HomeMy WebLinkAboutBuilding Permit 04-0649
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
White File I PERMIT NO ~
P;,k c;., ,0/ /_ /- .
Yellow Applicant 7 . (0
(Please tvoe or Print and silEO at bottom)
ADDRESS
(511, q ~(tJ( 71.idtt e {!.if!' Ie
ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOT3 BLOCK ~ADDITION cP~ ~I 'J~./ (t+- /c::;r- PlwS=-I)R3~ 0&1")
. .J
OWNER
(Name)
(Address)
16th'i
BUILDER
(Company Name)
(Contact Name)
(Address)
Ct'rc/e
(Phone) qSz '1'/1 ~'I~fJ
n
1Ja..t: R/c/1 t'
(Phone)
(Phone)
TYPE OF WORK 0 New Construction 'JCIDeck DPorch ORe-Roofing DRe-Sldmg DLo~er evel FInish 0 Fireplace
~Addtt<on DAlter~ DUtlhty ConneeMn Bt M"e~ "4 'r/... ~ 'pt:Jc.8' tfor..v11Ul(,. ~
CODE: 'ic1l.R.C. Dr.B.C. PROJECT COST VALUE S
Type of~ction: I II (excluding land)
Occupancy Group: A B E F
Division: 1
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
;"'" ,"n sevok, th" p"mot fo< JUS ,"use Furth,nnose, I heseby agm that .h, coty offi"a! 0< a "".guce may ,nt" upon tb, pmp'rty tn pcrfonn n'~ 723 / tJ r
Contractor's LIcense No. Da~
Permit Valuation
Permit Fee
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
I~,o'o
1$ 73, '25
$ ~?o,L/
$/.()O
$
$
$
$
$
Park Support Fee
SAC
#
#
$
$
$
$
$
$
$
$
$ J~:;J... (.,
Water Meter Size 5/8"; I";
Pressure Reducer
Sewer/Water Connection Fee
Water Tower Fee
Builder's Deposit
Other
#
#
TOTAL DUE
This Application Becomes Your Building Permit When Approved
Paid
Date
1>"u"J
1'.,1..fl</nd
1-.7
Receipt No. ~7d-.:). 9
By ~~
$,4.."~ ~.~
Building Official
-4/a.-r~</
Date
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
i.~ued
Planning Director
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 Buildinl! Permit Checklist
~
Deck Additions to Single Family Hames
BY ~ ~t.-
Date ?- ;;;2 S -0 if
I~/hq
Zoning:
{!)u fir 'aJr- ~
r
Building Permit #
Site Addres~
PID:
Legal: L . B.
Subdivision:
E.1istillg StrUl1:Ure:@r NO
CONFORMS TO ZO~1NG
ORDINANCE
YES
NO
I Ya"d Setbacks: NOT APPLICABLE
. MEETS CODE
. Side Yard
(2j' ifabutting a street, 30' if abutting a street in
Cardinal Ridge)
.1" . SideYard
I" Rear Yard
" Townhouses
Requirement
Proposed
J
to'
to'
~ 1(/
tnJ.t./\ I (J I
. 5/
/J:V<.A. d)'
2j'
Must be consistent with .
approved plan for
development
jU It- .
ANY PROPOSED DE.CKNOT M:EETll'lG THE ;UlOVECRlTERlA MUST BE REFERRED TO THE
PLAL'+1'Ill'lG DEPARTi'tl:El'lT. ALSO. Al'fY DECK ON A LOT WlTH A SUSPECTED BLUFF, OR ANY
OTHER U1'IUSU..u. CIRCUl'IlSTAiKE MUST BE REFERRED TO THE PLAJ.'ll'l1NG DEPARTMENT.
THIs CHECKLlST i'ilUST BE.COIl<IPLETED AND INCLUDED IN THE BUILDING PERJ.'IllT FILE TO
MAIN1'Al]'j A RECORD OF THE REVIE w.
L:'TEMPLATE', DE CKCHC(.DOC
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PRIOR LAKE
INSPECTION
RECORD
SITE ADDRESS 151 ", ~It. fiDc!&E: c.~.
TYPE OF WORK ~~ O~/PAT-w _~~~
USE OF BUILDING ~F;" - I
PERMIT NO. DATE ISSUED ~
BUILDER ~ ~~ PHONE#~2.""7-wrr
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF
BUILDING AND INSPECTION
I FQOTING I ~ I ?';~~7"
PLACE NO CONCRETE UNTIL ABOVE H~,s BEEN SI~N~D
~ FRAMING J /7f~ I 7/$O/cJtj
,- ~ "te '1)ft,1t. ~.a ~,~tiNT
I FINAL I /#/1' I 9/';:1
FOR ALL INSPECTIONS (952) 447-9850
.
.
.
,
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;",'~.h;'.';:~("".
DATE tillE
SCHEDULED 'i'/7~(I!"
, v ,
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,/ -
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS / S-/ tt. ~
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
~~NSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
~ ~ ~ /' r
_ \~~c. L7~c../-....,
-
/, /
r/.#q /'
fiJ/
V{C
o EXlGRADlFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
0/
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( ~~/c.r~ /? I'-e
"-
~RK SATlS~. PROCIiED
o CORRECT ACTION AND PROCEED
o CORRECT WORK;. c;:'; :OYEINSPECTION BEFORE COVERING
Inspector: ~ Owner/Contr:
.,~
\~
./
~
,
-
CALL 447.9850 FOR THE NEXT INSPECTION 2. HOURS IN ADVANCE,
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/
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