HomeMy WebLinkAboutBuilding Permit 03-0203
(Please ~e or orint and sign at bottom)
ADDRESS
57~O
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Sh?9-/V ;VON
Date Rec'd
Z - Z5--a3
I. White File
2 Pink City
3, Yellow Applicant
I PERMIT NO. 03 -02-03 I
77U'1'1 t..--
....re
j I
ZONING (office u,")
,e/..r.O
LEGAL DESCRIPTION (olliee use only)
LOT9 BLOCK / ADDITION p,elO/<.- !fll/v
OWNER
(Name)
(Address)
BUILDER
(Name) ;1'1' vP
I/,.e Li,y
I'''''"' A.",,; {L
(Contact Name)
(Address)
C;7{.;o
TYPE OF WORK
o Misc.
/.,/,/,
~;J 1~\.&.ll1()' '1
t.- L 5G:
PID25. /79- ~"9~O
(Phone)
(Phone) '7t;-2.- . '1'-17- /(}<;,;i.1
(Phon~ f4IZ - 75'1- L/5z.-fJ
.)
t....- I ~...-
L,~kc
o New Construction
OLower Level Finish
reek
o Fireplace
DPoreh
DAddition
ORe-Roofing
ORe-Siding
DAlteration
OUtility Connection
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 for the above-mentioned property and that aU 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 ~roperty '';)''''form needed inspections.
X/;'--- k:...// 2-/ Z-,;,- /0 )
Signature Contractor's License No. I Date'
Permit Valuation
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
~3C()O,aD
$ A 3,'2..5
$ 5Lj, II
$ I. '50
$
$
$
$
$
This Application Becomes Your Building Permit When Approved
-~~~
Building Official
dj;)..(,!n '3
Date
Park Support Fee # $
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 CttuR1) 1,''/1& 'V ~ $ /38.8lP
Paid
Date
"J r c)
/", - ~
1 'Z 1- , /
I ~;ro, ~.sr??--
U'
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
~~~
Planning Director
,:;.~(.Ih:J fL..R /J~ ~-~
/ Date Special Conditions', if any
Z4 hour notice ror all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
Residential Building Permit Checklist
Deck Additions to Single Family Homes
BY ~ ::f~
Date
2.25-0:5
Building Permit # t)3 -02-03 Pill: z.-J'/79. ()O 9 _ () Zoning: ,<:4]).0
Site Address 57(;0 ..s:/frl/t//l/OtJ ~/t.-- sf!!::
Legal: L 9 B /
Existing Structure:~r NO
Subdivision: ~L./OK..- /l/t-t...-
CONFORMS TO ZONING
ORDINANCE
YES
NO
I Yard Setbacks: NOT .-\PPLICABLE
MEETS CODE
. SIde Yard
(25' if abutting a street. 30' if abutting a street in
Cardinal RJdge)
SIde Yard
Requirement
Proposed
10'
I .
I .
10'
,
\2. +
301 t-
I
LiS +-
Rear Yard
)"
_J
. TOv\'nhous~s
Must be consistent WIth
approved plJ.n for
development
tJA,
ANY PROPOSED DECK NOT "'lUTING THE ABOVE CRITERIA MUST BE REFERRED TO THE
PLAc'il'fli'iG DEP..\.RTME:-IT. ALSO, ANY DECK ON A LOT WITH A SliSPECTED BLUFF, OR MIY
OTHER L!1'USUAL CIRCUMSTA.c'iCE MUST BE REFERRED TO THE PLA..'iNING DEPARTtvI:ENT.
THIS CHECKLIST MUST BE COMPLETED A.c'ffi INCLUDED L'I THE BUlLDlNG PERVUT FILE TO
MAlN'fAIl'f A RECORD OF THE REVIEW.
L:"'TE:>/lPL-\ TE' DECKCHCK.DOC
~~
qthite - Buildina-,
Canary. Engineering
Pink - Planning
Th~ Crnlfr of th. I..... ('Ollnl!,)'
B.!JU..D1NG PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
P,eeKK:.6Je, ~ I c:Ve-
/
2-25-03
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
-
57hO 5/frJ/V'/'JOAl ~/L- S"b
Accepted
Accepted With Corrections
~
Denied
Reviewed By:
.
~ ~I-i Date: c2/;;L4,103
~LJ "/?7t5 L?~ #7WO()() /
. I
1Y1cu:1- ;)~ ~ ~ ~ -f.., ~
alJ-h.. ~ ~~ ~,
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."
~~
"'
Thr (-rnln of lhr L.kt' ('OURU)'
While - Building
Canarv - Engineering
<:Pink - Pl8i;nlng ~
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
)//'c::'KKcK
I
7_)C_(;-:>
4-' G.. .....J --,'"--,,,
....- ,,'-
0IEl/t:...
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
, ,-"".'.
_j I,r; Ie /" / /r:!;4-/ I C_
/-- i. ,/
" . / /" ,';
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--
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Accepted
Denied
Accepted With Corrections
/
Reviewed By:
~ ~ Date: e:o/'~/d3
/-<::::>/ /./ // it .' . c'..r." /1/ II //( (/ /
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
INSPECTION
RECORD
SITE ADDRESS 5700 SH/1/\//!/OIV ~/t- sr=
TYPE OF WORK D6l!.K-
USE OF BUILDING ;e&S ~/ E.
PERMIT NO. 03-02.03 6ATE ISSUED Z .z.-s. 03
BUILDER P?hJ::/c&K. PHONE # #7. 70f34-
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
I FOOTING I lrvtP I L.1- J-> .(jJ,
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
I FRAMING~, iF Clo5t:""YL- IMN "310'1-,0 G,flAPfi I
I FINAL ~ I tf' /!o/:tj
. . /
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
S-.760 c s;4'9''''P',I?".-..
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
~~NSPECTION
o PLUMBING Rl
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS: /l
~('
/"
,~i
7')-79
DATE TIME
~oft,~
~/
0..5' -...2Q ?
o EXlGRADfFlLLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
/
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l{'lo'lp // "je /
:i'"WORK SA~RY, PROCEED ...--/
I ~ CORRECT ACTION AND PROCEED
o CORRECT WORJ:f)LJ-;/R REINSPECTlON BEFORE COVERING
Inspector: /~J.-, Owner/Contr:
IT
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH'" SAFETY!
'''''"'''