HomeMy WebLinkAboutBuilding Permit 03-1393
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICAIE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
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PERMIT NO. 03 - /373
ZONING (office use)
/CIS/)
(Please type or print and sign at bottom)
ADDRESS
305'0
I-~t:.~
JJI1V~ P
G I.
LEGAL DESCRIPTION (office use only)
LOT 0{ BLOCK I ADDITION
OWNER
(Name)
:S~\r~
(Address)
lf~72.
TYPE OF WORK
I. White File
2. Pink City
3. Yellow Applicant
#~ CAtC6 f:5.~. 2 d).
/
PID 25 37/. i()9. 0
GODi/ \N t...J
l3ore6r~ IC.()/JJ/;-
PlI}JlJcS o-rA
o New Construction
Date Rec' d
/0./503
(Phone)
440 ' "2.\
(~hone) if"" - t( 9 12...
(Phone)
~'1'
<;.e.
I' /l./ () I{ LA K.. JZ'"
BUILDER
(Name) A + --r ~~ /1\ 00 lCL JIJ(,
(Contact Name) 'T'l:> W\
(Address)
,
E1Deck
OPorch
ORe-Roofing
~ ~~w~ R 0 Fireplace OAddition o Alteration
OMiSC.~ ~.r!trCOST/VALUE (excludingland) $
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 llE,cordance 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 '4esib'-~I:.... o~
enter upon the property to perform needed inspections.
X h 6'~1fgnature
Permit Valuation
Permit Fee
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Pc.uuit Fee
Gas Fireplace Permit Fee
1I'3(J()O, Dc
$ R~. ZS-
$ ~~4.U
$ J · 56
$
$
$
$
$
This Application Becomes Your Building Permit When At't'o... led
~~
Building Official
.10// ~ /0 '3
Date
.-$
$
$
$
$
:\
$ 13 fJ · t1 to
_. n/
Receipt No. U50(/ 6
By C}- .
6( - 2J:>Di/'~ 7 '1
Contractor's License No.
Park Support Fee
SAC
#
#
/O/lr/o5
. , 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
Water Meter Size 5/8"; I";
Pressure Reducer
City SAC and WAC
Water Tower Fee
Builder's Deposit
Other
#
Date Special Conditions, if any
24 hour notice (or all inspedions (952) 447-9856, tax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
#
TOTAL DUE
I Paid
I Date
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Residential Bui,lding Permit Checklist
<-
Deck A.dditionj to Single Family Homes
BY:
Date: /0./503
Building Permit # tJ:J-/J93 PID: Zb. :371.0tJ 7.. () Zoning: /C,/SO
Site Address 30.5() L/1 ~ h"tl/&N U .
Legal: L B Subdivision:
Existing Structure: YES or NO
CONFORj\IS TO ZONING
ORDIN}-\NC"E
ILS
NO
Yard Setbacks: NOT .~PLICABLE
~IEETS CODE
Requirement
_ Proposed
· Side Yard
(25' if abutting a street 30' if abutting a street in
Cardinal Ridge)
. Side Yard
10'
10'
I
'-/5 ~~
5~ t JI'
~.ZSf
. Rear Yard
25'
. T o \o",nho uses
i\'lust be consistent with
approved p Ian for
development
f'J A..
ANY PROPOSED DECK NOT M:EETING THE ABOVE CRITERlA ~IUST BE REFERRED TO THE
PLANNlJ.'fG DEPARTi\-IENT. ALSO, ANY DiECK ON A LOT WITH A SUSPECTED BLUFF, OR ANY
OTHER UNUSUAL CIRClfMSTA.NCE ~ruST BE REFERRED TO THE PLAL'\fNJJ."fG DEPARTl\'[ENT.
THIs CHECKLIST JVIUST BE COMPLETED AND INCLUDED IN THE BUILDING PERlVllT FILE TO
l\'lAlL'IT AlL'f A RE CORD OF THE REVIE W .
L :\.TEMPLA TE'D E CKCH CK.DOC
'If/.
P RIO R LA KiE g~rto~~~~~D~:SPECTION
INSPECTION
RECORD
SITE ADDRESS 30~U L/9t:::f5 #/(/(3N V
TYPE OF WORK LJ6(!/L
USE OF BUILDING ~.s /1//Z-
PERMIT NO. ().3 - /393 / DATE ISSUED 10. 1.5. 03
BUILDER /l~' I ~~C;&&/N6 PHONE# H7- +?7? ..
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
~THE PERMIT IS BY SEPARATE DOCUMENT
· fi.rL ~ p~ INSP)iCTOR DATE
FOOTl G rlJ 1['12-
PLACE NO CONCRETE UNTIL ABOiE HAS BEEN SIGNED
--
FINAL
WI
b'i6
FOR ALL INSPECTIONS (952) 447-9850
-"\
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS ~50
OWNER
PHONE NO.
[] FOOTING
o FOUNDATION
[] FRAMING
[] INSULATI~ON
IHAL
~ITE INSP ION
COMMENTS:
DATE nile
SCHEDULED ftJ. .l5~ l(
(~ ~ Ct-,
CONTR.
PERMIT NO.
3 -t3tt(
-
[] PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o UECH FINAL
o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
[] GASLlNE AIR TST
[]
)("WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
[] CORRE RK, CALL FOR REfNSPECTION BEFORE COVERING
Inspector: . Owner/Contr:
CAL~447-9850 R THE NE~T INSPECTION 24 HOURS IN ADVANCE.
.---- ~MENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
L .Ilrj 1_ ~ ,j