HomeMy WebLinkAboutBldg Permit 05-0905
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec'd
While
Pink
Yellow
File
City
Applicant
I PERMITNO.O~ -c1~tlst
(Please ty~e or o1!int and sie;n at bottom)
ADDRESS
~~a/-?~~-f
ZONING (office use)
R~
LEGAL D]!;CR11'/ION (office use only)
LeT 4- BTh~ 3 ADDITION
(ljdi-
PID OO;)-rog-D
OWNER-
(Name)
~ (LfJ LJJ
u )0 1.. f' cAYV\
C dL / I ..,
(Phone) CL' "'"
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(Address)
BUILDER
(Company Name)
(Contact Name)
(Address)
(Phone)
(Phone)
TYPE OF WORK D New Construction ~Deck DPorch DRe-Roofmg
DAddltlOo DAlteraQ DUtihty ConnectIOn
CODE: bth.R~. C. DLB.c.
Type of P;'nstnlction: I II III IV V A B
Occupancy Gr~up: A B E F HIM R S U
Division: 1 2 3 4 5
ORe-Siding DLower Level Finish
o Fireplace
o Misr
PROJECT COST IV ALUE $
(excluding land)
I I hereby ccrtlly thatl hav{ furnished mformatwn on thiS apphcatJon which IS to the best afmy knowledge title and COlTcet I aho CCltlfy that I am the owner 01 authorJzcd agent for the
abovc~,,~~ .Y:~~~'::.;l and that all constl ctlOn Will mofar to all eXlstmg stale and local laws and WIll proceed m accOldance wlth submlltcd plans I am aware that the blllldmg
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SIgnature Contractor's LIcense No rflte
, ,~
Permit Vatuation II ~O. 00 Park Support Fee # $
Permit Fee $ ~<. /)0 SAC # $
Plan Check Fee $ I (P. Z.s- Water Meter Size 5/8"; 1"; $
State Surcharge $ I Sa Pressure Reducer $
Penalty $ Sewer/Water Connection Fee # $
Plumbing Permit Fee $ Water Tower Fee # $
Mechanical Pelfmit Fee $ Builder's Deposit $
Sewer & Water Permit Fee $ Other $
Gas Fireplace lPermit Fee $ TOTAL DUE $ Lilt 7S-
Buildi~1!!. Official
9//9/oS
f Date'
Paid
Date
'-II. -Ie,
1-/Q-ti
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This Applicatidn Becomes Your Building Pennit When Approved
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ThiS IS to certify that the request in the abuve application and accompanying documents is in accordance with the City Zoning Ordinance and may proceed as rcqul'sted. ThiS document
when signed by the City Planner constitutes a temporary Certificate of Zonmg compliance and allows construction to commence, 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 Eagte Creek Avenue Prior Lake, MN 55372
Special Conditions, if any
-~,-~-~
Residential Building Permit Checklist
Deck Additions to Single Family Homes
BY ~t /JJ~
Date:
q/ICf/C;-
Building Permit # Pill:
Sitte Address
Zonin'" }
L/002./- ,pJeas;c... 11-'(
Legal: L B
Subdivision:
E1tisting Structure(@r NO
dONFORlvIS TO ZONING
QRDINANCE
YES
NO
I Yard Setbacks: NOT APPLICABLE
MEETS CODE
. Side Yard
(25' ifabutting a street, 30' if abutting a street in
Cardinal Ridge)
Side Yard
Requirement
Proposed
10'
1 .
I'
10'
ouElL Ie>
DUe (L /0,1
Rear Yard
25'
,
Oll~ (D
. Townhouses
Must be consistent with
approved plan for
development
Nf\'
ANY PROPOSED DECK NOT MEETING THE ABOVE CRITERIA MUST BE REFERRED TO THE
PUAL'INING DEPARTMENT. ALSo, ANY DECK ON A LOT WITH A SUSPECTED BLUFF, OR ANY
OTHER UNUSUAL CIRCUMSTA.'1CE MUST BE REFERRED TO THE PLANNING DEPARTMENT.
TIlliS CHECKLIST MUST BE COMPLETED AND INCLUDED IN THE BUlLDll'IG PERMIT FILE TO
l\1AINTAIN A RECORD OF THE REVIEW.
L:',TE:VlPLA TE'DECKCHCK.DOC
~------,--_._----,._~.._-----_.-
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
/!h.;zl /!eqW&,n-l
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
~NAL
o SITE INSPECTION
o PLUMBING Rt
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
:a;~
COMMENTS:
-
Pq / (]/
----- - ~
-----.-
DA TC TIME
/~~5-'
S/
~- ray
o EXIGRAD/FILLING
o COMPLAINT
o FIREPLACE R1
o FIREPLACE FINAL
o GASLINE AIR TST
o
~
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1/_/6S-f2.
~ORK~I~FACTORy.PROCEED
o CORRE~~~'-'u I"'f\.V""'t;.I;;LJ
~
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o CORRECT WORIJ ~,;~ ~ REINSPECTtON BEFORE COVERING
tnspeelor. ~.......--- OWnerlContr.
r
CALL 0147-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
INSNOTJ
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI