HomeMy WebLinkAboutBuilding Permit 03-0881
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
(Please ~ or 'Print and sign at bottom)
ADDRESS
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LEGAL DESCRIPTION (office use only)
Date Rec' d
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; ~;~:' ~::y I PERMIT NO. 0'''- OatJ,/
3. Yellow Applicant ~ lIV
LOT :3 BLOCK I ADDITION WOCWt--1"J vi N I1TS>
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OWNER
(Name)
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(Address)
BUILDER
(Name)
(Contact Name)
(Address)
TYPE OF WORK
~ New Construction
DLower Level Finish
o Misc.
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ZONING (office u,,)
I?/
(fhone)
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(Phone)
(Phone)
DDeck
DPorch
ORe-Roofing
PROJECT COST IV ALUE (excluding land) S
o Fireplace
DAddition
DAlteration
I hereby c 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
authorize gent r the above-mentioned property and that all construction will conform to all existing state and local laws and will proceed in accordance with
submitte plans. ware that the building official can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may
enter up n rope t erform needed inspections.
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$
$
$
$
$
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I Permit Valuation
I Permit Fee
I Plan Check Fee
I State Surcharge
I Penalty
I Plumbing Permit Fee
\ Mechanical Permit Fee
I Sewer & Water Permit Fee
I Gas Fireplace Permit Fee
I /
I I
Building pejlZjoved
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'~Pliti
Building Official
Contractor's License No.
Park Support Fee
#
ORe-Siding
DUtility Connection
Date
$
$
$
$
$
$
$
$
$
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SAC
#
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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.
1 Water Meter Size 5/8"; 1";
I Pressure Reducer
I City SAC and WAC
Water Tower Fee
#
#
Builder's Deposit
I Other
I TOTAL DUE
Paid
Date
'7~.()O
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I Receinl1io,
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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
~~
White - Building
Canary - Engineering
Pink - Planning
Thr ('rnlr. of Ihr I.akr Counlfl
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
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The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
Accepted
........-
Accepted With Corrections
Reviewed By:
(L 0 /.J-
t.
2..
Date:
7/43
Denied
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Comments:
"The issuance or granting of a permit or approval of plans, specifications and
computations shall not be construed to be a permit for, or an approval of, any violation of
any of the provisions of this code or of any other ordinance of the jurisdiction. Permits
presuming to give authority to violate or cancel the provisions of this code or other
ordinances of the jurisdiction shall not be valid,"
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White - Building
Canary - Engineering
Pink - Planning
Thll' Crnlll'r of Ihr L.kll' COllnlf')'
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
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The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
Accepted
x
Accepted With Corrections
Denied
Reviewed By:
/V/f rz
Date:
7- 2 -0 .3
Comments: S<><> Rpverse Side for Ar:lditionallnformationf
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See Attachments: 1) Grading Plan, 2) Erosion C:ontrol Mp<lcm.pc
"The issuance or granting of a permit or approval of plans, specifications and
computations shall not be construed to be a permit for, or an approval of, any violation of
any of the provisions of this code or of any other ordinance of the jurisdiction. Permits
presuming to give authority to violate or cancel the provisions of this code or other
ordinances of the jurisdiction shall not be valid."
,
,
Residential Building Permit Checklist
New Construction for Single or Two-family Dwellings in R-yor R-2 Districts
Reviewed by: (2D &t Date ..., 1110:)
.c;r~o 7(~h7l-T(l.A(C-
Legal: L ,B Subdivision:
Existing Structure? ~o Existing Nonconforming Structure?
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Building Permit #
Site Address:
Pill:
CONFORMS TO ZONING
ORDINANCE stl60
! Yard Setbacks: N/A/FAILSyebMPLIES~
. Front Yard (setback average rl'm-filllot)
I. Side Yard (25' if abutting a street)
I. Side Yard (Easements)
I. Sidewall exceeding 50 feet required additional
side setback of2" for every foot over 50' long
I. Rear Yard (Easements)
i. From 100 vear flood elevation of wetland
. From OHW (Prior or Spring Lake)
----
, Floor Area Ratio: NlkfliAILS I COMPLIES
<-
Yard Encroachments: NA I FAILS ICOMPLIES
Eaves and Gutters no more t~-feet in width and
no closer than 5 feet to,a-kll: me (Easements). .
lAIC and other e~ent cannot encroach on interior
side vards. / .
! Tree Preservation: NA I FAILS I COMPLIES
. Total caliper inches ______
I. Can remove 25% ofto~
I. Caliper Inches EoolOved
I. Caliper Inc;loe"8" Preserved
I. Repl~eu,t
L:\TEMPLATEIBLDGLIST.DOC
Zoning:
YES / NO
NO
Standard
25'
10'
10'
Wall over 50'?
Proposed
10'
to (
25'
30'
75' or setback average of
adjacent structures no less
than 50"
.30 Maximum
Standard
ProDosed
Standard
Proposed
Yd
..
PRIOR LAKE
INSPECTION
RECORD_
s C( 00 Tr41 A,~ Iff! c- S 6.
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PERMIT NO. (J3;, 088/ DATE ISStJED 7 ((/0':;
BUILDER L...r-..o'f"I IIrlfLrr.Afr' PHONE # 40:?-I~ ZZ-
- -
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
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D '-7"c..- lilSPECTOR
, FOOTING I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
,..... I I
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS
TYPE OF WORK
USE OF BUILDING
DATE
, FINAL
i;t/
f, /C;..ov I
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (952) 447-9850
DATE TIME
. r'RIOR LAKE IO-;;r;-o3
.~"ECTION NonCE SCHEOULED
ADDRESS S7'6V -r;,.,hN '01 .C,l
OWNER CONTR.
PHONE NO. PERMIT NO. f.,';, - 5?1i? I
D FOOTING o PLUMBING RI ~fl9'ILUNG
D FOUNDATION o MECH RI D COMPLAINT
D FRAMING o WATER HOOKUP o FIREPLACE Rl
D INSULATION o SEWER HOOKUP D FIREPLACE FINAL
.&.FtNAL o PLUMBING ANAL o GASUNE AIR TST
o SITE INSPECTION o MECH FINAL D
COMMENTS:
( , ..-,.,L.b lJ.t.
)( WORK SATISFACTORY. PROCEED
D CORRECT ACTION AND PROCEED
D CORRECT WORK. CALL FOR REINSPECTION BEFORE COVERING
In.pecto~ -. . ONner/Contr.
CALL oU7 -9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
conE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH .. SAFETY!
lNSNOn
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
.0'0? 17...~__
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
~INAL
o SITE INSPECTION
o PLUMBING RI
o MECH RJ
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
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-----
DATE TIMe
t,-s-o'{
rr;-ai I
-y [?'8- /
o EltJGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
"-----
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~RK SATISFACTORY. PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WO~K. ~OR REINSPECTION BEFORE COVERING
Inspector: r1ff Owner/Contr:
CALL 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
II'ISI'IOTl
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/