HomeMy WebLinkAboutBuilding Permit 03-0845
(Please type or print and sign. at bottom)
ADDRESS
CITY OF PRIOR 'LAKE BUILDING PERMIT,
TEMPORARY CERTIFICAtE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIt
Date Rec' d
~: ~i~~e ~:~ I PERMIT NO.{) 3.- O'J5'~
3. Yellow Applicant 07\
/ ~'30o
ea? /~..5 ~ 'de; ~ '-
LEGAL DESCRIPTION (office use only)
LOT "3 ~LOCK 3 ADDITION
~~Q
ZONING (office use)
ff:/
PID~S- -6?~ - d/J.;).-6
(Phone) l:{5(;l. Lftld SS3V
OWNER Y
(Name) 3,e/AII,eE ILL
(Address)
BUILDER
(N ame)
(Contact Name)
(Address)
TYPE OF WORK
o Misc.
(Phone)
(Phone)
o New Construction
~edk
o Fireplace
OAIteration
ORe-Siding
DUtility 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 confuuu 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
;teruponth~7eden (,/02~/&3
Signature / Contractor's License No. Date
I Permit Valuation
Permit Fee
Plan Check Fee
State Surcharge
Penalty
Plumbing P.:.uuit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
ORe-Roofing
o Porch
o Addition
OLower Level Finish
PROJECT COST IV ALUE (excluding land) $
$
$
$
$
$
$
$
$
zo..ao,(JO
/fl. Z-S
4~,OI
tcOo
. Park Support Fee
SAC
#
#
Water Meter Size 5/8"; 1";
Pressure Reducer
City SAC and WAC
Water Tower Fee
Builder's Deposit
Other
TOTAL DUE
#
#
This Application Becomes Your Building Permit When A....& u led
~7'~
fol;;-~/-() 3
, Date
I Paid
I Date
//~ 0' CJ-b
~ - ~,~ ...-"'~
I By
Building Official
$
$
$
$
$
$
$
$
$
(fS.Z<o
Receipt No. I)~
~-
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 (or all inspections (952) 447-9850, tax (952) 441-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
BY~
Building 'Permit #
S ite Addres~
Legal: L
Residential Buiilding Permit Checklist
'- .
Deck Addition,j to Singl~ Family aom~s
./~ Date
Pill:
.R
E.1isting Structure: t!!:jor NO
CONFOR~IS TO ZO.i';ThG
ORDIN4;.\.NC.E
Yar.d Setbacks: NOT APPLIC,ABLE
iVIEETS CODE
· Side Yard
(25' if abutting il street, 30' if abutting a street in
Cardinal Ridge)
· . Side Yard
· Rear Yard
· T ovvnhollses
~- a~-3
. Zoning: ~
/5305 Ea/I/~ ~,' ?'
Subdivision:
I'"E S
R~quirement
10' .
10"
25'
rv-lust be consistent with
approved plan for
development
NO
Propo~ed
(
'{I
55"
{gO'
r .
rJA
ANY PROPOSED DE.CK NOT MEETING THE ABqVE.CRlTERlA ~ruST .BE REFERRED TO THE
PLAl'iNIJ.'fG DEPA.RTi\'fE.NT. ALSO, ANY DECK ON A LOT ',vITH A SUSPECTED BLUFF, OR ANY
OTHER U!'IllSUAL CIRCtIMSTA.l.~CE iYIUST Bt Rl.FE.'RR.tD TO THE.PL,A.l."iN1NCDEPARTl\tI:ENT.
THls C.HECKLlST JYIUST BE.CO~IPLETED Al'fD INCLUDED lJ.'f THE BUILDING p~'VnT FILE TO
~1A.IN1'AlN A RECORD OF THE R,EVlJ!:W.
L :.'.l.t.NIPLA IE" D E CKCHC<"DOC
P R IO.R LA K E ~~rtD~~~~~TD ~~SPECTlON
INSPECTION
RECORD. .
SITE ADDRESS ts3a~ ~ie~7;>/c/,e,.
TYPE OF WORK /;)ec-Ic.
USE OF BUILDING 5 F
PERMIT NO 0 ~ - 'il./r DATE ISSUED I....:t '--3
BUILDER 13"iUl 8V lliI PHONE # 4'''t)- SS3L/
NOTE: THIS IS NOT A PERMit FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR l DATE f
FOOnNG 1?4~ /,M1 4 7 ~/ /'-/-1/'-(/'1
, PLACE NO CONCRETE UN~IL A~OVE/tAS BEEN SIGN,iO
FINAL
(// /11
- ~,//
..
.
Call between 8:00 end 9:00 A.M. for all Inspections
FOR ALL INSPI;CTIONS (952) 447-9850'
,
.
'\',
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
1~f)C:;-
SCHEDULED .5 - I J -ll If
e.~~
CONTR.
OWNER
PHONE NO.
PERMIT NO.
J - ~c.{S-
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
~INAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
J.. t-ilLY:\\ l\li\ ~" ~ ~ ~ \Ol~+
2. :L~_r&t, ~
~.v.J
~ ~A_
C~~t'~
CAL~ 50 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
~QUlREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNtn'l