HomeMy WebLinkAboutBuilding Permit 04-0326
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
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City
.A.pplicant
I PERMIT NO. 04-,032h I
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LEGAL DESCRIPTION (office use only) ,
LOT OCBLOCK I ADDITION t}/1~LV{)cxj ~+
OWNER
(Name) Odsl2.1t
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(Address)
BUILDER
(Company Name)
(Contact Name)
(Address)
Date Rec' d
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ZONING (office use)
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(Phone)
Q5z-i.jlfO ../209
(Phone)
(Phone)
TYPE OF WORK D New Construction (XJDeck DPorch ORe-Roofing ORe-Siding DLower Level Finish D Fireplace
DAddition DAlteration DUtiJity Connection IgJ Misc. Pit T 10
I hereby certify that I have furnished informacion on this application which is to the best of my knowledge tnll' 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 loeallaws and will proceed in accordance with submitted plans I am aware that the buildmg
official can revoke this permit for Just calise Furthermore, I hereby agree that the City official or a designee may enter upon the property to perform needed mspections
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$ 4't.t;;; ()
$ 28,93
$ ,5s
$
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$
$
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CODE: ~.R.C. DI.B.c.
Type of(c;;'nstruction:
Occupancy Group: A B
Division:
I
E
II
F
I
mrvvA
HIM R
2 3 4 5
x
Permit Valuation
Permit Fee
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
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PROJECT COST IV ALUE $
(excluding land)
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Date
$
$
$
$
$
$
$
$
$
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Contractor's License No.
Park Support Fee
#
73,9?
Paid
Date
I ReceiPt No,
By C.
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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 signrd by the City Planner constitutes a trmporary Certificate of Zoning compliance and allows construction to commence Before occupancy, a Crrtlflcate of Occupancy must be
iSSlled
SAC
#
'Nater Meter
Size 5/8"; 1";
Pressure Reducer
Sewer/Water Connection Fee
#
'Nater Tower Fee
#
Builder's Deposit
Other
TOTAL DUE M(J,W'O {. z,(,,,d .f-
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Planning Director
Date
24 hour notice for all inspections (952) 447-98S0. fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake. MN 55372
Special Conditions, if any
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I PROPERTY OWNER:
I ADDRESS:
I TELEPHONE NUMBERS: I
I SIGNATURE:
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I LEGAL DESCRIPTION:
I PID NUMBER: I
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A request to waive the survey requirements 'will be accepted only for the construction of
decks, Prior to the review ofthis request, the property owner must provide
reasonably reliable evidence in the field of what he/she beliebs are the property
boundaries. This request must also be accompanied by the follG wing information:
I. The deck must be drawn on a site plan to scale. The site plar must identifY
dimensions of both existing and new structures, and the dista lee from any lot lines.
2, The property owner must sign an agreement, prepared by the City, holding the City
harmless from any damages incurred if the deck is placed inaccurately on the site, or
of it infringes on any setback requirements or easements,
3. The property owner shall pay a $50.00 f,:e for the staff review according to the
adopted fee schedule.
Once a request is reviewed, the staff will schedule a field inspection and review all
available information. The Planning Director and Building Official will then make a
determination of whether the requirements may be waived. ~ U. .-
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For Office Use Only
ACTION
D APPROVED
COMMENTS:
D
DENIED
j : \bui ld ing\handouts\waiver . doc
16200 Eagle Creek Ave. S,E., Prior Lake. Minnesota 55372-1714 / Ph (952) 447-4230 / Fax (952) 447-4245
AN EQUAL OPPORll.JNITY EMPLOYER
PRIOR LAKE DEPARTMENT OF
BUILDING AND INSPECTION
INSPECTION
SITE ADDRESS " e,~CORD,
TYPE OF WORK Z)El:.Jt.. "i!!JH:IlJ ~Af:T
USE OF BUILDING ~ F": A .
PERMIT NO. ()4-. 032h DATE ISSUED ~"
BUILDER .l:5a ItA ~A. PHONE ~ ..411,10 -12tJ'I
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMEN/lT
INSPECT' 7 DATE
I FOOTING U).N:J/JiPt!. I fl - (I (,,/h)q
PLACE NO CONCJt'ETE UNTIL ABOVE WAS BEEN SIGNED
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I FINAL
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FORALL INSPECTIONS (952) 447-9850
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CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
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OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
[] 91SULA TION
~INAL
o SITE INSPECTION
SCHEDULED
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CONTR.
PERMIT NO.
o PLUMBING Rl
o MECH RI
o WATER HOOI~UP
o SEWER HOOKUP
o PLUMBING FI!NAL
o MECH FINAL
COMMENTS:
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DATE TIME
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o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE Rl
o FIREPLACE FINAL
o GASLINE AIR TST
o
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/!. ~ORK SA TISFACTOK'. rRSeC(['
o CORRECT ACTION AND PROCEED
o CORRECT ~~ J:tiL FOR RElNSPECTlOl~ BEFORE COVERING
Inspector: /~ ~ Owner/C,ontr:
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CALL "7-9850 FOR THE NEXT lNSPEC1,ION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH'" SAFETY!
u<sNOn
JF PRIOR LAKE
..SPECTION NOTICE
DATE TIME
SCHEDULED 1-Z1-u~
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CONTR.
ADDRESS L//I"J7
OWNER
PHONE NO.
PERMIT NO.
o FOOTING 0 PLUMBING RI 0 EXIGRADfFlLLlNG
o FOUNDATION 0 MECH Rl 0 COMPLAINT
o FRAMING 0 WATER HOOKUP 0 FIREPLACE RI
o INSULATION 0 SEWER HOOl<UP 0 FIREPLACE FINAL
o FINAL 0 PLUMBING FINAL 0 GASLlNE AIR TST
~ITE INSPECTION 0 MECH FINAL 0
COMMENTS: v'Prl~b- flX"~~ ~... k
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o WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRE~ WORK, CALL FOR RElNSPECTlON BEFORE COVERING
Inspector: ,l h Owner/Contr:
CAL . U~o FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH'" SAFETYI
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