HomeMy WebLinkAboutBuilding Permit 04-0061
(Please type or print and sign at bottom)
ADDRESS
'4-33e,
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
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I. White File
2. Pink City
3, Yellow Applicant
Date Rec' d
2-., Cf. 04-
PERMIT NO. 04-. OO{q I
LEGAL DESCRIPTION (office use only)
LOT 3 BLOCK 5 ADDITION fCN 0 tJ HI vL,. Z/JD
OWNER
(N ame)
joY") -t Jt~l tCL gtl~ I a Vl
1433 fJ ~()b in ~Otlt
(Address)
BUILDER
(N ame)
(Contact Name)
(Address)
TYPE OF WORK
o Misc.
o New Construction
OLower Level Finish
ZONING (office use)
,€I
PID 2.S". 339. oZS. ()
(Phone) 'IS 2 - z. '3>> 3 - ) 1- ~ l.p
PVl OY" Ltt tLt..,
(Phone) ~S 'l.. -440 -, -, 50
(Phone)
~UyV\~", \ \ e-
PILYv\j
~
o Fireplace
o Porch
ORe-Roofing
o Addition
o Alteration
ORe-Siding
OUtility Connection
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-mentioned 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 official can revoke this permit for just cause.' Furthermore, I hereby agree that the city official or a designee may
enter upon the property to perforrr ne ed inspections.
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Permit Valuation
Permit Fee
Plan Check Fee
State Surcharge
Penalty
I Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
PROJECT COST IV ALUE (excluding land) $
S.DOD
;
I ~()() I t!J1J
$ 8B · z.-S-
$ 57. ~~
$ /. ~l)
$
$
$
$
$
This Application Becomes Your Building Permit When Approved
~ ~ ZI'1!o<l
Building Official . , Date
2..D2\ U , l 0
Contractor's License No.
Park Support Fee
SAC
#
#
\ J 3D ) D4-
Date
$
$
$
$
$
$
$
$
$ /~7,11
- I
LlSyq lj
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 constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be
issued.
Planning Director
'Water Meter
Size 5/8"; I";
Pressure Reducer
City SAC and WAC
Water Tower Fee
Builder's Deposit
Other
#
#
TOTALDUE f...fhMro v~q~o~
It(/} / I /
d-;>rj-,-!
Paid
Date
Receipt No.
. By r:
~
Date Special Conditions, if any
24 hour notice for all inspections (952) 447-9850, tax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
Residential Bujlding Permit Ch eckJist
'- .
Deck Addition~ to Singl~ Family Homes
BY:
Date o? / ~ <;/
Building 'Permit .# Pill:
Site Addres$ li35? R~ ~
B 5
~
r
~
. Zoning:
Legal: L 0
Subdivision:
K~. 'f./JJ~.J
Existing Structure: ~r NO
CONFORI\!S TO ZONlliG
ORDIN~~NC'E
1'"ES
NO
Yard Setbacks: NOT A..PPLICA..BLE
~IEETS CODE
R~quirement
Propo:sed
· Side Yard
(25' if abutting a street 30' if abutting a street in
C ardinJ.l Ridge)
· . Sidt: Yard
10'
10'
, -
tJ.- z'-l +1-
.
, .
S, - Z"2 +/--
<<
7S'
· Rear Yard
25'
· Townhouses
iY'lust be consistent ,-vith
approved plan for
develop ment
N~
ANY PROPOSED DECK NOT ~lEETING THE ABqVE CR1TERl.A~[1JST BE REFERRED TO THE
PLA1't"Nll.'1G DEPA..RTIHENT. ALSO, ANY DECK ON A LOT \VITH A SUSPECTED BLUFF, OR Al.'N
OTHER UNUSUAL C[RC{fMST.~~CE iYIUST BE R!li'E.RRED TO THE. PLA1'f.NIJ.'fG DEPARTl\{ENT.
THls CHEClllST ~rUST BE COMPLETED AJ.'fD INCLUDED li"f THE BUILDING PERi.VllT FILE TO
~1AlNTAll'i A RECORD OF THE REVIE.W.
L:"TE:'1IPLA IE, D E CKCHCK.DOC
...t
PRIOR LAKE DEPARTMENT OF
BUILDING AND INSPECTION
INSPECTION
RECORD
SITE ADDRESS / ~33 8 to.9t?/ tV eLJ.
TYPE OF WORK D6U-
USE OF BUILDING /b6S It/te-
PERMIT NO. 0 ~ r 00 (g I DATE ISSUED 2-" CJr 04-
BUILDER FIC-OtJLfEtC- C1JtJ~~77L. PHONE # 44-0. 7750
NOTE: THIS IS NOT A PERMIT FOR AINY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
~OR DAn
· FOOTING . KV/ '-%~l-O)
PLACE NO CONCRETE UNTIL j~BOVE HAS BEEN SIGNED
I
FINAL
. /1
I/I/f//
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FOR ALL INSPECTIONS (952) 447-9850
''\,
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS 1Lt ~ 3 ~.
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o . INSULATION () _//
..df FINAL //~L-
o SITE INSPECTION
COMMENTS:
SCHEDULED
~'ht'~ ~ C1
CONTR.
PERMIT NO.
o PLUMBING RI
o MECt1I RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECt( FINAL
DATE TIME
.? - g- -f) (
Lf-{~ !
o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
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~ORK SATISFACTORY, PROCEEDI
o CORRECT ACTION AND PROCEEDI
o CORRECT W~K, C~OR REINSPECTION BEFORE COVERING
Inspector: 1/ i/f.../ Owner/Contr:
V I
CALL 447-9850 FOR THE NEX1r INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH &: SAFETY!
INSltOTl