HomeMy WebLinkAboutBuilding Permit 03-0766
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec'd
I. White
2. Pink
3. Yellow
~-I/D
I PERMIT NO:i - 1 ~ 10
File
City
Applicant
(Please!vpe or print and sign at bottom)
ADDRESS
15/7~ seppe-v-s
P~S5
I Z;7NG (oflkeme)
LEGAL DESCRIPTION (office use ooly)
LOT), BLOCK;1. ADDITION
j e f ft: r S
So,dA
PID,JS- 3q5"- 0 I~-()
OWNER
(Name)
W~i'l-5" l't-n YI l+ofY'CS
189',5""- ~LI}z.f+. Onve
(Phone)
/'S-/-40{r 'f4tJD
(Address)
€. M frn
j}t n S-S/22.
/
BUILDER
(Name)
(Contact Name)
(Address)
5 A- v>1 e...
m/ck
)fe./ L/h 14-11
(Phone)
(Phone) {, i L - 3bCj - 7 b "Z- Cf
TYPE OF WORK
o New Construction
ODeck
OPorch
ORe-Roofing
ORe-Siding
DLower Level Finish
o Fireplace
DAddition
OAlteration
DUtility Connection
o Misc.
PROJECT COST IV ALUE (excluding land) $
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 fOf the above-mentioned property and that all construction will conform to all existing state and loca11aws 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
~'eru1t~;'Alr~rm~et:l:~ 14~~ b-/o.-tJ3
,'/;g;;J;;;e Contractor's License No. Date
I Permit Valuation I LQb ~ I Park Support Fee # $
I Permit Fee $ ,. l..fL.{ t} I SAC # $
I Plan Check Fee $ }...4,1~ I Water Meter Size 5/8"; I"; $
I State Surcharge $ .(,0 I Pressure Reducer $
I Penalty $ I City SAC and WAC # $
I Plumbing Permit Fee $ I Water Tower Fee # $
I Mechanical Permit Fee $ I Builder's Deposit $
I Sewer & Water Permit Fee $ I Orher $
I Gas Fireplace Permit Fee $ I TOTAL DUE $ 74 'J!.
,0 /
Th~a~!es Your Building Perml' When Approved I Paid ?~J, 0 RecerO. "I%; Iff
~ (;,-(1'01 I Date (, J?-O) By ~ .
0
BUlldmg OffiCial 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
~~/g d by the C;P;Etillites a tempo,ary cenifi'~~Of(~::'~Plianoe md allows 'O;ict:o~ 'omm~ Befmd:~~~' a =;;~ mmt be
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 Addition~ to Sin:!le FamilY aome~
rM ~ Date - ?"-If-03
BY
Building Permit #
Site Addre~~
Legal: L
:2
B
2-.
PID:/51/3-9~ piJe'-;?d/
Subdivision: J~~,- SOU~
, E:Ii~ting Structure: YES 0&
CONFORMS TO ZOl'{n~-G
ORDI:N'ANCE
(~
NO
Yard Setback>: NOT APPLICABLE
MEETS CODE
Requirement
Proposed
. Side Yard
(2j' if abutting a street. 30' if abutting a street in
Cardinal Ridge)
I . ' Side Yard
I' Rear Yard
. T o"Mouses
10'
;27
10'
L-I () (
set
" I
7 "'
-)
Must be consistent with
approved plan for
development
I/I~
ANY PROPOSED DECK NOT !;CEETING THE ABOVE CRlTERLA MUST BE REFERRED TO THE
PLAl'ilTh'iG DEPART!;CENT. ALSO, Al'fY DECK ON A LOT WITH A SUSPECTED BLUFF, OR Al'N
OTHER L!l'IUSU..u CIRCUMST.....NCE iYIUST BE: REFl'QRn') TO THE PL.>U'iNil'lG DEPARTiYCEl'lT.
THls CHECKLIST IrIUST BE COMPLETED Mill INCLUDED 11'1 THE BU1I.DING PERMlT mE TO
iYLAlNTAlN ..... RECORD OF THE REVIEW.
L :",TE1vIPLA IE, D E CK',=:"-:CX..DOC
'"
PRIOR LAKE
INSPECTION
RECORD
SITE ADDRESS l?'/73- \.Jeff~rf ,v.e.SS
TYPE OF WORK Dt:L./t:-
USE OF BUILDING ?t=; F
PERMIT NO. D '3--'7 "" DATE ISSUED "-/~- />3
BUILDER JJ,J. PHONE ~/~- s,,- 7~~'
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF
BUilDING AND INSPECTION
~N~CTOR DATE
/ FOOTING I IJ/ b I Ia-- 1 7
PLACE NO CONCRETE UNTIL lBOVE HAS BEEN SIGNED
I I
I FINAL
I P It I 8"-~ ~O V
Call between 8:00 and 9:00 A.\t. f~r all Inspections '
FOR ALL INSPECTIONS (952) 447-9850
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
g. fp -~I
ADDRESS {51 1 ""2.,
,~ .Q.~.,
OWNER
CONTR.
PHONE NO.
PERMIT NO.
~-(l 7.~(_
o FOOTING
o FOUNDATION
o FRAMING
o)NSULATION
A:f FINAL
o SITE INSPECTION
o PLUMBING Rl
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE Rl
o FIREPLACE FINAL
o GAS LINE AIR TST
o
COMMENTS:
fVe
C(: t'\<;
v'--- -
/
~ORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector 1, 17 OwnertContr.
CALi.:;IJtl~50 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE,
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH'" SAFETY!
""""n