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HomeMy WebLinkAboutBldg Permit 05-0249 (Please type or print and sixn at b,... .,.) ADDRESS ~ 'sZ 11 w;"CX (1- 5-5'" I PERMIT NO. 05-f)'I1 CITY OF PRIOR LAKE BUILDING PERMIT, TEMPORARY CERTIFICATE OF ZONING COMPLIANCE AND UTILITY CONNECTION PERMIT White Pink Yellow File City Applicant I tAcI(S e fqS5 LEGAL DESCRIPTION (office use only) LOT I ~LOCK ~ ADDITION OWNER fJ.. J (Name) VJ (Address) :) 2Q'1 IJI: lei !iJ~ (, ~ Date Rec' d ZONING (office use) R! PID~S'" L-/I;l- O/~-(J (Phone) 7['2 1j~7 h'"t':>b /-J~/7e Po > 5' ~~~~~ Name) r r C( ~,L (ovt 5'-1, (Contact Name) ,(IIV\1\ ~ e FY'(U1e!C (Address) J JIC;-~-O J..k J rfcr) If....e (Phone) (Phone) LvV\~dtf/e If ~/? "232 YZry \ \ C;-)l'1f 0 " ' TYPE OF WORK 0 New Construction ~ck OPorch ORe-Roofing ORe-Siding OLower Level Finish 0 Fireplace DAddition DAlteration DUtility Connection 0 Misc. CODE: 'f1!.R.C. OI.B.C. Type of onstrnction: I II III IV V A B Occupancy Group: A B E F H I M R S U Division: I 2 3 4 5 PROJECT COST IV ALUE $ (excluding land) ,{~ (KJ tJ I hcreby certify that I have nlrnished mformation on this application which is to the best of my knowledge true and correct. I also certify that I am the owner or authonzcd agcnt for the above-menlloned propelty and thai all construclion will conform to all exis1mg state and local laws and will proceed in accordance with submillcd plans. I am aware that the building official can revoke 1his p rmi1 for just ause Furthermore, I hereby agree 1ha1 the Clly official or a designee may enter upon the property 10 perform necded mspectlOns. X -- A ~L Z" Ice; Lf!1-f 'Lj.- '-f -os f / Signature Contractor's License No, Date v Permit Valuation Permit Fee Plan Check Fee State Surcharge Penalty Plumbing Permit Fee Mechanical Permit Fee Sewer & Water Permit Fee Gas Fireplace Permit Fee (;$t)lJeJ, at) $ l?~. z.~ $ 5'7. 8(0 $ I. so $ $ $ $ $ Park Support Fee SAC # # Water Meter Size 5/8"; 1"; Pressure Reducer Sewer/Water Connection Fee Water Tower Fee Builder's Deposit Other # # TOTALDUE ML-lEl/ -4. (,.0.5" This Application Becomes Your Building Pennit When Approved ~:Oll~ ~S Paid Date / "'7-1 I ~_ e.Os- Rece/iE By , $ $ $ $ $ $ $ $ $ 1~7, (I ffje'1~ ThiS IS 10 ceriify 1ha11he requcs1 in the above application and accompanying documents is in accordance wi1h 1he City Zoning Ordinance and may procecd as requestcd. This documeni whcn signed by 1he City Planner COnStl1u1es a temporary Certifica1e of Zoning compliance and allows cons1ruction 10 commence. Before occupancy, a CertlfiCa1e of Occupancy mus1 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 d-2I~~ ti, 30' ia~. ~, ~2S' Residential Building Permit Checklist Deck Additions to Single Family Homes r BY:~~ -M-~ WAlcf !I~ zF~ Date: 1../- 5- 5" Building Permit # Site Address 3:l9q Legal: L B Subdivision: Existing Structure: YES or 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' · Rear Yard 25' · Townhouses Must be consistent with approved plan for development tJ~ ANY PROPOSED DECK NOT MEETING THE ABOVE CRITERIA MUST BE REFERRED TO THE PLANNING DEPARTMENT, ALSO, A1~Y DECK ON A LOT WITH A SUSPECTED BLUFF, OR Ai.~Y OTHER UNUSUAL CIRCUMSTANCE MUST BE REFERRED TO THE PLANNING DEPARTMENT. THIS CHECKLIST MUST BE COMPLETED AND INCLUDED IN THE BUILDING PERMIT FILE TO l\1AINTAIN A RECORD OF THE REVIEW. L:\TEtvlPLA TE\DECKCHCK.DOC PRIOR LAKE DEPARTMENT OF ~ BUILDING AND INSPECTION INSPECTION RECORD SITE ADDRESS 32.." WI L.O H01f$s f!Irrs ~PEOFWORK ~ ~ USE OF BUILDING ~ F: D. _ PERMIT NO. DS-G2,4(t1 DATE ISSUED 'f/~/~S- BUILDER FIlJJII~/l. ~ PHONE #,n-tn-"'I"" NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT INSPECTOR DATE , FOOTING I /~ I if /11/0'5 PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED I I , FINAL FOR ALL INSPECTIONS (952) 447-9850 CITY OF PRIOR LAKE INSPECTION NOTICE ADDRESS J?. or:7 OWNER PHONE NO. o FOOTING o FOUNDATION o FRAMING ~SULATION ~ I":! ~!NAL r.;)e. o SITE INSP~\' IluN COMMENTS: SCHEDULED ~ lV~'~ ~~_ TIME CONTR. PERMIT NO. c; - 24'1 , o EXIGRAD/FILLING o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GASLINE AIR TST o o PLUMBING RI o MECH RI o WATER HOOKUP o SEWER HOOKUP o PLUMBING FINAL o MECH FINAL I) DJ~ n' (!Zalv~~l'~ l~ ~ ~ORK SATISFACTORY. PROCEED o CORR~f.CTION AND PROCEED o COR~ECT -~, CALL FOR REINSPECTION BEFORE COVERING Inspect4 >~ J\ J Owner/Contr: CA~ 44\.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY! Il'iSNOTl