HomeMy WebLinkAboutBuilding Permit 04-0494
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
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File
City
Applicant
I PERMIT NO. 04--. 04'14-1
(Please type or print and siam at bottom)
ADDRESS
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LEGAL DESCRIPTION (office use only)
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Date Rec' d
5- dtj-OLj
ZONING (office use)
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LOT
ADDITION
PID ,;)5-/ 33-0Cf3-0
BLOCK
OWNER
(Name)
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(Phone)
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(Address)
BUILDER
(Company Name)
(Contact Name)
(Address)
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(Phone) '1 r:'2 ::Z11J 7, r; {
(Phone) fht~
ORe-Siding DLower Level Finish 0 Fireplace
exAC.T De:u.. ~C~
PROJECT COSTlV ALUE $ 9 .z t/ () :;.7
(excluding land) }
I hereby certify thai I have filrnished 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 buildmg
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 Inspections
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TYPE OF WORK 0 New Construction EDeck DPorch ORe-Roofing
DAddition DAlteration o Utility Connection D Misc.
CODE: I)ltI.R.C. DI.B.C.
Type of &nstmction:
Occupancy Group: A B
Division:
II
F
I
I1IIVVA
HIM R
2 3 4 5
B
S U
I
E
x
'.2~.
Contractor's License No.
Permit Valuation
Park Support Fee
#
Permit Fee
SAC
#
Plan Check Fee
Water Meter
Size 5/8"; 1";
State Surcharge
Pressure Reducer
Penalty
Sewer/Water Connection Fee
#
Plumbing Permit Fee
Water Tower Fee
#
Mechanical Permit Fee
Builder's Deposit
Sewer & Water Permit Fee
Other
Gas Fireplace Permit Fee
TOTAL DUE eAunJ r.l.k.o4--
This Application Becomes Your Building Pennit When Approved
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Date
Paid
Date
BuildingOfticial
~. 2</
, Date
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$
$
$
$
$
$
$
$ I
$ /7/,9~
4(, 95"'7
,
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 constltutes a temporary Certificate of Zoning compliance and allows construction to commence Before occupancy, a Certificate of Occupancy must be
issued
Planning Director
Date
24 hour notice for all inspections (952) 447M9850. fax (952) 447.4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
Special Conditions, if any
Residential Buildin2: Permit Checklist
8C F-CL D~ck A.ddi{ion~ to Sj~glc F'lmi]J alJm~~
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BY ~ Mc... Date S-dXLI-Oi
BuildIng Pcrmir #.
S ice Addre~s
Pill:
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Subdivision:
Legal: L B
EJ:j~tillg Structure: YES or i:'i0
CONFORc\IS TO ZOL'iI'{C
ORDINANCE
ILS
~'O
I y a~d Setbacks: NOT Al'PLlCABLE
. MEETS CODE
. Side Yard
(2j' ihbutting ~ stroot, 30' if~buttmg a street In
C ~rdin,,1 Ridge I
I' . Side Yard
I' Re:lr Yard
. T o'y~nhouses
R~quirement
Proposed
10'
10'
r'
_J
Must be consistent with
"pproved plm for
develop men!
AJ.'iY PROPOSED DECK NOT ~CEETmG THE ."'-BOYECRlTERlA l'IlUST BE REFERRED TO THE
PLAJ'il'lll'iG DEFA.RTl'IlL.'>l'T. ALSO, ",-,'iY DECK ON A LOT WITH",- SUSPECTED BLlfFF, OR ANY
OTHER Lfl'lUSU.U ClRCTJMSTAJ.'lCE MUST BE REFERRED TO nIT PLA1'{Nll'lG DEPARTevCENT.
THIs CHECKLIST MUST BE CO~lPLETED A.ND INCLUDED 11'1 THE BUll.Dll'iG PEfu~J1T FlLE TO
LVlAll'I1'All'I ,\, RECORD OF 'THE REVUW.
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PRIOR LAKE DEPARTMENT OF
BUILDING AND INSPECTION
INSPECTION
RECORD
SITE ADDRESS ~e.., SALi ~ L~~ eoli'C
TYPE OF WORK ExN::r ~ ~;
USE OF BUILDING S,~. D .
PERMIT NO. OJ-. 0 ~Cj4/' DATE ISSUED 51 Z <.( /04/
BUILDER (lLAIIL 8J7EJLP~N: PHONE#fsz-Z/l>-Jm
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
'FOOTING I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
~~ FRAMING I /M I 7 /2-/~~
c...: Pili"" ~ 7)t-et'- &It~ I~Acnx~r /7
I FINAL I ;/v// / I 7 -nOel
FOR ALL INSPECTIONS (952) 447-9850
_____.______._______.____._,______."_____.,__.__..._~___,__.._._._~,_.___.._.._ '0 ____._..".__..,...___.__..,__._._._..___.....__._.....____...__n ._._._.~____._,_ ... ___m.,._._____n._._.'_"",
----
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/0 WORK SATISFACTORY, PROCEED
o CORRECT CT. AND PROCEED
, CALL FOR REINSPECTION BEFORE COVERING
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS ':2cr8~
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
COMMENTS:
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SCHEDULED
Sa-; IAO C~
, &lNTR.
PERMIT NO.
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
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DATE
5/2.1-1/ Ol/
f)d(
TIME
AT.
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
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Inspect . Owner/Contr:
CAL~850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
~E REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH" SAFETY!
U<SNO"
CITY OF PRIOR LAKE
INSPECTION NOTICE
DATE TIME
SCHEDULED
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ADDRESS
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OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
~~::"TIOr;-t'dl
o SITE INSPECTION
COMMENTS:
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CONTR.
PERMIT NO.
L.{ -t.{ql(
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
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o WORK SATISFACTORY, PROCEED
.rf'cORRECT ACTION AND PROCEED
o CORRECT ~j)~ FOR REINSPECTION BEFORE COVERING
Inspector: ~ - OWner/Contr:
CALL 447,9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE..
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
JNSNOTI