HomeMy WebLinkAboutBuilding Permit 04-0264
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ADDRESS
.(O~
Date Rec' d
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICAIE OF ZONING COMPLIANCE
AND UTILI I r CONNECTION PERMIT
LA_f, LLo l.A.J
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I. White
2. Pink
3 Yellow
File
City
Applicant
PERMIT NO.
Otr.Oz'fp4-
IrA-VA-!.-
ZONING (office use)
~/
LEGAL DESCRIPTION (office use only)
LOTC? BLOCK if ADDITION itJ~ {;; GJ\
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l(uf)r;;O u.J; LU;w
OWNER
(Name)
(Address)
~-Q
(Phone)
PID;>5-~'1'{. 030-.0
- ~
~g - ~'10 ~ il.-fOD
BUILDER /')"'-
(Company Name) ~t+\~ ~S
(Contact Name) rb-J>
(Address) J-'O~ I'fl +'- 5+ ~ L.J A:f~u.. vcL-l~ ,
(Phone) 9SJ.n 7 - ~ ~ d.s-
(Phone) qq., CT LfO - (g~ 7 )
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TYPE OF WORK 0 New Construction lSlDeck !Sfporch ORe-Roofing ORe-Siding OLower Level Finish 0 Fireplace
o Addition o Alteration DUtility Connection 0 Misc.
CODE: UlI.R.C. OI.B.C.
Type of Cbnstnlction:
Occupancy Group: A B
Division:
I
E
ill IV V A
HIM R
2 3 4 5
B
S U
PROJECT COST IV ALUE $
(excluding land)
d-tJ roo-
I
IT
F
I
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 perform needed mspcctions.
X ~ ~ do'-1~3). J ~ l.f/1~I()vf
Signature Contractor's License No, Date
Permit Valuation
Permit Fee
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
I; tJ.1)(} tJ,M
$ / /9/, 5'0
$ I iJ-l./ff If?
$ S,6{)
$
$
$
$
$
~~BuB&ngpenmt~en;;V.d
Building Ollicial ~~.
Park Support Fee # $
SAC # $
Water Meter Size 5/8"; 1"; $
I Pressure Reducer $
Sewer/Water Connection Fee # $
Water Tower Fee # $
Builder's Deposit $
Other $
TOTAL DUE ~ 4.-, t ("' .Q 4--' $ 320. qe
.
Paid 3oz,c t' '11f
D ate ~..:H:I,. ~ "--'
Receipt ~. ~GrZ-
By t-
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
~ p~a temporazy Certificate of #m;~;,ows construction 10 commence. Before occupancy, a Certificate of Occupancy mnsl be
Planning Director f 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
Res-idential Building Perm itCh ecklist
'- .
Deck Additio n,:j to SiIlgl~ F anlily E.om~:)
~ '_~ rOL
BY. ~ ~_
Dace: Lf- /~-oL/
Building 'Permit.# pm~
S ite Addre:s~
. Zoning:
/CtS'{)--ZU~L.N
Legal: L . B
S ubdivlsioQ:
E.risting Structure: YES or NO
CONFORl\IS TO ZO.~ll'{G
ORD IN ~A.N CE
lIS
NO
y :lr.dSetbudc~: NOT A..P.PL IC.ABLE
iVIEETS CODE
" R~quiremt:nt
~-
10' .
· Proposed
.cjI t:1 I .
· Side Yard
(25' if abutting a street, 30' if a.butting a street in
Cardinal Ridge)
· . Side Yard
10"
. ( .
53 s.
NIT.
,b"9 I
· Rear Yard
25'
· T ov~nhouses
Nlust be consistent with
approved plan for
development
fJA,
ANY PROPOSED DE.CK NOT M:EETlNG THE ABQVE.CRlTERlA ~IUST BE REFERRED TO THE
PLAL'+l'fIJ.'fG DEP'.~TM:E.NT. ALSO,.~ DECK ON A LOT 'N1TH A SUSPECTED BLUFF, OR AJ.'fY
OTHER U1"fUSU.U CIRCtIMST.~~C'E iYfUST BE R1.FE.RRLD TO THE. P"LAl."fN1J.~C DUARTIHENT.
THIs C.HECKLlST tvruST BE COMPLETED AJ:'fD INCLUDED lL~ THE SUll..DING p~'VnT FILE TO
~IA.IN1'AlJ.'i A RE C ORD OF THE REVIEW.
L".l c..:.\fIP LATE'D ECK'.:ECK.DOC
t
..
PRIOR LAKE DEPARTMENT OF
BUILDING AND INSPECTION
INSPECTION RECORD
SITE ADDRESS rs 0 LIJ
NATURE OF WORK
USE OF BUILDING
PERMIT NO. .. O~(,'" DAT~S~VEp
CONTRACTOR · RJc~ lU:fLS PHONE~". "~1/
NOTE: THIS IS NOT A P riFORANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR /}
tI: · ;V/
DATE
~ -l r,OLj
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
&f'
G( ( 1. (H}1
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
FINALS
BUILDI
ELECTRICAL
,/}
VlIY/
c;:),( ~~I
~
DO NOT OCCUpy UNTIL ABOVE HAS BEEN SIGNED
NOTICE
This card must,.be posted near an electrical service cabinet prior to rough-In inspections
and maintained until all Inspections have been approved. On buildings and additions .
where no service cabinet is available, card shall be placed near main entrance.
FOR ALL INSPECTIONS (952) 447-9850
DATE TIllE
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
s-2/-tYlf
ADDRESS
1/&~7) UI/'// dltJ ~
OWNER
CONTR.
PHONE NO.
PERMIT NO.
t,( .. 2f, I.{
o FOOTING
o FOUNDATION
o FRAMING
o I!jSULA TION AlA.~
~ fiNAL (j/~'V" l
o SITE INSPECTION .
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
~ ---..
~-I ~
( (/A(~ hk)
"-. ~
/'
~RK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector. W OwnerlContr.
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
/N$NOT1