HomeMy WebLinkAboutBuilding Permit 04-0615
Date Rec' d
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
(Please type or print and siJtD at bottom)
ADDRESS
Sfi'R9
(p.ll. of-
White
Pink
Yellow
File
City
Applicant
I PERMIT NO. 0<( - '" I '>
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..:.t rJ f) ( Ii'I)
K, () bE C liUL.t ~E
ZONING (office use)
(PM U1:J12 (!-f
&7~fI
r ( IJc.G {! I pf1 J.. 6 S E-
TYPE OF WORK 0 New Construction cgoeck DPorch ORe-Roofing
DAddition DAlteration DUtility Connection D Misc.
CODE: ~.R.C. OLB.C.
Type of.6;~struction: I II
Occupancy Group: A B E F
Division: 1
LEGAL DESCRIPTION (office use only)
LOT ~ BLOCK d ADDITION
OWNER 77
(Name)"-2 f) hE
(Address) S~t '1...7/;/)//1/1
w.
BUILDER
(Company Name)
(Contact Name)
(Address)
!JVI1l4!t
III IV @ A.. UP
H I Mr~SU
2(1)45
/s-r PID~5-0J3- 031-D
(Phone)
_9\d - L/C/7-S7~(/
/? L. ' /lJ J1},Jn') (1
(Phone) 9(;) -ij?/ ? - \7Pf'
(Phone)
ORe-Siding DLower Level Finish
o Fireplace
PROJECT COST IV ALUE $
(excluding land)
I hereby certify thaI I have nlrnished 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 Ihe
nstruction will conform to all existing state and local laws and will proceed in accordance with submitted plans_ I am aware thai the buildmg
e Fu ermorc, 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
./
'ft/ '7 {)tJ , tJ ()
$ t, 'f.O'Zl
$ I..{I./OO
$ I &'s:-
$
$
$
$
$
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 Pennit When Approved
~~~
Building OfticiaJ
to /ZI/a 'f
Date
Contractor's License No.
Park Support Fee
SAC
#
#
Water Meter Size 5/8"; I";
Pressure Reducer
Sewer/Water Connection Fee
Water Tower Fee
Builder's Deposit
Other
#
#
TOTAL DUE
Paid
Date
IO{,. ~1
(P.t..,1.'~
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 comlitutes a temporary Certificate of Zoning compliance and allows construction to commence Before occupancy, a Certificate of Occupancy must be
issued
Planning Director
Date Special Conditions, if any
24 hour notice for all inspections (952) 447-9850. fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake. MN 55372
Residential Building Permit Checklist
Deck Additions to Single Family Homes
BY:
t5~ 1~
Date: 6/ z / /0 <-(
Building Permit #
Site Address 5"' 8" IS '7
pm:
. L/7.:
~~.
Zoning:
~ ~-(J'L s-',t:)
Legal: L
B
Subdivision:
Existing Structur@or NO
CONFORMS TO ZONING
ORDINANCE
YES
NO
'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'
6i-
crl-
'30 I
Rear Yard
25'
. Townhouses
Must be consistent with
approved plan for
development
~A.
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:\TEMPLA TEIDECKCHCK.DOC
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PRIOR LAKE DEPARTMENT OF
BUILDING AND INSPECTION
INSPECTION
RECORD ·
ses, I~ ~DeG ~~t!.LG f:&:
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~. ~
PERMIT NO. .f9t..f - Dlo 15 . DATE ISSUED ~I/ .
BUILDER ~ IJ. 1'c:r4k:H . PHONE # -I/II,!-QIII/
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
SITE ADDRESS
TYPE OF WORK
USE OF BUILDING
INSPECTOR"t' llATE I "
I FOOTING I /IU I 7/2;/01 I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
- ! 1- I
~ ./ / /
LFINAL N I"" r(/6/6jL I
FOR ALL INSPECTIONS (952) 447-9850
,
~-
.
DATE TIMe
IA~I:/
/ .
_<:~Y9 ~J,'",_ ~J7~
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
~FINAL
o SITE INSPECTION
SCHEDULED
CONTR.
PERMIT NO.
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS: /J /
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/
j/,
/1/ / C e
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Cy
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o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
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~ORKSAT CTORY,PROCEED
/0' CORRECT ACTION A -
o CORRECT WORK. CALL 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 .l SAFETY/
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