HomeMy WebLinkAboutBuilding Permit 04-0893
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
White File
Pink City
Yellow Applicant
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PERMIT NO. tJlf - 511 31
(Please!VJJe or orint and silD at bottom)
ADDRESS
d8-?t! (/J~~
JOcil1
ZONING (office use)
R) S:f)
r
LEGAL DESCRIPTION (office use only)
LOTS BLOCK ~ ADDITIONW~
J1 tJt:Z:Iu
PIDdr !/ot/-03tJ
OWNER / -r.:-/
(Name) ~
(Address)
LuJ!Jl9"vbl::..l./
/
(Phone) 9G2-4/I//J-/?9C;;-
BUILDER
(Company Name)
(Contact Name)
(Address)
(Phone)
(Phone)
TYPE OF WORK 0 New Construction i'xDeck DPorch ORe-Roofing ORe-Siding DLower Level Finish 0 Fireplace
DAddition DAltera~ DUtility Connection 0 Misc.
CODE: MI.R.C. DI.B,c.
Type of &nstroction:
Occupancy Group: A B
Division:
I
E
II
F
1
mrvvA
HIM R
2 3 4 5
B
S U
PROJECT COST IV ALUE $
(excluding land)
I hereby certify that I have Furnished information on this application which is to the best of my knowledge true and COlTect. I also certify that I am the owner or authorized agent for (1)e
above-mentioned prope and that all construction will conform to all existing state and local laws ,and will proceed in accordance with submitted plans. I am aware th~o -boilc:iing
:'Cialcan <evoke t eorut: ~bY .gree 'hot 'he"" offici.! or. des>gnec m.y enteropon thepropeny to pcrfmm nq" pcti~ 7'
.?./ / / L/ ;:j)1fgnature 1.." Contractor's License No. %j~,;
rermitValuation ~zooa,oo Park Support Fee # $
I Permit Fee $ 73,75 SAC # $
I Plan Check Fee $ 47, 'jolf Water Meter Size 518"; I"; $
I State Surcharge $ I." Ii Pressure Reducer ... ,_ _$
I Penalty $ Sewer/Water Connection Fee # .! $
I Plumbing Permit Fee $ I Water Tower Fee # $
I Mechanical Permit Fee $ I Builder's Deposit $
Sewer & Water Permit Fee $ I Other $
Gas Fireplace Permit Fee $ I TOTAL DUE $ /22., &'7
,
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This Application Becomes Your Building Permit When Approved
~gYb 24irr
I Paid
l Date
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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 constnlction 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) 447-98~m. fax (952) 447-4245
16200 Eagle Creek Aveoue Prior Lake. MN 55372
Residential Building Permit Checklist
Deck Additions to Single Family Homes
BY: ~::jed),6
Building Permit #
Site Address
Date: ?~ 3-0t/
Pill: Zoning:
c2cf'7l/- 6-w?~ r
Subdivision:
Legal: L B
Existing Structure: YES or NO
CONFORMS TO ZONING
ORDINANCE
YES
NO
I Yard Setbacks: NOT APPLICABLE
. MffiETSCODE
o Side Yard
(25' if abutting a street, 30' if abutting a street in
Cardinal Ridge)
Side Yard
Requirement
Proposed
10'
1
c?5
I 0
10 Rear Yard
10'
50/
&0 (
25'
o Townhouses
Must be consistent with
approved plan for
development
NA
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 COl\lIPLETED AND INCLUDED IN THE BUILDING PERMIT FILE TO
MAINTAIN A RECORD OF THE REVIEW.
L:\TE1;lPLA TEIDECKCHCK.DOC
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PRIOR LAKE
INSPECTION
RECORD
SITE ADDRESS ~ 74/ 6:JUtJI..~ PA TII
TYPE OF WORK ~ /)Lt!1L
USE OF BUILDING $'.1=: ()4
PERMIT NO. DATE ISSUED 18'1'41
BUILDER fYltEe. Ui'Zf,A4IS'Xt' PHONE #?sZ.~-/9?S
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF
BUILDING AND INSPECTION
INSPECTOR
DATE
I FOOTING V> d f1 '" I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
I I
, FINAL
FOR ALL INSPECTIONS (952) 447-9850
.
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CONTR.
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
OWNER
PHONE NO.
PERMIT NO,
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
DATE TIllE
t:J.r/ - ro
o EXIGRADlFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
C
COMMENTS:
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~ATISFACTORY. PROCEED
C CORRECT ACTION AND PROCEED
C CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
/4~'l' ,
Inspector. _ OwnerlContr.
-
CAll 447.9850 FOR THE NEXT INSPECTION 2<1 HOURS IN ADVANCE.
-,
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH &. SAFETY!