HomeMy WebLinkAboutBuilding Permit 04-0310
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
(Please tvDe or print and shoo at bottom)
ADDRESS
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LOT
BLOCK
LEGAL DESCRIPTION (office use only)
ADDITION
OWNER
(Name)
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(Address)
BUILDER
(Company Name)
(Contact Name)
(Address)
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Date Rec' d
White
Pink
Yellow
File
City
Applicant
I PERMIT NO. 0 r -03 (0
LCU1 f/_
ZONING (office lIse)
PID25. Y:;'J,olS', 0
(Phone) _ 9sC) -'1'/ tJ -,,;; /5? ~
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(Phone)
(Phone)
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TYPE OF WORK 0 New Construction 9(Peck DPorch ORe-Roofing ORe-Siding DLower Level Finish 0 Fireplace
DAdditlOn DAlteratlOn DUtility ConnectIOn 0 Misc.
CODE: ~,R,C, DI.B,C, PROJECT COST/VALVE $ ~'?Jt:J, ,y<)
Type of onstruction: I II III IV V A B (excluding land)
Occupancy Group: A B E F H I M R S V
Division: 1 2 3 4 5
x
,
I hereby ccrtity 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 authonzed agent for the
above-mcntlOn propercy ilnd that all stmction will conform to all existing state and local laws and will proceed in accordance with submiltcd plans. I am aware that the building
official can e th permit for J se Furthermore, I hereby agree that the cicy official or a designee may enter upon the property co perform nceded Inspections.
. ~. ~-2J-t?~
Signature Contractor's License No. Date
Permit Valuation
Permit Fee
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
?l;2o(!)(), Of)
$ 73. 75
$ L/ 7. Cftf
$ /.00
$
$
$
$
$
This Application Becomes Your Building Pennit When Approved
~M~
Building Ollicinl
'f~r
Park Support Fee
SAC
#
#
$
$
$
$
$
$
$
$
$/ZZ-,ID?
i.kJ ':1 r ;;..
Water Meter
Size 5/8"; I";
Pressure Reducer
Sewer/Water Connection Fee
#
Water Tower Fee
#
Builder's Deposit
Other
TOTAL DUE A~.. ,t
LffV\R'\) ,.ll cA---
/ d-d-/ fq 7
L/-::J+ G./
Paid
Date
Receipt No.
By D
U
ThIS IS 10 certify that the request in the above application and accompanying documents is in accordance with the City Zoning Ordinance and may proceed as requcsted This document
when signed by the City Planner constitutes a lemporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be
issued
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 Building Permit Checklist
Deck Additions to Single Family Homes
BY:
Date:
Building Permit #
Site Address
Pill: Zoning:
E:02'-( ~ ~~
Subdivision:
Legal: L B
Existing Structure: YES or NO
CONFORMS TO ZONING
ORDINANCE
YES
NO
Yard Setbacks: NOT APPLICABLE
MEETS CODE
Requirement
Proposed
" Side Yard
(25' if abutting a street, 30' if abutting a street in
Cardinal Ridge)
I" Side Yard
'" Rear Yard
" Townhouses
10'
10'
r
32-
(
'-is
(,8 '
25'
Must be consistent with
approved plan for
development
fJ~
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 DEPARTMENT OF
BUILDING AND INSPECTION
INSPECTION
SITE ADDRESS sflf~~ ~
~PEOFWORK ~~ ~
USE OF BUILDING S. F:'(>. . ~
PERMIT NO. If) DATE ISSUED ,,/ZI/.'Y
BUILDER OIJlr PHONE #~- 'I'fItJ-"IB~
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR DATE
I FOOTING I INY';; I l..1-1'7-'1
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
I I
I FINAL /1P-Y I~Jy~
FOR ALL INSPECTIONS (952) 447-9850
St-;;Zc/ /fAds e~-c
CONTR,
O~-J/O
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
OWNER
PHONE NO.
o FOOTING
o FOUNDA rlON
o FRAMING
o IJJISULA TION
p:n:INAL
o SITE INSPECTION
SCHEDULED
PERMIT NO,
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
OA TE TIME
-!/?<;~
Lp'-
o EXIGRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
COMMENTS: /J /' ' ---< /'
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AWORK SATISFA Y. PROCEED
I~' ~DRRECT ACTION AND PROCEED
o CORRECT WO~ FOR REINSPECTION BEFORE COVERING
Inspector: ft, OwnerlContr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
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