HomeMy WebLinkAboutBuilding Permit 04-0772
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTDlCATE OF Zu. w.. \G COMPLIANCE..
AND UTILITY c.u'. \. \.!.CTION PERMIT
Date Rec'd
7. Zr,. 04-
: '::' ';!':,. I PERMIT NO. 0 4- 0 17" I
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ADD;SO~ W:\o. t\orSe.. Poss NuJ J ~'or Lo-u.., {\J\t-J SS:'1~
ZONINGI__l I
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LEGAL DESCRIPTION (oftico.... only)
LOT/C,BLOCK :5 AvvUlON jN'lvOS' 5-r;t!'
PID 25": 37.5, Os I. 0 I
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(Addms) ?J1\)~ U)\\c1 ~ fusS N0, {lV-IO r t..o-..\La..., MtV ~S3 (1-
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BUILDER
(Company Name)
(Contact Name)
(Addms)
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TYPE OF WORK D NewCOIIStI'UClioJl ~ DPon:h
DAddioOD OAIt<miOD DUtiJity C.
. CODE: Du..c, DI.B.C.
TypeofC_:
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A B E
nmlVYAB
FHIMllSU
I % 3 4 5
(Phone)
(phone)
DRe-Roofiq DJle.Sicliai DLower Level Finish D FiJepIaoe
DMiJc.
PIWJECT COSTlY ALUE
(exdudlnJ land)
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"". _, '., .. JWtIPcrtY and Ib&t aD .. ..'..,., .', wiIIc:anfixmto all exiltialsuemcllocallnsa will proceediaac:cortlancl: wiIb IUbmItted pIuI. I am awlft dW die bddiaI
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SianImre ' C."""....iLiccmeNo. Daile
I Permit Valuation
I Permit Fee
Plan Check Fee
State Surdwse
Penalty
Plumbing Permit Fee
MedtanicaI Permit Fee
Sewer & Water Permit Fee
au Fireplace Permit Fee
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11da:rrTtE:-'-/~'.~t;'
_ --/.U~j. OtTJeial Date
Park Support Fee
SAC
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when sipc:d by the City PlannerCOOltilutn & ,_ .,." '. CcrtiIcatt ofZonina .... ...".. and aUows C1JIlJb'UCtiorI to c:omrIIeI'W:I:, Bcfixe. "",_", ". ,. Certific:a1e ofOcwplney mDltbe
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Water Meter Size 5/8"; }";
l'Iasure Reducer
Sewer/W..... ....._....:... Fee
I Water Tower Fee
I Builder'. Deposit
I Otber
I TOTALDUE
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DB ~~ .-u.w
U boo. ..Ike for .111....._ (951) "7."!!G. Ill. (9!11) 447_5
16200 Ea&IeOeekAvenue PriorLoke, MN SS372
I Paid
I Date
t~i' '7"(
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Residential Building Permit Checklist
Deck Additions to Single Family Homes
,1;i I~ ~ ~~~
Date:
?-L"O~
BY:
Building Permit #
Site Address :S'J 03
PID:
ev-i Ie!.. Hv.-~ pus>
Zoning:
Legal: L IG
B
:::>
Subdivision: U/ / IJ.s ~
Existing Structure: YES o@
CONFORMS TO ZONING
ORDINANCE
~0
NO
I Yard Setbacks: NOT APPLICABLE
MEETS CODE
" Side Yard
(25' if abutting a street, 30' if abutting a street in
Cardinal Ridge)
I" Side Yard
I" Rear Yard
" Townhouses
Requirement
Proposed
10'
;2-7
(to
70
11 1+-.
10'
25'
Must be consistent with
approved plan for
development
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:\TEMPLA TEIDECKCHCK.DOC
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PRIOR LAKE DEPARTMENT OF
BUILDING AND INSPECTION
INSPECTION
RECORD
SITE ADDRESS 33D3 W {LO H ote.s6 PA5S
TYPE OF WORK DEJ!K.
USE OF BUILDING ~ 'hk
PERMIT NO. 04--, 0 7'1Z I' DATE ISSUED /. 2-(,. Od-
BUILDER 1-1,4 U-j O~ V65 PHONE # 4+7. +~ 7 e
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
"" INSPECTOR
DATE
, FOOTING '" \ l.. I A/ ~ 18 ~ vdJ
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
l I I
I FINAL
rfJ>
19-'2 ."y
FOR ALL INSPECTIONS (952) 447-9850
,
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,
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS ~."O)
OWNER
PHONE NO,
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
COMMENTS:
....k \-0
~
SCHEDULED
Lu;~~
CONTR,
PERMIT NO.
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
DATE TIME
1::7 -oc.{
~~o
4 -1)2_
o EXIGRADlFILLING
IJ COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
o C...., ~ i::'j7?
/
~K SATISFACTORY, PROCEED
o CORREC CT AND PROCEED
o CORR T , CALL EINSPECTION BEFORE COVERING
Inspect
C
Owner!Contr:
9 50 F~HE NEXT INSPECTION 24 HOURS IN ADVANCE,
ENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
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