/
/
(
,-\-~7/
, I
o EXIGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
/
~/
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/ ~/ ,?--/
\U t 0 5---(: / / e-. ./
~~V OOOCi&9 ------
o CORRECT ACTION AND PROCEED
o CORRECT WOR'} S.~~PECTION BEFORE COVERING
Inspector: ~~ner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
1NSN011
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
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This drawing is neither a legally recorded map nor a
survey and is not intended to be used as one. This
drawing is a compilation of records, information, and
data located in various city, county, and state offices,
and other sources affecting the area shown, and is to be
used for reference purposes only. Scott County is not
responsible for any inaccuracies herein contained. If
discrepeancies are found, please contact the Scott
County Surveyors Office.
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March 18, 2004
file://C:\DOCUME-I \Lynda\LOCALS~ 1 \Temp\triJCBIJ.htm
3/18/2004