HomeMy WebLinkAboutBuilding Permit 04-0742
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. (j~. o'14--Z- J
ADDRESS
2+05
.5/VJVb~
LEGAL DESCRIPTION (office use only)
LOT ~BLOCK / ADDITION
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OWNER
(Name)
~DbrGL ItILh-61l
:Jit. lipS
(Phone)
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(Address)
,
5-follt cr<s}
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7r\<1r
BUILDER
(Company Name)
(Contact Name)
(Address) 1537\
WOIJ.1t #, 'S/VViCAS tLc
'Kall~r iAt1+"
UC<;v} c,rJe Vr[(;Ir' LoJt~
Date Rec' d
7- ~/,o I-
ZONING (office use)
r6Z-
proze:: .3"8+. /J()~. 0
(<>t52) Ito~ - 317/
(Phone) (957) Jr'!5-/297
(Phone) -.!4/z) 7'13- 'i>7(P2.
55~7z...
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TYPE OF WORK 0 New Construction "I1lDeck o Porch ORe. Roofing
DAdditlOn DAlterat~ DUtility ConnectIOn 0 Misc.
CODE: bi/fR.C. DI.B.c.
Type or,.to~tmction: I II III IV V A B
Occupancy Group: A B E F HIM R S U
Division: 1 2 3 4 5
ORe-Siding DLower Level Finish D Fireplace
PROJECT COST IV ALUE
(excluding land)
$ Is-OO ,Cd
.
I hereby certify thaI I have fiJmished mformation on this application which is to the best of my knowledge tme 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 building
:""'1 con "VOk'?Z:::?"~" 1 h"'by '<''' th" th, "ty offici,1 01 :2P3~f; 7"] r the pwpelly to p,,'olm O"T~i""'i~. 2rD'-f-
~ignarurV Contractor's License No. t Date
Permit Valuation ~SOO,O'O
Permit Fee $ 5'7.5"0
Plan Check Fee $ 37. ~v
State Surcharge $ .7S
Penalty $
Plumbing Pennit 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
This Application Becomes Your Building Permit When Approved
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Buddl11g Ofticml I Date'
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-J Z; I. t} "f--
Paid
Date
#
#
$
$
$
$
$
$
$
$
$ 95. '3
#
#
I ReceiP/11l~ 21.5
BY;-
ThIS is to certify that the request in the above applicanon and accompanying documents is in accordance with the City Zoning Ordinance and may proceed as reques{cd. This document
when signed by the City Planner constitutes a temporary Certificate uf Zoning compliance and allows construction to commence Before occupancy, a Certificate llf 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:
~
~~
PID:
Date: 7/Ujo'l
Building Permit #
Site Address 02'/ tJ...5
Legal: L )? B
Zoning:
~
I
Subdivision:
~J~
Existing Structure:~r 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
10'
I'
I .
10'
(1tXA (0'
,
0tJ'C.-\ I 0
/h}<.A 2. S '
Rear Yard
25'
. Townhouses
Must be consistent with
approved plan for
development
t-J Po. .
ANY PROPOSED DECK NOT MEETING THE ABOVE CRITERIA MUST BE REFERRED TO THE
PLANNING DEPARTMENT. ALSO, At"lY DECK ON A LOT WITH A SUSPECTED BLUFF, OR At"lY
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\TEMPLA TE\DECKCHCK.DOC
..,
PRIOR LAKE DEPARTMENT OF
. BUILDING AND INSPECTION
INSPECTION
RECORD
SITE ADDRESS '2-~()5" S I UJV&~ I
TYPE OF WORK ~_
USE OF BUILDING~f A/II!!
PERMIT NO. ~. ~ 14-Z- 6ATE ISSUED 7. Z/. ~~
BUILDER /tIIJI.f6/:l4-. PHONE#-.H5.n97
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
-
, FOOTING I VW/ I 7 - Z-1--<JL\
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
.--1PI-FRAMING I I
C~ &ac.k ~ p~ MQ
~FINAL I ~ 1?6
.---
FOR ALL INSPECTIONS (952) 447-9850
)-?f
I
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CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS '2 t.{ d:;-
~k.....
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
~SULA~N L
FINAL
o SITE IN ECTIO
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
DATE nile
Lf -74?
o EXIGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
~RK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o :nOR . ORK, CALL FOR REINSPECTION BEFORE COVERING
Ins or: Owner/Contr:
\
CALL -9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
'kQUlREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
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