HomeMy WebLinkAboutBuilding Permit 03-1586
bZ.OUZ-
(Please type or print and sign at bottom)
ADDRESS
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
/43& /
1/ () ve
LEGAL DESCRIPTION (office use only)
LOT /7BLOCK / ADDITION
OWNER-?A-I~ C j Y . D D " ,if
(Name) \~. u.~ '\- H-\l'/ tr_<J S"Wu
(Address)
BUILDER
(N ame)
(Contact Name)
(Address)
TYPE OF WORK
o Misc.
o New Construction
. /
~Deck
o Fireplace
I. White File
2. Pink City
3. Yellow Applicant
Date Rec' d
/Z. /6. 03
PERMIT NO. 03 . /58 Co
G'/ .
ZONING (office use)
;e./
PID z.s: 3'~8. 0/71 0
(Phone) CJ~~Z r '(9b,. clef? .3.3
(Phone)
(Phone)
o Porch
ORe-Roofing
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
enr-r. pon the P'f. pertyl~ perform needed inspections.
X \ o..o.t^ tI~\./'-O S' ~ I z I f ~- / 03/
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
o Lower Level Finish
OAddition
o Alteration
PROJECT COSTlY ALUE (excluding land) $
I
~30D(), 00
$ 83,2S"
$ 5L{,11
$ I.~~
$
$
$
$
$
This Application Becomes Your Building Permit When Approved
~~~
Building Official
/~';f
Date
Park Support Fee
SAC
#
#
$
/ $
$
$
$
$
$
$
$ 138-g6
Receipt No45 f 31)
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
\Vater Meter Size 5/8"; I";
Pressure Reducer
City SAC and WAC
\Vater Tower Fee
Builder's Deposit
Other
#
#
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
TOTAL DUE
Paid
Date
/df/ir;
/d'15~~
Residential Building Permit Checklist
<-
Deck Addition~ to Single Family Homes
~;..
PID:
. &-u-e
BY:
~.
Building Permit #
Site Addres~ / J.j 3 t,f
I
Legal: L / 7
'B
E.xisting Structure:~or NO
CONFORl\IS TO ZONlrfG
ORDIN4;.\NCE
Yard Sdback~: NOT A.PPLrCA..BLE
iVIEETS COD E
· Side Yard
(25' if abutting J. street. 30' if abutting a street in
Cardinal Ridge)
· . Side Yard
· . Rear Yard
· T o~~nhouses
Date:
/0 s-~ :3
NO
Propo:ied
/Sl
38 r
9'2- '
tJA.
Al'fY PROPOSED DECK NOT !\i[EETING THE ABOYE CRlTE.RlA!\iIUST BE REFERRED TO THE
PLA1'fNIi'iG DEPA..RT~fENT. ALSO, AL'fY DECK ON A LOT 'NITH A SUSPECTED BLUFF, OR ANY
OTHER UN1.JSUAL CIRClIMSTA.:."lCElYIUST BE REF'ERRED TO THE. PLA,l'l1'fIL'fG DEPARTtvrENT.
. Zoning:
~/
Subdivljion:
I'~S
Requirement
101
10-'
25-'
i\'lust be consistent ,-vith.
approved p[a.n for
develop ment
THls CHECKLiST ~fUST BE CO~(PLETED AND iNCLUDED 11'1 THE BUILDING PE;&OVllT FILE TO
iVlAlNTAlJ.'f A RE C ORn OF THE REVIE W .
L:;TE~/lPLA IE DE CKCHCK.DOC
'"
PRIOR LAKE DEPARTMENT OF
BUILDING AND INSPECTION
INSPECTION
RECORD
SITE ADDRESS / 43 (0 / C)(J V 6 (!;/'
TYPE OF WORK DE:('/c'
USE OF BUILDING ~J ~/,.e.
PERMIT NO. 03 . /58& ' DATE ISSUED /Z~ Is' a3
BUILDER ~J-/VOR.AJ~ I oV PHONE # q-9(P. 98JJ
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
~~Tf'OR DATE
FOOnNG\J~ ~ (t?// 12--!7
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
r
FRAMING
FINAL
/f)J
v
ct.):!
FOR ALL INSPECTIONS (952) 447-9850
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS I L/') tJ
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
i INSULATION
FINAL ~
SITE 1~~dN
COMMENTS:
SCHEDULED
DATE
L/-17
TIME
)t1IJ-P C+
CONTR.
PERMIT NO.
2- Z(,c-
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXlGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
7..MC;;~ . F' .~.~ WJ'\]
\. ~ORK SATISFACTORY, PROCEED
1 ~~RRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTI()N BEFORE COVERING
I nspecto a " OwnerlContr:
c:J ~50 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
/NSNOTl