HomeMy WebLinkAboutBuilding Permit 03-0952
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICAIE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
(Please type or print and sign at bottom)
ADDRESS
I~~\ 1 B\Ul<J~r~ \ ~~ \
I. White File
2. Pink City
3 . Yellow Applicant
Date Rec' d
I, /8. a.3
PERMI.' NO. (f?,095 2...
LEGAL DESCRIPTION (office use only) .
LOT3 BLOCK z. ADDiTiON t::I1IOP HIlA.-- 4771
OWNER
(Name) (\A '~A.c. ,
(Address) 1-\<..\ ~,
"
r
K~...<;..\~~
~\V<b~ T~\\
BUILDER
(Name)
(Contact Name)
(Address)
TYPE OF WORK
~eCk
o Fireplace
o New Construction
OLower Level Finish
ZONING (office use)
ICI
PID~3"2-. 01,( ()
.M Q...\ Vi" \f~
(Phone) qS2....'\2~ - l~~~
(Phone)
(Phone)
o Porch
ORe-Roofing
PROJECT COST IV ALUE (excluding land) $
OAddition
o Alteration
o Misc.
ORe-Siding
OUtility Connection
I hereby certifY that I h e 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 above-mentioned property an at all construction will conform to all existing state and local laws and will proceed in accordance with
submitted plans. I aw that the building 0 . can ~.:. t' ..X~t r just cause. Furthermore, I hereby agree that the city official or a designee may
enter upon the Q rt/to erfo dins. (~
Permit Valuation
Permit Fee $
Plan Check Fee $
State Surcharge $
P~~~ $
Plumbing Permit Fee $
Mechanic~ Permit Fee $
Sewer & Water Permit Fee $
$
JIll' . ~
?i-a:o t"
~. "2.5'
~f .. \ I
, ..~O
lbUl#r
~Jl;, fficial '-_
Contractor's License No.
Park Support Fee
SAC
#
#
Date
$
$
$
$
$
$
$
$
$
13B_~
Water Meter Size 5/8"; I";
Pressure Reducer
City SAC and WAC
Water Tower Fee
Builder's Deposit
Other
TOTAL DUE
#
#
Paid iae~ G'~ ReceiptNo.tI~~b
Date _f /0 - '" -<3 By , 9- '.
~L4)( (8 ()"!7 ~ 1.31.0J
,
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 compUance 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 inspedions (952) 447-9850, tax (~5i) 441-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
Residential Bulding Permit Checklist
Deck Additions tDOa:ein: gle7F1 H~:
BY: tlJlj · (f!J1 O~
Building PeA u.Jt # () 7:- t?<)z!ID: Zoning:
Site Address :) (
Legal: L B....
Existing structurrC'~
- CONFORlVIS'rt) ZO~lliG
ORDINAi~CE
Subdivision:
~. ~
(~
Yard Setbacks: NOT APPUCABLE
~IEETS CODE
· Side Yard
(25' if abutting a street, 30' if abutting a ;)4l;.et
in Cardinal Ridge)
· Side Yard
Requirement
10'
10'
· Rear Yard
25'
NO
Proposed
7 ~(
~/'
'))'
ANY PROPOSED DECK NOT MEETING l.1:1l!.. ABOVE CRl LI!..RlA MUST BE REFERRED TO 1.t.tL
PLANNING DEPARTl\1ENT. ALSO, ANY DECK ON A LOT WITH A SUSPE1.1J!.D BLUFF, OR AJ.'fY
OU:1ER UNUSUAL Ll.KCWISTANCE ~lUST BE REFERRED TO 1~ PLAl'fNING DEPARTl\'lEXf.
Tms Ll:1.lt;CIalSTMUST BE COi\ilPLETED AJ.'iD INCLUDED IN U1J!; BUILDING PERIVIIT FILE TO
MAINTAlN A RECORD OF THE REVIEW.
.. . l"'r'\Y' ~~, T"ICI"'"Vr"'urv T"tl1r
1'1 '" .....
..
....
PRIOR LAKE ~~rtD~~~~~D~:SPECTION
INSPECTION
RECORD
SITE ADDRESS /44/7 tJL (/68'/ /ZLJ / ~ / ( -"
TYPE OF WORK oevc.
USE OF BUILDING /Z5S r1/,R' .
PERMIT NO. ().5 - 0 967 /DATE ISSUED 7 / r 03 . ../
BUILDER /'16L l/ I (.//~ PHONE # 423 ./99",
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
"
FOOTING 5 fl'/ lO~&~r/')
PLACE NO CONCRETE UNTI.L ABOVE HAS BEEN SIGNED
. -FRAMING
FINAL
~
lip
~.7 ~~
/
FOR ALL INSPECTIONS (952) 447-9850
CITY OF PRIOR LAKE
INSPECTION NonCE
DATE TIME
SCHEDULED ~- ) -a r
r
ADDRESS J 'i!1O 1!1w r ~
OWNER CONTR.
PHONE NO.
PERMIT NO. 7 -tf.S:-,
J
o FOOTING
o FOUNDATION
o FRAMING
O.JNSULA TION
,.d" FINAL
o SITE INSPECTION
Cl PLUMBING RI
Cl MECH RI
o WATER HOOKUP
Cl SEWER HOOKUP
I!l PLUMBING FINAL
Cl MECH FINAL
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
~ .L-k~
~ORK SATISFACTORY. PROCEED
16 ~ORRECT ACTION AND PROCEED
o CORRE~RK. CALL FOR REINSPECTION BEFORE COVERING
Inspector: (~ ,J, Owner/Contr:
CALU~.. -IeL" R THE !NEXT INSPECTION 2A HOURS IN ADVANCE.
CODE 'jJQUl ENTS A1IE FOR YOUR PERSONAL HEALTH & SAFETY!
/NSNOTl