HomeMy WebLinkAboutBldg Permit 04-0790
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
(Please type or print and sign at bottom)
ADDRESS
l.-lQ ~ \ ()\~e
I. White File
2. Pink City
3 Yellow Applicant
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Date Rec' d
1. z, 1. 04-
,
I PERMIT Nfl. tJ~ . () 790 I
/
~
ZONING (office use)
t?tlSO
LEGAL DESCRIPTION (office use only)
LOT +' BLOCK ~ ADDITION
m~ Wlt/O.s
OWNER ,
(Name) M.<2-r\J'{,..i ~ ~~"(\a.. ~<'-...~I'
(Address)
BUILDER
(Company Name)
(Contact Name)
(Address)
(Phone)
(Phone)
TYPE OF WORK
e~ 1fT] Alq Frt5!5.
o New Construction ~Deck o Porch ORe-~oofing ORe-Siding
DAddition DAlteration DUtility Connection 0 Misc.
DLower Level Finish
o Fireplace
CODE: ~.R.C. DI.B.C.
Type of ~nstruction:
Occupancy Group: A B
Division:
PID z5. z,~ 011-.3 .?J----....
~ -
~ -
'1.) z. 31- 02..-\ 1
I
E
ill IV V A
HIM R
2 3 4 5
B
S U
PROJECT COST /V ALUE S
(excluding land)
n
F
1
I hereby cel1ify that I have furnished information on this application which is to the best of my knowledge true and correct. I also cel1ify that I am the owner or authorized agent for the
above-mentIOned properry 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
;cial can ~h~~t~. Furthermore, I hereby agree that the city official or a designee may enter upon the properry to >'".L... neeidr:;;'7~~
Signature Contractor's License No. 'Date
I Permit V:aluation
I Permit Fee
I Plan Check Fee
I State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
A.
~Zst!;O' 00
I Park Support Fee
I SAC
I Water Meter Size 5/8"; I";
I Pressure Reducer
Sewer/Water Connection Fee
Water Tower Fee
Builder's Deposit
Other
$
$
$
$
$
$
$
$
7.3.7S
tt,. ~L(
J,()O
TOTAL DUE
I Paid
I Date
/Z'L. (, '1
7. -z.1i. 0 t$-;
This Application Becomes Your Building Permit When Approved
~Oft"~ 7 <z;..q(o <(
# $
# $
$
$
# $
# $
$
$
$ IZZ. f/Jj
-
ReceipMo. ~~4-
By --t.
(J
ThiS IS to cel1ify 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 Cel1ificate of Zoning compliance and allows construction to commence. Before occupancy, a Cel1ificate 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
/;? ,- -7'- f1.
BY:~~
Date:
1/~9(oc.(
Building Permit #
Site Address
PID:
Zoning:
Legal: L L(
B tf
,
Subdivision: TIu.. 0~
Existing Structure@>r NO
CONFORMS TO ZONING
ORDINANCE
YES
NO
Yard Setbacks: NOT APPLICABLE
MEETS CODE
Requirement
Proposed
. Side Yard
(25' if abutting a street, 30' if abutting a street in
Cardinal Ridge)
. Side Yard
10'
10'
~ (tJ (
I
f:nA.. /0
~" f
. Rear Yard
25'
. Townhouses
Must be consistent with
approved plan for
development
jV 1'+,
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.
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 INSPEcnoN
INSPECTION
RECORD
SITE ADDRESS 2831 PINE- Vl6 vJ Ole.-.
TYPE OF WORK OEtK-
USE OF BUILDING 1b65 /1 / /G
PERMIT NO. 0 f-. 07 90 ' DATE ISSUED 1. z.. &J. 04-
BUILDER ~N4N PHONE# ?~~. 02./7
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
I/~ rV INSPEC'J&R ~ 11
'FOOnNG e~/~ I , AlGi' I /l J IJ I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
I.... I I
I FINAL 'VI; p7 I
.
DATE
.
r
II
I
I
~I
Of .- J, '] -c.A1
FOR ALL INSPECTIONS (952) 447-9850
CIlY OF PRIOR LAKE
INSPECTION NonCE
SCHEDULED
DATE nilE
1"2J-r:y
ADDRESS
:J..-&'"3( f)~ /.heW" Ii?-
r/~ )
~
~
OWNER
CONTR.
PHONE NO.
PERMIT NO.
[] FOOTING
[] FOUNDATION
[] FRAMING
[] J!jSULA TION./) !I
'FINAL ,./~~ t-
[] SITE INSPECTION
[] PLUMBING RI
[] MECH RI
[] WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
--~-,..~-
-..... ""-
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~.
/ I ~
/ (r)~ ~
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f
----
---
q-7Q6
o EXlGRADlFILUNG
o COMPLAINT
o AREPLACE RI
o FIREPLACE FINAL
[] GASLlNE AIR TST
o
,
/
~ORKSAnSFACTORy.PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT~WRK. C OR REINSPECnON BEFORE COVERING
Inspector: ~ Owner/Contr:
v
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
INSNOTl
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH &I SAFETY/