HomeMy WebLinkAboutBuilding Permit 04-0217
Date Rec'd
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
I PERMIT NO, 04- .;1/1
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File
City
Applicant
(Please tyoe or print and siRIl at bottom)
ADDRESS
ZONING (office use)
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LEGAL DESCRIPTION (office use only)
LOT ;;;{ BLOCK:3 ADDITION 6111
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(AddressliJ- ) \)0" )k2)(j)(rf L^-l
(Phone) --35d. \j<lo (,<'00
BUILDER
(Company Name)
(Contact Name)
(Address)
(Phone)
(Phone)
TYPE OF WORK D New Construction ~eck DPorch ORe-Roofing DRe.Siding DLower Level Finish D Fireplace
DAdditlon DAlteratlOn DUttlity Connection 0 Misc.
CODE: \;}jI.R.C. DI.B.c.
Type of J;nstruction:
Occupancy Group: A B
Division:
PROJECT COST IV ALUE $
(excluding land)
<WA@
M ell> S U
4 5
II
F
1
III IV
H I
2 (?!)
I
E
I hereby certify that 1 have furnished information on this application which is to the best of my knowledge tme and correct. I also cCltify that I am the owner or authorized agent for the
ahove-menuoned nd that aU constfllction will conform to all existing state and local laws and wiJl proceed in accordance with submitted plans. I am aware that the building
:1''''' con "V ,th>s P'7!l!7,use Furth"mo". I h",by 'gm th" theoty om"" 0' , d"tgnee may em" upon the pmpetty to p,,'mm needod m':;,,'7~s / cJj
/' ~ature Contractor's License No - bate
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S7.3~ I
/.50 I
# $
# $
$
$
# $
# $
$
$
$ /~7. II
I Receipt No. 4(" t-/51
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Park Support Fee
SAC
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$
$
$
$
$
$
$
$
Permit Valuation
Permit Fee
Water Meter Size 5/8"; I";
Pressure Reducer
Sewer/Water Connection Fee
Water Tower Fee
Builder's Deposit
Other
TOTAL DUE
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
,
Paid / L/' I . 1 , .
Date 'ZL_..:.1. -I'i L/
I I
This Application Becomes Your Building Permit When Approved
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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 musl be
issued
Special Conditions, if any
Date
24 hour notice for all inspections (952) 447-9850. fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
Planning Director
Residential Building Permit CheclJist
De(k AdJitiom to Single F amilJ Home~
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BY ~
~tJ Date 1/ L I ()~
BuilJing Permit ;I
Site Addres~
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PID:
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Legal: L
Subdivi~iol1:
Existing Structure:6iDr .'1"0
CONFOR\IS TO ZO"1DiG
ORDI~ANCE
x'ES
NO
I Yard Setbacks: NOT APPUC.-\BLE
MEETS CODE
. Side Yard
(2j' if abutting J. streeI. 30' if abutting a street 111
C ardin'll Ridge)
Side Yard
Rt::quirem~nt
Propo~ed
10'
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I 0 (
I.
I.
[0'
.1lfe.-\ I (J f
I-
tnJO.. 2S
Rear Yard
2.5"
. T ovvn.housi;s
i\'fust be consistent with
approved p Ian for
development
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A__i'lY PROPOSED DECK i'lOT ,,[EETE'iG THE ABOVE CRlTERL-I. MUST BE REFERRED TO THE
PL.",'ii'lING DEP.-'..RTi'y[ENT. ALSO, AL'iY DECK ON A LOT WITH A SCSPECTED BLL"FF, OR A:"{Y
OTHER I'i'lUSUAL CfRCLMST.,,--,'iCE MUST BE REFERRED TO THE PL.",'ii'fING DEP.-'..RT[I,(Ei'iT.
THIs CHECKLiST /;fLST BE CO[l,(PLETED"-L'ffi h'iCLI'"DED L'I THE BlJ1LDL'lG PER,UT FILE TO
LYlAlJ.'l'TAh'l A RECORD OF THE REViEW.
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PRIOR LAKE DEPARTMENT OF
BUILDING AND INSPECTION
INSPECTION
RECORD
SITE ADDRESS ,.5iJ ,~ 14 Nt) s ellM LN ~
Ar~l. I "'- ~
TYPE OF WORK ''U;.J1'J ~
USE OF BUILDING s: h D.
.PERMIT NO. d -;21.7 DATE ISSUED 412-1d..~
. BUILDER!'"O.llD ~t:JGAAJ PHONE #15z- ,!,!()..", C
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
'FOOTING
INSPECTOR DATE
I IIWJ I t{-((~//li
CRETE UNTIL ABOVE HAS BEEN SIGNED
I I
I FINAL
,
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7hrl~'-1
FOR~LL INSPECTIONS (952) 447-9850 -
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DATE TIME
CITY OF PRIOR LAKE .,. ~ . /. /
INSPECTION NOTICE SCHEDULED 'i'E/f>r
ADDRESS,~72. 4"h ;;eL... b'L
,/
OWNER
CONTR.
PHONE NO.
PERMIT NO.
/iq - ..2/7
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
~FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
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~ORK~RY,PROCEED ~
~ C'ORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
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Inspector:
Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
lNSNOTJ