HomeMy WebLinkAboutBldg Permit 05-0294
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
White
Pink
Yellow
J/_!4,5
I PERMIT NO. 05 - ~qL/
File
City
Applicant
(Please type or print and si~ at bottom)
ADDRESS
'3.3 4,-/ Gu i/c/hor-s~ Pos.s A.J 0J
ZONING (office use)
RI
LEGAL DESCRIPTION (office use only)
LOT4 BLOCKLj ADDITION TIv<.. Wi/~
'01\ PIDd6- 8'71;- 0 3S~ ()
"
OWNER
(Name)
~ )C A/eJ(a.
36(,;<;'/ L.J l/oI/JQrSe.
Pous
(Phone) qS;~-~YO-3y~
AJ0J ,PY"-J Or- Co./Ic-e. /'--f..N ,t;'~37~
(Address)
BUILDER
(Company Name) Dee- k. s( ot LJP {nA"\ c::;,-I-"tA- el-/rl'"
(Contact Name) .:::J ~ .A \J ~;. C
, - -
(Address):; 60/ .I./o/~~ Bo.,y A.J
(Phone) 65"/..... 7Y ~- /000
(Phone) 6S/--d35- 61:7 fj g
Oo..tc/aie MAl S"S)8>~
TYPE OF WORK 0 New Construction ~eck OPorch ORe-Roofing
OAddition OAlteration OUtiIity Connection 0 Misc.
CODE~' .R.C. DI.B.C.
Type of stmction: I II III IV V A B
Occup cy Group: A B E F HIM R S U
Division: I 2 3 4 5
ORe-Siding OLower Level Finish 0 Fireplace
PROJECT COST /V ALUE $ ~ 00()
(excluding land)
I hereby certifY that I have tlIrnished mformation 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 existmg state and local laws and will proceed in accordance with submitted plans. I am aware that the buildmg
:7diiS per:~::ermore. I hereby agree that the city offiEr~e~e~y SeS:3t&-7rty to perform ne4:;c9n~ 0 c:
7 C..J Signature Contractor's License No. Date
Permit Valuation l~, () 0 Park Support Fee # - $
Permit Fee $' 73, 7 s SAC # $
Plan Check Fee $ 4?, 9'f Water Meter SizeS/8"; I"; $
State Surcharge $ I Pressure Reducer $
,{)O
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 ~ 4-. 2CJ.Or $ /z'<:., "c:;
This Application Becomes Your Building Pennit When Approved I
~mflJP -iI~/d>
Paid
Date
/22 (,CJ
cj. Z5. {.IS
Receipt No.
By r/;,?
"Ie} 1->,/
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 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
Residential Building Permit Checklist
Deck Additions to Single Family Homes
~j~ - ~.Cf tf
BY: :f)/J~ ?~~ Date: Lj-(tj--5
Legal: L
3~t;
B
PID:
!l/dCf (Th74(
Subdivision:
Zoning:
p~
Building Permit #
Site Address
Existing Structure: ~ NO
CONFORMS TO ZONING
ORDINANCE
YES
NO
Yard Setbacks: NOT APPLICABLE
MEETS CODE
. Side Yard
(25' if abutting a street, 30' if abutting a street in
Cardinal Ridge)
. Side Yard
. Rear Yard
. Townhouses
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 CIRCUMSTAl"lCE 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:\TETvlPLA TE\DECKCHCK.DOC
PRIOR LAKE DEPARTMENT OF
BUILDING .AND INSPECTION
..
INSPECTION
SITEADDRESS .!36~~1!9 PAU ~W.
TYPE OF WORK \Jew De-~
USE OF BUILDING - ~ F: 1). -
PERMIT NO. (J~ ofi4" DATE ISSUED ~f~'O~
BUILDER r.:~ ~, PHONE HIQ1,'S-t.fr't
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
FOOl1NG I r-lj)'.' I ~"TE
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
I
I vlc"
t FINAL
/7~
(-fCf
FOR ALL INSPECTIONS (952) 447-9850
~
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
33'1'-1
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULA~~J_
~INAL ~
o SITE INSPECTION
COMMENTS:
f
Ok'
(
~
SCHEDULED
01. TE TIME
ftJ /20/ as
'vJ ; l<:l th,rse,
CONTR.
PERMIT NO.
~- O'.2lf~
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXIGRADlFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
"'"
, )
.J ~.,/.
C\.(jS~ \! ~ I
01
#(
\~
~ORK SATISFACTORY, PROCEED
o CORRECT AC NO PROCEED
o CORRECT ORK, REINSPECTION BEFORE COVERING
Inspector: d I
CALl44T-985 \.bR THE N T INSPECTION 24 HOURS IN ADVANCE.
CODE REQ ~ FOR YOUR PERSONAL HEALTH cl SAFETYI
INSJ'iOTl
Owner/Contr: