HomeMy WebLinkAboutBuilding Permit 03-0480
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec'd
\, White
2. Pink
3. Yellow
r.{ -' J- Lj-/23
I PERMIT NO. 03-Lfgo I
File
City
Applicant
(Please'!'vp~ or print and si2J1 at bottom)
ADDRESS
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ZONING (office use)
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LEGAL DESCRIPTION (office use only)
LOT ( BLOCK I ADDITION
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OWNER
(Name)
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(Phone)/' ~-, ,. .</ '1;/' :f.;' <;"Y
(Address)
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BUILDER
(Name)
(Contact Name)
(Address)
(Phone)
(Phone)
TYPE OF WORK
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o Misc.
o New Construction
DDeck
DPorch
DAddition
ORe-Roofing
ORe-Siding
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~ DLower Level Finish
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o Fireplace
DAlteration
DUtility Connection
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PROJECT COST IV ALUE (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 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 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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Contractor's License No.
Date
I Permit Valuation 5ClJ, tJ 0 I Park Support Fee # $
J Permit Fee $ ;:2~_ ,,>a I SAC # $
I Plan Check Fee $ Is. %-7 I Water Meter Size 5/8"; 1 "; $
I State Surcharge $ .5a I Pressure Reducer $
I Penalty $ I City SAC and WAC # $
I Plumbing Permit Fee $ I Water Tower Fee # $
I Mechanical Permit Fee $ I Builder's Deposit $
I Sewer & Water Permit Fee $ lather $
j Gas Fireplace Permit Fee $ I TOTAL DUE Mm6J) 4-'~9J-03 $ Y'1.2.7
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This Application Becomes Your Building Permit When Approved I Paid I~NO 4ef'b70
~ ~ ~""-~3' I Date a..y(j - 0 I
Building Official Date
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 constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be
"rued. ~
Planning Director
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Date Special Conditions, if any
24 hnur notice for all inspectinns (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake. MN 55372
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CITY'S COpy
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CITY OF PRIOR LAKE
BUILDI~G PE~MIT PLAN REVIEjW READ DECK HANDOUT
INSPECTOR ~ '1-~~ J 1""1 ) <. e .
DATE 4/<Jdo PERMIT Nb' OJ -0 .fffD .--..,
o ACCEPTED AS SUBMITTED t. O?/.~
gr ACCEPTED WITH CORRECTIONS AS NOTED ,,0' /'~ P':
o NOT ACCEPTED-CORRECT & RESUBMIT , :} / / ~ /.
These comments are for your infonnation. All work shall be done \ + '
in full cornpIiance wnh aU applicable building & zoning code re- r{ - ~
quiremants including items not specifically notad in this revlt'\- vJ ~ e'f. i S f'- ('1
KEEP 11IS PLAN SET ON .nu' \U TIlES. \ s-/;f J:P . oJ~ d
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Call Gopher State One Call
before excavation
454-0002
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Residential Building Permit Checklist
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Deck Addition~ to Single Family aome~
BY~~
Date
4'/ ;2L/-G--3
Building Permit #
Site Address
Pill:
Legal: L B
c;/;)6
Subdivision:
. Zonin2:
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Existing Structure: YES or NO
CONFORMS TO ZONING
ORDINANCE
1'1: S
NO
Yard Setbacks: NOT APPLICABLE
MEETS CODE
Requirement
Proposed
. Side Yard
(25' if abutting a street. 30' if abutting a street in
Cardinal Ridge)
. Side Yard
10'
10'
to' - T~ ~I""'"--'
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. Rear Yard
7 ..
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Townhouses
Must be consistent with
approved plan for
development
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AI'iY PROPOSED DECK NOT "'lEETING THE ABOVE CRlTERlA MUST BE REFERRED TO THE - r D~ )
PLAl'iNING DEPARTi'vlENT. ALSO, ANY DECK ON A LOT WlTH A SUSPECTED BLUFF, OR ANY" . rt.
OTHER UNUSUAl. CIRCUMSTAj',CE t\'1UST BE REFERRED TO THE PU..NNlNG DEPARTt'v[E('!T.
THIs CHECKLIST MUST BE COMPLETED AND INCLUDED 11'1 THE BUILDING PERMlT FILE TO
MAINTAIN A RECORD OF THE REVIEW.
L :\TElvIPL.-\ IE" DE CKCHCX.DOC
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PRIOR LAKE
INSPECTION
RECORD
SITE ADDRESS yf~' ~ Hts ry
TYPE OF WORK ~#C,:
USE OF BUILDING -.S F ~
PERMIT NO_ ./)"9-Ul'o DATE ISSUED q...al'-tJ3
BUILDEN411te$ -~A.Jf; PHONE # 1Jl/7-3~9y
NOTE: THIS IS NOT A PERMIT FOR A~ OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF
BUILDING AND INSPECTION
INSPECTOR
DATE
l FOOTING I I/VY/ I .!:>--;e- "cJ?
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
I FRAMING I I
l FINAL
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (952) 447-9850
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1915 IS A CCMPlLilYIOH IF IECHeS IS
TtiEY Al'eEilll la THE SCOTT COUNTY
Qfft~.:S AfFEC11HG THE ABEA SIIDWIt..
Tl1iS n~wlus IS TO BE USED OULl' foa
!lifEilENCE PUi:I'OSES AND n:. ~OUII.
1'1 IS ~cr HfSPQHSIDLE fOA ANY Ill.
AlJC~iUC:ES <<r:fiElM CCrJT~IHEU.
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DATE
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9'?.2b /?Iv# ~ ;';/
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
OWNER
CONTR.
PHONE NO.
PERMIT NO,
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
.,.a--SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
nME
0.5'- $!yO
o EXIGRADtFlLLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
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~OR;~AlnS;A61UKY'PKUC~~D
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FO RElNSPECTION BEFORE COVERING
Inspeclor:
Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
Y<SNOn
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
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