HomeMy WebLinkAboutBuilding Permit 03-1445
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
10, z..B. a3
1_ White File I PERMIT NO I
2 Pi,' Ci~ . 03 -I ' 'u __
3. Yellow Applicant -.,. ......
(Please tvDe or print and sign at bottom)
ADDRESS ZONING (offi,,",,)
JS~E) ~r{L'LL< j)r,~"t ~rt
~
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
OWNER
(Name) Cht:r\ r.;tt-e
(Address) \!;"3> 5/
-lih,-,rn" If) (
~cu_-z..-J ~<>,^-t
BUILDER
(Name) <:::1_fLr: Dr
(Contact Name) -.:..be> <,)
(Address)
Je-/S".o
PIDZ6: tfZ-fl.OO4-. /
_Gr<-_4 or
-.J
\2,d,
(Phone)
C1~d. - Ljy')- ,.s?:.S-{,
~,'" "clt' J', n j -:::Ir,,,
(hrUfV'~ -
(Phone) sn- "");:;:<J..- ").S'O"'>
(Phone) Cj~.4.- ;:)ci) -""::d~1
TYPE OF WORK 0 New Conslroction
'Dhl::-\~ vi ?,,,,\\-,~ OLowerLe~eIFi;,ish
o Misc. 00 \~ ,,,te..n.. €.-1C1S'T7~
~Deck
OPorch
ORe-Roofing
ORe-Siding
o Fireplace DAddition DAlteration
PROJECTCOST/VALUE (excluding land) $ ~0G <:, c~
DUtility Connection
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. 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
;"~'?~..:-_.
I PerrmtValual10n ~ rf!{ 30()O, 0 c::> I
I Permit Fee $ 8~ . 2-S I
I Plan Check Fee $ c:; 4 . ( I I
I State Surcharge $ I, SO I
I Penalty $ I
I Plumbing Permit Fee $ I
I Mechanical Permit Fee $ I
I Sewer & Water Permit Fee $ I
I Gas Fireplace Permit Fee $ I
This Application Becomes Your Building Permit When Approved
~~~
I ~ P.?f/. '7
Building Official
Date
$
$
$
$
$
$
$
$
$ I 3 8', ~G,
R~ewtNo. ~
Bv ~,I
I
~('~/~q"')JO
Contractor's License No.
Park Support Fee
#
1 o/~) (\<,
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
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
SAC
#
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
I Water Meter SizeS/8"i 1";
I Pressure Reducer
I City SAC and WAC
I Water Tower Fee
I Builder's Deposit
I Other
I TOTAL DUE
#
#
I Paid
I Date
1'3"" Y{.o
I {) 1A-r./fJ."t
Residential Building Permit Checklist
~
Deck Addition~ to Single Family aome~
Q ... -/!., fJ.
BY.~~
Date / () p-q~ 3'
Bui]dingPermit #
Site Addres~ /53 S ?
Legal: L B
PID: Zoning:
.~;:?~~
Subdivi~ion:
E.Ii~tingStructure:@)rNO ~A-e.( ~~-~/~I
CONFOR\IS TO ZONI0iC:t.<-d- ~ ..fi;~--' ,.f-- ~:a.:~'~U'
ORDINANCE
I Yard Setback.:;: NOT APPLICABLE
MEETS CODE
. Side Yard
(25' if abumng J. street, 30' if abuttmg a street in
Cardinal Ridge)
Side Yard
Requirement
la'
I.
I .
10'
Rear Yard
25'
. Townhouses
Must be consistent WIth
approved plan for
develop ment
Proposed
/0 (
1'5 r I
-z.S' -t<> 9JL{'
~ 4-LHi..d- .
tJA-.
ANY PROPOSED DECK NOT MIETING THE ABOVE CRITERiA MUST BE REFERRED TO THE
PLAl'iNING DEP.-I.RTiH.ENT. ALSO, ANY DECK ON A LOT WITH A SUSPECTED BLUFF, OR Al'<Y
OTHER LNUSU,U CrRCUMST.",NCE MUST BE REFERRED TO THE PU,i'iNlL'iG DEPART1HENT.
THIs CHECKLIST MUST BE COMPLETED AND INCLUDED L" THE BU1l.DING l'ERil'llT FILE TO
MAINTAIN A RECORD OF THE REVI.Ew.
L:",TE)dJlL...\.TE', DE C:{CHCK.DOC
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PRIOR LAKE
INSPECTION
RECORD
SITE ADDRESS J" p~,',.J r B:9.
. -
TYPE OF WORK T'>>~ u I ~ ~ ~.,.S'
USE OF BUILDING c;.F: I).
PERMIT NO. DATE ISSUED It/~ ~:I
BUILDER · nEU~ UJC. PHONE 1f1sz..Z'Z -74?
NOTE: THIS IS NOT A PERMIT FOR JJ:f.Jy OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF
BUILDING AND INSPECTION
INSPECTOR
DATE
I FINAL
//i!J-
c;;:/df
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (952) 447-9850
.
~
-
CITY OF PRIOR LAKE
INSPECTION NOTICE
DATE TIME
SCHEDULED ?~~y
&eey // 4
CONTR.
ADDRESS /S- -.?S7
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
~NAL
/' SITE INSPECTION
COMMENTS:
PERMIT NO.
~'?~ /yyS-
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
/J /' /(" /
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~~RK SATlSFAC:O~ROCEED~
;6" ~~RRECT ACTION AND PROCEED
o CORRECT WORK'..9~#fiEINSPECTION BEFORE COVERING
Inspector: ,t/r?(J' Owner/Contr:
CALL 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE_
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
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