HomeMy WebLinkAboutBldg Permit 05-0361
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
White
Pink
Yellow
File
City
Applicant
(Please type or print and si~ at bottom)
ADDRESS
Co S-l'~ \-\ f~ll,OI1-.
P U\<.E
LEGAL DESCRIPTION (office use only)
LOT I BLOCK
#~ha /f 7J-
I ADDITION
OWNER
(N ame)
f1;ltReS rE- tL
PJ~ il\tJ
(Phone)
(Address)
BUILDER
(Company Name)
(Contact Name)
(Address)
(Phone)
(Phone)
TYPE OF WORK
~1r
o New ConstructlOnld'Deck ~l ~ ORe-Roofing ORe-Siding
OAddition OAltera~ OUtility Connection 0 Misc.
OLower Level Finish
o Fireplace
CODE: V1I.R.c. DI.B.c.
Type of ~nstmction:
Occupancy Group: A B
Division:
Date Rec' d
6- ~ -05
I PERMIT NO.tJ5-:3 ~ / I
ZONING (office use)
W SJ)
PIDc2,.S-"- - 0 6t - D
qs).. - 403--'1'l~ ~
III IV V A
HIM R
2 3 4 5
B
S U
PROJECT COST /V ALUE $
(excluding land)
I
E
II
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-mentlOned 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
official can rt!'ke this permit for jus~use Furthermore, I hereby agree that the clly official or a designee may enter upon the property to perform needed mspecttons.
X J..J.C-..~_i.A/' Jb - ,or -L.. S- J - 05
- U Signature Contractor's License No. Date
Permit Valuation tI~BDo ~ 0 0
Permit Fee $ 3'(, 7~
Plan Check Fee $ ~.SCj
State Surcharge $ I So
Penalty $
Plumbing Permit Fee $
Mechanical Permit Fee $
Sewer & Water Permit Fee $
Gas Fireplace Permit Fee $
Park Support Fee
SAC
Water Meter Size 5/8"; 1";
Pressure Reducer
Sewer/Water Connection Fee
Water Tower Fee
Builder's Deposit
Other
TOTAL DUE
This Application Becomes Your Building Pennit When Approved
~ '~
~._\.
BUlldlllg Ollleml
. I
Paid ..b ;/,~Lf
Date ,~-;::j,-O~
........
shhr
f D6te
# $
# $
$
$
# $
# $
$
$
$ 5?SV
,/' k', I :'1 J
Receipt No~~ a/ '0 f
By b "-'
ThiS IS to certifY that the request in the above applicatIOn and accompanymg documents is in accordance with the City Zoning Ordinance and may proceed as requested. This document
when signed by the City Planner conSlltutes a temporary Certificate of Zonmg compliance and allows construction to commence. Before occupancy, a Certlficate of Occupancy must be
issued
Planning Director
Date
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
Special Conditions, if any
BY:
~~
Residential Building Permit Checklist
Deck Additions to Single Family Homes
Date~~ ~~
PID:
~~
Zoning:
Building Permit #
Site Address ~ 5/ S
I
I
B
Subdivision:
rd~ 7~
Legal: L
. 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'
c
r
22...
10'
Nf\
· Rear Yard
25'
I I
(1(iVI 2S -f~ ~t
· Townhouses Must be consistent with
approved plan for
development vJ/~ 1)~1' ()~ ~
~ l.e:t CY6 Pu. fJ
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
PRIOR LAKE DEPARTMENT OF
.' ' " "BUILDING AND INSPECTION
INSPECTION
RECORD
SITE ADDRESS ---'S13 ~ P/.N:E
TYPE OF WORK FM,.,.. ~NTtbI QII R....)
USE OF BUILDING S-tP: ~.
PERMIT NO. 05_f-:J~1 DATE ISSUED g-a.Los
BUILDERG&rA~ fii~&~ PHONE #!S~- f.-S-n-rl
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR pATE;
'FOOTING I;/jif- 1 SI9/o~-
,
PLACE NO CONCRETE UNTIL ABOVE H~S BEEN SJGN~
~FRAMING 11#1/ I ,)/~7/0_\
'--- &a-~..C bR1L ~ AI,~ fi'tNJJA ,
FINAL II/d I ?/7/aS-
. .
FOR ALL INSPECTIONS (952) 447-9850
'~
DATE TIME
CITY OF PRIOR LAKE 11oo L /
INSPECTION NOTICE SCHEDULED;:Y? / c. r-
t" e.
ADDRESS 6S/~ /,4/t:,,, ~C~
OWNER CONTR.
PHONE NO.
PERMIT NO.
OS--3~,/
o FOOTING
o FOUNDATION
o FRAMING
~LATION
~~~~~L
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
COMMENTS:
~
~} /
/ ,//1- &i I
~/
C//<---
// ..",~
/ ~/ ;/'/ /
/" C t tf/S e //;e:;.
AWORK SATISF EED
I D~RRECT ACTION AND PROCEED
o CORRECT WO/R~~R REINSPECTION BEFORE COVERING
Inspector: pI/" Owner/Contr:
, ...
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE..
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTI