HomeMy WebLinkAboutBuilding Permit 04-0671 DATE TIME
CITY OF PRIOR LAKE ��,,����
INSPECTION NOTICE SCHEDULED I 1 GC� [(
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ADDRESS ��� S c)C 1/� CdCX„e� vl J
OWNER CONTR.
PHONE NO. PERMIT NO. -" �y � �
❑ FOOTING ❑ PLUMBING RI ❑ EX/GRADIFILLING
❑ FOUNDATION ❑ MECH RI � COMPLAINT
❑ FRAMING ❑ WATER HOOKUP ❑ FIREPLACE RI
❑ INSULATION O SEWER HOOKUP ❑ FIREPLACE FINAL
�FINAL ❑ PLUMBING FINAL ❑ GASLINE AIR TST
❑ SITE INSPECTION ❑ MECH FINAL ❑
COMMENTS: � e C�
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❑ WORK SATISFACTORY, PROCEED
❑ CORRECT ACTION AND PROCEED
❑ CORRECT O K CALL FOR REINSPECTION BEFORE COVERING
Inspector: OwnedContr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTSARE FOR YOUR PERSONAL HEALTH & SAFBTY!
uvsNOr,
oF PRf �•P CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
�: • � TEMPORARY CERTIFICATE OF ZONING COMPLIANCE 7 Z, D�'
�' � AND UTILITY CONNECTION PERMIT
���'N E So�
I Whrte Fde pERMIT NO. ����
2 Pink City o4"
3 Yellow Apphcant
Please e or rint and si at bottom
ADDRESS ZONING (ott'ice use)
� �3,�" / � c i v^ L—. 1�'J�'U
LEGAL DESCRIPTION (ofl['ice use only)
LOT Z BLO�K / ADDITION '`1//^/(� Q N �Np PID � 312. 0 OZ . a �
OWNER (�,���
(Name) l�, wL`"_ u V` c � . _ � I.SS'C' V1 (Phone) ��2, ' �y" � (� ^ � � �p �n
(Address)
BUILDER
(Name) (Phone)
(Contact Name) (Phone)
(Address)
TYPE OF WORK ❑ New Construction �L�ck ❑Porch ❑Re-Roofing ❑Re-Siding
❑Lower Level Finish ❑ Fireplace ❑Addition ❑Alteration ❑Utility Connection
❑ Misc. PROJECT COSTNALUE (excluding land) E
I hereby certify that I have fumished informacion 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-men '�d prope and that all construction will conform to all existing state and local laws and will proceed in accordance with
submitted . am aw that buildin cial can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may
enter on prop rform'ne d' 'ons.
X tT-2 � o`f
Signature Contractor's License No. Date
Permit Valuarion .�� � Pazk Support Fee # $
Permit Fee $ � SAC # $
Plan Check Fee $ �� Water Meter Size 5/8"; 1"; $
State Surcharge $ z �� Pressure Reducer $
Penalty $ City SAC and WAC # $
Plumbing Permit Fee $ Water Tower Fee # $
Mechanical Permit Fee $ Builder's Deposit $
Sewer & Water Permit Fee $ Other $
Gas Fireplace Permit Fee $ TOTAL DUE $ �'' f�
�
'rhis ' do ur suiiding Permic en A oved Paid � Recei t No.
Date B
B g O 'al Dat
This is to c� 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 constitutes a temparary Certificate of Zoning 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
�
DEPARTMENT OF
BUILDING AND INSPECTION
; SITE ADDRESS � �3 � `f" '�t�t���2 ���2_
' TYPE OF WORK ��
USE OF BUiLDING �-�
PERMIT NO. ��-r � 7 DATE ISSUED
BUILDER / �` ���v. s-� PHONE # �4o-i��
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
� THE PER IS BY SEPARATE DOCUMENT
' �'� 7''V qrSPECTOR DATE
FOOTING ,�
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
FINAL
FOR ALL INSPE.CTIONS (952) 447-9850
,
Residential Building Permit Checklist
Deck Additions to Single Famil Ho es
BY: Date:
� � ��
Bui ing Permit # PID: Zoning:
Site Address �U�
l� 3 S �- ���ormu2 �(l�
Legal: L B Subdivision:
Existing Structure YES or
CONFORMS TO ZONING YES NO
ORDINANCE
Yard Setbacks: NOT APPLICABLE Requirement Proposed
MEETS CODE '
• Side Yard 10' -
(25' if abutting a street, 30' if abutting a street in ' / !
Cardinal Rid e) ( .
• Side Yard 10' 1
• Rear Yard 25' C Jv
• Townhouses Must be consistent with '
approved plan for �--
develo ment
ANY PROPOSED DECK NOT MEETING THE ABOVE CRITERIA MUST BE REFERRED TO THE
PLANNING DEPARTMENT. ALSO, ANY DECK ON A LOT WITIi A SUSPECTED BLUFF� OR ANY
OTHER UNUSUAL CIRCUMSTANCE MUST BE REFERRED TO THE PLANNING DEPARTMENT.
THIS CHECIiLIST MUST BE COMPLETED AND INCLUDED IN THE BUILDING PERMIT FILE TO
MAINTAIN A RECORD OF THE REVIEW. -
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