HomeMy WebLinkAboutBuilding Permit 03-1277
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec'd
q. If! 0}
; ~;~:' ~:;y IPERMITNO'Ol'?_/771I
3. Yellow Applicant I - ..,;) V
(Please typ~ or print and si~ at bottom)
ADDRESS
/72 q / fYlrlt:;/Iff!&W
LEGAL DESCRIPTION (office use only)
LOT/"- BLOCK 2- ADDITION Ve-c-~/Gl.-O ~
OWNER
(Name)
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/Y7.4n A cL lei ./ oM C d/'L
(Address) / /~9/
BUILDER
(Name)
(Contact Name)
(Address)
TYPE OF WORK
o New Construction
DLower Level Finish
J{ Misc. PEZL S77l/,e..-.5
(Phone)
wI(
(Phone)
(Phone)
DDeck
DPorch
ORe-Roofing
o Fireplace
DAlteration
I I
ZONING (office use)
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PID Z.r: 3,fl). rd4-,O
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#
#
#
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9..s-:J. f'd 7. ~5 c?t;P
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
PROJECT COST IV ALUE (excluding land) $
DAddition
$
$
$
$
$
$
$
$
'lfStJt!J , I!) 0
0$.50
J ~. z. 7
DRe.Siding
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 lans. 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
ent ,pon roperty to perfo\eede~ons. , . / /.
X _ _L..<..C. _, . _.~e.<' O///'jl/t7~
~ / Signature ,/ Contractor's License No. ;' Dati
./
Permit Valuation
I
I Permit Fee
I Plan Check Fee
I State Surcharge
I Penalty
j Plumbing Permit Fee
I Mechanical Permit Fee
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
.S-o
This Application Becomes Your Building Permit When Approved
~ ::j~
Building Official
1 J>./6 3
Date
I Park Support Fee
I SAC
I Water Meter Size 5/8"; I";
I Pressure Reducer
I City SAC and WAC
I Water Tower Fee
j Builder's Deposit
I Other I'll Ji~
I TOTAL DUE 1j(V""t\:W
Paid JJ "60/-/'-;
Date t, - ;;;.. 3-05
$
$
$
$
$
$
$
$
$
3~. z. 7
- /'
I Receipt No. l./'&J ~ /j
By r,:.-
'J
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
Residential Building Permit Checklist
Deck .\ddition~ to Singl~ Family Hom~~
If -
BY.~
...
.:4...t1 '--
Date
~/~3
Building P~rmjt #
Site Addres~
Pill:
Zoning:
Legal: LIt:,
/7,,)-9;
B d--
tkp/L . i~
. Existing Structur~aor NO
.' CONFORMS TO ZON~'G
ORD.INANCE
I'ES
NO
Yard Setback.: NOT A.PPLlCA.BLE
MEETS CODE
R~quirement
Prop'''~d
, Side Yard
(2j' if aburung a street. 30' if abuttmg a street in
Cardinal R.1dge)
\' . Side Yard
\' Rear Yard
, Townhouses
lO'
[0'
feL ~tl.D .
felL Pu. p ,
, .
tJtJq.:Z.-5 P.u.- f: tJ, ~,
, ..
_J
Must b~ consistent with
approved plan for
development
~ 0...0 F ~,,,dor-:r
ANY PROPOSED DECK NOT MEETlJ'IC THE ABOVE CRlTERlA MUST BE REFERRED TO THE
PLAi'iNlt'iG DEPARTl'vfENT. ALSO, A.NY DECK ON A LOT WITH A SUSPECTED BLUFF, OR ANY
OTHER lNUSlJ..u. CIRCUMSTANCE MUST BE REFERRED TO THE PLA.l'lN1L'IC DEPARTt'YIENT.
THIs CHECKL1ST MUST BE COMPLETED MID INCLUDED IN THE BU1l.DlJ'IG PERIvllT FILE TO
MAlNTAli'l A RECORD Of THE REVIEW.
L:",TE:\tIPL~-\ TE'-DECKCHCTC.DOC
..
~
PRIOR LAKE DEPARTMENT OF
BUILDING AND INSPECTION
INSPECTION
RECORD
SITE ADDRESS ..J!1A1 ~ FI).L..p
TYPE OF WORK SDrJ.&S -n EJlJ1:f~'" ~
USE OF BUILDING ~. ~ A.. ....J .
PERMIT NO. tJ3 - /2- 77: , DATE ISSUED ~
BUILDER PAClt.1lt.tUJ I ~HONE # '52 -ll'-I.QI.
NOTE: TH~A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
~ I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
I FRAMING I I
, FINAL
. /
ff#
, /
Y.,,2?,/OS-
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (952) 447-9850
,
DATE TIME
CITY OF PRIOR LAKE /_ ,,/; _
INSPECTION NOTICE SCHEDULED./ k 05
ADDRESS /7..29'/ ~sA" -hJkfi:
OWNER
PHONE NO.
D FOOTING
D FOUNDATION
D FRAMING
D INSULATION
~AL
D SITE INSPECTION
COMMENTS:
CONTR.
PERMIT NO.
cB-/.277
D PLUMBING RI D EXIGRADIFILLING
D MECH RI D COMPLAINT
D WATER HOOKUP D FIREPLACE RI
D SEWER HOOKUP D FIREPLACE FINAL
D PLUMBING FINAL D GASLlNE AIR TST
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~ORK SATISFACTORY, PROCEED
D CORRECT ACTION AND PROCEED
D CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector:~ it ~ Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/
INSNOTJ