HomeMy WebLinkAboutBuilding Permit 03-0871
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec'd
I, White
2. Pink
3, Yellow
File
City
Applicant
I PERMIT NO. tJ3 - ?Iii
q'lease!V.Ee or mint and sien at bottom)
ADDRESS
:-t3~? ( (J11 fSmCLf LI1 IJ t, Pn'oy ub-
ZONING (office u"j
tel
LEGAL DESCRIPTION (office use only) / / ." 1
LOT ( BLOCK 3 ADDITION () ..M/UfttiP_ ~
{/
BrliUlo'V1 ~ AAd/JTu fDY?ir
J
PID 0<.5-.<1 /tj- ()Jo-()
OWNER
(Name)
(Phone) tfS'2 tfLfU 2- f'}-.2-
(Address)
BUILDER
(Name)
(Contact Name)
(Address)
(Phone)
(Phone \
DLower Level Finish
~~eCk
o Fireplace
DPorch
ORe-Roofing
DRe.Siding
DUtility Connection
TYPE OF WORK
o New Construction
DAddition
DAlteration
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 rithe above-mentioned Y~""Y"'H) and that all construction will conform to all existing state and local laws and will proceed in accordance with
submitted I m aware that the building official can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may
exnteru~ ;~t6iPe~:m,~.~ innspspeectictioonnys.
,/,,0(7'/ ~ &- 30-0 "3
- ti"Jnature Contractor's License No. Date
1./
I Permit Valuation <:;f... ~QQ(t'7. tJ7J Park Support Fee # $
I Permit Fee $ 8:~ .2S- SAC # $
I Plan Check Fee $ ~Lf, /I I Water Meter Size 5/8"; 1"; $
I State Surcharge $ J. ~C> 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 Other $
I Gas Fireplace Permit Fee $ I TOTAL DUE $ /3[1', K"c..
This Application Becomes Your Building Permit When Approved
~:;~
Building Official
~if:t? 3
Paid
Date
13fr. /{"
/'1."1110.1
(
I ReceiPt No. LJ '-( t#'.Lf
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 1-......_.....1' 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. tax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
Residential Building Permit Checklist
~
De~k Addi(ion~ to Sil1g1~ Family Homes
BY. 7:J~
r
9~
Date
lj;J- 3D-O\3
BuildingP~rmjt .~
Site Addres~
Pill:
Zoning:
Legal: L / B-3
1j3&,1 ~/1Uf)-;J
Subdivision: (!~ ~
Exi~til1g Stru~tur~: YES or NO
CONFORMS TO ZONNG
ORDINANCE
YES
NO
I Y~rd Setbacks: NOT APPLICABLE
. MEETS CODE
. Side Yard
(2j' if abuttIng a street. 30' if abutting a street in
Cardinal Ridge)
,. . Side Yard
I. Rear Yard
. T ownhollses
R~quirement
Proposed
10'
371
10'
20'
CJ?)</I z. s ,-
7 ..
-~
Must be consistent with .
approved plan for
develop ment
('-JA.
ANY PROPOSED DECK NOT ['vCEETh'!G THE ABOVE CRITERIA MUST BE REFERRED TO THE
PLAl'+1'fIl'!G DEPARTi'vIT.NT. ALSO, Al'IY DECK ON A LOT WIlH A SUSPECTED BLUFF, OR AI'IY
OTHER UNUSUAL CIRCUi'vlST.~'iCE MUST BE REFL'<.R.ED TO THE PLAJ.'INL.'iG DEPART['vCENT.
THIs CHECKLlST iVIUST BE COMPLETED Mill INCLUDED Ii'! THE BU1l.DLNG PE:R.~l1T FILE TO
iVlAlNTAlN A RECORD OF THE REVIEW.
L:",TE~vJl'LA IE, D E C::~CHCX.D(){=
"--.--.-- ._--~.._--_._-'--_._-----_._-----_.._--------
PRIOR LAKE
INSPEC liON
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS t{3B~29fl!>
TYPE OF WORK b ec.../(
USE OF BUILDING S F
PERMIT NO. 03- '?I DATE ISSUED (,. 30--3
BUILDER PHONE #
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR A DATE
, FOOTING I ;il/v I q - ~. d7
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
:.... I I
, FINAL
I /?h I 6' <?o
Call between 8:00 and 9:00 A.M. fo~ail inspections
FOR ALL INSPECTIONS (952) 447-9850 '
j
I
I
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
L\ 3lat
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION ~
FINAL Qa:;:
~ITE INSPECTIO .
COMMENTS:
()l
SCHEDULED
~vu1-
CONTR.
PERMIT NO.
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
DATE TillE
8:J.b-oy-
\
3-ffl (
o EXIGRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
k
Q\~~ llo ~i-P
,
/
~ORK SATISFACTORY. PROCEED
o CORREC A TION NO PROCEED
o CORRE T ALL FOR REINSPECTION BEFORE COVERING
Inspector. Owner/Contr:
CALL -9850 FJ THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE RE~NTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
IN""m