HomeMy WebLinkAboutBuilding Permit 03-0617
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICAtE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
2-593
(Please type or print and sign at bottom)
ADDRESS
1. White File
2. Pink City
3. Yellow Applicant
PERMIT NO. /13 -6J1
PID z.s~ 3fJ4----tJ?c:;, {)
& ~ 2;) 23:3 - s-69z,
U )/ S-~.s 7 2-
/ ~~ z 7 MJ (t,&(jrI Te r/rry
LEGAL DESCRIPTION (office use only)
LOTz...>>LOCK I ADDITION n~pow(//~
OWNER
(Name)
vLocal,''IM'r Btr~t/
/YY..c7 u><.ske..~<2- W~
(Phone)
PI/Or Ca..lu
(Address)
BlliLDER
(N ame)
(Contact Name)
(Address)
(Phone)
(Phone)
TYPE OF WORK
yPeck
o Fireplace
OAlteration
ORe-Roofing
o Porch
o Addition
o New Construction
OLower Level Finish
o Misc.
PROJECT COST IV ALUE (excluding land) $
Date Rec' d
5. 25. 03
ZONING (office use)
1!?-7,
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 abov tioned proPJ;i that all construction will conform to all existing state and local laws and will proceed in accordance with
submitted plans. I am a e th the b . . g official can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may
enter upon the prope 0 pem sp . ons.
x
Contractor's License No.
/
Permit Valuat~
Permit Fee
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
Park Support Fee
SAC
#
#
~~o. DO
to1,2-S
qs,DI
/.00
$
$
$
$
$
$
$
$
Water Meter Size 5/8"; I";
Pressure Reducer
City SAC and WAC
Water Tower Fee
Builder's Deposit
Other
#
#
TOTAL DUE
I Paid ~ ug-:, ;;qb
I Date ...., 1:;'",- rl~ - ~
/ I~,. Zla
Receipt No. '-Il{~-o
By tF-'
This Application Becomes Your Building Permit When Al'l" u led
~~
Building Official
$- 3~:1
Date r
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, tax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
Residential Building Permit Checklist
Deck Additions to Single Family Homes
BY:
~
~t/ Date: 6~3~3
C'~ ~ . Zoning:
Subdivision: ~ d~
Building Permit #
Site Address / ~ c{;;.. 7
/
Legal: L~
B
Existing Structure: YES or NO
CONFORMS TO ZONING
ORDINANCE
YES
NO
Yard Setbacks: NOT APPLICABLE
MEETS CODE
Requirement
Proposed
. Side Yard
(25' if abutting a street, 30' if abutting a street in
Cardinal Ridge)
· Side Yard
10'
10'
11 '
'1( ,
8Z'
. Rear Yard
25'
· Townhouses
Must be consistent with
approved plan for
development
~~.
ANY PROPOSED DECK NOT MEETING litE 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
MAINTAIN A RECORD OF IIU.. REVIEW.
L:\TEMPLA TE\DECKCHCK.DOC
..; ", - .'"
....
PRIOR LAKE DEPARTMENT OF
. BUILDING AND INSPECTION
INSPECTION
RECORD
SITE ADDRESS 1#27 M.s/t6G/I/6 WAY' N~
TYPE OF WORK lJl-/C!K- ; ,
USE OF BUILDING ~ rr/ ~
PERMIT NO. Q3 - Ot:; 1/ DATE ISSUED s. 2 ~. 03
BUILDER /J/ ~'1 U R () V PHONE #
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
~ FOOTING wt G ~ ~/t,/LJ3
t.,....o'
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
FINAL
~
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (952) 447-9850
- ,--,
~
~
S~;;y
"
CITY OF PRIOR LAKE
INSPECTION NOTICE
DATE tillE
SCHEDULED ~21-()r
f
ADDRESS ~ (kr~
OWNER CONTR.
PHONE NO.
PERMIT NO.
3- r&;
o FOOTING
o FOUNDATION
o FRAMING
o INSU~~
.Jll FINA
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXIGRADlFllllNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASlINE AIR TST
o
COMMENTS:
I.~ ~"~~
0'1A..
(,) .. .r-4'~
o WORKSATISFA RY. PROCEED
XCORRE A lorND PROCEED
C CORR T (ALL FOR REINSPECTlON BEFORE COVERING
Inspector: ) ~ ~ Owner/Contr:
CAL ,t:~ THE NEXT INSPECTION 24 HOURS IN ADVANCE.
~
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH &I SAFETY!
INSNOTJ