HomeMy WebLinkAboutBuilding Permit 04-0580
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
I. While
2 Pink
) Yellow
File
City
Applicanl
I PERMIT NO. ot/-Sf'dl
(Please type or print and siltll at bottom)
ADDRESS
/f~A 1)~r(7 .I/JM~
//)L/O.?/
LEGAL DESCRIPTION (office use only) ~ ,
LOT/f'BLOCK 3 ADDITION ~<1.(~p q--r:1---
OWNER
(Name) ~ p..V, f:1 t\. Hl;: 12.1,...)lJ'""i'lLN
Date Rec' d
G ,-/l/-ij
ZONING (office use)
/J:J
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PID ,-2tJ- L/60 -057-6
(Phone) q... -;:). . ~t.jO.- :'",,-:-l Ln
(Address)
BUILDER
(Company Name)
(Contact Name)
(Address)
(Phone)
(Phone)
TYPE OF WORK 0 New Construction b(Deck o Porch ORe-Roofing ORe-Siding DLower Level Finish 0 Fireplace
DAddition DAlter~DUtility Connection 0 Misc.
CODE: rt.R.C. DI.B.C.
Type of Snstmction: I
Occupancy Group: A B E
Division:
II
F
I
III IV @l ~ ([)
H I M~SU
2d:V45
PROJECT COST/VALUE S
(exduding land)
cd 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
t all construction will conform to all existing state and local laws and will proceed in accordance with submittcd plans_ I am aware that the buildmg
Furthermore, I hereby agree that the City official or a designee may eneer upon the property to perform needed Inspections.
_11'l-/~-D"'/
Signature Contractor's License No. Date
,-
Permit Valuation ff/c~()O. 0-0
Permit Fee $ S/.OO
Plan Check Fee $ 3':5.15
State Surcharge $ . Cas-
Penalty $
Plumbing Permit Fee $
Mechanical Permit Fee $
Sewer & Water Permit Fee $
Gas Fireplace Permit Fee $
Park Support Fee
SAC
#
#
Water Meter Size 5/8"; 1";
Pressure Reducer
Sewer/Water Connection Fee #
Water Tower Fee #
Builder's Deposit
Other
TOTAL DUE
~r.'Ir;.o4-
$
$
$
$
$
$
$
$
$ "il'f.?O
This Application Becomes Your Building Permit When Approved
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BVr
Building Ollicinl
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bate
Paid
Date
ThIs IS 10 (t,rtify 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 conslmction to commence Before occupancy, a Certificate of Occupancy must be
issued
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
Residential Bunding Permit Checklist
De~k Addition~ to Single Family Homes
~. . .
BY.~
~ Date c:: _ /L/-oLj
Building Permit 1*
Site Address
Pill:
ZonW2: ,
/?L/cJL/- d~A~
Subdivision: ~OlF' q~ ~
Legal: LIB
B.
:3
Existing Structure@r NO
, CONFORMS TO ZONTh-C
ORDINANCE
l.LS
NO
I Yard Setbaclci: NOT APPLICABLE
. MEETS CODE
. Side Yard
(25' if abuttlng a street. 30' if abuttmg a street in
Cardinal R.1dgel
Side Yard
Requirement
Proposed
10.
r---
I'
I'
10'
--
Rear Yard
25'
-
. T o;mhollses
Must be consistent with .
approved plan far
development
~
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AJ.'iY PROPOSED DECK NOT Iv!:EETING THE ABOVE CRlTERiA MUST BE REFERRED TO THE
PLAJ.'iNlNG DEPARTIv!:ENT. ALSO, ANY DECK ON A LOT WITH A SUSPECTED BLUFF, OR AJ.'iY
OTHER UNUSUAl. CIRCUIvlSTA..'<CE MUST BE REFERRED TO THE PL.>..J.'INlNG DEPART\'v!:Ei'lT.
THls CHECKLIST MUST BE COMPLETED Mill INCLUDED l!'1 THE BUILDING PEl<.."\'ilT FILE TO
iVlAINl'All'l A RECORD OF THE RE'I1EW.
L:-' TE~vfPLA IE, D E CKC:-lCK..J()C
PRIOR LAKE DEPARTMENT OF
BUILDING AND INSPECTION
INSPECTION
RE ORD
SITE ADDRESS /"I~t/ O~
TYPE OF WORK Dt!.c./.<:..,
USE OF BUILDING .sF If -
PERMIT NO, t2!J- .~D DATE ISSUED ~ -/s"cCf
BUILDER HeY., NfitBJ,J PHONE #
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
I FINAL
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PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
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FOR ALL INSPECTIONS (952) 447-9850
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
/7LtOl.{
~/d
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION./1<<1L
.e1"FINAL r....J
o SITE INSPECTION
o PLUMBING Rl
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
DATE nMe
7-IC'1Ij
Il/
C-/,...~
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
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~ORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT w:1R~ FOR REINSPECTION BEFORE COVERING
Inspector: ~ OWner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
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CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH'" SAFETY!