HomeMy WebLinkAboutBuilding Permit 03-1168
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec'd
r 4-. OJ
; ~i~:' ~:;y I PERMIT NO. tJ3 _//1_ 0. I
3. Yellow Applicant (p {)
z.-/~1
(Please tvDe or orint and SiIDl at bottom)
ADDRESS /4453
I I
ZONING (office use)
K::.Z-
WAY
(/11JTl-66/7/C
NrI/
LEGAL DESCRIPTION (office use only)
LOT 2-feBLOCK I ADDITION t1010owvr&K/
PID 25. 384- oz.". 0
OWNER
(Name) SHJ:/NNOJJ' ~ST().P/'7CJ:':.. e-lrU:..Dc.U-.-1
(Phone( 9.f21 o%~. ?;.'.(/ L
.ef tlfU..- -61Z,. 94-0. -4:54q
(Address)
BUILDER
(Name)
(Contact Name)
(Address)
(Phone)
(Phone)
TYPE OF WORK .
~Deck
o Fireplace
o New Construction
OPorch
OAddition
ORe-Roofing
ORe-Siding
DLower Level Finish
OAlteration
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. 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
enter upo prope perform needed inspections.
9'- Y'03
Contractor's License No. Date
Park Support Fee # $
SAC # $
I Water Meter Size 5/8"; I"; $
I Pressure Reducer $
I City SAC and WAC # $
I Water Tower Fee # $
I Builder's Deposit $
I Other $
I TOTAL DUE ~ A\A..8/;> q.4-.0? $ 1'38:6'("
/...5,.:! & If
f Paid I ReceipVNo. 1'"5 z.. 7~
Date lftP-.Ol By /l._
" 0
Signature
#'3000, an I
$ 83.'2.-S"' I
$ SY.tl I
$ I.i;;O I
$ I
$ I
$ I
$ I
$ I
I Permit Valuation
I Permit Fee
I Plan Check Fee
I State Surcharge
I Penalty
I Plumbing Permit Fee
I Mechanical Permit Fee
I Sewer & Water Permit Fee
I Gas Fireplace Permit Fee
This Application Becomes Your Building Permit When Approved
~fficia(~ J/-if7
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.
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
Planning Director
Residential Building Permit Checklist
~
Deck Addition~ to Single Family Home;
BY~,
,
-1~ Date '7/~/Q3
Building Permit .#
Site Addres~
Pill: Zoning:
Legal: Lc)tO
B I
Subdivision: ~U~
E-listing Structure~or NO
CONFORMS TO ZONING
ORDINANCE
YES
NO
I Yard Setback~: NOT APPLICABLE
. MEETS CODE
- Side Yard
(25' if abutung a street_ 30' ifabutting a street in
C ardinal Ridg~ I
Side Yard
R~quirem~nt
Propo,"d
10'
,-
10'
II-\,
L-/3'
d),7/
- Rear Y:ud
)-.
_J
. TOl.j~nhouses
Must be consistent WIth
approved plan for
development
NA
ANY PROPOSED DECK NOT M:EETlI'IG THE ABOVE CRlTERlA MUST BE REFERRED TO THE
PLANNll'iG DEPARTi'Yl:Ei'lT. ALSO, ANY DECK ON A LOT WlTH A SUSPECTED BLUFF, OR ANY
OTHER UNlJSU..u. CrRClfMSTANCE MUST BE: RHERREDTO TH:E PL\.NNll'fG DUARTLYl:ENT.
THIs CHECKLIST /llIUST BE COMPLETED AND lI'ICLUDED li'f THE BUlLDlI'IG PER.~liT mE TO
MAlNTAlN .-\ RECORD Of THE REVIEW.
L;,TE::vlPL...\.TE', DE CKCHCK.DOC
..
PRIOR LAKE DEPARTMENT OF
. BUILDING AND INSPECTION
INSPECTION
RECORD
SITE ADDRESS /4-4-5:S C!1{/L66A7E. WA1j
TYPE OF WORK Df5(!L.
USE OF BUILDING /2.F..-S /1/1<..
PERMIT NO. f)3 - / /~8 I DATE ISSUED CJ. 4-_ 03
BUILDER G!/lK..Df:- /.A.// PHONE # (,f2...840. 4-54"1
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
I FOOTING \) lr, I ~ I Cf/#/m
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
I I
I FINAL
()Jc.1 {yt3
',0f~
FOR ALL INSPECTIONS (952) 447~9850
"
,
,
l~~ lCkJL.l~r~2
~;J)M
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS /(f(/6~
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
~~NSU~~ /
IHAL C
o SITE I SPECTION
COMMENTS:
SCHEDULED
OA TE nME
'1'l7/c6
...,
(!~~:r ~,/
PERMIT NO. ? - 1/ (.8
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RJ
o FIREPLACE FINAL
o GASLINE AIR TST
o
~\ \C)
/
'f-~
~
o WORK SATISFACTORY, PROCEED
~ CORRECT ACTION AND PROCEED
o CORRECT ,A FOR REINSPECTION BEFORE COVERING
Inspecto . Owner/Contr.
C LL 44 ~ FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
wuu frQUlREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTl