HomeMy WebLinkAboutBldg Permit 04-0465
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
5. 17.04-
I. White File I PERMI
2. Pink City T NO. Of-. 0 4.s-
3 Yellow Applicant
(Please tv1Ie or Print and sip at bottom)
ADDRESS ZONING (office use)
, Lftf?fI HtffUd-/J C!-t. AJI: ,/qJ 0
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID 25.3'4--2.. OZ-l. .0
OWNE~ . . () _ I t
(Name) 'dJLr-f 1 ~.
(i J (tow
(Phone) (j<:+ - d-dl" -;:) 195.
(Address)
BUILDER
(Company Name)
(Contact Name)
(Address)
(Phone)
(Phone)
TYPE OF WORK 0 New Construction T.jObeck atPorch ORe-Roofing ORe-Siding OLower Level Finish 0 Fireplace
OAddition o Alteration O~ty Connection 0 Misc.
CODE: ~.R,C. OJ,B,C.
Type of ~stnlction:
Occupancy Group: A B
Division:
J
E
II
F
I
ill IV V A
H J M R
2 3 4 5
B
S U
PROJECT COST IV ALUE $
(excluding land)
I hereby certify that I have litmished information on this application which is to the best of my knowledge true and correct. I also certify that I am the owner or authonzed agent for the
above-me ed 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 building
:cial an rev. ke this rmyr ~; ~&~e, I hereby agree that the city official or a designee may enter upon the property to perform 7~-{I/.
Signature Contractor's License No. Date f
I Permit Valuation N'~Ot!J, () (J I I Park Support Fee # $
I Permit Fee $ //7, 7~ I I SAC # $
I Plan Check Fee $ 7fc, · St.( I I Water Meter Size 5/8"; I"; $
I State Surcharge $ Z.So I I Pressure Reducer $
I Penalty $ I Sewer/Water Connection Fee # $
I Plumbing Permit Fee $ I Water Tower Fee # $
I Mechanical Permit Fee $ I Builder's Deposit $
I Sewer & Water Permit Fee $ I Other $
I Gas Fireplace Permit Fee $ I TOTAL DUE $ /'~.?7
This Application Becomes Your Building Permit When Approved I Paid 16ft" - /~ Receipt No. l./ b ~ d 0
~ ~ s:1(ph~ I Date '5-/A-O,/ By Q
~
Buildilll! Otlicial 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 requestcd. This document
when signed by the City Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Ccrtificatc 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
1b(lC~ ~ Deck Additions to Single Family Homes
W~L~b.J^'1' C'"
BY: ~ CfuJJL/
Building Permit #
Site Address / ~ ~..J' '7
Date: S II ~ t.(
Legal: L
B
PID:
rU~i6. 12 lj,
Subdivision:
Zoning:
lie:
Existing Structure: @r NO
CONFORMS TO ZONING
ORDINANCE
YES
NO
I Yard Setbacks: NOT APPLICABLE
I MEETS CODE
. Side Yard
(25' if abutting a street, 30' if abutting a street in
Cardinal Ridge)
. Side Yard
Requirement
Proposed
10'
10'
~
~
~
tJA
· Rear Yard
25'
· Townhouses
Must be consistent with
approved plan for
development
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 ItlJ!. BUILDING PERMIT FILE TO
MAINTAIN A RECORD OF THE REVIEW.
L:\TENIPLA TE\DECKCHCK.DOC
. . -' -~".: -"""~" - '-.. -~--., .- -
PRIOR LAKE DEPARTMENT OF
BUILDING AND INSPECTION
INSPECTION
RECORD
SITE ADDRESS / ~9J9 /I1GHt'-4NL) c;r tJ. 6.
TYPE OF WORK [)e~/ /tV 17'-K.. (De~/<- ':r ~(eFIkE r;-Q. 1i~H)
USE OF BUILDING ~ ~/;< (~oF' i~ ex (',..rirJj)
PERMIT NO. 04-. 04-bS DATE ISSUED
BUILDER PHONE #
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR DATE
FOOTING ~I tJ~/~1 I j'1A,t1 I .,"-t{ '~i
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
(- FRAMING, (~ bE. &0 rJG ~ v:t'~L iF" Au... i s; ~ PeN) .
EL.E:CT/l.'CAL- ~.l.: ......, l.BtJAL~~I;- I Ih~~: l
. FINAL ~/J5 ;-/9/lfh ,
V . / /
FOR ALL INSPECTIONS (952) 447-9850
:r
~, . .
..
.,;;;;;-
\
\
DATE nilE
CITY OF PRIOR LAKE rs.
INSPECTION NOTICE SCHEDULED
ADDRESS '~ct l:h',W~ ~
U
OWNER CONTR, .6'
PHONE NO, PERMIT NO,
o FOOTING o PLUMBING RI o EXIGRADlFILLlNG
o FOUNDATION o MECH RI o COMPLAINT
o FRAMING o WATER HOOKUP o FIREPLACE RI
o INSU~N k o SEWER HOOKUP o FIREPLACE FINAL
NAL r-c.. o PLUMBING FINAL o GASLINE AIR TST
~ITE IN PECTION o MECH FINAL 0
COMMENTS:
~~s lkw
-
(\c1W\r\~ LO;tt lAoo~
~\~ ~ -C>("
';Ii WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRE~RK' CALL FOR REINSPECTION BEFORE COVERING
Inspector: Owner/Contr:
CALL: 7:&;;0 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE,
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH .I SAFETYI
fNSNOTf