HomeMy WebLinkAboutBuilding Permit 04-0179
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ADDRESS
CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT 3 - d--0-ot.J
45,4
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LEGAL DESCRIPTION (office use only)
LOT (, BLOCK 0 ADDITION ~o.b
OWNER
(N ame)
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4S,+ ~W'\rY\'V\qb\Vo\
, (Address)
BUILDER
(N ame)
(Contact Name)
(Address)
I. White File
2, Pink City
3 . Yellow Applicant
PERMIT NO. 04. 0/71
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cJjlJj 8 rd.
ZONING (office use)
121
P1DdS: r-3l/Cj- Od-I-Q
(Phone)
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(Phone)
(Phone)
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TYPE OF WORK
o Misc.
o New Construction
OLower Level Finish
l1S'2--4-41> -II~O
~Ck
o Fireplace
o Porch
ORe-Roofing
~~3D~
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 perfo needed inspections.
X \4urA.- Cs 2D1-\ to" D 3/2lP 04-
Signatu Contractor's License No. Date
Permit Valuation
Permit Fee
Plan Check Fee
State Surcharge --
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water PClluit Fee
Gas Fireplace Permit Fee
$
$
$
$
$
$
$
$
3~(jlJ,O 0
8e. "2..5
57, ~,
I. So
~~Buil~A~Z~d
,
Building Official
Date
OAddition
o Alteration
$
$
$
$
$
$
$
$
$ 1i.f7./!
Paid /~//
Date ~ .:ro" ,,-t--
". 'Z-1....~
Recem:..~~r,IZ-
BYr~
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
PROJECT COST IV ALUE (excluding land) $
3)5DD
Park Support Fee
SAC
#
#
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
TOTAL DUE
~
Residential Building Permit Checklist
'-
D~ck AdditiOilj to Single Fanlily E.om~:)
Q,. r r ~.r- {JJ J
~ ~ Date
3-d~ -0<-;
L/d?q- ~~~ 'r(
Subdivi:sioo: ~ ~d--f fM
BY
Building .P~rmit #
Site Addre:5~
Pill:
Legal: L
b
'B
3
Existing Structure: Y1[S or NO
CONFORl\IS TO ZONIl'{G
o RD IN i-\N CE
Y:J.r.d Sdb;).c~: NOT A..PPLICABLE
~{EETS COD E
Side Yard
(2j' if abutting J. street, 30' if abutting a street in
CardinJ.I Ridge)
· ' Side Yard
· Rear Yard
· Tovvnhollses
l~S
R~quirem~m:
10'
10"
25'
Niust be consistent with
approved plm for
develop ment
NO
. Propo:)ed
, I
(e +On--
0\1 eyl.. io'
OVe;}'L Z c;- (-
NA.
A.NY PROPOSED DE,CK NOT MEETL."iG THE ABqVECRlTERlA l\'[UST BE REFERRED TO THE
PLAi'+1'fIJ.'fG DE'PARTl'YfENT. ALSO, Al'fY DECK ON A LOT W1TH A SUSPECTED BLUFF, OR ANY
OTHER UNUSU,.u CIRCULYlSTAl'iCE l'YIUST BE REJERRED TO TfIE. PLA.i'fN1NG DEPA...RTt'I.t:ENT.
THls CHEC.KL1ST J.VruST BECO~[PLETED Al'ID INCLUDED IN.THE BUll.DING PE:;RLVUT FILE TO
UtIAlNTAl.1'f A RE CORD 0 F THE REVlE W .
L:' 1 .c~.'/lP LA. IE" D E C:"::(.~E eX.DOC
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P R I 0 R LA KE DEPARTMENT OF
. BUILDING AND INSPECTION
INSPECTION
RECORD
SITE ADDRESS L{.57&( HJLM,1t\ \tJGl5ItJ) ,u..,~
TYPE OF WORK f'le:kJ bEe~
USE OF BUILDING S. F: D ·
~ PERMIT N~ ()tf.. ; 0 /11 DATE.ISSUED 0 If
.~ BUILDER t-~Tl~ CD~/IJ~ PHONE :z,-~-7KO
, NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
I~A , DATE
FOOTING I~/) ~ - -Z
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
FINAL
()
ffl
if-I
~
FOR ALL INSPECTIONS (952) 447-9850
~
,.
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS B '5 ry q
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION l
~INAL T1Dr ,,,"--
o SITE INSPECTION
COMMENTS:
DA. TE TIME
SCHEDULED {/- 7-o~
:W1M1M1~btJ.. Ir- .
CONTR.
PERMIT NO.
q - ''rt
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXIGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
,/
~RK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRE?!iK. CALL FOR REINSPECTION BEFORE COVERING
Inspector: Owner/Contr:
CALL 850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
./
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNorl