HomeMy WebLinkAboutBuilding 03-1584
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
/2. /5. 03
1--.--~ql
White File
Pink City
Yellow Applicant
I PERMIT NO. 03. /584-\
ADDRESS
'3'~, ~DbCOl+ rrC~1 I
:Pv I by Lct"-( , HtJ t SS-31-2-
ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOT 4-1- BLOCK 3 ADDITION
3~~
PID ,2..5 3 ~ '2lYi V D
OWNER
(Name)
(Phone) ~s, -3g1 -?.S 14
(Address)
BUILDER U
(Name) lOr-tV eu;
(Contact Name)
(Address)
~~S"~('..h~
(Phone) 7'5Z-lL~- '"7434
(Phone)
TYPE OF WORK
DPorch
ORe-Roofing
ORe-Siding
o New Construction
eck
o Lower Level Finish
o Fireplace
DAlteration
DAddition
o Misc.
PROJECT COST/VALUE (excluding land) $ 5 "00
DUtility Connection
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 th~ pr rty to perform needed inspections.
x
City SAC and WAC
Water Tower Fee
Builder's Deposit
Other
#
#
Contractor's License No.
Park Support Fee
SAC
#
#
Permit Valuation
Permit Fee
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
$
$
$
$
$
$
$
$
Water Meter Size 5/8"; 1";
Pressure Reducer
TOTAL DUE
This Application Becomes Your Building Permit When Approved
~~
Building Official
I~jrs-(i ::J
Date
,19-/0'1& 03
ate
$
$
$
$
$
$
$
$
$
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
Residential Building Permit Checklist
<-
Deck Addition:! to Single Family Romes
BY.~
("
:;t~
Date
/d-/IS/(1 J
Building P~rmit #: PID:
SiteAddre:5~ 3/5""( ~~
Legal: L y 2- B J
Zoning:
/72f' '
Subdivision:
3'!!R~. - tJ~ ~
Exi:ning Structure: YES or NO
CONFOR-'IS TO ZONTI'{G
ORDINANCE
NO
Yard St:tbuck:i: NOT A..PPUCABLE R~quiremt:nt Propused
MEETS CODE
. Side Yard 10'
(2j' ifabulllng J. street, 30' if abutting a street in I
27
Cardinal Ridge)
. Sidt:: Yard 10' 37 (
. Rear Yard 7 -,
_J .88 , -
. T Qv-mhouses Must be consistent "vlth
approved plan for ~A.
development
A1'1Y PROPOSED DECK NOT M:EETL.'1G THE ABOVE CRlTERlA.MUST BE RE.FERRED TO THE
PLAi'iNlJ.'iG DEPA.RTIHENT. ALSO, A.L'1Y DECK ON A LOT WITH A SUSPECTED BLUFF, OR Al'fY
OTHER L'NlJSUAL CIRCUMSTA.J.'iCE i\-IUST BE REFERRED TO THY PL-\.l';"NING DEPARTt'iIENT.
THIs CHECKLIST iYruST BE COMPLETED AJ.'ID iNCLUDED L.'1 THE BUlLDLNG PERL.....UT FILE TO
t'ilAlNTA.I1'f A RECORD OF THE REVIEW.
L..:' TE>fP L..l.. IE 0 E C:C1.::-i O::..DOC
.J
PRIOR LAKE
INSPECTION
RECORD
SITE ADDRESS B
TYPE OF WORK ~e,W bc:.,ec-
USE OF BUILDING S. f=: 0.
PERMIT NO. OJ. /5M- DATE ISSUED ~tJ'
BUILDER CKft'ST'fM~ ~4&Or' PHONE # 66' -~B7- 15/'/
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF
BUILDING AND INSPECTION
.
L.
INSPECTOR
DATE
I FOOTING I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
J FRAMING I I
I FINAL I I
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (952) 447-9850