HomeMy WebLinkAboutBuilding Permit 03-1019
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ADDRESS
/#59
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
(, White File
2. Pink City
3. Yellow Applicant
Date Rec' d
8.-. /- OJ
PERMIT NO.U3- /()/1
O1f7Zf;GI17 t:- lV/t1j
LEGAL DESCRIPTION (office use only)
LOT? '1BLOCK I ADDITION JI'16..:7}Wl'/ Vtt:llV
OWNER
(N ame)
_fO f ,
fo t \ be V-,~ J C'~t\{ _ \-,V\
(Address)
BUILDER
(N ame)
(Contact Name)
(Address)
TYPE OF WORK
o Misc.
o New Construction
OLower Level Finish
ZONING (office use)
/2-7
PID 25.384-. 02 C} . 6
~ \J"O V)C<<~
(Phone)
( w)
qlJ'L -'I O'~ --Cd &
1r 9f~.~ 7807
(Phone)
(Phone)
~~k
o Fireplace
OPorch
ORe-Roofing
OAddition
o Alteration
ORe-Siding
OUtility Connection
t 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 age or the above-mentioned property and that all construction will conform to all existing state and local laws and will proceed in accordance with
submitted pia . I am awaR. that the building official can revoke this permit for just cause. Furthermore, I hereby agree that the city. 7cial or a designee may
;ter upon p';tt:erform need inspections. it I / D::,
Signature Contractor's License No. ' Date
Permit Valuation
Permit Fee
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
PROJECT COSTlY ALUE (excluding land) $
*'3 O~f) , O~
$ 8'3.~
$ $4.11
$ ,.$"o
$
$
$
$
$
This Application Becomes Y our B~ding Permit When Approved
<~ ?JLJJ~ F/yfe3
Building Official
Date
$
$
$
$
$
$
$
$
$ Is8. eG,
Receipt 1'io. ; J/~ v y /7
By ~q..(J-~,
Park Support Fee
SAC
#
#
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 constitu1je.s a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be
B~ ~~ S/L//O"J tleAJ~. ~)
PlanoingDirector ' '!fate ~~n s~?;~Ot:,':if~
24 hour notice for all inspections (952) 447-9850, tax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
Vvater Meter
Size 5/8"; I";
Pressure Reducer
City SAC and WAC
\Vater Tower Fee'
#
#
Builder's Deposit
Other
TOTAL DUE ~ 0 4 4-' ,O,I
Paid j at/ ~ j.
Date ~'-J-/J~
t..o' . --~
Residential Building Permit Checklist
'- ,
Deck Addition~ to Singl~ Fanlily Homes
BY. ~ 9~r
Date:
g-f-~
Building Permit #
Site Address
PID:
. Zoning:
~
Legal: L e:L- r B /
/L,/~S9
Subdivision: ~ tJ~
Existing Structure:~r NO
CONFORl\IS TO ZON:r.N-C
ORDIN~;\NCE
I~S
NO
Y:lr.dSetback.:i: NOT A.PPLICABLE
LVIEETS CODE
R~quirement
Proposed
· Side Yard
(25" if abutting Il street, 30' if abutting a street in
Cardinal Ridge)
· . Side Yard
to'
10"
'3. s-5
tJ~
, {
2.S
· Rear Yard
25'
· T ovvnhollses
Nlust be consistent with ,
approved plo.n for
development
tJ~
A1TIPROPOSED DECK NOT ~[EETlNG THE ABQVECRlTERlA ~IUST BE REFERRED TO THE
PLAl'l1'fI1'fG DEPA..RTIHENT. ALSO, ANY DECK ON A LOT \VITH A SUSPECTED BLUFF, OR AJ.'IY
OTHER UN1JSUAL CIRCtIMSTA.L~CE ~ruST BE REFERRED TO THE. PLAJ.'iN1NG DEPARTl\'lENT.
THls CHECKLIST iVIUST BE COMPLETED AJ.'ID INCLUDED lL'f THE BU1LDIL'(G PE~'VilT FILE TO
lYlAll'ITAll'f A RECORD OF THE REVIEW.
L :',TE~ljlPLA IE, D E CK(.~HCX.DO(
-<I
PRIOR LAKE
DEPARTMENT OF
BUILDING AND INSPECTION
INSPECTION
RECORD
SITE ADDRESS /~~ asr~~ (!}~7F JC.At"
TYPE OF WORK _ ~ I"J l)ECJC..
USE OF BUILDING 'S.F: 1>.
PERMIT NO. -.DJ --lfJl1 DATE ISSUED aLt'ID.J'
BUILDER G,/l4ST (...t.HMUcA US-dfJA1fJPHONE tflS2-1D-iNJ
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
tJe::Tz.J Fi ZS' (EAfL VAtu:J St:.1 irAell- INSPECTOR DATE
FOOTING ~ffi.~~ Pet" Pe/~ ~ roJ~/b3
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
,--'
.. 11
FINAL rr l~ - 1-7-0-01
Call between 8:00 and 9:00 A.~or all inspections
FOR ALL INSPECTIONS (952) 447-9850
'\
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
144 Sc::r
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
~INAL ~~
tJ SITE INSPECTION
COMMENTS:
^'
~j~
SCHEDULE[1
Ckq\.p-~
CONTR.
PERMIT NO.
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAl.
o MECH FINAL
DATE TIME
w-tJ{ kK)
wP-. /
"
~ - lo11
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
U"WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT ,I' ~.K, CALL FOR REINSPECTION UEFORE COVERING
Inspector:
Owner/Contr:
--
850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PEllSONAL HEALTH &; SAFETY/
INSNOTl