HomeMy WebLinkAboutBuilding Permit 03-1142
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
or rint and si at bottom
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TO-i'n L
LEGAL DESCRIPTION (office use only)
LOT BLOCK {ADDITION
Date Rec'd
; ~i~:' ~:~y I PERMIT NO. 0<2-/// /-1,
3 Yellow Applicant :J -, ~
ZONING (office use)
PID
6- 310-00'1
OWNER
(Name)
(01 t~
~~~rn..
(Address)
17 2.4 WI
(Phone)
Do-V -
q5"2.- 2~-~qH
tplJ.- ;)..qo-~&30
BUILDER
(Name)
(Contact Name)
(Address)
(Phone)
(Phone)
TYPE OF WORK
o New Construction
eck
DPorch
ORe-Roofing
ORe-Siding
DLower Level Finish
o Fireplace
PROJECT COST IV ALUE (excluding land) $
o Misc.
x
DAddition
DAlteration
DUtility Connection
I hereby certify that I have fum"
authorized agent for the ov.-
submitted plans. I at
enter upon the
formation on this application which is to the best of my knowledge true and correct. I also certify that I am the owner or
ooed property and that all construction will conform to all existing state and local laws and will proceed in accordance with
building official can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may
eeded inspections.
Permit Valuation ?'f1YJC!E
Permit Fee $ ~,)..S
Plan Check Fee $ S4.fJ
State Surcharge $ ,.S}
Penalty $
Plumbing Permit Fee $
Mechanical Permit Fee $
Sewer & Water Permit Fee $
Gas Fireplace Permit Fee $
mes Your Building Permit When Approved
If-)''1-fJ)
Date
Building Official
Contractor's License No.
}? l2'lJ03
Date
Park Support Fee # $
SAC # $
Water Meter Size 5/8"; 1"; $
Pressure Reducer $
City SAC and WAC # $
Water Tower Fee # $
Builder's Deposit $
Other $
TOTAL DUE ~-- ~ '.~.{)3 $ Uf,~~
I Recei(tt -hz 7~
BY!
Paid
Date
./$t~7
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
~
r1J ~"k",di'iO" :,~:"~' F =t~7- 03
BY
BuilJing P~rmjt '* PID:
Site Addm,l /7 ]4q
Legal: L~ B---L-
Exis1illg Structure: YES ore)
,
Zonln~:
/?~'/i- tL/d~V~
Subdivision: V\ r I'
ue1",T (-r c'
CONFORMS TO ZO:'{TI\G
ORDINANCE
NO
Yard Setbod:,: NOT Al'PLlCABLE R~quirem~nt Propo,ed
MEETS CODE
. Slde Yard to' l:>O
(2Y if abuttlllg a stre::t, 30' ifabuttmg a street in
Cardinal Rid"el .
. Side Yard 10' LIS-
R=Yard 7 -. c,'O f
. -~ ,
. Townhouses Mu", be consistent with
approved plan for 114
deve[ooment
fun PROPOSED DECK NOT MEETl.I'IG THE ABOVE CRlTE:RlA MUST BE: REfERRED TO THE
PLMl'fli'lG DE:P_U\'fi"fEl'IT, ALSO,.~ DECK ON A LOT WITH A SUSPECTED BLIIFF, OR ANY
OTHER lJi'lUSU.U CIRCL'lYlSTA.NCE MUST BE fUFERRE:D TO THE PL....NI'lu'lG DEP.U\T\VIE.'lT.
THIs CHECKLlST MUST BE COl'll:PLETED Al'ffi lJ'ICLUDED 1." TI:l:E BURDING PERNUT mE TO
MAll'ITA1." A RECORD OF THE REVUW,
L:'7E~"IPL~j.. IE" DE C:~,~I.=:'::CX.D()C
PRIOR LAKE DEPARTMENT OF
. BUILDING AND INSPECTION
INSPECTION
srrEADDRESS I~J~y2J~2.NeSS Ty
TYPE OF WORK --D~ ~ /tit.
USE OF BUILDING -S 'F
PERMIT NO. ~~ DATE ISSUED 9- ;1.9" 3
BUILDER M~eA4VU- PHONE'ta- _440-5'30
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
_ECTOR DATE
I FOOTING I I!1/W' I I (J-/s-if?;, I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
~ I I I
I RNAL I /fo/- I :;/kcf I
FOR ALL INSPECTIONS (952) 447-9850
\
''\.
~-
ADDRESS
/7....2 </7'
DATE TIME
SCHEDULED ~~~
w- /J;r.ne.c:s -;;/
CITY OF PRIOR LAKE
INSPECTION NOTICE
OWNER
CONTR.
PHONE NO.
PERMIT NO.
03-//'/"..2
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
~NAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXlGRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
~~ / e/;/-
I ~ I (
'~RKSATISFACTO . OCEED
~~RRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REI SPECTlON BEFORE COVERING
Inspector:
Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
'''''"'''