HomeMy WebLinkAboutBuilding Permit 04-0332
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
(Please type or Print and sip at bottom)
ADDRESS
14-"1() 4- a~O.kt.-6
LEGAL DESCRIPTION (office use only)
While
Pink
Yellow
File
Cily
Apph~anl
I PERMIT NO. 04-, V33z..1
LOT 6 BLOCK I
ADDITION
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OWNER
(Name)
ci S~A)
M_~..r
(Phone)
(#U..r
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vlZ-. f"(P"1. 016(,
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(Address)
BUILDER
(Company Name)
(Contact Name)
(Address)
(Phone)
(Phone)
Date Rec' d
1, 1- 1~ P1-
ZONING (office use)
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,
TYPE OF WORK 0 New ConstructIOn ~eck DPorch ORe-Roofing ORe,Sldmg OLower Level Fmlsh
DAddltIOn DAlterr" DUtlhty ConnectlOfi 0 Mise
CODE: l"Iar.R.C. OLB.C. ~'I<?!~ ~FUr/ollZ.E fD~fficTCOST/VALUE $
Type of <!o;,stmction: I II III IV V A B (excluding land)
Occupancy Group: A B E F HIM R S U
Division: 1 2 3 4 5
o Fireplace
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 thai I am the owner O( authOrized agent for the
above-mentIOned property and that all construction will conform to all existing state and locallaw$ and will proceed in accordance with submitted plans_ I am aware that the buildmg
offIcial can revok this permit for Just cause urthermore, I hereby agree that the city official or a designee may enter upon the property to perform needed mspections.
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Permit Valuation
Permit Fee
I #SOCJo, Do I
$ 117,75 l
$ 7<'.. , Sy' I
$ 2.50 I
$ I
$ I
$ I
$ I
$ I
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
This Application Becomes Your Building Permit When Approved
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~7Ay
Date
Building Otlicial
Contractor's License No.
Park Support Fee
SAC
#
#
//-,;17. 0 7'
Date
$
$
$
$
$
$
$
$
$ fifo, 79
Paid
Date
1't'(".1'"l.
LHz.eIt?{.-
, ,
I ReceiPt No. 4"""( t!'
By JWl;'+
Planning Director
Date
24 hour notice for all inspections (952) 447-9850. fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
Special Conditions, if any
Water Meter Size 5/8"; 1 ";
Pressure Reducer
Sewer/Water Connection Fee #
Water Tower Fee #
Builder's Deposit
Other
TOTAL DUE
l!Awy,u 4-. 1- 1. O-r--
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 al10ws construction to commence. Before occupancy, a Certificate of Occupancy must be
issued
Residential Building Permit Checklist
Deck Additions to Single Family Homes
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BY: ~ ~ Date 4-.;t7.04-
Building Permit # CJ ~ . 0332- PID:;tr. I~'. ocr. () Zoning: ~/.r.L)
Site Address /~70.,e. Gt.l57vPI'1u5
Legal: L . B I Subdivision: O,q,cA.-I"fWO tfO't(!,;j ZIJO
Existing Structu~ NO
CONFORMS TO ZONING
ORDINANCE
YES
Yard Setbacks: NOT APPLICABLE
MEETS CODE
Requirement
. Side Yard
(25' if abutting a street, 30' if abutting a street in
Cardinal Ridge)
. Side Yard
10'
10'
. Rear Yard
25'
. Townhouses
Must be consistent with
approved plan for
development
NO
Proposed
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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.
TIns CHECKLIST MUST BE COMPLETED AND INCLUDED IN THE BillLDING PERMIT FILE TO
MAINTAIN A RECORD OF THE REVIEW.
L:\TEMPLATEIDECKCHCK.DOC
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PRIOR LAKE DEPARTMENT OF
BUILDING AND INSPECTION
INSPECTION
RECORD
SITE ADDRESS /4704 Gt.&/IIPI'U.&
TYPE OF WORK IJ~
USE OF BUILDING ~S/1/~
PERMIT NO. 04-. 0332- DATE ISSUED 4-.2<1.04-
BUILDER Rri!:}"//"1r70IVS PHONE# #7.1o~Z-
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
~ ~ ~ f/o-a..c-# INSPECTOR /7 DATE
I FOOTING I! /''''1/ / I ,SV(..()L( I
v
PLACE Nc;>,C9N5RETE UNTIL ABOVE HAS BEEN SIG~Eq .
J1t!~~r! ;;Irt I Ff//f I 7/P/dq 1
'"
~7~cj I
I FINAL
HAl
..
FOR ALL INSPECTIONS (952) 447-9850
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1
OWNER
DATE TIME
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PERMIT NO. c!Jr -...?? f2..
SCHEDULED
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
CONTR.
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
.%FINAL
/ 0 SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS: /1 / ./
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(:/I?Y~ n/e /
,NWORKSAT TORy.PR~
i{;\c;RRECT ACTION AND PROCEED
OR REINSPECTION BEFORE COVERING
Owner/Contr:
Inspector:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/
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