HomeMy WebLinkAboutBuilding Permit 04-0793
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
I. While File
2 Pink City
3 Yellow Applicant
PERMIT NO.
~4- _ 0713
(Please type or print and sip. at bottom)
I ADDRESS
1'7.}..-f?dJ..
ZONING (office UK)
IG/
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LEGAL DESCRIPTION (office use only)
LOT j BLOCK l ADDITION
OWNER
(Name)
Est- '3
PI~S- 3/'1 - 6:]1-
j",oeD
LMJlolioFF
(Phone) 'l~z ~v(O
5()J?-7t/l/
3'73~
/f1J..
(Address)
s
BUILDER
(Company Name)
(Contact Name)
(Address)
(Phone)
(Phone)
TYPE OF WORK 0 New Construction
OAddition OAltera
CODE: ~.R.C. OLB.C.
Type of CTm:sm.ction: I II
Occupancy Group: A B E F
Division: 1
Deck DPorch ORe-Roofing
on DUtility Connection 0 Misc.
q... @a~ebu
rnrvvAB
HIM R S U
2 3 4 5
ORe-Siding DLower Level Finish
o Fireplace
PROJECT COST IV ALUE $
(excluding land)
1 hL'feby ce ,ify that I have furnished i J.1rmation on this application which is to the best of my knowledge true and correct. I also certify that I am the owoer or authorized agent for the
,",we-men oned prop ~r~al' un"ruction will ,on form to all cxi"mg ,"" ,nd 10'," I,ws .and will p,"ceed in """,d,nce with ,ubmilled plan,. 1 ,m 'w"'" that Ihe huilding
;"lal ca revoke thl <<mtl r JU" u" Furthermore, I herehy '8"e Ih", the "ty offi,..1 0'" des>gnee m,y ente' upon the propetty to perform n7'" .:''Cf:' 0 L I
r 1:/(7 e Contractor's License No. Date
V V
Permit Valuation If, ,00 Park Support Fee # $
Permit Fee $ /(rJ 'Z...,(I tJ SAC # $
Plan Check Fee $ IO.t;.3" Water Meter Size 5/8"; 1"; $
State Surcharge $ 1/.00 Pressure Reducer $
Penalty $ Sewer/Water Connection Fee # $
Plumbing Permit Fee $ Water Tower Fee # $
Mechanical Permit Fee $ Builder's Deposit $
Sewer & Water Permit Fee $ Other $
Gas Fireplace Permit Fee $ TOTAL DUE $ c27/. j()
~:a:B~:;;dmgpmmv:~i::red
Buildmo Otlicifll ~ Date
Paid
Date
;7{;fO
? ,(1 ~
ifN"
'75711
This is to certify that the request in the above application and accompanying documenls is in accordance with the City Zoning Ordinance and may proceed as l'cqm..'Stcd. 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 mUSI be
issued
Planning Director
Special Conditions. if any
Date
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 Addition~ to Sjngl~ Family HDme~
BY~~~
Dace
7- q-t/
, Zonmg:
/ /j;rf?;} ~~ trUnt ~ ~
Subdivi~ion: ~ ~~ f~
Building 'Permit .'f.
Site Addre~~
Pill:
Legal: L I
B
I
E::ti~ting Structure~r NO
CONFORMS TO ZO~11'rG YIS NO
ORDINANCE ,
Yar.d Setback;: NOT APPLICABLE Requirement Proposed
i'ilEETS CODE
. Side Yard 10'
(2:5' if abu...ing a street. 30' if abutting a street In 2.-s r .
Cardinal Rid~e) , -'
. ' Side Yard 10' 16 t
CV<.-\
. Rear Yard 25' 2. 'Sf .
,
. To"nhouses Mu:;"t be consistent with
approved plan for f'01\
develooment
~.P
AJ.'iY PROPOSED DE,CK NOT C1CEETlNG THE A.80VECRlTERlA MUST.BE REFERRED TO THE
PLAl'+1'I1NG DEPARTMLNT. ALSO, ANY DECK ON A LOT W1TH A SUSPECTED BLtJFF, OR ANY
OTHER UNUSUAL CIRCtIl'vlST.<\.J.''lCE MUST BE REFEAALD TO TliE PLAJ.'IMl'lC D.E.PARTl'vl:ENT.
T1i1s CliEClUlST il'vIUST BE, COMPLETED Ai'ID INCLUDED IN THE BUILDING P~"'UT FILE TO
i"vIAINTAlJ."1 .~ RECORD OF THE REVIEW.
L: ',TE:vJI1L).:-E" DE CY~.',:ECX.D()(
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PRIOR LAKE DEPARTMENT OF
BUILDING AND INSPECTION
INSPECTION
USE OF BUILDING .sF
PERMIT NO. ~= DATE ISSUED
BUILDER ......7~' u.'Pr PHONE#I/I/o- Bt.t\i
NOTE: THIS IS NOT A PERMIT R ANY OF THE INSPECTIONS BELOW
I THE PERMIT IS BY SEPARATE DOCUMENT
(r-" \;e.~ l.";; I t~ I,}tYJ .Lif-~. _ECTOR DA~
"-b.1 FOOTING I ~ I $0_
_0 CONCRETE UNTIL ABO~S BEEN SI9N~
_ I __ I 9/1SZ~_
" t
I FINAL .;?f{/ ?b~AS--
SITE ADDRESS
TYPE OF WORK
FOR ALL INSPECTIONS (952) 447.9850
,
.
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
%ro#~
ADDRESS / 7.,,2 R,.2
OWNER
CONTR.
t1.y.. ~9?
.
PHONE NO.
PERMIT NO.
[J FOOTING
o FOUNDATION
o FRAMING
~LATION
[J SITE ~NSPECTION
[J PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
[J MECH FINAL
COMMENTS:
DATE TIME
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,
~e
[J EXlGRAOIFILLING
o COMPLAINT
o FIREPLACE RI
[J FIREPLACE FINAL
o GASLINE AIR TST
o
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~RKSATISFA ORY, PROCEED
[J CORRECT ACTION AN
[J CORRECT WORK, CA REINSPECTION BEFORE COVERING
Inspector:
Owner/Cont.
CALL <147.8850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH 4 S.4FETY/
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