HomeMy WebLinkAboutBldg Permit 04-0662
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND lJ llLITY CONNECTION PERMIT
(Please type or print and sip at bottom)
ADDRESS
Date Rec' d
1~1.01--
I. White File I PERM
2. Pink City IT NO. 04-. O(P~ Z-
3 Yellow Applicant
3 1 () I 6e.ou.J 6 (Y/~
LEGAL DESCRIPTION (office use only)
LOT 7 BLOCK 5 ADDITION
OWNER
(Name)
.~
(Address)
BUILDER
(Company Name)
(Contact Name)
(Address)
/III L.!)J ...J ()LI TH
\~"
(Phone)
(Phone)
(Phone)
ZONING (office use)
1<-/
PID Z-b. 382. 1..?.7. 0
06'2.- 4L+1-402f3
TYPE OF WORK 0 New Construction robeck o Porch ORe-Roofing ORe-Siding DLower Level Finish 0 Fireplace
DAddition o Alterari:h- OUtility Connection 0 Misc.
CODE: ~.R.C. DI.B.c.
Type of &nstIUction:
Occupancy Group: A B
Division:
I
E
III IV
H I
2(j)
@)A~
M (i) S U
4 5
PROJECT COST IV ALUE $
(excluding land)
n
F
I
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 p'erm. or just cause. Furthermore, I hereby agree that the city official or a designee may enter upon the property to perform needed Inspections.
L '1./-0t-}-
Contractor's License No. Date
x
I Permit Valuation
I Permit Fee
I 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
'10
Ii 't..aJO, 0"0
$ 737S
$ 47,94
$ J .00
$
$
$
$
$
This Application Becomes Your Building Pennit When Approved
~ ,.
. -;t. .I [) tJ
'Id. .... I
BUI IIlg Othcla
7/, ~o'l
ate
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
Builder's Deposit
Other
I TOTAL DUE
Paid
Date
/Z,,,? (I, 7
f' J- ()4-
# $
# $
$
$
# $
# $
$
$
I) $ /2. Z , h'
1/ -
ReceUj...No. 4'7'ZS7
By .
U
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
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:~~.
Date: 7///01
- Building Permit #
Site Address
Pill:
Zoning:
Legal: L
7
BS
Subdivision:
tJ~~
Existing Structure: YES or NO
CONFORMS TO ZONING
ORDINANCE
YES
NO
I Yard Setbacks: NOT APPLICABLE
MEETS CODE
· "Yard ~
(25' if abutting a street, 30' if abutting a street in
Cardinal Ridge)
. Side Yard
Requirement
Proposed
10'
t .
10'
~ 2.,'
3 z... I
01J-t..\ ~ S I
· Rear Yard
25'
· Townhouses
Must be consistent with
approved plan for
development
t-J A:,
ANY PROPOSED DECK NOT MEETING IJ1.!!. 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 TE\DECKCHCK.DOC
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"
.'
PRIOR LAKE DEPARTMENT OF
. ' BUILDING AND INSPECTION
INSPECTION
RECORD
SITE ADDRESS 3lJ1J lG/totJre CI~
TYPE OF WORK ".,CtJi!. .
USE OF BUILDING Mr ,,~ .
PERMIT NO. ~ If ~. DATE ISSUED -.:J. I. ~.,..
BUILDER PHONE # N7.. "'~8
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
~ECTOR DATE
FOOTING IJr j V/V 17- .
PLACE NO CONCRETE UNTIL ABOVE HAS BEE,N SIGNED
, FRAMING J I I
1""'\. '1/ '
JFIHAL ~ ~'4> tf'D I ltJ,p)2-~YI
FOR AllINS.PECTIONS (952) 447-9850
CITY OF PRIOR LAKE rJ..';)1 ~ ( (
INSPECTION NOTICE SCHEDULED 1#1 .-
ADDRESS $10-' ~~ Q) r-
PHONE NO.
OWNER CONTR.
PERMIT NO.
4- ~f.tt2
lJ FOOTING
lJ FOUNDATION
lJ FRAMING
lJ INSULATION
~FINAL
lJ SITE INSPECTION
lJ PLUMBING RI
lJ MECH RI
lJ WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXIGRAD/FILLlNG
lJ COMPLAINT
lJ FIREPLACE RI
o FIREPLACE FINAL
lJ GASLINE AIR TST
lJ
COMMENTS:
~ ~\~ ~ d~hilCL)f~ ~~.fa ~\'r-
~ ~ t> "~tA. l-~~ '* ~ ~~t r- O\4C'oftc.t a.
"''''i~A. d+~ ~ at +.w, ~~i'r-.
A,H-~ ~ l..X~ I ak~ ~t'M Qt ~ ';c'p or
~ _~.. ;Cj: flt)~ ~~ +-~ ~ ~.~
~
OlosP
tt. .t-lf'
~ WORK SATISFACTORY, PROCEED
o CORREC CTI AND PROCEED
lJ CORR CT , CALL FOR REINSPECTION BEFORE COVERING
Inspecto:
Owner/Contr:
O~ THIS N'6~PECnON 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
IltSNOn