HomeMy WebLinkAboutBuilding Permit 03-0493
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
/f ~ .J {i ., O~
1. White File
2. Pink City
3. Yellow Applicant
PERMIT NO. 03-0+'13
(Please type or print and si~ at bottom)
- AD,~ ~Ir( flPft {t; AI N
tR./Of( ~~L MN '5~~~r;Z--,
LEGAL DESCRIPTION (office use only)
ZONING (office use)
Je1
LOT
BLOCK
ADDITION
PID25-3Bz,- OZJ.p-O
OWNER
(Name)
Jo,fItJ <Z /v1~N/~ ElrvIt'GG
(Phone)
qS2- tiff Ie> -i3q3
(Address)
BUILDER
(Name)
(Contact Name)
(Address)
(Phone)
(Phone)
TYPE OF WORK
o New Construction
'~eck
o Porch
ORe-Roofing
ORe-Siding
OLower Level Finish
o Fireplace
o Addition
OAlteration
OUtility Connection
o Misc.
PROJECT COSTlY ALUE (excluding land) S
I hereby certify that I have furnished' ormation 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-men . ne property and that all construction will conform to all existing state and local laws and will proceed in accordance with
sUbmitt~d pi }Jam aware that e b t ~ng of?cial can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may
enter upo e r~erty to pern e d mspe 0 s ~ J t ~
X ~ / AA1. '1jbo i?~~
I / - Contractor's License No. ate -
I pe~!~uation !I-/-~ I Park Support Fee # $
Permit Fee $ rs,C(.2-b SAC # $
$ 1./ G f!) I 'N" ater Meter Size 5/8"; 1"; $
$ J ,<<) Pressure Reducer $
$ Sewer/Water Connection Fee # $
$ 'Water Tower Fee # $
$ Builder's Deposit $
$ Other $
$ TOTAL DUE $
I Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical PC~U1it Fee
Sewer & Water Permit Fee
~~-
~ Building Offi~ial
;0"7..
"'1 ! ~O~3
I Paid
I Date
//5, Z-~
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"
/1
Receip~ o.
BY{t-
J I 5'.2. to
~
Gas Fireplace Permit Fee
This Application Becomes Your Building Permit When Approved
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, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
Res ide ati a 1 B uiI din g Perm i t C he c kl is t
'-
Deck Addition~ to SiI1g1~ Family Homes
BY:
~
Date: LII J~D3
Building .Permit # PID:
S ite Addres~
Legal: L . B
E.Ii.~ting Structure: YES or NO
CO,NFORl\IS TO ZONTI'{G
ORDm~-\NCE
Yard Sdbac~: NOT A.PPL[CABLE
LVIEETS CODE
· Side Yard
(25' if abutting il street 30' if abutting a street in
Cardinal Ridge)
· . Side Yard
· . Rear Yard
· T o ",,,nho uses
. Zoning:
Subdivision:
...,
~~
R~quirem~nt
lO!
10'
25'
rv'lust be consistent I,vith
a.pproved p [an for
development
NO
Proposed
ANY PROPOSED DECK NOT M::EETl.NG THE ABqVEC.RlTE.R1A~IUST BE REFERRED TO THE
PLAL'iNl1'iG DEP'ARTiHENT. ALSO, Al'fY DECK ON A LOT \VITH A SUSPECTED BLUFF, OR Al'fY
OTHER UN1JSUAL CTRCUMSTA.l."fCE JYIUST BE lUFERRED TO Tm PLAJ.'iNIL~G DEPARTLV.t:ENT .
THIs CHEC1G..1ST tvfUST BE COMPLETED Ai'fD INCLUDED I.N THE BUILDING PE:&'VllT FILE TO
~1AINTAIN A RECORD OF THE REVIEW.
L '.TE:vIPL.--\. IE. D E CKCHCK.D()(
--.i
PRIOR LAKE
INSPECTION
RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS /~?59 LS{)~C!/lT GI~
TYPE OF WORK lJE:{Yc
USE OF BUILDING /U3J R/~
PERMIT NO. CL5 ~ 0 t/-t'/3 . DATE ISSUED
BUILDER >,4V/7~ PHONE # ~~ - /391.
NOTE: THIS IS NOT A PERMIT FOR AN'Y OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
FOOTING YJI{J '-7~
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
..-.
FINAL (1 h 5"-1'0
Call between 8:00 and 9:00 A.M. for 611 inspections
FOR ALL INSPECTIONS (952) 447-9850
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
6'S() d Ir r
ADDRESS J 5351 '&~
OWNER
CONTR.
PHONE NO.
PERMIT NO.
s- Ll7::;
o FOOTING
o FOUNDATION
o FRAMING
o INSULAT~l
Ji'4=INAL
o SITE INS ECTION
o PLUMBING RI
o MECH RI
o WA lrER HOOKUP
o SEVlIER HOOKUP
o PLUMBING FINAL
o MEC:H FINAL
o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
C~ENTS: ___-- ------.
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.;r
~ wYORK SATISFACTORY, PROCEED
o CORREC irlON AND PROCEED
~R T W K, CAL FOR REINSPECTION BEFORE COVERING
~ctor Owner/Contr:
CAfu.L.US FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
COD~REMENTS ARE Fo.R YOUR PERSONAL HEALTH & SAFETY/
/NSNOTl