HomeMy WebLinkAboutBuilding Permit 03-0789
CITY OF PRIOR LA](E BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY COINNECTION PERMIT
'11 r~'i ()
(Please type or print and sign at bottom)
. ADDRESS
I. White File
2. Pink City
3. Yellow Applicant
/' 45/4--
6L-t/t:;,l5/bO /"-~/ L AI 6"
LEGAL DESCRIPTION (office use only)
LOT hLOCK (ADDITION
/eN 0 IS /-11 L..-L-
OWNER
(Name)
It;c/fll~ (Ijt J/ I' ,.</PL:. tY~ t:Jt/
v
(Phone)
(Address)
BUILDER
(N ame)
(Contact Name)
(Address)
(Phone)
(Phone)
TYPE OF WORK
~Deck
o Fireplace
o Alteration
o New Construction
OPorch
OAddition
ORe-Roofing
OLower Level Finish
o Misc.
PROJECT COST/VALUE (excluding land) $
Date Rec' d
~. /(P. 03
PERMIT NO. 03-tf~
ZONING (office use)
AeJ
PID2.5 -310 - (,il) ~-O
(f51) f 7] /5/7
ORe-Siding
o Utility 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 foJ' just cause. Furthermore, I hereby agree that the city official or a designee may
enter upon the property to per~eeded 1 . pections.
x
Contractor's License No.
Permit Valuation
Permit Fee
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Park Support Fee
SAC
1'700. --
/120-/0
r iqdO ~
-' g'~
$
$
$
$
$
$
$
$
'Water Meter Size 5/8"; I";
Pressure Reducer
City SAC and WAC
'Water Tower Fee
Builder's Deposit
Other
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
TOTAL DUE
This Application Becomes Your Building Permit When Approved
~ci~ '/-1D:/03
Paid /0 u (.{) ;
Date ~ -I {". -(') =3
tJ6/ /6/ (l ;
Date
# $
# $
$
$
# $
# $
$
$
$ IOr),() I
ReceiptNo. iji{~Ju I
By YJ----./
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 Addition.') to Single Fanlily Hom~:)
<;;:>-
BY:~
--......
~~
Dat.e'
Building Permit # Pill:
Site Addres;3
Legal: L R
E:{isting Structure: YES or NO
CONFOR~IS TO ZONIl'fG
o RD lI'f ~AN CE
Yar.d Setbacks: NOT A.P.PL IC,A.BLE
iYIEETS CODE
· Side Yard
(25' if abutting il street. 30' if abutting a street in
C ardinJ.! Ridge)
· . Sidt: Ya.rd
· Rear Yard
· Tovvnhouses
?_ /~-()3
. Zoning: .
/ LjS-1 "j $ue_lrtA d ~
Subdivlsit>n:
I'ES
NO
Requirement
Proposed
10'
f.
10"
2-S'
52 '
,( 10 '
25'
J\'Iust be consistent with .
approved p!JIl for
development
NA-
ANY PROPOSED DECK NOT MXETING THE ABqVE CRlTERlA ~IUST BE REFERRED TO THE
PLAL'41'/1J.'fG DEPARTl'YfENT. ALSO, ANY DECK ON A LOT 'NITH A SUSPECTED BLUFF, OR AL'fY
OTHER UNUSUAL CIRCtIMSTA.."iCE iYfUST BE REF'ERR.E.D TO THE. PL4:.\.1'iNU.'fG DEPARTlVlENT.
THls CHECKL1ST JYIUST BE COMPLETED AND INCLUDED 11'f THE BUILDli.~GPE~"nT FILE TO
iYIA.IN1' AlJ.'f A RE C ORD 0 F Uti. REVIE W .
L'.TEl'lIPL.-\ TE'D E C:<.CECX.DOC
.. .. '.
\
\
..
\. .
PRIOR LAKE
INSPECTION
IJi~ ORP ~AlL
AJEIAJ ~
USE OF BUILDING ~Li).
PERMIT NO. DATE ISSUED -"-I-/..4.1J 3
BUILDER A/JA-IIJOI, ViJJI~61L'V PHONE #~.I7:1./Q 7
NOTE: THIS IS NOT ~ERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARA,TE DOCUMENT
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS
TYPE OF WORK
INSPECTO~ DATE
FOOTING ;/1/11./ G,-- ~"Cfl:J
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
FINAL
1/0//
3~-.1()-o~
Call between 8:00 and 9::00 A.M. for all inspections
FOR ALL INSPECTIONS (952) 447-9850
i"" . .. '..
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
/ LlS-/Lf ,l1Lu., 4t~c-i
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION 11 /'(.
~AL veto
o SITE INSPECTION
o PLUMBING RI
o ME:CH RI
o w,,~ TER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o ME:CH FINAL
COMMENTS:
DATE TIME
, ~'5cJ~Y'
3~7N
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
.-----
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--------
.-'
,r';"ORK SATISFACTORY, PROCEEID
o CORRECT ACTION AND PROCEED
o CORRECT W~~R REINSPECTION BEFORE COVERING
Inspector: r I/"f" Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
/NSNOTl
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH &: SAFETY!