HomeMy WebLinkAboutBuilding Permit 04-0213
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICAtE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
I. White File
2. Pink City
3. Yellow Applicant
Date Rec' d
PERMIT NO.Oij- a J ~
PID ~5' ",~f d ../31/-(:)
(Phone) (qQ) LfL/o - 6037
I hereby certify that I have furnished information on this application which is to the best of my knowledge true and correct. I also certify 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 building official can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may
enter upon the property to perform needed inspections.
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(Please type or print and si{'l at bottom)
ADDRESS
~ J S~ W~.~ J-."()r--~e JCl~S
(l/W
LEGAL DESCRIPTION (office use only)
~
LOT lrBLOCK ..s ADDITION .1.1-h ~ ~ -
OWNER
(Name)
.S"~ ~j(e\~ SpfbhK
S IS-:L W,ld /-JtJr1~ prof
(Vw
(Address)
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BillLDER CO VJr--tJ)
(Name)
(Contact Name)
(Address)
(Phone)
(Phone)
TYPE OF WORK
~Deck o Porch ORe-Roofing
o Fireplace OAddition OAlteration
PROJECTCOST/VALUE (excludingland) $ '3 000
I
o New Construction
OLower Level Finish
o Misc.
Contractor's License No.
Permit Valuation
Park Support Fee
#
P.:.uuit Fee
$
$
$
$
$
$
$
$
City SAC and WAC
Water Tower Fee
Builder's Deposit
Other
TOTAL DUE
#
#
SAC
#
Plan Check Fee
Water Meter
Size 5/8"; I";
Pressure Reducer
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water P.:.uuit Fee
Gas Fireplace Permit Fee
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Building OfIicial Dat
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I~;}-" (0 -, -.
L/ - ~-(?4
- - ,
Paid
Date
ZONING (office use)
ORe-Siding
OUtility Connection
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 constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be
issued.
Planning Director
Date Special Conditions, if any
24 hour notiCe for all inspections (952) 447-9850, tax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
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Residential Building Permit Checklis.t
'- .
Deck Addition~ to Singl~ F anlily Home:)
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BY ~) ~ Date I/~ ;;)-0&/
Building 'Pt:rmit ,=t;
S ite Addre5~
PID:
3/5~aY;;d~~.
Subdivi.:sit>o: ~ ~
Legal: L 'tS . B 5
Existing Structure: YES or NO
CONFORl\IS TO ZO.~ThG
ORDIN4~NCE
I~S
NO
.. Yar.dSetbucki': NOT A..P.PL ICA.BLE
iVlEETS COD E
R.t::quirement
. Propo:1ed
· Side Yard
(25' if abutting il :5'u.\7".:.t~ 30' if abutting a street in
Cardinal Ridge)
. . Side Yard
lO' .
. t
3(0
10"
0tHA- lot
· Rear Yard
25~
.. r
,45
NA-.
· To,,~nhollses
NIust be consistent with
approved plan for
develop ment
AJ.'fY PROPOSED DE.CK NOT M:EETlNG THE A.BqVE.CRlTERlA ~lUSTBE REFERRED TO THE
PLAl.'+1't1J."'IG DEP.-lRTi'vrE.NT. ALSO, ..uTI DECK ON A LOT 'NITH A SUSPECTED BLUFF, OR AJ.'fY
OTHER UNUSUAL CIRCtJMSTAl'{CE lYIUST 8E REFERRLD TO TH:E. PL..:u'fN1J.'{C D'EPA..RTl'tl:EN'T.
THls CmC.KLlST iYIUST BE.CO~JPL.ETED Al'ID INCLUDED IN .THE BU1l..DING P.QUvfiT FILE TO
i'v1All'ITAll."'I A RECORD OF J.~ REVIEW.
L:.' 1 c.;.\,fPLATE', DE CK'.::nCK.DOC
PRIOR LAKE DEPARTMENT OF
. .' BUILDING AND INSPECTION
INSPECTION
RECORD
SITE ADDRESS -.al$"~ Wi" ~e. P"SS
TYPE OF WORK f)L(./t:.
USE OF BUILDING --5 r 0
PERMIT NO. 0 L( ... ~~ _ DATE ISSUEDl/.. ~...I./
BUILDER~"+ I'e /IV PHONE# L/.!/D. '01"
NOTE: THIS IS NOT A PERMIT FbR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR DATE
FOOnNG ~ 4/i3ft; ef
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
~ I I
,....,
FINAL I I~ .A 6""'~<..
""
FOR ALL INSPECTIONS (952) 447-9850
CITY OF PRIOR LAKE
INSPECTION NOTICE
DATE nilE
SCHEDULED 6 -(i* ..() 1-
ADDRESS 3.lS-z... IJ/~_ ~_
OWNER CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
e... ~NSULA TION
~INAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
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o EXIGRADlFILUNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
s ~
\.1'-..,." I} IJ
I
X WORK SATISFACTORY. PROCEED
[] CORRECT ACTION AND PROCEED
o CORR{ci} rRK, CALL FOR REINSPECTION BEFORE COVERING
IlISpede).! " OwnerlContr.
CA ~lb'"O FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
-~ aEQUlREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
INSNOn