HomeMy WebLinkAboutBuilding Permit 04-0704
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
White
Pink
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File
City
Applicant
(Please type or Print and sign at bottom)
ADDRESS 307 c:- R
V uOd~ ~/.......--
LEGAL DESCRIPTION (office use only)
LOT2-7BLOCK :3 ADDITION
OWNER
(Name)
(Address)
BUILDER
(Company Name)
(Contact Name)
(Address)
WIt-OJ ..soUTH
(Phone)
"7.. -re. C....,.......",,~. ....,
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1100 eu.'l. \\.v.,...., tU.. ~ ,
(Phone)
(Phone)
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Date Rec' d
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I PERMIT NO. (}4-,0704}
ZONING (office use)
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PID z..-r :? rz.,. () n. ()
~':l2 - LOO~'2 \'?...L{
~-301..
TYPE OF WORK D New Construction MDeck DPorch ORe-Roofmg ORe-Siding DLower Level Finish D Fireplace
DAddition DAlter~- o Utility ConnectIOn 0 Misc.
CODE/c2.R.C. OLB.C.
Type 0 Construction: I II III IV V A B
Occupancy Group: A B E F H I M R S U
Division: 1 2 3 4 5
PROJECT COST IV ALUE S
(excluding land)
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 that I am the owner or authOrized agent for the
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
t fo 1St cause Furthermore, I hereby agree that the city otTlcial or a designee may enter upon the property to perform needed mspections
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Permit Valuation
Permit Fee
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
Contractor's License No.
~oaD.6)"V
$ 73,7S
$ 47. '7<1
$ /,.0.0
$
$
$
$
$
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
.
This A plication Becomes Your Building Pennit When Approved
Paid
Dale
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BuiJd1l120tlicial
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Date
Date
# $
# $
$
$
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$
$
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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 dllcument
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) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake. MN 55372
Special Conditions, if any
Residential Building Permit Checklist
Deck Additions to Single Family Homes
BY~.
.P
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Date:
7j;1/tJi
Building Permit #
Site Address
PID:
Zoning:
Legal: L 27
B
3
Subdivision: ~ ~ '
Existing Structure: YES or NO
CONFORMS TO ZONING
ORDINANCE
YES
NO
I Yard Setbacks: NOT APPLICABLE
MEETS CODE
" Side Yard
(25' if abutting a street, 30' if abutting a street in
Cardinal Ridge)
Side Yard
Requirement
Proposed
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IS
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Rear Yard
25'
" Townhouses
Must be consistent with
approved plan for
development
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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.
THIS CHECKLIST MUST BE COMPLETED AND INCLUDED IN THE BUILDING PERMIT FILE TO
MAINTAIN A RECORD OF THE REVIEW.
L:\TElvIPLA TE\DECKCHCK.DOC
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PRIOR LAKE DEPARTMENT OF
BUILDING AND INSPECTION
INSPECTION
RECORD
SITE ADDRESS 3075 eJOLlM/ ~/L-
TYPE OF WORK O6CIC-
USE OF BUILDING ~f ~/,e..,
PERMIT NO. 04-.0704-' 'DATE ISSUED 7. /3.01-
BUILDER ~77t...., PHONE # ZOO. 2-1 zA--
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
/
INSPECTOR r DATE
'FOOTING I i6 I ~
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
I I
I FINAL
fflj
7- If
FOR ALL INSPECTIONS (952) 447-9850
.
DATE TIME
CITY OF PRIOR LAKE 7:J,<f-ol[
INSPECTION NOTICE SCHEDULED
r
ADDRESS "307S- -;5..bc.cJ:-
OWNER CONTR.
PHONE NO. PERMIT NO. tt- 7tJI/
o FOOTING o PLUMBING RI o EXIGRADIFILLlNG
o FOUNDATION o MECH Rl o COMPLAINT
o FRAMING o WATER HOOKUP o FIREPLACE RI
o INSULA~ o SEWER HOOKUP o FIREPLACE FINAL
~ FINAL o PLUMBING FINAL o GASLlNE AIR TST
o SITE INSPECTION o MECH FINAL 0
COMMENTS:
/"
~RK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o COR~EC WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspecto. J/ Owner/Contr:
C t.,.<aSO FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
~QUlREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
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