HomeMy WebLinkAboutBldg Permit 04-0878
(Please type or pint and sign at bottom)
ADDRESS
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
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LEGAL Dm CRIPTION (office use only)
ADDITION
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OWNER
(Name) \1i, l""'..\,; '^
(Address) \ ~I~:::k
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Date Rec'd
8.ll. 04-
; ':'i~i~ ~:;y I PERMIT NO. 01'-. 0 <2741 I
3. Yellow Applicant 0 {/
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ZONING (office use)
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PID 7_eJ IZ4-. OIPJ-rl_
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(Phone) blrl.-M~' <:::fill
BUILDER ,I a. { \
(Name) y., ;:: vli\ L la ....('~--r;C""" \-\""11\'\<<-0'-'11I ",-r-
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(Contact Nar Ie) ",-",""" '" rl-A ;-.r",- L-L.
(Phone) bId-. - 536.:+' . GO \ I
(Phone)
(Address)
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TYPE OF W aRK
o Misc.
l, g.er
o New Construction
OLower Level Finish
~.
,P(neck
o Fireplace
OPorch
ORe-Roofing
DAddition
OAlteration
ORe-Siding
OUtiIity Connection
I hereby certify lnat 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 agen' for the above.mentioned t"....y...~) and that an construction will conform to all existing state and local laws and will proceed in accordance with
submitted plans. I am aware that the building official can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may
enter upon ~e p opert)! to pjifrm nee~nsp~ns.
X l7~rM f~ \\"'W\.CLJW'"n.~r ~
Signature Contractor's License No. Date
I Permit Valuati m
I Permit Fee
I Plan Check Fe y
I State Surcharg ,
I Penalty
I Plumbing Perf lit Fee
I Mechanical Pe mit Fee
\ Sewer & Wate. Permit Fee
I Gas Fireplace fermit Fee
I
PROJECTCOSTIVALUE (excluding land) $
-
If'~eo .Oel
$ 73.7S
$ ~7.e!Jc.f
$ l.oC)
$
$
$
$
$
This Applicati )D Becomes Your Building Permit When Approved
~,"'~
Buildin~ Officiiil
~L/
I Park Support Fee
I SAC
I Water Meter Size 5/8"; I";
I Pressure Reducer
I City SAC and WAC
I Water Tower Fee
I Builder's Deposit
I Other
I TOTALDUE ~JfIMrrJ ~.J,.6"""
I Paid
I Date
I~,~I
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f ' I ,
$
$
$
$
$
$
$
$
$ /1-I-~'
I Receipt No. /.(77Y..5
I By tz-.--
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#
#
#
#
This is to certify tl: It 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 th, 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
B-r:
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Date: (j'~ I) i
B'lilding Permit #
Site Address
PID:
Zoning:
L :gal: LIt
B
I
Subdivision: ~ ~
E listing Structure: YES or NO
CONFORMS TO ZONING
ORDINANCE
YES
NO
, Y'lrd Setbacks: NOT APPLICABLE
MEETS CODE
" Side Yard
(2;' if abutting a street, 30' if abutting a street in
Cardinal Rid,ge)
Side Yard
Requirement
Proposed
10'
I"
I"
10'
q~'
,..Jf\
(!)ueA. )) I
Rear Yard
25'
" Townhouses
Must be consistent with
approved plan for
development
t--J A.
AllY PROPOSED DECK NOT MEETING THE ABOVE CRITERIA MUST BE REFERRED TO THE
PI ANNING DEPARTMENT. ALSO, At"lY DECK ON A LOT WITH A SUSPECTED BLUFF, OR At"lY
01 HER UNUSUAL CIRCUMSTANCE MUST BE REFERRED TO THE PLANNING DEPARTMENT.
TI [IS CHECKLIST MUST BE COMPLETED AND INCLUDED IN THE BUILDING PERMIT FILE TO
M, .INTAIN A RECORD OF THE REVIEW.
L:lTENlPLA TE\DECKCHCK.DOC
"
PRIOR LAKE
INSPECTION
RECORD
SITLADDRESS /4/32. NI1Tl4L/€ JeO. N€
TYPE OF WORK D6 tic....
USE OF BUILDING /265 Ale
PERMIT NO. 04-. 0876 DATE ISSUED 8.31,04-
BUII.DER BI"1IfVtt::.,'1 PHONE # {,f2... 8o"Z. 9/11
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR lJ DJoTE
",I FOpnNG I m~ I tJ/tlo/
. I PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
1-,-. I I
DEPARTMENT OF
BUILDING AND INSPECTION
I FIN~L
11$
7/Zt~b/
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FOR ALL INSPECTIONS (952) 447-9850
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
/t//J2 ~f"1 /''e
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
"...a-FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH Rl
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
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--'---'.._'~~
DATE TIME
P-fL~
/:d
C's/-97 Y
o EJ(JGRADIFII..I..ING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
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l /' ~(-t'" ~~ /c:: ./
~RKSAT~OR.;.PRe~.cCu -----
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
WY./ Owner!Contr
Inspector:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE,
/NS/IIOTl
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!