HomeMy WebLinkAboutBldg Permit 05-0337
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ADDRESS
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
White
Pink
Yellow
I PERMITNO.t<~_3371
File
City
Applicant
5011.0
P!h1dvuia~ ~
I
ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOT 3BLOCK ~ ADDITION
OWNER
(N ame)
S+Ct/t/
I (Address)
BUILDER
(Company Name)
(Contact Name)
(Address)
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PIIb)5' .~fq-OILl-D
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(r s-'Z-)'f'l(j -4 t')- J
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(Phone)
(Phone)
(Phone)
TYPE OF WORK 0 New Construction ~eck o Porch ORe-Roofing ORe-Siding OLower Level Finish 0 Fireplace
OAddition OAlteration OUtility Connection 0 Misc.
~
I hereby certifY that I. hr e hl~. d i ormation on this application which is to th.e best of my know.ledge true and correct. I also certifY that I am the owner or .a. uthonzc'd agent for the
above-mentIOned prope ty nd't t cons. Iction will conform to all existmg state and local laws and will proceed in accordance with submitted plans. I am aware that the building
:ciaI can revoke thIS 1=1 ~ it ~ Jl use F1Il1hermore, I hereby agree that the City official or a deSignee may enter upon the property to perform needed mfl~; /6 S-
f. I Si Contractor's License No. I Date
" -\../
Permit Valuation'"
CODE: MI.R.C. DI.B.c.
Type of ~nstmction:
Occupancy Group: A B
Division:
Permit Fee
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
I
E
II
F
I
PROJECT COST IV ALUE $
(excluding land)
III IV V A
HIM R
2 3 4 5
B
S U
'30{)() I 00
$ elS,2..S
$ 57,3G,
$ ,."So
$
$
$
$
$
Park Support Fee
#
$
$
$
$
$
$
$
$
$
1t.{?,1I
ti *1 ()-~'
,
SAC
#
Water Meter
Size 5/8"; I";
Pressure Reducer
Sewer/Water Connection Fee
Water Tower Fee
Builder's Deposit
Other
#
#
TOTAL DUE
This Application Becomes Your Building Pennit When Approved
Paid
Date
lul' j , LL
'tI-- ~7-rrz:-
, l./ '. G'
---
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Building Ollicial
Receipt No.
By (J'
~~7/D~
Date
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 constltutcs a temporary Certificate of Zonmg compliance and allows consrruction to commence. Before occupancy, a Ccrtlficate 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
BY:
~~
Date:
Lj /,?J ?/t; S'
Building Permit #
Site Address
f)CJ/ ~
B OJ
PID: Zoning:
,o~y- r::::;C,.~
Subdivision: ~
~t1::.
Legal: L S
Existing Structure: YES or NO
CONFORMS TO ZONING
ORDINANCE
YES
NO
1 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'
~
10 I II I
10'
I
10,20
f
01Ye.A 2!;
. Rear Yard
25'
. Townhouses
Must be consistent with
approved plan for
development
tJ~
ANY PROPOSED DECK NOT MEETING THE ABOVE CRITERIA MUSTBE 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 TE\DECKCHCK.DOC
PRIOR LAKE DEPARTMENT OF
,- BUILDING AND INSPECTION
INSPECTION
RECORD
SITE ADDRESS .so I" Pa#b,rF/)$1E lANe
TYPE OF WORK Al6/J 1::l4l:JL,
USE OF BUILDING $IF: /) .
PERMIT NO. ()$- 03J' DATE ISSUED ffi,h
BUILDER STEg HtJI" PHONE #1r~ -M -~I
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR . D~ ,/
I FOOTING I ~ I -S1.y/dS"
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
I I
r FINAL
1 MY
q-vrcJ'5
FOR ALL INSPECTIONS (952) 447-9850
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DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
q -J.o-t?
ADDRESS
r(yc,
{lo-.dJ ~~~
OWNER
CONTR.
PHONE NO.
PERMIT NO.
'-~ -- 3:3/
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION /').-;//
A!f1fNAL I/l:-CAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXlGRADIFILUNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
COMMENTS:
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~RK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT 7~:/r7'7 REINSPECTION BEFORE COVERING
Inspector: -If.-.J!.-I Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
IN$NOTl