HomeMy WebLinkAboutBuilding Pemrit 03-0745
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
(Please!V1?e or orint and sim at bottom)
ADDRESS
37!i8- -1 e U ets
I,Whitt File
2. Pink City
]. Yellow Applicant
Date Rec' d
trtl-3
I PERMIT NO. ~.~ - 74!~
tf)LlY' ,
lYw
LEGAL DESCRIPTION (ollice use only)
LOT 9 BLOCK 3 ADDITION j ef f c V.C:;
OWNER
(Name)
Sol<th
Wen,:; fYl-A-n J1 Hones
IffqS"- fJ LAz.. It t!) rI ve
(phone) bS/-l/ Db -lfLJ OD
c. f+qlrn . rn n SSJ Z ~
.... .
(Address)
BUILDER
(Namel
(Contact Name)
(Address)
S II"" e
M,l!, ))
TYPE OF WORK
o Misc.
HeILJnltY\
o New Construction
OLower Level Finish
(Phone)
(Phone)
ODeck
,"porch
OAddition
ORe-Roofing
OAlteration
PROJECT COST IV ALUE (excluding land) $
o Fireplace
ZONING (office use)
"R/
PID ~s-- 39':>- ()" 1- 0
(,/2. -3 f:,'1-7{.~"'f
ORe-Siding
OUtility Connection
I hereby certify that I have furnished information on this application which is to the best of my knowledge troe and correct. I also certify that I am the owner or
authorized agent for the above-mentioned r-vr~...f 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
:tetU~rf~~ 1'16"(1 "-Cf-03
!fi.M6ature Contractor's License No. Date
I Permit Valuation
I Permit Fee
I Plan Check Fee
I State Surcharge
I Penalty
I Plumbing Permit Fee
I Mechanical Permit Fee
I Sewer & Water Permit Fee
I Gas Fireplace Permit Fee
$
$
1$
$
$
$
$
$
3M)~
8'11-r
r4 /I
I .fV
This JjPFjcati'!11:.mes Your Building Permit When Approved
~ f1CL.... {.~I'].OJ
Buildink Official Date
I Park Support Fee
I SAC
I Water Meter SizeS/8"; 1";
I Pressure Reducer
I City SAC and WAC
I Water Tower Fee
I Builder's Deposit
I Other
I TOTAL DUE
I Paid
I Date
/?6. '6(P
r;.Z~. tJ"1
#
#
#
#
$
$
$
$
$
$
$
1$
1$1.:?8_f3~
1fft,77
I Receipt rib.
Bv /t-.
U
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
=~:/hCr CPJ:m~ a te_ Cmmcate OfZ;~~:;ce md illom c~::dto CPa:e~d= ocz:~;e ofO=pmcy must~
Planning Director Date Special Conditions, if any
24 bour notice for all inspections (952) 447-9850, fll>: (952) 447-4245
16200 Eagle Creek Avenue PriOt Lake, MN 55372
Residential Building Permit Checklist
~
Deck Additions to Single Family Homes
BY (U .~ Date to- (1- O~
Building .Permit #
Site Address
PID:
31Ji/f~.~+
Subdivi:lion: 3(""~ ~r
Legal: L q . B. '3
E:risting Stru~1:ure: YES o@
CONFORMS TO ZONING
ORDINANCE
/~
~
NO
I Yar.d Setbacks: NOT APPLICABLE
. MEETS CODE
- Side Yard
(2j' if abutting a street, 30' if abutting a street in
Cardinal Ridge)
I- . Side Yard
I- Rear Yard
- Townhouses
Requirement
Proposed
la'
:JS I
10'
.sD (
.so'
2..
)
Must be consistent with .
approved pl:ul for
develop ment
11 A--
ANY PROPOSED DECK NOT MIETING THE ABOVEGRlTERlA MUST BE REFERRED TO THE
PLANNING DEPARTMENT. ALSO,AL'fY DECK ON A LOT WITH A SUSPECTED BLUFF, OR ANY
OTHE.R L'l'IUSUAL CfRCL~[STA"'lCE "'IUST BE RtF ERRED TO TID: PLAJ.'fNING DEPARTL\'I:ENT.
THIs CID:CKLlST MUST BE. COL\'IPLETED AND INCLUDED IN TID: BUILDING PERMIT FILE TO
iVlAINTAlN A RtCORD OF THE REVIEW.
L:'.TEo/lPlATE.' DE CKCHC<'.DOC
PRIOR LAKE
INSPECTIO
SITE ADDRESS S 1')"'1'-
NATURE OF WORK p'tJ~" ~
USE OF BUILDING _....sF .
PERMIT NO. .l) ~?qs DATE ISSUED ~ - '-":1
CONTRACTOR bJ II~~ - -~ PHONF~.,.2.. :J~9.. 7.~ 9
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF
BUILDING AND INSPECTION
RECORD
~i-
INSPECTOR
DATE
I FOOTING
I
I I
UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
FRAMING
INSULATION
ELECTRICAL
.
.
~ired)
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
BUILDING C /451."
ELECTRICAL
.
7h/d7/~rIY 't2i-So7
.......
DO NOT OCCUPY UNTIL ABOVE HAS BEEN SIGNED
NOTICE
This card must be posted near an electrical service cabinet prior to rough-in Inspections
and maintained until all Inspections have been approved. On buildings and additions
where no service cabinet is available, card shall be placed near main entrance.
FOR ALL INSPECTIONS (952) 447-9850