HomeMy WebLinkAboutBuilding Permit 03-0607
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
jPERMITN003-lo0'7 I
(Please'!vp~ or print and siJm at bottom)
ADDRESS
5?90
f{, ~ c4N
().LJAc0nctP f(fc/WJ l,--sJ-
(J
/t} ,
c!:.t)A~a-R
ZONING (office use)
PUD
LEGAL DESCRIPTION (office use only)
LOT /fJBLOCK '- d:> ADDITION
OWNER
(Name)
I k /? /,..?
~~ //..//
/'
(Phone)
PIDdS - dC;C;-aj Cj-O
qf~ #J/7?,G"dJ
/-,- ,r-- I'
(Address)
BUILDER
(Name)
(Contact Name)
(Address)
(Phone)
(Phone)
DLower Level Finish
~eck
o Fireplace
DPorch
ORe,Roofing
ORe,Siding
TYPE OF WORK
o New Construction
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
SUbmltte~Plans I aware that the budding OffiCIal can revoke thIS permit for Just cause Furthermore, I hereby agree that the City OffiCIal or a desIgnee may
;ter up~ p ,.;:;;erform needed ':Zlons ~_ .,2/ -,tP ?
b Slgn~~ Contractor's LIcense No -- Date
I Permit Valuation 30at/ I Park Support Fee # $
I Permit Fee $ 53.z.., I SAC # $
I Plan Check Fee $ S-4.11 I Water Meter Size 5/8"; 1 "; $
I State Surcharge $ 1.S"0 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 $
\ Sewer & Water Permit Fee $ I Other $
I Gas Fireplace P~nnit Fee $ I TOTAL DUE $ 136.8,-
tJ)Cti /1 . (
,- ~,
Becomes Your Building Permit ~ /<>S for..... 0;'::> I Receipt No, U45W1
Date. -r-_"'ll-h.j By , /'U j
'l-/O1 J U
Building 0
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 Cor all inspections (952) 447-9850, Cax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake. MN 55372
Residential Building Permit Checklist
Deck Addition~ to Single F amily Hom"~
BY
Date
d)-,~/-()3
~g90-Z~dl?,'*Jr
Subdivi5ion:
Bui]dingP~rmit It-
Site Addre55
PID:
Legal: L B
Ex.i~tillg Structure: YES or NO
CONFORMS TO ZONING
ORDI.'-iANCE
I"ES
NO
I Yard Setback>: NOT APPLICABLE
. MEETS CODE
- Side Yard
(2j' if abutting a street, 30' if abuttmg a street in
Cardinal Rid"e)
Side Yard
Requirement
Proposed
10'
I.
I-
10'
IS'
~S-l I
~4111
Re:ll' Yard
2Y
- T ownhOl1S~S
Must be consistent with
approved pl:lIl for
development
--
ANY PROPOSED DECK NOT L'iI:EETlNG THE ABOVE CRlTERlA MUST BE REFERRED TO THE
PLAl'il'lll'iG DEPARTL'iI:ENT, ALSO, ANY DECK ON A LOT WITH A SUSPECTED BLUFF, OR ANY
OTHER l!NUSU,U CIRCUMST,~"'CE MUST BE: REFERRE.D TO THE PLA.NNING DEPARTL'iI:ENT,
THIs CHECKLIST "ruST BE COMPLETED AND INCLUDED 11'1 THE BUlLDlNG PERil'IlT FlLE TO
MAlNTAlN A RECORD OF THE REV1EW,
L :'TE\lPLA. IE" D E C:<,I,~HCK.~OC
PRIOR LAKE
INSPECTION
RECORD
SITE ADDRESS --.fi rtf' .. I t:A ~ "T"...
TYPE OF WORK ~/1:. -.
USE OF BUILDING !!i1F
PERMIT NO, -P" {PO"-- DATE ISSUED 5-~/-0"3
BUILDER -JLANr -- ~~ PHONE # <./117- 3"0'
NOTE: THIS IS NOT A PERMIT FORANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF
BUILDING AND INSPECTION
INSPECTOR
DATE
I FOOTING I IW I ?-'f.'lf1
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
I FRAMING I VW/ I I /' {'t~(f}
,
,
/ /..?/ /6S-
,
I FINAL
/ft4',
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (952) 447-9850
,
,
DATE
.-0~-'
~r~9~ C/j~~ / /L~~
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
OWNER
CONTR.
PHONE NO,
PERMIT NO,
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
.....,e--FiNAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
L3:;:rL
COMMENTS:
/"
/
/~;I '1
;
/
/0/
V' 1<..
/
f//tr ~
\~I Jt..
'---..
~/
rilL)
TIME
C3 - c o~
o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE Rl
o FIREPLACE FINAL
o GASLlNE AIR TST
o
~
""
)
./
----
~ORK SATISFACTORY, PROCEED
~RRECT ACTION AND PROC ED
o CORRECT WORK, CA EINSPECTION BEFORE COVERING
Inspector: j~er/Contr:
,
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
INSNO"
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!