HomeMy WebLinkAboutBuilding Permit 04-0342
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
(Please type or print and sicn at bottom)
ADDRESS
/Sy/r J}0<<1 oHI ~ I /l/u
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
OWNER
(Name)
,~cL~/ A)i-<J~
(Address)
BUll.DER
(Company Name)
(Contact Name)
(Address)
Date Rec' d
4-,v7,ot/-
White
Pin\:
Yellow
File
City
ApplicanT
I PERMIT NO.O?, OJ"4-Z...-1
ZONING (office use)
PIDz,5.3SZ-, /04-J)
(Phone)
_(<X,;/),2';)C-~YY'L
~./ -
(Phone)
(Phone)
TYPE OF WORK
o New Construction /lXIDeck OPorch ORe-Roofing ORe-Siding
DAddition DAlte~n~ DUtility Connection 0 Misc.
o Fireplace
DLower Level Finish
CODE~.R.C. OLB.C. PROJECT COST IV ALUE $
Type 0 onstruction: I II III IV V A B (excluding land)
Occupancy Group: A B E F H I M R S U
Division: I 2 3 4 5
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
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Signature ------- Contractor's License No / mte
Permit Valuation 1f'2cJOOt~O I
Permit Fee $ 73.751
Plan Check Fee $ 47,9~ I
State Surcharge $ ) I fJiJ I
Penalty $ I
Plumbing Permit Fee $
Mechanical Permit Fee $
Sewer & Water Permit Fee $
Gas Fireplace Permit Fee $
T~=om~gpe~}'t:Date;;;ed
Buildin.g otlici.il {U' I
Park Support Fee
SAC
# $
# $
$
$
# $
# $
$
$
$ I z..z., ~9
Receii>! No, 'f'7l-sJ'
By:J-- ,
(J
'Water Meter Size 5/8"; 1";
:Pressure Reducer
Sewer/Water Connection Fee
'Water Tower Fee
Builder's Deposit
Other
TOTAL DUE
Paid
Date
/2Z .(;,'1
U.J o. o+-
This IS to certify that the request in the above applicatJon 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 Cellificate of Zoning compliance and aUows construction to commence Before occupancy, a CertIficate of Occupancy must be
issued
Planning Director
Date
24 hour noticc for all inspcctions (9:;;2) 447-98:;;0. fax (9:;;2) 447-424:;;
16200 Eagle Creek Avenue Prior Lake, MN 55372
Special Conditions, if any
Residential Building Permit Checklist
Deck Additions to Single Family Homes
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BY:~~
Date:
V2-7~</
Building Permit #
Site Address /51 It?
PID:
~~
Zoning:
T I2-L '
Legal: L
B
Subdivision:
Existing Structur(@'orNO
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)
Side Yard
10'
I
/ CJ _In II
I.
I.
10'
f
ov-u... / 0
Rear Yard
25'
I
ff2Je.1 Z'5
. Townhouses
Must be consistent with
approved plan for
development
AlA-
ANY PROPOSED DECK NOT MEETING THE ABOVE CRITERIA MUST BE REFERRED TO THE
PLANNING DEPARTMENT. ALSO, !\l'W 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:\TE1vlPLA TE\DECKCHCK.DOC
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PRIOR LAKE DEPARTMENT OF
BUILDING AND INSPECTION
INSPECTION
RECORD
SITE ADDRESS /54/8 WooD DUC4C- 7)t/(-
TYPE OF WORK Ot/7P L
USE OF BUILDING ;u;r #/;e..,
PERMIT NO. () 4-. 031-- 'Z- DATE ISSUED 4-, 27. 04-
BUILDER /VE:LSOrJ PHONE # Zz,ee,. fo884-
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPE~(?
, FOOTING I If ( t> I 'I '- 7
PLACE NO CONCRETE UNTIL ABOVE HAS BEE'N SIGNED
,..... I I
1M
DATE
, FINAL
I 9.16 -05/
V'
FOR-ALL INSPECTIONS (952) 447-9850
.
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--_.._.~.._____.._........l_..._.
DATE TIllE
CITY OF PRIOR LAKE
INSPECTION NOTICE SCHEDULED &J =-15""",,7
ADDRESS Ic;</ ,~ ~~ ak~.
OWNER CONTR.
PHONE NO. PERMIT NO. Y - 3'iZ-
o FOOTING o PLUMBING RI o EXIGRADIFILLlNG
o FOUNDATION o MECH RI o COMPLAINT
o FRAMING o WATER HOOKUP o FIREPLACE RI
~ULA~Lr o SEWER HOOKUP o FIREPLACE FINAL
INAL o PLUMBING FINAL o GASLlNE AIR TST
o ITE INS ECTION o MECH FINAL 0
COMMENTS: ",,-
~
ok
t Q{~
~.GID
40RK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: (J Ifl- Owner/Contr:
CALL-ntO FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
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