HomeMy WebLinkAboutBuilding Permit 03-1060
Date Rec' d
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
q'lease ~ or Drint and sUm at bottom)
ADDRESS
3sc:n
~~
. LEGAL DESCRIPTION (office use only)
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i~;~:' ~::, I PERMITNO'03_!O/O I
3. Yellow Applicant lit
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O,,>'\....~ P"""""" .a03-~
LOT ,:8 BLOCK .:2.. ADDITION ~ ~
OWNER
(Name) \.JeN>.~
(Address) l~q<;
P\~
~,
Z" II'C.
.D,...Jy!>
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BUILDER
(Namp) o.c.~ = ~
(Contact Name) ~ .. _<l...q....J
(Address)
TYPE OF WORK
If(. New Construction
OLower Level Finish
o Misc.
I ZO~7(Officeuse)
1
PlD cOtS - 3"\S - O~~ -()
(Phone) {C:.'SI ~ '-(cx;,- 4'100
~f:l''^ Mt..' c<::::I;?~
.;:zen
(Phone)
(Phone)("'\S..21 '-1'-/0 -4S;;',
ODed ~orch
o Fireplace OAddition
ORe.Roofing
OAlteration
PROJECT COST IV ALUE (excluding land) $
ORe.Siding
OUtility Connection
I hereby certify that I have furnisbed 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
enter upon the 1"._I"_nJ to perform needed inspections.
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Signature 1O...} ~.t
7'9(YJO.Od
'/~7. Z-S
10 Eo 7 I
If. So
X ~l!'Nl.1'Nl..N\.
I Permit Valuation
I Permit Fee
I Plan Check Fee
I State Surcharge
I Penalty
I Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
I Gas Fireplace Permit Fee
~
f~ ",,-..JJ Contractor's License No.
$
$
$
$
$
$
$
$
This Application Becomes,Your Building Penn.it When Approved
~(.~~~ 01'(/07
Building Official ~~
I Park Support Fee
I SAC
I Water Meter Size 5/8"; 1";
I Pressure Reducer
I City SAC and WAC
I Water Tower Fee
I Builder's Deposit
lather
I TOTAL DUE
I Paid ZIJO. ~
I Date ~.Z1. 07
8/alOB':.
PDate
# $
# $
$
$
# $
# $
$
$
$02.Bo. i'~
I Receipt 10. 4::5:2.-:>/
By -4
r/"
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 ._...Z'-......~ Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be
~ ~ ?II{~~
Planning Iftrector Date Special Conditions, if any
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
Residential Euj]dingPermit Checklist
~
D~ck Addition~ to Singl~ F amily a!)m~~
~~
Legal: L cJ.3
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S,bd"""" ~ ~
Date
BY
Building 'Permit,~
Site Addre:l~
E:x.i:lting Structure: @r NO
CONFORMS TO ZOi....fIl'{G
ORDINANCE
ILS
NO
. Yu.d Setback."!: NOT AI'PLIC.ULE
l'ilEETS CODE
R~quirement
l'ropo.ed
. Side Yard
(25' if abutting a street, 30' ifabutting a street In
CardimLl Ridge)
10 ' Side Yard
'I. Rear Yard
o Townhouses
10'
10'
"f.~
T~.
tj'
cJ-
25'
Mu:.""t be consistent with ,
approved plan for
development
AL'fY PROPOSED DECK NOT M:EETll'lC THE ABOVE ClUTERlA MUST BE REFERRED TO THE
PLAl';Nll'iG DEPARTiHE.l'IT. ALSO, AJ.'fY DECK ON.-l. LOT W1TH A SUSPECTED BLUFF, OR AJ.'iY
OTHER lJ~USU.U CIRClfL't'lST.o\.J.'lCE L't'LUST BE REFERRE.D TO THE:, PLAJ.'iN"INC DEPARTM:ENT.
THls CHE:,CKLlST iYLUST BE COMPLETW AJ.'fD INCLUDED IN THE:, Bl1U.DII.'IC P~"UT FILE TO
MAll'ITAII.'I A RECORD Of THE REVIEW.
L".TE~'/lPL~ IE" DE CK~:HCI(.DOC
.-
Th~ (.~nl~r of Ih~ I..k~ ('ounlry
White - Building
CanarY - IEnaineAring
'----..e!!'lk . Plannlna~
. ,
BUll.DING P~RMIT Aeel,.ICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
11///1{1 ;, j(iU
,1 , y. CX3
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
3//9)7 k::<~;I)kf^ 11-' /)/;~ ( Ir>d.
" ..... )
<f
Accepted
Denied
.,/
Accepted With Corrections
,.
Reviewed By:
~
--:f.v-tL,....
Date:
fY/ / / Io~
, '
Comments:
"
"The issuance or granting of a permit or approval of plans, specifications and
computations shall not be construed to be a permit for, or an approval of, any violation of
any of the provisions of this code or of any other ordinance of the jurisdiction. Permits
presuming to give authority to violate or cancel the provisions of this code or other
ordinances of the jurisdiction shall not be valid."
Tht' ('t'nlt'r of Ihe L.kr (-'ounl!")'
C-:-White -{I!;Iildiv
Canary - EngIneering
Pink - Planning
BUILDING peRMIT APPLICATION D.Ee,ARTMf:NT CHECKLIST
NAME OF APPLICANT
/I~
J, R-&$>
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for cOanr:;ctivity ~= ~= at: it. ,.:l ~ It ci
, {) .... f .xA.fJ -
/'
Accepted
Accepted With Corrections
Denied
~
r
V~
Date:
if 1/03
Reviewed By:
Comments:
"The issuance or granting of a permit or approval of plans, specifications and
computations shall not be construed to be a permit for, or an approval of, any violation of
any of the provisions of this code or of any other ordinance of the jurisdiction. Permits
presuming to give authority to violate or cancel the provisions of this code or other
ordinances of the jurisdiction shall not be valid."
CITY OF PRIOR LAKE
INSPECTION NOTICE
DATE
~#
Jr'?7 /~jer7 /~e 4
CONTR.
TIIlIl!
SCHEDULED
ADDRESS
OWNER
PHONE NO.
PERMIT NO.
CB-/ObO
o FOOTING
o FOUNDATION
o FRAMING
o JJlISULATION
,..erFlNAL
o SITE INSPECTION
o PLUMBING Rl
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EX1GRADlFILUNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
----
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~
-------
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hk. ../
-----
-
o WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK. ~R REINSPECTIDN BEFORE COVERING
Inspector. ~ - Owner/Contr.
CALL "7.9850 FOR THE NEXT INSPECTION U HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH .t SAFETYI
"""'"'
PRIOR LAKE
.
INS~ECTION RECORD
SITE ADDRESS 3 i 917 1?i-~,,)J~1"1./ rD..J...._ VJ
NATURE OFwoR~r,1t ' ., ~
USE OF BUILDING e F
PERMIT NO. ~ - /ObtJ DATE ISSUED jf,lt 07
CONTRACTOR -W PHONE "'-It)- I.IS.8!I
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT. ISGY SEPARATE DOCUMENT
(). ~ 0 ,_ INSPECTOR DATE
, FOOTING 1o-Jl.V -, / ~;1W I
I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
DEPARTMENT OF
BUILDING AND INSPECTION
FRAMING
INSULATION
. ELECTRICAL
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
HEATING
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