HomeMy WebLinkAboutBuilding Permit 04-0930
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CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE I {
AND UTILITY CONNECTION PERMIT q./ /5-0,
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3 Yellow
File
City
Applicant
I PERMIT NO. 0,,".09.301
ZONING (office use)
Ie!
LEGAL DESCRIPTION (office use only)
LOT hBLOCK 0DDITION (/A/(]::k ~t')_
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TYPE OF WORK 0 New Cnnstruction ~eck OPorch ORe,Roofing
DAddition DAltera~ DUtility Connection 0 Misc.
CODE: Il6I,R.C. OLB.C.
Type of c;;'nstruction: I II ill IV V A B
Occupancy Group: A B E F HIM R S U
Division: I 2 3 4 5
OWNER
(Name)
Coe..'l
(Address)
BUILDER
(Company Name)
(Contact Name)
(Address)
1-00
!'JOL e;'~)\'lo../V\..
?-T\2. Co~>>\T IA..C..-\<QN
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ll~
R v- ~ '{-,.,..oU, \) ~ .
(Phone)
']- 4'-/~-r'f6'7
tl '... .\ It
(Phone)
(Phone)
'7 - "U::lO - '- rz... I.{
DRe.Siding DLower Level Finish
o Fireplace
PROJECT COST IV ALUE S
(excluding land)
e furnished information on Ihis application which is to the best of my knowledge true and correct. I also certify that~wncr or authorized agc.'Tlt for the
and t al all construction will conform to all exisung state and local laws and will proceed in accordance wi(h~mined plans_ I am aware that the building
mit fo .us ause. Furthermore, I hereby agree that the city official or a designee may enter uP~~J :'J perform needed mspcctions.
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Permit Valuation
1 Permit Fee
I Plan Check Fee
I State Surcharge
Penalty
Plumbing Permit Fee
\ Mechanical Permit Fee
I Sewer & Water Permit Fee
I Gas Fireplace Permit Fee
Signature
"I
"I~,oo
$ aa.2.<;
$ Sf, 3Go
$ L <:;0
$
$
$
$
$
This Application Becomes Your Building Pennit When Approved
~.:j.e..;[)1-- *$'";;; V
. Buildinl! Otlicial Date" ,
Contractor's License No.
Date
I Park Support Fee # $
I SAC # $
I Water Meter Size 5/8"; I"; $
I Pressure Reducer $
I Sewer/Water Connection Fee # $
I Water Tower Fee # $
I Builder's Deposit $
I Other $
I TOTALDUE,,~ 'tJCo.f- $ /<+7. t(
(~";,I/ . I ReceiPtNo.i(ih~?7'
LJ'.... c)., do. - '-f By tf7;
I Paid
I 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
issued
Planning Director
Date Special Conditions, if any
24 hour notice for all inspectiuns (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, ~ ~ Date: _ C;-/S-O!/
Building Permit #
Site Address
Pill:
Zoning:
s.!.f:.:f ~o/;J;:ft ~
Legal: L W B
tf
Existing Structure@orNO
CONFORMS TO ZONING
ORDINANCE
YES
NO
I Yard Setbacks: NOT APPLICABLE
MEETS CODE
o Side Yard
(25' if abutting a street, 30' if abutting a street in
Cardinal Ridge)
Side Yard
Requirement
I 0
10 Rear Yard
10'
Proposed
,
(,' I
III I
rnx.A
'-10 I
10'
25'
o Townhouses
Must be consistent with
approved plan for
development
ANy PROPOSED DECK NOT MEETING THE ABOVE CRITERIA MUST BE REFERRED TO THE
PLANNING DEPARTJ\'IENT. ALSo, ANY DECK ON A LOT WITH A SUSPECTED BLUFF, OR ANY
OTHER UNUSUAL CIRCUMSTANCE MUST BE REFERRED TO THE PLAN.NING DEPARTl\1ENT.
THIS CHECKLIST MUST BE COMPLETED AND INCLUDED IN THE BUILDING PERMIT FILE TO
MAINTAIN A RECORD OF THE REVIEW.
L:\TEMPLA TE\DECKCHCK.DOC
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PRIOR LAKE DEPARTMENT OF
BUILDING AND INSPECTION
INSPECTION
RECORD
SITE ADDRESS l'II'Is "8A06SL C;~t:LC
TYPE OF WORK ~(:CI.) 1)Ee& i stAt AS
USE OF BUILDING Sn- D # .
PERMIT NO. 04. 09.30 DATE ISSUED '(IS//) 'I
BUILDER I!.Tlll c.o~S"ttk&d"I;,;) PHONE #~z. ....-2'~'C
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
, FOOTING I _Efr~) I 1'1,~:rS"
PLACE NO CONCRETE UNTIL ABOV~ HAS BEEN SIGNED
I I
, FINAL
I~
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I r"'2'J'~
FOR ALL INSPECTIONS (952) 447-9850
,
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CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
/'-11 't~
OWNER
PHONE NO,
o FOOTING
[J FOUNDATION
[J FRAMING
[J INSULATION
[J FINAL
o SITE INSPECTION
COMMENTS:
DATE nME
SCHEDULED 0 ,~
~ .IJ. q.30
PERMIT NO. c( ~
o PLUMBING RI
o MECH RI
[J WATER HOOKUP
[J SEWER HOOKUP
[J PLUMBING FINAL
[J MECH FINAL
[J EXIGRADlFILLlNG
o COMPLAINT
[J FIREPLACE RI
[J FIREPLACE FINAL
o GASUNE AIR TST
[J
Ins
lREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
UUNOT'