HomeMy WebLinkAboutBuilding Permit 03-0550
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec'd
(Please.!VD~ or orint and Silro at bottom)
ADDRESS
1. White File I PERMIT NO ()~ I
2 Pi.k Ci<y . / - i!:;..5-0
J, Yellow Applicant (..,,-......J
/5 3d.-S- U//'Jds
:p k U-/<4
, /
I ~/G(Offi"U") I
LEGAL DESCRIPTION (office use only)
LOT hLOCKc:' ADDITIONtt) t2/JvJA11t2/Jv71-4
/.5-1-
PID.;7S'- 37b-tJ7,f:f
OWNER
(Name)
'. \ff{ ~L\c,on
(Phone)
qC;)-tf'l{l-6 [fa '/
(Address)
BUILDER
(Name)
(Contact Name)
(Address)
(Phone)
(Phone)
TYPE OF WORK
o New Construction
~eCk
o Fireplace
DPorch
ORe-Roofing
ORe-Siding
OLower Level Finish
DAddition
DAlteration
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 for the above-mentioned property and that all construction will conform to all existing state and local laws and will proceed in accordance with
submitted plans. aware uilding official can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may
enter upon th fOp rfo d inspections. ,I /
X C)/7/1 Z
- Contractor's License No. bate -
I Permit Valuation _K'OOO,"-- Park Support Fee # $ I
I Permit Fee $ /II,,J-S SAC # $ I
I Plan Check Fee I $ '7;). / :3 J I Water Meter Size 5/8"; 1"; $ I
I State Surcharge I $ r9 / S-U I Pressure Reducer $ I
I Penalty I $ I City SAC and WAC # $ I
I Plumbing Permit Fee I $ I Water Tower Fee # $ I
I Mechanical Permit Fee I $ I Builder's Deposit $ I
I Sewer & Water Permit Fee I: I Other $ I
I Gas Fireplace Permit Fee I TOTAL DUE $ / :ifIo,Or.o I
Building Official
~/7hH'
Date
I Paid,~ [~{, Jl'-'
I Date _5"- 7-00
,.....-,,,/
I Receipt No. Lf4:5 I ~
By UL--
J
This Application Becomes Your Building Permit When Approved
~?~
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 aU inspections (952) 447-9850, fax (952) 4474245
16200 Eagle Creek Avenue Prior Lake. MN 55372
BY~
;;~
Residential Building Permit Checklist
Deck :l.dditi()n~ to Singj~ Family Homes
Z;-j-03
IS-~;~-W-d~ .
Subdivision: . ?kw~
Date
Building P~rrni! #
Site Addre~~
Pill:
Legal: L
B
Exi~ting Structur@r NO
CONFORHS TO ZOI'fTI'{G
ORDL"iANCE
x'ES
NO
I Yard Setbacks: NOT APPLICABLE
. MEETS CODE
. Srde Yard
(25' if abutting a street. 30' if abuttmg a street In
Cardinal Ridgel
Side Yard
Requirement
Proposed
10'
\"
I .
10'
I
3D
3~ '
Cas
Rear Yard
25'
. T o"nhouses
Must be consistent with.
approved plan for
development
Nf\,
AI',Y PROPOSED DECK NOT MEETING THE ABOVE CRlTERlA M1JST BE REFERRED TO THE
PLAl'iNIi'iG DEPARTLVI:ENT. ALSO, Al'iY DECK ON A LOT WITH A SUSPECTED BLUFF, OR Al'iY
OTHER Ul'I1JSU.,u CIRClIMST.;",,'iCE MUST BE REFERRED TO THE PL.~'fN1!.'iG DEPARTl'YI:ENT.
THls CHECKLIST MUST BE COMPLETED Al'illli'iCLUDED u'f THE BUllDu'fG PERMIT mE TO
iVlAlN'TAll'I A RECORD OF THE REVIEW.
L ,",TElvIPL.-\ IE" DE C:{C:"::CIC.DOC
PRIOR LAKE
INSPECTION
SITE ADDRESS ~~~-9J~R py~
TYPE OF WORK n eclc i
USE OF BUILDING ~ r::
PERMIT NO. 03- ~S'O DATE ISSUED S - 7- () a
BUILDER0 err BeuSCYJ PHONE # L,lL/O-0Cl~ d---
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPi:;CTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF
BUILDING AND INSPECTION
. INSPECTOR
DATE
I FOOTING I (111) b-/tJ
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
~ I I
, FINAL
/ . /'
I ./$f I 7'/7/01
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (952) 447-9850
.,:-:--...
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CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
/~?2.\
tV" '/ cis
OWNER
CONTR.
PHONE NO,
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
XSITE INSPECTION
COMMENTS:
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
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( /6-5 e
DATE nile
~~~
I
/~~y
/
Os --~0U
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
~~
.
~RK SATISFACTORy.~ED
o CORRECT ACTION AND PROCEED
o CORRECT wo~ REINSPECTION BEFORE COVERING
Inspector: P" /7~ Owner/Contr:
r
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE"
--
''''''''"
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/