HomeMy WebLinkAboutBuilding Permit #03-0583
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
1. White File
2. Pink City
3. Yellow Applicant
(Please type or print and sign at bottom)
. ADDRESS
/..r~OCe 1C>-JC' fJ dt
/}/tJ
LEGAL DESCRIPTION (office use only)
LOT ~BLOCK Z-ADDITION Vt/67V-fM 4'V /'VI / Sr
OWNER /) J /J
(Name) '/..fA.~.I~fr f <?'C.. ff,y L
(Address) /r~DIP 4o-y ~J C-I kcJ
BUILDER
(N ame)
(Contact Name)
(Address)
TYPE OF WORK
o Misc.
~4d:f bh-
(Phone)
Date Rec' d
So' Is.. 03
PERMIT NO. 03-0Se3
ZONING (office use)
PID Z5 - S' /(, .... 068- 0
9s-;<- JjLf7- cf, 0 J>6
ORe-Siding
OUtility 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, UUPP" " e property to perf~rm n,yed ~.. _ / _ /
X ~r.: / ~l QS/~~..:J..I-- J/IJ/ () .3
v Signature Contractor's License No. ' . Date
Permit Valuation
Pcwlit Fee
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
(Phone)
(Phone)
o New Construction
Soeck
ORe-Roofing
o Porch
OLower Level Finish
o Fireplace
OAddition
o Alteration
PROJECT COST/VALUE (excluding land) $
$
$
$
$
$
$
$
$
~ ~t)jO tJO
R3,7 C;
54, ((
It S-O
\Vater Meter Size 5/8"; I";
Pressure Reducer
Park Support Fee
SAC
City SAC and WAC
'Water Tower Fee
Builder's Deposit
Other
TOTAL DUE
This Application Becomes Your Building Permit When Approved
~~~
s/is/o:r
,
Paid /J~_ 2Jb
Date s: / s. a.:J
Building Official
Date
# $
# $
$
$
# $
# $
$
$
$ /3S.t;;b
/)
Receip' o. ~.r~
By ~
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
Residential Building Permit Checklist
Deck Additions to Single Family Homes
BY:~
r
:7 JL-dl p
Date: S- // ~ /a -:3
Building Permit #
Site Address / S a-CJ ~
Legal: L 1 B?
PID: Zoning:
7~ I d-J (!;I, AJ.'trl-
~ , _ l.if
Subdivision: tv~ A ~ .
Existing Structure: YES or NO
CONFORMS TO ZONING
ORDINANCE
YES
NO
I 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'
22, ,
7CS{
@L('
fJA.
. Rear Yard
25'
. Townhouses
Must be consistent with
approved plan for
development
ANY PROPOSED DECK NOT MEETING THE ABOVE CRITERIA MUST BE 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
MAINT AIN A RECORD OF THE REVIEW.
L:\TEMPLA TE\DECKCHCK.DOC
'<i
PRIOR LAKE
INSPECTION
RECORD
SITE ADDRESS 15Z0(O;::OK 'miL" c;/ /Vw
. TYPE OF WORK O~
: USE OF BUILDING eG5 /l//?
PERMIT NO. (;lS - 6 5f;3 / DA-rE ISSUED 5./5. 03
BUILDER t?L:,q/7 / GAl PHONE # 44-7 - hCJ80
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR _ I J )SATE /
FOOTING I~ .f-I" s-/~,/ {Js
tJ ... .
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
I
DEPARTMENT OF
BUILDING AND INSPECTION
FINAL
(~ -;r-3-O~
Call between 8:00 and 9:00 A.M. for ail inspections /
FOR ALL INSPECTIONS (952) 447-9850
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
DATE TIME
5-3.o'-{
ADDRESS , 6~ D La ~:..
J~'.( C-f
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
I. . ~'","\--l V\ G,t l> ~- 1-1 tIC.A' ~ ~J_
5- s85
o EXIGRADIFILlING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
o WORK SATISFACTORY, PROCEED
~CORRECT ACTION AND PROCEED
o CORR~ORK' CALL FOR REINSPECTION BEFORE COVERING
l/
Inspector ' Owner/Contr:
CA~ 7-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
INSNOTl
CODE REQUIREMENTS ARE FOll YOUR PERSONAL HEALTH &: SAFETY!