HomeMy WebLinkAboutBuilding Permit 03-0637
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec'd
.6 -- ~-03
(Please tyDe or orint and sign at bottom)
ADDRESS
J 4~ G Y Cv0 Hey".k
;~;~~. ~::y I PERMIT NO. 1)2_ /3--7
3. Yellow Applicant :; ~ 1\
Clh "
I
HlA) . (1'''1/ L~
AI'!
I I
ZONING (office use)
1t~
LEGAL DESCRIPTION (office use only)
r
LOT!LJBLOCK / ADDITION~ U~
PIDdS- 3,fL! -01'-1 ~ V
OWNER
(Name)
(ok bhie. JIlCk<,i,..~ ()H1-V v4/LCfCuyu",
I ~4(;1.{ GN~<,..k' ~,..v, J..j VV
(Phone)
a, or tl ~ /-1/'-1
q)'Z''ill)- 7n1
)~n7Z
(Address)
BUILDER
(Name)
(Contact Name)
(Address)
(Phone)
(Phone)
TYPE OF WORK
o New Construction
~eck
o Fireplace
DPorch
DAddioon
ORe-Roofing
DAlteration
ORe-Siding
DLower Level Finish
DUtility Connection
o Misc.
PROJECT COST IV ALUE (excluding land) $
I hereby certify that I ha
authorized agent for a
submitted plans. I
enter upon th~ pro
/
/;
ffilshed mfo~on on thIS apphcanon WhIch is to the best of my knowledge true and correct I also certIfy that I am the owner or
ve'~IVP"'Hi and that all construction wIll conform to all eXlstmg state and local laws and wIll proceed m accordance With
t dmg 0 lal can revoke thiS permit for Just cause Furthermore, I hereby agree that the City OffiCial or a deSignee may
dedI os ~l )
~ ':) LY, {j;l
srgnature COInractor's License No. Date
x
I Permit Valuation :J..n-oO ,- Park Support Fee # $
I Permit Fee $ (~9,J5' SAC # $
I Plan Check Fee $ US ,01 I Water Meter Size 5/8"; I"; $
I State Surcharge $ 1-00 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 $
I Sewer & Water Permit Fee $ I Other $
I Gas Fireplace Permit Fee $ I TOTAL DUE ~ 5.~f, .03 $ 1/5,d--b
/\
This Application Becomes Your Building Permit When Approved Paid //~ .7# I ReceM'No. -r~Zt:V
~. ~~-S:~3 Date r:.7--q D 7 I By....L-...
()
Building Official 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
Date Special Conditions, if any
24 bour notice for all inspections (952) 447.9850. fax (952) 447.4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
Residential Building Permit Checklist
Deck Addition~ to Singj~ F amily Home~
BY'(J)Vl.~~C
~-z"()1
Date
.6-- c:? g-Oo
/./I/~ Lf ~8etZ. ~
. Subdivi~ion: 1V\E1\ Dew ,j/SN
Building Permit #
Site Addre~s
Pill:
Legal: L IL.( B.
\
E-!i~ting Structure: YES or NO
CONFORMS TO ZONIl'''-G
ORDINANCE
YES
NO
Yard Setbacks: NOT APPLICABLE
MEETS CODE
Requirement
10'
Proposed
(
2-"5
{'"2..1
U?f r
NA.
. Stde Yard
(25' ifabuEting a stree!. 30' ifabuttmg a street in
Cardinal Ridge)
I" . Side Yard
I' Rear Yard
. T O\vnhOtIst:s
10'
, ..
_J
Must be consistent W1ID.
approved pla.n for
development
ANY PROPOSED DECK NOT MIETING THE ABOVECRlTERlA MUST BE REFERRED TO THE
PLAl'<1'fli'lG DEPA.RTiI'fEi'lT. ALSO, ANY DECK ON A LOT WITH A SUSPECTED BLIIFF, OR AL'IY
OTHER UNUSUAL CIRCUMSTANCE t'iIUST BE REFERRED TO THE PLA..'IT'I1.'lG DEPARTl'Y1:ENT.
THIs CHECKLIST MUST BE COMPLETED AND INCLUDED 11.'1 THE BUUDli.'IG PERMIT FILE TO
t'iJAlNTAIN A RECORD OF THE REVIEW.
L'TEvil'L,", IE, 0 E CKCEGCJ()C
..
PRIOR LAKE DEPARTMENT OF
BUILDING AND INSPECTION
INSPECTION
RECORD
SITE ADDRESS I!L"'" (?~4i-e.. IJJdlJ
TYPE OF WORK ~It- - ..J ~
USE OF BUILDING sF
PERMIT NO. ~ DATE ISSUED 5" -;t Cj. 0-3
BUILDER · eV PHONE # C/YS- 7SS'
NOTE: THIS IS NOT A PERMIT FOR Ally OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
I FOOTING I f:"~ I 6/?-ftt 1A13 I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
~ FRAMING I I J
'---- -&:.--FOe..E AtJl( 'DEer-:... ""BDA1e.OS /lcrl..E- /f"fPI-1'tD ) J
I FINAL I yf7- J/1z7 If5\.. I
Call between 8:00 and 9:00 A.M. for alllns~ctlon'
FOR ALL INSPECTIONS (952) 447-9850
-
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS B'1 (At.!
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
f1)NSULA1.l0tlr.
~INAL l...&J..\....
o SITE INSPECTION
COMMENTS:
DATE
SCHEDULED I~
0QJ~ ~~/
CONTR. ill 0
PERMIT NO. "3 - f.1 "57
TIME
o PLUMBING RI
lJ MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
---.........
~
/WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o COR~' CALL FOR RElNSPECTION BEFORE COVERING
Inspectol Owner/Contr.
CA. . -9850 ~HE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE R~TS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNO"