HomeMy WebLinkAboutBldg Permit 05-0291
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
cf~/rO)
I White File I PERMIT NO
2. P;nk City . OS. () 201
3 Yellow Applicant '/ l
(Please type or print and siltIl at bottom)
ADDRESS
37Z?
'-:rC-~5 c-l~
ZONING (office use)
ref
LEGAL DESCRIPTION (office use only)
LOT/4 BLOCK..3 ADDITION
J~#e:--J sotHU
PID zr: 5Vr 6"", ()
~'::~R gr/~'79- ~~- ~('r
(Address)
(Phone)
9 5 Z - '-(c..;O-5S3Cj
BUILDER ~ 4, r '/ &5
(Company Name) ...) v',rP/'-L-~ ~ ~
(Contact Name) /??rZ~ ~~
/C~
(Address)
/2fi'-/7
o/~~~c/
(Phone)
(Phone)
~p~V~ /~ /?1~ S5/.).cj
b12-205 -7'00
TYPE OF WORK 0 New Construction DDeck OPorch ORe-Roofing
DAddition OAlteration OUtility Connection 0 Misc.
CODE: M.R.C. OLB.C.
Type of;;;stnlction: I II III IV V A B
Occupancy Group: A B E F HIM R S U
Division: I 2 3 4 5
ORe-Siding OLower Level Finish
o Fireplace
PROJECT COST IV ALUE $
(excluding land)
I hereby certifY that I have hlmished mformation on this application which is to the best of my knowledge tme and correct. I also certifY that I am the owner or authOrIzed agent for the
above-menl1oned property and that all construction will conform to all exisl1ng state and local laws and will proceed in accordance with submitted plans. I am aware that the buildmg
:cia~~e'l her~ agree thattheclty::;~d3gi;y n~n the property to perform need~=in8 _ tJ S-
/' (Signature --...J Contractor's License No. . Date
Permit Valuation ~z.CXJo, t!) 0 r Park Support Fee # $
Permit Fee $ 73. 7~ I SAC # $ L-
Plan Check Fee $ 4 7. i:J~ I Water Meter Size 5/8"; I"; $
State Surcharge $ t. 0 a I Pressure Reducer $
Penalty $ Sewer/Water Connection Fee # $
Plumbing Permit Fee $ Water Tower Fee # $
Mechanical Permit Fee $ Builder's Deposit $
Sewer & Water Permit Fee $ Other $
Gas Fireplace Permit Fee $ TOTAL DUE $ /2.-2,~ 9
Paid /ZZ.' , Re~llb
$(~/a S- Date tl-JX,{;j-- By A
Building Ollicial
Date
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 COnSl1lUtes a temporary Certificate of Zonmg 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
rJ2 ...
BY:~
=f~~
Date: ~ (r >7;; ~
Building Permit #
Site Address .5 7 d /
Legal: L ILl B 3
PID:
Zoning:
~
~/
Subdivision:
9ir
~/;
Existing Structure@9t NO
CONFORMS TO ZONING
ORDINANCE
YES
NO
I Yard Setbacks: NOT APPLICABLE
MEETS CODE
· Side Yard
(25' if abutting a street, 30' if abutting a street in
Cardinal Ridge)
· Side Yard
Requirement
Proposed
10'
~
10'
2.0'
I Z (
rTl.XA. 2 r::;; I
· Rear Yard
25'
· Townhouses
Must be consistent with
approved plan for
development
tl^
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 .3 72 q ..:7'l5PrcIGS CI,'
TYPE OF WORK Qffu:::-
USE OF BUILDING IU::;J I'f'/f!-
PERMIT NO. 05. Dz91 DA~ISSUED 4-. /B.oS-
BUILDER SU,o/U"l"1C ll1Jr16 S(/e6'., ') PHONE # (,/Z zoJ- ""(0 () 0
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR ~ ?'
t FOOTING I /14 I f/20/0:)-
PLACE NO CONCRETE UNTIL ABOVE~S BEEN SIGNED
. FRAMING I r(~ I 'i.; 2t.:. 0'7
I S)R ,I ·
FINAL - V V IGI179)1?fi
, , "/ -/
FOR ALL INSPECTIONS (952) 447-9850
---~--
'-"'."..._---~,.,-_._-,-.......~
U),;l'::IME
SCHEDULED ~
* (\);.
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS ~7 ~PJ
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING 0 PLUMBING RI
o FOUNDATION 0 MECH RI
o FRAMING 0 WATER HOOKUP
o INSULATION 0 SEWER HOOKUP
~'NAL 0 PLUMBING FINAL
:=~:S~~:~ION):;~ ANAL
---/ \...^--\ ~
Q_L~e.- j)Nl.~' \f
S - ?i (
o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
~
~ORK SATISFACTORY, PROCEED
~ ~RECT ACTION AND PROCEED
o CORRE WorK, CALL FOR REINSPECTION BEFORE COVERING
") Owner/Contr:
CPO 44 ~R THE NEXT INSPECTION 24 HOURS IN ADVANCE.
~
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
IIiSIiOTI