HomeMy WebLinkAboutBldg Permit 05-0527
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec'd
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I White
Pink
3 Yellow
File
Citv
Applicanl
I PERMIT NO. OS. 05271
(Please type or print and sign at bottom)
ADDRESS
/e1-3Se ~6A/
eA
LEGAL DESCRIPTION (office use only)
ZONING (office LIse)
t:?/
LOT
ADDITION
PID z::;-::;r.,g _ ()Z.4: 0
BLOCK
OWNER
(Name)
)Err ~\X5\"";15\E
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(Phone) L;t/5 -"j9?,-
(Address)
BUILDER .
(Company Name) ~f) <:"~,l..,"5\\'-\....lC:\lc::,,,V
(Contact Name) ~L k-NE.V L~
(Address) Ib2~ MW.F, C-T
(Phone)
(Phone)
qs"Z- ~ '/Cj b - S98'1
I hereby certify thad have hlrnished information on this application which is to the best of my knowkdge true and corrcct. I also certify th<11 1 am the owner or <lutlwflZl'd agent for the
above-mentIOned property and thaI all consti'llcrion will conform to all existing state and local laws and will proceed in accordance with submil!cd plans. I am aware that the buildmg
officlal can revoke t1111s per,t for JU cause FllIthelmore I helcby agree that the CIty offinal or a deSIgnee may enter upon the plOperty to pel form necded mspectl()llS _
X ,-~/'/ _:.,c/ b - (,,-6";,
- / Signature Contractor's LIcense No Date
,
I~o/').oo
1$ R,Q,.Z5
1$ 57.3<..
1$ I.So
$
$
$
$
$
v..lC
TYPE OF WORK 0 New Construction fi(O~ck o Porch DRe-Roofmg
DAddition DAlter~o;- o Utility Connection
CODE: 'rld\:.R.C. OJ.B.C. 0 Mise
Type of ~stIUction: I II III IV V A B
Occupancy Gronp: A B E F HIM R S U
Division: 1 2 3 4 5
ORe-Siding DLower Level Finish
PROJECT COST IV ALUE $
(exdnding land)
Permit Valuation
Park Support Fee
#
Pennit Fee
SAC
#
Plan Check Fee
Water Meter
Size 5/8"; 1";
State Surcharge
Pressure Reducer
Penalty
Plumbing Permit Fee
Sewer/Water Connection Fee
#
Water Tower Fee
#
Mechanical Permit Fee
Builder's Deposit
Sewer & Water Permit Fee
Other
Gas Fireplace Permit Fee
TOTAL DUE
~".7.()5
o Fireplace
$
$
$
$
$
$
S
$
$ /~7. II
This Application Becomes Your Building Permit When Approved
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I ReceIpt N.D. ffJ5'1
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Date
Paid
Date
Bl1ildil~g Otlici,ll
ThiS IS to certify that the request in the abuve applical10n and accompanying documents is in accordance with the City Zuning Ordinance and may procecd as requested TIllS document
when signed by the City Plannrf cunstltutcs il temporary Certificate of Zoning compliance and allows construction to commence Before llccllpancy, a CertlfiCale of Occupancy must be
issued
Planning Director
Date
24 hour notict' for 1111 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
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BY:~
::b ,/;?-
Date: & /7/0S
Building Permit #
Site Address
Legal: L e?i
IL/J 57
/
B
PID: Zoning:
I(~~
Subdivision: f{tur6 ~ S'H-
Existing Structure:@or NO
CONFORMS TO ZONING
ORDINANCE
YES
NO
I Yard Setbacks: NOT APPLICABLE
MEETS CODE
" Side Yard
(25' if abutting a street, 30' if abutting a street in
Cardinal Ridge)
Side Yard
Requirement
Proposed
10'
.
(
I"
I" Rear Yard
10'
/3.2-0
/,~.ZZ
..tjzl
25'
" Townhouses
Must be consistent with
approved plan for
development
HA
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:\TEMPLA TEIDECKCHCK.DOC
~
PRIOR LAKE DEPARTMENT OF
BUILDING AND INSPECTION
INSPECTION
RECORD
SITE ADDRESS 14-3 S8 RAV6tJ c.;:r
TYPE OF WORK Ot;7!lc
USE OF BUILDING /Z@' /1//0
PERMIT NO. cJ S. 0527 DATE ISSUED ~. &, . OS-
BUILDER (JI,CGt1/0Q() e.()N.577<-, PHONE# 4?~.391J~
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
...-?~SPECTOR '1 DA1;E
I FOOTING I //@ I n)L/lt!!)
PLACE NO CONCRETE UNTIL ABOVE HAS B~ SlbNED
.... I I
.
, FINAL
I~~
,1 1
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,
FOR ALL INSPECTIONS (952) 447-9850
CllY OF PRIOR LAKE
INSPECTION NOTICE
DATE TIME
SCHEDULED
vhd oC'
,
ADDRESS
/Lj3S-~
tP ,,1/(';0/\ 0 \-
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
~ULATION I
~~~AL 'Cec."",
o SITE INSPECTION
COMMENTS:
(ll~_
CONTR.
PERMIT NO.
5- b:rz
o PLUMBING Rl
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE ANAL
o GASLfNE AIR TST
o
~
n,
t,' Le
/'
~RK SATISFACTORY, PROCEED
o CORRECT C AND PROCEED
o COR CT L FOR RElNSPECTlON BEFORE COVERING
Owner/Contr:
OR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
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