HomeMy WebLinkAboutBuilding Permit 03-0467
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICAIE OF ZONING COMPLIANCE
. AND UTILITY CONNECTION PERMI I.
(Please type or print and siJitll at bottom)
ADDRESS
1. White File
2. Pink City
3. Yellow Applicant
'-~ L/71 .BaI ic)O /YJ Sf-
JJdh
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LEGAL DESCRIPTION (office use only) 0 .
LOT I BLOCK 5 ADDITION ~
OWNER
(Name)
(Address)
OrL/2Jee-L-L
BillLDER
(Name)
(Contact Name)
(Address)
TYPE OF WORK
o New Construction
OLower Level Finish
ft"'Misc.. &Gk Co Ue... y-
Date Rec' d
PERMIT NOi/3-l(6 ~
ZONING (office use)
rR/
PIDdS- IIJ;}..... ()~5-,'J
(Phone)r/J/~- LJ~to II
(Phone)
(Phone)
o Deck
OPorch
OAddition
ORe-Roofing
o FiI!eplace
OAlteration
PROJECT COST IV ALUE (excluding land) $
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
:terupon~7i7~ons
s~ --- Contractor's License No. ~are
Permit Valuation fs-oo, DO
Permit Fee $ 2~,sa
Plan Check Fee $ I~
State Surcharge $ I S"o
Penalty $
Plumbing Permit Fee $
Mechanical Permit Fee $
Sewer & Water Permit Fee $
Gas Fireplace P"uuit Fee $
This Application Becomes Your Building Permit When A..I'" u led
~~~
Building Official
~~103
Date
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
I Paid :;$ 9 Z ,-7
I Date ~- ~-(j ?
---
# $
# $
$
$
# $
# $
$
$
})39. z.. 7
- Receipt Yo. ~e 0
By ~ ...
()
This is to certify that the request in the above application and accompanying documcmts 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) 447-985(), tax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
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4/21/2003
Residential Building Permit Checklist
..... .
Deck Additions to Singl~ Family Homes
BY:
Date:
0- jfi3-CJ3
&1/'1/ ;;;~d1S;-
Building -Permit #
Site Addres~
PID:
Legal: L
'R
. Subdivision:
Existing Structure: YES or NO
CONFORl\IS TO ZOI';ThG
ORD Il't-\N CE
l~S
NO
Yard Setbacks: NOT .':'\pPLICABLE
i}lEETS CODE
Requirement
. .Proposed
· Side Yard
(25' if abutting a. street. 30' if abutting a street in
C ardinal Ri~e)
· - Side Yard
to'
10"
( <s
tJl\
JJ'A
· Rear Yard
25.
· T o~vnhouses
LVlust be consistent with
approved plan for
development
rJ~1
ANY PROPOSED DECK NOT MEETING THE ABqVE CRlTERL\ ~IUST BE REFERRED TO THE
PLANNll'fG DEPARTlvIENT. ALSO, ANY DECK ON A LOT WITH A SUSPECTED BLUFF, OR ANY
OTHER U1'f1JSUALClRCt~(STANCE j}!UST Bt REFE.R:RED TO THE. PL~.u'il'fIJ.'fG DEPARTIHENT.
THIs CHECU1ST ~IUST BE CO~IPLETED AND INCLUDED IN THE BUILDINC PE~,,;nT FILE TO
l\ilAlNTAIN A RECORD OF THE REVIEW .
L:'.ll:lVIPLATE"DE CKCHCK.DOC
'\
'"
P RIO R LAK E ~~rtD~~~~~D ~:SPECTION
INSPECTION
RECORD
SITE ADDRESS 3~7/ ;Balsam ;:S+.
TYPE OF WORK D~/c CalVO P L/
USE OF BUILDING 5 {;- . I
PERMIT NR {j3-L/ fa I DATE ISSUED '1- tP-3-a.3
BUILDER V~r-rel/ eexll,. - PHONE #
I
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS .BY SEPARATE DOCUMENT
'\
.
INSPECTOR
DATE
PLACE NO CONCRETE UNTIL ABOVE HAJ BEEN SIGNED
FRAMING tNY ~ 11-d4
. FINAL
~ '~{UVf
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (952) 447-9850
'\
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
OWNER
341/
I5l/fsuWl > --r
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
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DATE nilE
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$-q& 7
o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
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~RK SATISFACTORY. PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORfl91~ REINSPECTION BEFORE COVERING
Inspector: till r - Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
L .... I. ~ .
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH &; SAFETY!