HomeMy WebLinkAboutBuilding Permit 04-0581
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
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ADDRESS
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Date Rec' d
{, ,14-. 04-
I. While
2 Pink
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File
City
Applicant
I PERMIT NO. 04--. o5"~1
ZONING (office use)
R./
LEGAL DESCRIPTION (office use only)
LOT 13 BLOCK 2... ADDITION IN I '--05 ~ ole:j}f
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TYPE OF WORK 0 New Construction )(l1eck DPorch ORe.Roofing
DAddition DAltera~ DUtility Connection 0 Misc.
OWNER
(Name)
e~lL~
2LA~
(Address)
BUILDER
(Company Name)
(Contact Name) --At I \
(Address) 144 ill}
CODE: DI.R.C. DI.B.c.
Type of Construction:
Occupancy Group: A B
Division:
rtt~
I
E
II
F
I
ill IV V A
HIM R
2 3 4 5
PID 2.5. 404-. 0'32..6
(Phone) 1I11.-Mo -,ooD
(Phone) 'I <:,:2- 44 () -""1" ()
(Phone)
~'vdl-e-
ORe-Siding DLower Level Finish 0 Fireplace
B
S U
PROJECT COST IV ALUE $
(excluding land)
e.. ODD
"
I hl.:reby certify that I have furnished information on this application which is to the best of my knowledge lnIe and correct. I also certify that I am the owner or authorized agent for the
above-mentioned property and that all co ction will conform to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the building
:cial can revoke this perfOt ~ust caus. urth ore, I hereby agr) that the city official or a designee r D;;p~l~e l;;etty to perform needed ';;r;~ I D ~
Signa - Contractor's License No. Date
This Application Becomes Your Building Pennit When Approved
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BlIIldllll! Omcm\ Date If'
ThiS IS to certify that the request In the above appltcatlon and accompanymg documents IS m accordance With the City Zonmg Ordinance an! ~aY plOceed a'i 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 musl be
issued
I Permit Valuation
I Permit Fee
I Plan Check Fee
State Surcharge
Penalty
I Plumbing Permit Fee
I Mechanical Permit Fee
I Sewer & Water Permit Fee
I Gas Fireplace Permit Fee
Planning Director
313o~o. 00
$ 88.2S'
$ S7.3(.,
$ 1."&0
$
$
$
$
$
I Park Support Fee
I SAC
I Water Meter Size 5/8"; 1";
I Pressure Reducer
I Sewer/Water Connection Fee
\ Water Tower Fee
I Builder's Deposit
I Other
I TOTAL DUE
l Paid
r Date
$
$
$
$
$
$
$
$
~ (,./S.04-- $ 1'/7./1
I . cJ
I Reclllpt No. 4-7;)';.f
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#
#
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b. z.J -OCI--
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
Residential Building Permit Checklist
~ Deck Additions to Single Family Homes
,... .
BY: 1pLi-~ Date: (,_/4-. 0 ~
Building Permit # ()~. 058 / PID: 't-e.. 4-04-. 012... U Zoning: te- /
Site Address 2- (,4-.5" e. () () 15,17 te- Prim
Legal: L I ~
B
2-
Subdivision: WfL-O>' tJO/e-(7f
Existing Structure@ 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 Rilille)
I" Side Yard
I" Rear Yard
" Townhouses
10'
10'
1&(
(
1.{/,
~JI-II
.
25'
Must be consistent with
approved plan for
development
-
I<JA-
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.
THIs CHECKLIST MUST BE COMPLETED AND INCLUDED IN THE BUILDING PERMIT FILE TO
MAINTAIN A RECORD OF THE REVIEW.
L:\TEMPLATEIDECKCHCK.DOC
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,
PRIOR LAKE DEPARTMENT OF
BUILDING AND INSPECTION
INSPECTION
RECORD
SITE ADDRESS Z&4-S ~uG/7;e m 77-/
TYPE OF WORK iJ6ijC
USE OF BUILDING /U.r /-9//C
PERMIT NO. 0 ?- ,0 58 I DATE ISSUED (, ./ 'f- ,0 of-
BUILDER ~N77~ PHONE# 4+0. '175V
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
~I!,CTOR
If)Q (//7 I /'-2.f
E NO CONCRETE UNTIL AlfOvE HAS BEEN SIGNED
I I
DATI!
I FOOnNG
, FINAL
...-? ...
tJL-V/~
1?r'C
FOR ALL INSPECTIONS (952) 447-9850
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
d.lo4S""
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULA1IQ.N_ ~ \_
,f!JFINAL ~"'-
o SITE INSPECTION
COMMENTS:
DATE
SCHEDULED 1- \~ -0\.(
(I N )Coc,,- (Pcu~
V
CONTR.
T11IE
PERMIT NO.
4 - 5e~
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXlGRADlFILUNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
/
4RK SATISFACTORY, PROCEED
/a ~~RRECT N AND PROCEED
o CORR we CALL FOR REINSPECTION BEFORE COVERING
Inspect r.
OWner/Contr.
C LL . 50 F THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE~ENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
......."