HomeMy WebLinkAboutBuilding Permit 03-0463
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
(Please type or print and sign at b~~~~...)
ADDRESS
Date Rec' d
</-~J--c>3
I. White File
2. Pink City
3. Yellow Applicant
PERMIT NO.
O~lf~6 I
/~r,2 4- t:-f/tJA/S /ft/e
IE
ZONING (office use)
K/ ~()
LEGAL DESCRIPTION (office use only)
LOT I BLOCK I ADDITION
OWNER
(Name)
L'II_I'-
f
(Address)
F'f2-10Je- S()vni
PID'pS - (J/7 -0(17- 0
s; /v~- br,>-.'rA/
(Phone)
BUILDER 1
(Name)AvM J P-''iPA,(t J- ftfill'lootl.. iA../~
(Contact Name) Ihl\-{)"\( AClP-Ac-
(Address) I ~lkl CCtH\<-lVv<lD Ct{L. fl2-((J{l LAl(t.
TYPE OF WORK
o New Construction
OLower Level Finish
o Misc. ~
,
(Phone) -1J J - .cJ<j (J- ) ) ~'7
(Phone)
I't1IV J-S-)):1....
~eck
o Fireplace
OPorch
ORe-Roofing
ORe-Siding
OAddition
OAlteration
OUtility Connection
PROJECT COST IV ALUE (excluding land) $
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
~ter upo~;;;. 2rform nee~ctions. _ , If7-2 , fb I D l,/ -l.- 'z- -OJ
/~ ~re Contractor's License No. Date
#000.00
'17.25
"3. ZI
2,00
I Permit Valuation
I Permit Fee
I Plan Check Fee
I State Surcharge
I Penalty
I Plumbing Permit Fee
I Mechanical Permit Fee
I Sewer & Water Permit Fee
I Gas Fireplace Permit Fee
$
$
$
$
$
$
$
$
This Application Becomes Your Building Permit When Approved
~?~
Building Official
~..;1-S ~~
Date
I Park Support Fee # $
I SAC # $
I Water Meter Size 5/8"; I"; $
I Pressure Reducer $
I City SAC and WAC # $
I Water Tower Fee # $
I Builder's Deposit $
I Other ~/713 ,PtfitJ VeJUy/a:n-;O~ .:5'0. 00
I TOTAL DUE 1)1 Ir / l/J -07 $ '2-1 z.. ~
I Paid
I Date
4f/;~/fJ -.
f
Zll.&(f. ~;ceiP~~ t~1-
. 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, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
.&~
~NEV
REQUEST FOR WAIVER OF SURVEY REQUIREMENTS
PROPERTY OWNER:
ADDRESS:
I t., 4- zc{ ~N S A vEt !".6-t
TELEPHONE NUMBERS:
AUllIt;' ~A(~ f 1l~IJ€l..i#Jd Ie, , Z - '5"10 - :3 ZtJ 7
SIGNATURE: ~ ./~~
~~/"tC< ~.
LEGAL DESCRIPTION: Lor 7 <6/~ l l1e~o"-'.fbt.c.rH
-,.
PID NUMBER:
25 -0/7 - ()o 7 -a
A request to waive the survey requirements will be accepted only for the construction of
decks. Prior to the review of this request, the property owner must provide
reasonably reliable evidence in the field of what he/she believes are the property
boundaries. This request must also be accompanied by the following information:
1. The deck must be drawn on a site plan to scale. The site plan must identify
dimensions of both existing and new structures, and the distance from any lot lines.
2. The property owner must sign an agreement, prepared by the City, holding the City
harmless from any damages incurred if the deck is placed inaccurately on the site, or
of it irifringes on any setback requirements or easements.
3. The property owner shall pay a $50.00 fee for the staff review according to the
adopted fee schedule.
Once a request is reviewed, the staff will schedule a field inspection and review all
available information. The Planning Director and Building Official will then make a
determination of whether the requirements may be waived.
ForDffice Use Only
ACTION
I8t APPROVED
COMMENTS:
o
Plllsr PJt.V~.d6" k o-J.. Jut/Fe( ~",p/t..rr
1!i.JtS3 / /)!rrJil!.JeE""'''~ /AJS~t?J1J"- @ FoQr,',v9
jlU~~/fi,.J..;. UA~ PV ..f erJfA-CK.S , .J
~ ':1'....,Jl,L-
DENIED
BY:
I :\hilndp,utS\W3 i..:er.doc;..
16200 Eagle Ueek Ave. ::>.L Prior Lake, Minnesota 55372-1714 / Ph. (612) 447-4230 / Fay. (612) 447-4245
AN EQt JAL OPPORTt INITY EMPLOYER
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS ~ ~t"(
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULA TIO~ I
Ai- FINAL , .JW1.
o SITE INSPECTION
COMMENTS:
DATE TIME
SCHEDULED
(,- {,(
~/ffl/l ') Az...c.
CONTR.
PERMIT NO.
s-lft, ~
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXIGRAD/FILLlNG
o COMPLAINT
o FIREPLACE Rl
o FIREPLACE FINAL
o GASLlNE AIR TST
o
- ~
/ I Iy(./
( ,/l U VL
(/-1
:J-tv
~ORK SATISFACTORY, PROCEED
~ORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: ~ C c.... 4. ~ Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH cl SAFETY!
INSNOTI
'"
.
\.
PRIOR LAKE
INSPECTION
RECORD
SITE ADDRESS lJ,~~ ~II~
TYPE OF WORK ~~
USE OF BUILDING ~
PERMIT NO. 0 3- t..I '-3 DATE ISSUED y- ~~-O3
BUILDER~"~ R&p4... 9J/Jra~'PHONE#(.'~.$.D-~767
NOTE: THIS IS NOT A PERMIT FOR ANY OF TWE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF
BUILDING AND INSPECTION
INSPECTOR
DATE
~ FOOTING I}~ I ty J-cf).
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
FRAMING I j/j/}fJ I I )~ 1- <i~
I FINAL
//'V1(1
( "' L-\-l/7
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (952) 447-9850