HomeMy WebLinkAboutBldg Permit 05-0637
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ADDRESS
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
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2 Pink
J Yellow
File
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Applicanl
I PERMIT NOrj7-:? - (Q 3?1
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LEGAL DESCRIPTION (office use only)
LOTrj BLOCK ( ADDITION ~.~ d f2 ~ / ~+-
,
OWNER
(Name)
Date Rec' d
ZONING (office use)
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PID a 84.... (J01~D
J eN'
S""J'lcHl
(Phone)
~12-- 150" 5$20
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(Address) 'L\,f, q ~
C'herr" L~.
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BUILDER A
(Company Name) - i.e.c..M
(Contact Name) C\,., r" ~
(Address) )7 OIl!, c..i"'< ~~ \\
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(Phone)
(Phone)
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TYPE OF WORK. 0 New Construction tXDeck DPorch DRe-Roofmg
DAddition DAlterfo^, DUtility ConnectIOn
CODE: ~.R.C. DI.B.C. D Mise
Type of Fo;'sttU,ction: I II III IV V A B
Occupancy GrollP: A B E F HIM R S U
Division: 1 2 3 4 5
ORe-Siding DLower Level Finish
PROJECT COST IV ALUE $
(excluding land)
D Fireplace
I hereby certify thatl:have furnished mformation on this application which is to the best of my knowledge tme and correct. I also certlfy that I am the owner or authOrized agent for the
above-mentIOned 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 buildmg
(}tTiCla~.;a~ re~okl (hl~ "rmlt for Just ~e Furthermore, r hereby agree that the Clty official or a deSignee may enter upon the property to perform needed mspcctHlns
X ~ (.</ ~AAoV>"" - ~(.. 2.048'''>72.\ 7- s- os-
') Signature Contractor's License No. Date
Permit Valuation
Permit Fee
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
,,~
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$ 7~. 7 S
$ 1./7,9<f
$ 1.00
$
$
$
$
$
Park Support Fee
SAC
#
#
Water Meter
Size 5/8"; I";
Pressure Reducer
Sewer/Water Connection Fee
#
#
Water Tower Fee
Builder's Deposit
Other
TOTAL DUE MUGlJ 7 ft,.O!-
l ci'>,r... (/0 7
"'7 -<;J- S
This Application Becomes Your Building Pennit When Approved
~~.~
Bllllthnf Oftlcl(l]
7Io~s-
I 'Dale
Paid
Date
I ReceiPt No.
By
$
$
$
$
$
$
$
$
$ /2..2.. to9
l/tJ761
~
t1l
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 temporal)' Certificate of Zoning compliance and allows construction to commenc/'Before occupancy, a CertIficate of Occupancy must be
Issued .........,-/
Planning Director
Date
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
~^~
Date:
7~s- :s-
BY:
Buijding Permit # PID:
Site Address/0/01'5_ {f.l ;/A~{l~
Legal: L B '~ - 0 Subdivision:
Zoning:
Existing Structure: YES or NO
CONFOR1V1S 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 .
10'
I
['? , S'S- f.s h.o-v ~
I
/D'-I-o ~I
3(;,' I
Rear Yard
25'
. Townhouses
Must be consistent with
approved plan for
development
IJ/f
Ai'!'Y 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.
TH]S CHECKLIST MUST BE COMPLETED AND INCLUDED IN THE BUILDING PERMIT FILE TO
MAlNTAIN A RECORD OF THE REVIEW.
L:'TEMPLA TEIDECKCBCK.DOC
PRIOR LAKE DEPARTMENT OF
. . BUILDING AND INSPECTION
INSPECTION
RECORD
SITE ADDRESS /~',..r yo rA"~r
TYPE OF WORK ~ l>61 i
USEOF BUILDING s,,/f/rIJ. _
PERMIT NO. ~S.fJa' DATE ISSUED !lIS-/U
BUIUDER A · 7i1I- · PHONE #
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
~~ ~AA'r iF ~/t..IIn'" INSPECTOR ~/ir-l' ~TE /
FO TlNG I ffV7- I 7/.JZ.d<J~
I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN (SIGNED
__ I I
, FINAL
tIN)
Zs" ~ '2.L{-oS
Call between 8:00 and 9:00 A.M. for all Inspections
FOR ALL INSPECTIONS (952) 447-9850
-_.__..._----_.__.,,--------------_._._~-_.._-_._.._._------,----_.._----,----- ..-".----,--.--"---.----
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
COMMENTS:
DATE T1ME
SCHEDULED
'6-)'1:'-~
II../J,q~ /11t""'" C fr
CONTR.
PERMIT NO.
~-CjJ
o PLUMBING Rl
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
Oed!
/-----....-.----......
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
~-
/ - I(
( / ) _h:-
\.-
'---.
__ J______
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/
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-----
o WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WO~K. :~R RElNSPECTION BEFORE COVERING
Inspector: 1/ V Y' Owner/Conlr:
. ,
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
/NS1iOTI