HomeMy WebLinkAboutBuilding Permit 04-1176
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ADDRESS
4&"l"Z-
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
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file
City
Applicanl
I PERMIT NO. 0'1-. /nlp
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LEGAL DESCRIPTION (office use only)
LOT " BLOCK 3 ADDITION MU-/AtA.G' II/us -1-1)/
OWNER
(Name)
Q,Db
(Address)
BUILDER
(Company Name)
(Contact Name)
lt~f' J./
Date Rec' d
II. /8.64-
ZONING (olliceuse)
~/
PID2.&". 3/4-.030. 0
(Phone) a<.'2 -44 '1 - 10/1..
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(), I-LvV\S.. VI I.h:,
(Phone)
(Phone)
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(Address)
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TYPE OF WORK 0 New Construction lliIDeck OPorch ORe. Roofing
DAddition DAltera~ DUtiJity Connection 0 Misc.
CODE: Ih.R.C. DI.B.C.
Type of,t;nstruction:
Occupancy Group: A B
Division:
ORe.Siding
DLower Level Finish
Q(,2 -44/} - J"~ {)
I
E
IIlIVVA
HIM R
2 3 4 5
B
S U
PROJECT COST IV ALUE $
(excluding land)
II
F
I
<'~/l
o Fireplace
10 jbDD
I ht.'feby cenify thai 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 an hat 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
;"'1 con reVfi~ i 0 juSl"" FR::'bY 'greeth" th,'''Y olli",1 0" d"ignee 2' ~~U~~h; 7;;' '0 p"form ""d,d m'I'~~
i ature Contractor's License No. Date
I Permit Valuation
I Permit Fee
I Plan Check Fee
I State Surcharge
I Penalty
I Plumbing Permit Fee
j Mechanical Permit Fee
I Sewer & Water Permit Fee
I Gas Fireplace Permit Fee
Ir Bt1t9(JrtJo
$ e38r2S
$ 57. 3(P
$ /, S'a
$
$
$
$
$
I Park Support Fee
I SAC
I Water Meter Size 5/8"; 1";
I Pressure Reducer
I Sewer/Water Connection Fee
I Water Tower Fee
I Builder's Deposit
I Other
I TOTALDUE
This Application Becomes Your Building Pennit When Approved
~~
Building Otlicial
I( /('rlor
, Odte
I Paid
I Date
1~7_ II
it. zz, ,d ~
#
#
#
#
$
$
$
$
$
$
$
$
J /1/7.11
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ThiS is to cenify that thl' request in the above application and accompanying documents is in accordance with the City Zoning Ordinance an 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 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:~
r-
~
Date:
111/9/0 cf
Building Permit #
Site Address 1392-
...3
Pill:
&/?(VIh1A IJ
Zoning:
Legal: L J (
B
~3.C,
. -;;1/- dK
Subdivision: t~. ~ - QI , V'4.r 'f-
a
Existing Structur~r NO
CONFORMS TO ZONING
ORDINANCE
YES
NO
Yard Setbacks: NOT APPLICABLE
MEETS CODE
Requirement Proposed
10' c.'.
J)G,'
10' ,)7 I
25' ler'
Must be consistent with
approved plan for ,JA.
development
o Side Yard
(25' if abutting a street, 30' if abutting a street in
Cardinal RidQ;e)
o Side Yard
10 RearYard
o Townhouses
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
PRIOR LAKE., ~~rto'=~':oC:SPEcnON
.
INSPECTION
" ~ECORDL" _ ,_ aI. E.
SITE ADDRESS ".,. ~ .1
TVPEOFWORK ~ . nseM.
USE OF BUILDING S. f:': 1>. _ .
PERMIT N~a. ._:.!..4- ./17& DATEJSSUED JJ./.Bi6"
BUILDER~ ~~ PHONE "'-D4tl1J -,~
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
'FOOl1NG I ri,) ...1 I/z/;i:'j
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGN"ED
I I
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ri Vl
I FINAL
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FOR ALL INSPECTIONS (952) 447-9850
I
I
,
DATE TillE
. OF PRIOR LAKE t#
.SPECTlON NOTICE SCHEDULED
ADDRESS 4~95 Cat.e.~ (-"^- ,
OWNER CONTR.
PHONE NO. PERMIT NO. 4/117~
1
o FOOTING o PLUMBING RI o EXlGRADlFILUNG
o FOUNDATION o MECH RI o COMPlAINT
o FRAMING o WATER HOOKUP o FIREPlACE RI
o INSU~~ o SEWER HOOKUP o FIREPLACE FINAL
}l(fINAL o PLUMBING FINAL o GASUNE AIR TST
o SITE I SPECTION o MECH FINAL 0
COMMENTS:
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'- I.. '>t'<-
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~ SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORREcmCALL FOR REINSPECTION BEFORE COVERING
Inspector: Owner/Conlr:
CALL .9 Q FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
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