HomeMy WebLinkAboutBuilding Permit 04-0825
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
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(Please type or orint and sism at bottom)
ADDRESS
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8Lveo/eo
LOT q BLOCK
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LEGAL DESCRIPTION (olliee use only)
ADDITION
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OWNER
(Name)
While
Pink
Yellow
File
Cily
Applicant
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I PERMIT NO.()Lj _ P ;). <,- I
ZONING (office use)
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PID
z.s. ..343, 009.d
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(Phone) q c,~ - ;).. ~~-?cS '7 S
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(Address)
BUILDER
(Company Name)
(Contact Name)
(Address)
(Phone)
(Phone)
TYPE OF WORK
o New Construction li1Deck DPorch ORe-Roofing ORe-Siding
DAddition DAltera/o~ DUtility Connection 0 Misc.
DLower Level Finish
o Fireplace
CODE:,!.R.C. OLB.C.
Type of onstruction: I II III IV V A B
Occupancy Group: A B E F H I M R S U
Division: I 2 3 4 5
PROJECT COST/VALUE 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. 1 also certify that I am the owner or authOrized agent for the
above-mentlOned property and that all construction will conform to all existing state and loeallaws and will proceed in accordance wilh submitted plans. I am aware that the building
official can I:fke this permit for just cause Furthermore. I hereby agree that the city official or a designee may enter upon the property to perform neede~ms"ctions
X Ik. 1 . )/1/0'1
g Signature Contractor's License No. Date
Permit Valuation
Permit Fee
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
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$ (,..,7. 2.<<,;;
$ 4~._ 7/
$ ,go
$
$
$
$
$
This Application Becomes Your Building Pennit When Approved
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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
Paid
Date
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# $
# $
$
$
# $
# $
$
$
$ / , ~ . 5rt.
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ThiS IS to certify that the requl'st 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 Ccrllficatl' of Occupancy must be
issued
Planning Director
OJ
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
DeckAdditions to Single Family Homes
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BY:~
Building Permit #
Site Address
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Date:
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PID:
Zoning:
Legal: L
B
Subdivision: IL({) 15 ~
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Existing Structur@r NO
CONFOR.l\1S TO ZONING
ORDINANCE
YES
NO
Yard Setbacks: NOT APPLICABLE
MEETS CODE
Requirement
Pro posed
. Side Yard
(25' if abutting a street, 30' if abutting a street in
Cardinal Ridge)
Side Yard
10'
I
I .
I .
10'
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""~Ol r
ov-e,. 2,)' I I
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 BLliFF, OR Al'iY
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
SITE ADDRESS L!!S~C?~Il~ n-
TYPE OF WORK ~GIC. .
'USE OF BUILDING ~ po .
PERMITN~O- t~5 DATE ISSUED i'- c,-("ft .
BUILDER MDe~ . PHONE # J33-3S~S-
NOTE: TH S: OT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR OATE
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I FOOTING IUd fr'fJ I "g _1/
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
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, FINAL
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FOR ALL INSPECTIONS (952) 447-9850
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DATE TillE
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
140(S
SCHEDULED I 0/7/ of
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OWNER
CONTR.
PHONE NO.
PERMIT NO,
4.f1:2C;
o FOOTING
o FOUNDATION
o FRAMING
o jIlSULA TII:lIC ./ .
jYFINAL ~
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
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~RK SATISFACTORY, PROCEED
o CORREC CTION AND PROCEED
o COR CT K, CALL FOR REINSPECTION BEFORE COVERING
Inspect r:
Owner/Contr:
C
50 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE,
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/
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