HomeMy WebLinkAboutBuilding Permit 03-0856
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
(Please type or mint and sien at bottom)
ADDRESS
/ 4-83 /
rl/lP(A5
77CA/L- S6
Date Rec'd
&/:;1-00
I PERMIT NO. 0:3- gs-bl
I. White File
2 Pink City
J. Yellow Applicant
LEGAL DESCRIPTION (ollice use only)
LOT (p BLOCK 4- ADDITION OrJKL/}NO BEAO+( 4-7H
OWNER
(Name)
(7/266 joHNSON
(Address)
BUILDER
(Namp)
(Contact Name)
(Address)
TYPE OF WORK
~eCk
o Fireplace
o New Construction
DLower Level Finish
(Phone)
(Phone)
(Phone)
OPorch
OAddition
ORe-Roofing
DAlteration
o Misc. K'~-4r;.../??/.::;;v7 2>~JECT COST/VALUE (excluding land) $
ZONING (office use)
Ie/SD
PID 25 - /38 - tJ2-f} - 0
"1-4-7 - Z q 2-0
ORe-Siding
DUtility 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
subnulted plans I am aware that the ~CIaI can revoke thIS permll for JUst cause Furthermore, I hereby agree that the CIty olliClal or a deSlgnee may
enter upon the Pfjoperty ~~ nee~d e ~ )
X _ Jf-1 "'--.. '-./ A -d7.. (J "2,
- -1/ Signatufe Contractor's LIcense No Date ~
- / J
I Permit Valuation "-- I ~I)IJOO.()~
I Permit Fee I $ III. ZS
I Plan Check Fee 1$ 77. g/
I State Surcharge I $ 2. "50
I Penalty I $
I Plumbing Permit Fee $
I Mechanical Permit Fee $
I Sewer & Water Permit Fee $
I Gas Fireplace Permit Fee $
This Application Becomes Your Building Permit When Approved
~ -lJ~
Building Official
, 12..710;1
Date
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
I Other
I TOTAL DUE
Paid
Date
/eto-o~
-7/-0Y
#
#
#
#
$
()
I Recejp(No.
By ;:.--.
U
$
$
$
$
$
$
$
$
1</(." .bt?
~~
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 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) 447-9850, fax (952) 447.4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
Residential Building Permit Checklist
~
Deck .-I.ddition~ to Single F amilJ Home~
BY.~
I
yo <4a.-
Date ? -,3 ,/...{)'3
Building Permit # Pill: ZonIng:
Site .-I.ddms /~tf'::? / ,Plr T;ed
Legal: L b B. L/ Subdivision: J~ ~ -I~
Existing Structure@or NO
CONFORMS TO ZONlNG
ORDiliANCE
~
NO
I Yard Setback>: NOT Al'PLICABLE
. MEETS CODE
o Side Yard
(25' if abutting a street, 30' if abuttmg a street in
Cardinal Rid>;e)
10 . Side Yard
10 Rear Yard
o T o"nhouses
R~quirement
Proposed
10'
10'
reI
I
3t[-
'SO'
7 ..
_J
Must be consistent with
approved plan for
development
IV f\-,
Al'iY PROPOSED DECK NOT l'i[EETU'iG THE ABOVE CRlTERiA MUST BE REFERRED TO THE
PLAl'iNll'lG DEPARTl'i[ENT, ALSO, ,,,,'iY DECK ON A LOT W1TH A SUSPECTED BLUFF, OR Al'iY
OTHER UNUSUAL CIRCUMSTA,,'lCE MUST BE REFERRED TO nIT PLAi'iN1i'iG DEPART\Y[ENT,
THIs CHECKLlST (truST BE COMPLETED Al'ID INCLUDED l.L'I THE BUll.DING PEfuVflT mE TO
iVlAlNTAlN A RECORD OF THE REVli W,
L'_TE1'dPL-\ IT, DE CKI,=HCX.DOC
PRIOR LAKE
INSPECTION
RECORD
SITE ADDRESS JI/i'3( #J4plt. T~..;L
TYPE OF WORK Deu
USE OF BUILDING .< F
PERMIT NO. ~3" ys' DATE ISSUED ~.aO~
BUILDER PHONE #
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF
BUILDING AND INSPECTION
INSPECTOR
DATE
, FOOTING I V1/lI' I (/( :Jo/O?
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
~ I I
I FINAL
I ~ I %/~7/;(-
r t'
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
/yPJ/ ~#~
.r
CONTR.
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
~ITE INSPECTION
COMMENTS:
/
) / r:>ve
/"7L.-.
PERMIT NO.
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
DATE
gb7A~
/ ' ,
~//
TIME
cJ3 - ,p~-G
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
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If' /<<ro
INSNOTI
~
'O\)
,/// )/
r-; / C/.:,/'
\- /'
K WORKSAT~"""r"......"~
I ~ CORRECT ACTION AND PROCEED
o CORRECT WOR~, c.,A'}- fiR REINSPECTION BEFORE COVERING
Inspector: ~ Owner/Contr:
CALL 447-9850 FOIVT~NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!