HomeMy WebLinkAboutBuilding Permit 03-0977
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
(Please'!vpe or vrint and si2l1 at bottom)
ADDRESS
'3q., ~ \~~1H \
<S\-. 'S, w-
Date Rec'd
]. White File I PERMIT NO 3 I
2 Pi"k C;'y '0 -~/V7
3. Yellow Applicant "'7' r I
LEGAL DESCRIPTION (ollice use only)
LOTH BLOCK 3ADDITION V' ~+~ f)~
, fi
OWNER /1 I \
(Name) (h.,......{~ ~_ lILJ"'o,~
(Address)
BUILDERA, ,A f,
(Name) ~-r~rr
(Contact Name) IV,""
(Address) \\.{ )11'-
TYPE OF WORK
DMisc.
,
t>./: JJ;~ ~
4- I+hu a
lOl-f"1 st.
I I
ZONING (office use)
1<1
PID () s-:J.f( ~-O;J;L -,:S
(Phone) q 5' a 44'7 - S ~6<f
4rr'-~ki
~ll~"o-222-b
~
ORe-Siding
OUtility 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 ywy"a) and that all construction will conform to all existing state and loca11aws and will proceed in accordance with
submitted p~ I am aware that the building ollicial can revoke this permit for just cause. Furthermore, I hereby agree that the city ollicial or a designee may
;ter upon ( r r:::t: need/;je~~~ -:P- 2.0 I g 7 7/.? <6 "7 Iv !O"l.,
Signature' Contractor's License No. F Date
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
(Phone)
(Phone)
Y',.t he (rI V
.s..oof
o New Construction
DLower Level Finish
ptneCk
D Fireplace
OForch
ORe-Roofing
OAddition
DAlteration
PROJECT COST IV ALUE (excluding land) $
,i/~()OIIJO
$ &3.15
$ 4/ .01/
$ . '10
$
$
$
$
$
This Application Becomes Your Building Permit When Approved
~~
Building Official
? I;; 3,/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
I pai<f~/d'fIo,J
I Dat,h"'~ '" <. C/t; ~
# $
# $
$
$
# $
# $
$
$
$ /tJS'.O'l
Receipt No, #<:;d '?If
Bv ~
'"
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 .~ddition~ to Single Family aome~
BY.
Date
;-;;2 3- 3
ZonJIIg:
3g'7 3, ~):es Ire)
Building Permit II
Site Addres~
Pill:
Legal: L
.a
Subdivi~ion:
Existing Structure: YES or NO
CONFORMS TO ZONING
ORDINANCE
YES
NO
f Yard Setback;: NOT APPLICABLE
. MEETS CODE
. Side Yard
(2j' jf abuttlng a stre.t. 30' if abuttmg a street in
Cardinal Ridge)
. Side Yard
Requirem~nt
Proposed
10'
10'
L(~'
3L{'
jJ/\
tJA;
. Rear Yard
)"
_J
. T ownhollses
Must be consistent with .
approved pi"" for
development
ANY PROPOSED DECK NOT L'v[EETll'iG THE ABOVE CRlTERiA MUST BE REFERRED TO THE
PLANl'll1"iG DEPARTl'vfENT. ALSO, ANY DECK ON A LOT W1TH A SUSPECTED BLUFF, OR ANY
OTHER UNUSUAL CIRCUMST.~'KE l'vIliST BE RHERRED TO THE PL-\J.'(Nli'!G DEPARTl'vfENT,
THIs CHECKLIST Uo'IUST BE COllolPLETED Ai'iD INCLUDED Ii'! THE BUllDlI'IG PERMIT FILE TO
i\llAlNTAlN... RECORD OF THE REVIEW.
L"TE?-/lPL-\ IE'. DE CKC:~C1(.DOC
PRIOR LAKE
INSPECTION
RECORD
SITE ADDRESS 3e?'3 i/~5f Yt!,;l
TYPE OF WORK D~k..
USE OF BUILDING S 1=
PERMIT NO. 0'3" 9'7'7 DATE ISSUED '7-d- 3-3 .
BUILDER t2Jr/~~lfVe ~U~y PHONE~ _1I11?-~ft1Ij
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF
BUILDING AND INSPECTION
, FOOTING I INSPbW I r;~;.. 7 -ifl] i
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
, FRAMING I f'v(l I >r' ~ r/';? I
13~15 "D~ &1Tte.O~ M.f5 HJpLi U)
, FINAL I }ft/;' rl L:~l ,
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
DATE TIME
r~y
ADDRESS
.s tf'7? '-/-'<.5 ~,~/
OWNER
CONTR,
PHONE NO,
PERMIT NO,
/7 ? -977
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
~ITE INSPECTION
COMMENTS:
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
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WORK SATISFACTORY. Pku'""....
o CORRECT ACTION AND PROCEED
o CORRECT WOR')-C~L r REINSPECTION BEFORE COVERING
Inspector: ~.---" Owner/Contr:
I~ /
CALL "7-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE_
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/
H<SNO"