HomeMy WebLinkAboutBldg Permit 05-0569
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I PERMIT NO. {J5- ,I)'IoQI
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
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Pink
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File
City
Applicant
(Please tvne or orint and si~ at bottom)
ADDRESS
4472 CJ"'N,,/{JOK
/)/"
fJ/l/CJ/' Lt>At7
LEGAL DESCRIPTION (omce use only)
LOT (j BLOCK / ADDITION N rI
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PID-:?t1tj- /)() Lj-()
OWNER r
(Name) ::rf:,vP' f'
K 05 t:; e I'/;}OO/f)
(Address) Iff!;1 OV'l?'rff7CJI{ IJ/l.
(Phone)
j)/I /Q/l 41<e
BUILDER iA ^
(Company Name)~C/ h Ct m Co 11 ~(.,
(Contact Name) I< y Iff 5 l-l'l'J"f {I
(Address) Cf7'10 :J-30i-11 c,Y-. E /
Date Rec'd
ZONING (office use)
(Phone) C(~). -l{C/-ltf'IfP
(Phone) ~f:) -t;'/ $~;)79c;
4>kl/R./lf~ Md/
C.QJ , ~11 (
,
TYPE OF WORK 0 New Construction ~eck DPorch ORe-Roofing ORe-Siding DLower Level Finish 0 Fireplace
OAddition DAlteration DUtility ConnectIOn
CODE: \&.R.C. DI.B.c. o Misc.
Type of Construction: I II III IV V A B PROJECT COST IV ALUE $ $. (JOP
Occupancy Gr0up: A B E F H I M R S U (excluding land)
Division: I 2 3 4 5
I hereby cntifY that I have furnished mformation on this application which is to the best of my knowledge true and correct. I also ccltify that I am the owner or authorIzed agent for the
above.mentlOncd property and that all construction will conform to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the building
:"Ci017~~;:;:"~?~:;' F..rthnmm,. 1 h",by "m thot thenry officio' ?-;;;;y;~;; th, pmp"" to p"'mm occd0P;i~~
l' ......-signature Contractor's License No Date
$ I
$ I
$ I
$ I
$ I
$ I
$ I
$ I
$ /2-2. (,,9 I
/ZZ,t,7 I Receipt No. 4~~JI
71C-'''" By -;r~--J
wMJ/7/0t;; ~,
Permit Valuation
~' 2-000, 01J
$ 73.?~
$ 47. ~L(
$ '.00
$
$
$
$
$
TOTAL DUE
Park Support Fee
#
SAC
Permit Fee
Plan Check Fee
#
Water Meter
Size 5/8"; I";
Pressure Reducer
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
Gas Fireplace Penn it Fee
Sewer/Water Connection Fee
#
Water Tower Fee
#
Builder's Deposit
Other
This Application Becomes Your Building Permit When Approved
~~#-J ro/2.tJ!oS
- Building Official Date
Paid
Date
ThIS IS to certify that the request in the above applicanon and accompanying documents is in accordance with the City Zoning Ordinance and may proceed as requcstcd This document
when signed by the City Planner constltutcs a temporary Certiticate of Zoning compliance and allows construction to commence Before occupancy, a CertIficate of Occupancy must be
issued
Planning Director
Dote
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:
~
i~
Date:
rp- 11- (),5'
B\l.ilding Permit #
Site Address
Z/V"?:2-
B
PID:
c)(/edoo~
Zoning:
/)/2- ,
LlIgal: L
Subdivision:
Existing Structure@r NO
CONFOR1\1S TO ZONING
ORDINANCE
YES
NO
I Yard Setbacks: NOT APPLICABLE
MEETS CODE
o Side Yard
(25' if abutting a street, 30' if abutting a street in
Cardinal Ridge)
Side Yard
Requirement
Proposed
10'
1
, ll./.3 ""
31 -40~ ~
l"Z..(
~ 2-Sf
[ 0
10
10'
Rear Yard
25'
o Townhouses
Must be consistent with
approved plan for
development
~f\.
ANY PROPOSED DECK NOT MEETING THE ABOVE CRITERIA MUST BE REFERRED TO THE
PLANNING DEPARTMENT. ALSO, AI'lY DECK ON A LOT WITH A SUSPECTED BLUFF, OR Ai'lY
OTHER UNUSUAL CIRCUMSTANCE MUST BE REFERRED TO THE PLAi"lNING DEPARTMENT.
THIS CHECKLIST MUST BE COMPLETED A."lD INCLUDED IN THE BUILDING PERMIT FILE TO
MAINTAIN A RECORD OF THE REVIEW.
L:\TElv[PLA TE\DECKCHCK.DOC
PRIOR LAKE DEPARTMENT OF
. - BUILDING AND INSPECTION
INSPECTION
RECO D
SITE ADDRESS 'I!I~:l. ~ It:.. OV
TYPE OF WORK ~
USE OF BUILDING SF
PERMIT NO. - .~ DATE ISSUED ". tJD-r
BUILDER r ~&tr PHONE(;Q,S11-;)1'IJ.
NOTE: THIS IS T A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
I FOPTlNG I INSP;%~ I 7h/ ~
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
I I
I FINAL
/ ,
H-'"~ I -?//)'oO
FOR ALL INSPECTIONS (952) 447-9850
----_._,,~-_....._._----- -~,--~._-,._-,_..,,--"-----'_._'- _..._...,._.._...-,,~~,--~'._-""""'''----''
DATE TillE
SCHEDULED ~~
8u~,hcJ~ d
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
~r?..2
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULA nON
..,.a-FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
d;~~
COMMENTS:
./
/; /
r; h'l
/
o~.S6?
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
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------~-.
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~OR~:T~~/
Id ~ORRECT ACTION AND PROCEED
~
o CORRECT WOR> ;:~OR REINSPECTION BEFORE COVERING
Inspector: ft~ ----' Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
IJalmn
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI