HomeMy WebLinkAboutBuilding Permit 03-1026
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
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LEGAL DESCRIPTION (office use only) d
LOT tJ BLOCK J... ADDITION 1L/~1M~;JtfI-71~ d
(Please ~ or print and si~ at bottom)
ADDRESS
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OWNER
(Name)
RJ (' ,'r J(
(Address)
BUILDER
(Name)
(Contact Name)
(Address)
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TYPE OF WORK
o New Construction
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I. White File
2 Pink City
3. Yellow Applicant
a+
Date Rec' d
1-JLf--03
PERMIT NO. Os - 10 Zfo
ZONING (office use)
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PID ~5 - 339-{)/7-0
(Phone) c.2;l (0- ( d /) / 7
(Phone)
(Phone)
DPorch
ORe-Roofing
DRe~Siding
DUtility Connection
DLower Level Finish
o MiS;:pecrC <;"d\;N(l
I hereby certify that I have furnished mformation 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
~<~~' ~J'fo:-;ede inspections. 7-;)(n-Q ~
- Signature Contractor's License No. Date
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PROJECT COST IV ALUE (excluding land) $
D Fireplace
DAddition
DAlteration
I Permit Valuation
Permit Fee $
Plan Check Fee $
I State Surcharge $
I Penalty $
I Plumbing Permit Fee $
\ Mechanical Permit Fee $
I Sewer & Water Permit Fee $
I Gas ~ce PermIt Fee $
UA , -'-~-;;;~;-
500. oZ>
2.3 .'5-"1)
IS , Z1
,~
I Park Support Fee
I SAC
I Water Meter Size 5/8"; 1";
I Pressure Reducer
I City SAC and WAC
I Water Tower Fee
I Builder's Deposit
I Orher
I TOTAL DUE
I Paid ~l"'l. Z_ 7
I Date g 4-.6"(
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# $
# $
$
$
# $
# $
$
$
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Receipt.N o. <?-~ Z- f f
By A-
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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 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
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
Byfh
Residential Building Permit Checklist
Deck Additions to Single Family Homes
Date:
Building Permit # Pill:
Site Address
Zoning:
Legal: L B
Subdivision:
Existing Structure: YES or NO
CONFORMS TO ZONING
ORDINANCE
YES
NO
Yard Setbacks: NOT APPLICABLE
MEETS CODE
Requirement
Proposed
. Side Yard
(25' if abutting a street, 30' if abutting a street in
Cardinal Ridge)
I" Side Yard
'" RearYard
" Townhouses
10'
ore
::u("
oCC
25'
oee.
Must be consistent with
approved plan for
development
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.
TIns CHECKLIST MUST BE COMPLETED AND INCLUDED IN THE BillLDING PERMIT FILE TO
MAINTAIN A RECORD OF THE REVIEW.
L:\TEMPLATEIDECKCHCK.DOC
..
PRIOR LAKE
INSPECTION
RECORD
SITE ADDRESS -E1l.{3 lJ.PI\;1J.4.. k (!.;\-.
TYPE OF WORK ~(.~(" ~~ Rlr:hJ."" f)oc:~
USE OF BUILDING SFlf'I
PERMIT NO. 03 - /02 & DATE ISSUED ca - 4 -0)-
BUILDER gtr ..(J~ l..b:.~_ ~ _, PHONE # ~- U"J7
NOTE: THIS IS NOT A ~RMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
fC4~lM..-04 INSPECTOR
I FOOTING --
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
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. .
. I\:JNA4 ^ '\./1/\ /\ _ /1/\../ ~ /\ /' lI/'l -l- ~ /
Call between 8:00 and 9:00 A.M. for all inspections
DEPARTMENT OF
BUILDING AND INSPECTION
DATE
FOR ALL INSPECTIONS (952) 447-9850
,
,
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
filA 3
o I W~((,~. -+..n.. ~.-r
:>
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
~,"~ '5
COMMENTS:
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DATE TillE
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o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
~
~
/
~
~RK SATISFACTORY, PR~CEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR RElNSPEcTION BEFORE COVERING
Inspector: ~ [)- t;:--UJ. Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
INSNOTl
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!