HomeMy WebLinkAboutBuilding Permit 04-0319
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
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LEGAL DESCRIPTION (ollice use only)
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2 Pink
3 Yellow
File
City
Applicant
I PERMIT NO. Of. 03/Q
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LOT .1lfBLOCK J ADDITION
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PID 2-5. !8?" .{)93 ~ D
OWNER" . ~
(Name) '" L ,A'..---1...'<-.V "....1
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(Address)
BUILDER
(Company Name)
(Contact Name)
(Address)
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Date Rec'd
4-. U. O~
ZONING (office use)
(Phone)
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(Phone)
(Phone)
TYPE OF WORK
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D New Construction Deck DPorch ORe.Roofing
DAddition DAlter on DUtility Connection 0 Misc.
DLower Level Finish
CODE: Iii1I.R.C. Or.B.C.
Type of &nstruction:
Occupancy Group: A B
Division:
r
E
II
F
I
mrvvA
H r M R
2 3 4 5
ORe-Siding
B
S U
PROJECT COST IV ALUE $
(excluding land)
o Fireplace
I ht.'feby cenify 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 Of authonzcd agent fOf the
above-mentioned property and that all construction will conform to all existing state and local laws and will proceed in accordance with submilted plans. I am aware that the building
;ci.~:;;t: p'nn~:c~~:"\Jnnore. I h,reby ."'" 'M' 'h, eoty offici.l 0" '"igore may en'" upon ,h, I"Op,"" '0 perlbnn n~: ;~o~'o\
Signarore Contractor's License No. Date
"I
Permit Valuation
Permit Fee
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
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$ B~. es
$ S7, 8(P
$ J. S"O
$
$
$
$
$
This Application Becomes Your Building Pennit When Approved
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Park Support Pee
SAC
#
#
$
$
$
$
$
$
$
I $
1$ FI7.//
Paid
Date
/"'-7. /I
9-. U.o~
I Recei~~r. e
BY/ J
Date
24 hour notice for all inspections (952) 447.9850. fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake. MN 55372
Water Meter SizeS/8"; 1";
Pressure Reducer
Sewer/Water Connection Fee
Water Tower Fee
Builder's Deposit
Other
#
#
TOTAL DUE
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
Special Conditions, if any
Residential Building Permit Checklist
Deck Additions to Single Family Homes
BY~C~
Building Permit # 0 t1-. 03/ ') Pill: 2~3e 2- . (J 't? 0 Zoning:
Site Address
Date: 4. zz-. 04-
Legal: L .s '1 B
.J
Subdivision: W /L 0 J .r 0 un!
Existing Structure:@!- NO
CONFORMS TO ZONING
ORDINANCE
G NO
Requirement Proposed
10'
19'
10' L/~ I
25' I
ti1w.. 2$'
Must be consistent with
approved plan for NA
development
Yard Setbacks: NOT APPLICABLE
MEETS CODE
. Side Yard
(25' if abutting a street, 30' if abutting a street in
Cardinal Rid!(e)
. Side Yard
. Rear Yard
. Townhouses
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 THE BUILDING PERMIT FILE TO
MAINTAIN A RECORD OF THE REVIEW.
L:\TEMPLATE\DECKCHCK.DOC
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PRIOR LAKE DEPARTMENT OF
BUILDING AND INSPECTION
INSPECTION
RECORD
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INSPECTOR
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. I FOOTING I ~ V~ I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
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I FINAL
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- FOR ALL INSPECTIONS (952) 447-9850
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED (e,- IS-d{
ADDRESS
3\aiJ ~
OWNER
CONTR.
PHONE NO.
PERMIT NO.
4. -D-S11
o FOOTING
o FOUNDATION
[J FRAMING
o INSULAT~ON
/f!fFINAL .
o SITE INSPECTI
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING ANAL
o MECH FINAL
o EXlGFlADIFILUNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
COMMENTS:
~RK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRE~C, RK, CALL FOR REINSPECTION BEFORE COVERING
Inspector. OwnerlContr.
CALL 8 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CO~REMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
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