HomeMy WebLinkAboutBuilding Permit 03-1355
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ADDRESS
1<('::>0
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
f:c\"-( +1 l1C.(,
Date Rec'd
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I PERMIT NO. 03-/3551
I I Z?t;CofficeU,") I
], White
2 Pink
3, Yellow
File
City
Applicant
PilOt..
II
LEGAL DESCRIPTION (office use only)
LOT t./ BLOCK I ADDITION...1AiI /1JJrt tcnt.1it
OWNER
(Name)
(_l+t'.~~ ! f,M(L'i. ~.'\5crt"t,L
1 '6"">0 bd'xx-r~L-'
(Address)
BUILDER
(Name)
(Contact Name)
(Address)
2.(
l,ot)
TYPE OF WORK
o Misc.
i!()..Y~ 'N vLt... T1 i.l ,-.J .bl (..
l(J..v'\.
eu.:~\tiVV'~ i
we. b iv_l~
o New Construction
OLower Level Finish
PID~-.~6) - ():5q-Q
(Phone) 4f1... Lj() 1.. - 2 I (; 7
(Phone)
(Phone)
~L
ODeck
~porch '$uLL-I") ORe-Roofing
OAddition OAlteration
PROJECT COST IV ALUE (excluding land) $
o Fireplace
SS'2- 2vo-ZI't'-f
I ~ ~d 0
ORe.Siding
OUtility Connection
have furnished information on this application which is to the best of my knowledge true and correct. )...als'6CertifY that I am the owner or
authorized a t for abov mentioned property and that all construction will conform to all existing state and local laws and will proceed in accordance with
submitt l~s. am a ar at tix building of~icia1 can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may
exnter on th~\~ ~"J ~_ r neMed"'mspectlOns.
) q ~ ')U -C; J
-
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
Signature
~
~ It), d,1(),fJO
$ . /KI. ZS'
$ J/7.S?'/
$ 5.00
$
$
$
$
$
This Application Becomes Your Building Permit When Approved
~
1~/7 ~ 7
Date
Building Official
:;~f-
Contractor's License No.
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
j Builder's Deposit
I Other
I TOTALDVE
I Paid .:309-.0 €?
I Date /iJ, 700 oj'
$
$
$
$
$
$
$
$
$ ,5(J4-. Ore,
(
I R?cei No. 9-'5&(,,'1
By. .
!J
#
#
#
#
Date
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
~h'~= ~i:hllm'" oon,titute, a tempo,,",, C,rtificate of Zo. ning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be
lSSU . .
~ ~ /d/7ft:J
Planning Director 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 Building Permit Checklist
~
;iiliiii( .-\.ddition~ to Sin21~ FamiJ-v Hom~~
~ ~.
BY~ ~?- Date !~/7!(j?
Pill:
bdf5'MT T/LL.
Building P~rmjt .#
Site Address d-8'.5'(J
Zoning:
Legal: L
if
B
/
Subdivision:
/Jdg ~
Existing Structur~~r NO
CONFOR\IS TO ZONING
ORDINANCE
x'ES
NO
Yard Setbacks: NOT APPLICABLE
MEETS CODE
Requirement
Proposed
. Side Yard
(25' if abutt1I!g a street. 30' if abutting a street in
Cardinal Ridge)
Sede Yard
10'
I .
10'
I
21.S
'k, ,
<58'
. Rear Yard
}"
_J
. T O"Mouses
Must be consistent with
approved plan for
development
N~
ANY PROPOSED DECK NOT l'vlEETIl'IG THE ABOVE CRlTERlA MtlST BE REFERRED TO THE
PLANNING DEPARTl'vlENT. ALSO, A.NY DECK ON A LOT WITH A SUSPECTED BLUFF, OR ANY
OTHER L'NtlSU.,u CIRCUMSTA.NCE MVST BE REFERRED TO THE PUJ.',NING DEPARTl'vlENT.
THIs CHECKLIST MUST BE COMPLETED A.ND INCLUDED Ll'I THE BUllDLl'IG PE,&"IlT mE TO
MAlNTAlN A RECORD OF THE REVIEW.
L:"TE)/IPL...\.TE' DE CKI,:HCK..DOC
Thr ('rnlrr of Ihr L.kr ('ounlr)'
qhite .=Buiidinv
anary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHI;CKLlST
NAME OF APPLICANT
APPLICATION RECEIVED
-Z-rR ~ ~
//)- 3-3
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
d~5V MLd~
Accepted
Denied
Accepted With Corrections ~
Reviewed By:
~'
/P~
,
~ Date: 1e;J/7~::?
~-~,
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."
PRIOR LAKE DEPARTMENT OF
().,_ ~~ILDING AND INSPECTION
r6(EV"tu.S b~ ~ru...;'-= e to
INSPECTION RECOR
SITEADDRESS ~~ -&8cAr TIlL.
NATURE OF WORK .~,t2.ECJ..1 po~ lJfJeR.. erisr-; ~
USE OF BUILDING S;.I\/J,.,
PERMIT NO. ()3 -1.~,--55 DATE ISSUED /d/" iJ~
CONTRACTOR ~~sr&a&cr1u). PH6N~Z.-2tlo-Z'z~
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR DATE
I PtlElJiDuSlV PotJt=. Fen. ~TT.\I'!~ ~4H
I I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
OUGH - INS
FRAMING
INSULATION
ELECTRICAL
We. ~ ffJ
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I j
FINALS
BUILDING
ELECTRICAL
.~
- .-
7/.21"/07'
-....-
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
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
~!()D
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
C!. ~ULA TION
~I~AL
~ITE INSPECTION
COMMENTS:
~
/. /
/ ?J/c../'1
----
DATE TIME
SCHEDULED ~~~~
, ,
~jo;-/ ~/
CONTR.
PERMIT NO. t":'-S- /.?\r-"
o PLUMBING RI
o MECH Rl
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
~ / /
<.... 0./--//4?- r("
/'
/
/
( ~X-' .
\ / ' ar,o
~/
~ORKSATlSFAC~
o CORRECT ACTION AND PROCEED
----
---- ~
l.
.//
.A- /p-
/
~
:S:::ECT ~R REINS~::::::::FORE COVERING
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
lNSNOTJ