HomeMy WebLinkAboutBldg Permit 05-0500
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
1. White File I PERM T C~
i ~~~~w ;~~lican' I NO.!JS- ~UU
(Please tvlJe or print and siltll at bottom)
ADDRESS
~1},"1 W 1\l~/l1j
ZONING (office use)
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LEGAL DESCRIPTION (office use only)
LOTtj BLOCK r ADDITION
OWNER
(Name)
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(Address)
BUILDER
(Company Name)
(Contact Name)
(Address)
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PID
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(Phone)
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(Phone)
(Phone)
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TYPE OF WORK 0 New Construction r\r6eck o Porch ORe-Roofing
OAddition DAlterat~ OUtility Connection
CODE~. I.R.C. DI.B.C. 0 Misc.
Type of onstmction: I II III IV V A B
Occup cy Group: A B E F HIM R S U
Division: 1 2 3 4 5
--------
DR'"0Lowa [",1 Fi"i'h 0 Firepl,~
'y-J
PROJECT COST /V ALUE S
(excluding land)
I hereby certifY that I have tl,mished information on this application which is to the best of my knowledge true and correct. I also certifY that I am the owner or authonzed agent for the
a.bove-mentlO~~~~ and tha II construc. tion will conform to all ex" sia" and local laws and will proceed in accordance with submitted plans. I am aware that the building
official can rev~,. 'e, r,mit fo st cause Fut1ermore, I rebyagr hat the..c, Ii official or a designee may enter upon the property to perform necded Inspections.
/' - ',---:1 /:-- ,I ~ _ ').. r - ~ 5
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v 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
'f//~a,.{) t)
$ fO"3," 0
$ flfo/J~
$ 2. 00
$
$
$
$
$
./
./'
#
Park Support Fee
SAC
This Application Becomes Your Building Permit When Approved
~~~
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UI IIlg OttlCl<l
07~~
, Date'
Paid
Date
1'1 i."f~
~ ,. g-'1"O 5"
"-/
$
$
$
$
$
$
I $
~
I $/7/,1S
I Receipt No. ~I ~k.
I By /:'
{j1
I
I
1
#
Water Meter Size 5/8"; I";
Pressure Reducer
Sewer/Water Connection Fee
#
Water Tower Fee
Builder's Deposit
Other
#
TOTAL DUE
ThIS IS to certify thalthc requcst in the above application and accompanying documents is in accordance with the City Zoning Ordinance and may proceed as requested. This document
whcn signed by the City Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must bc
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:
5 - ;2---') -() ~
Building Permit # dS -6 CJO PO:: ~---.. /
Site Address 8:3 t 3 tLJ.~.t.lEU.az;y
Legal: L B
TrL
Zoning:
Subdivision:
Existing Structure~r 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'
'32,7' ~j-
I
/(),13 -h ~
~ ~"Scf',I'
~2.S-
10'
· Rear Yard
25'
· Townhouses
Must be consistent with
approved plan for
development
NA.
ANY PROPOSED DECK NOT MEETING THE ABOVE CRITERIA MUST BE REFERRED TO THE
PLANNING DEPARTMENT. ALso, AJ."IY DECK ON A LOT WITH A SUSPECTED BLUFF, OR AJ."IY
OTHER UNUSUAL CIRCUMSTANCE MUST BE REFERRED TO THE PLANNING DEPARTMENT.
THIS CHECKLIST MUST BE COl\'IPLETED AND INCLUDED IN THE BUILDING PERMIT FILE TO
MAINTAIN A RECORD OF THE REVIEW.
L:\ TE!vlPLA TE\DECKCHCK.DOC
PRIOR LAKE. ,DEPARTMENTOF
, BUILDING AND INSPECTION
INSPECTION
RECO D '
SITE ADDRESS 3~ 13 W
TYPE OF WORK ~~
USE OF BUILDING SF" _ ~ .
PERMIT NO._PS-- ~OD DJ\TE ISSUED ~... ~ 7-5" ~~ '/1
BUILDER ~e. _t..,~Oa-J4 rd PHONE #~. .;l~..,,~~
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
~E~OR / pA~
~ FO.OTING I fT If t57 .~) /IJ~
...
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
~ I I
FINAL
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FOR ALL INSPECTIONS (952) 447-9850
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DATE nME
CITY OF PRIOR LAKE ql~
INSPECTION NOTICE SCHEDULED
ADDRESS 63\3 LJ{~~
OWNER CONTR.
PHONE NO. PERMIT NO. S.,CfY)
o FOOTING o PLUMBING RI o EXIGRADIFILLING
o FOUNDATION o MECH RI o COMPLAINT
o FRAMING o WATER HOOKUP o FIREPLACE RI
~INSULA~ o SEWER HOOKUP o FIREPLACE FINAL
FINAL \ o PLUMBING FINAL o GASLlNE AIR TST
o SITE IN ION o MECH FINAL 0
COMMENTS:
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~ORK SATISFACTORY. PROCEED
o CORRECT. CT. ON D PROCEED
o CORRE T LL FOR REINSPECTION BEFORE COVERING
Inspector. Owner/Contr:
CAL 44 85~NEXT INSPECTION 24 HOURS IN ADVANCE.
~REMENTSARE FOR YOUR PERSONAL HEALTH & SA.FE~/
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