HomeMy WebLinkAboutBuilding Permit 03-0946
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
1, /1. 0 ]
J. White
2 Pink
J. Yellow
File
City
Applicant
I PERMIT NO. O?.r'9L/?1
./
(Please tvo~ or orint and sign at bottom)
ADDRESS
f'-l'fS"1 Dwe:;. 6wrT N,e.
Pr,'1!Jr L.A.k. #I"; rr372-
I ZONING (office",,) I
LEGAL DESCRIPTION (office use only)
LOT / BLOCK ~ADDITION <<~CJ.b U; / I :5: 7PL-
PID ,.;(5<-3108" 03;)-0
cjr__e) 'ffZ -7'1;:tb.,
("t!et{ ) ~, Z - 72
I
)t?jf- of J)tJ.WrII Ylille~rlJJ
OWNER
(Name)
(Phone)
.
(Address)
BUILDER
(Name) - ~I~
(Contact Name)
(Address)
(Phone)
(Phone)
~
pl.fJeck
TYPE OF WORK
o New Construction
DPorch
ORe-Roofing
DAlteration
ORe-Siding
DLower Level Finish
o Fireplace
DAddition
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 upon the property to perform needed ~s.
X 1;eJJ.- W/L.-~ / 1-"'-0';)
. . .. 15~ature Contractor's License No. Date
#(//)~,IJ(') I
, ~7-ZS I
~'3,U I
Z.OO I
I
I
I
I
I
$
$
$
$
$
$
$
$
$
Park Support Fee
SAC
Permit Valuation
Permit Fee
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
I Mechanical Permit Fee
I Sewer & Water Permit Fee
I Gas Fireplace Permit Fee
#
#
$
$
$
$
$
$
$
$
I Water Meter Size 5/8"; 1";
I Pressure Reducer
I City SAC and WAC
I Water Tower Fee
I Builder's Deposit
I Other
I TOTAL DUE
#
#
I (p?- if(.,
~lj
/f2--~
7 1'1 03
lytNO'
This Application Becomes Your Building Permit When Approved
Paid
Date
~~
-2P7fr3
Date
Building Official
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 F:lll1ily Home~
r
BY.~ ~J~
Date
" 'l'/
'/- /7-00
BujldingP~rmit II
Site Addre~~
PID:
Legal: LIB .3
/?/?lSI
Zoning:
DOPE- (1 f
s-'~
Subdivi~ion: ~t7d r./ /::...'--
E.Ij~til1g Structur@r NO
CONFORMS TO ZONm'C
ORDINANCE
0L~
NO
I Yard Sotback,: NOT ,~PLlCABLE
. MEETS CODE
. Side Yard
(2j' ifabuttlllg a street, 30' If abuttmg a street in
Cardinal Ridge)
Side Yard
R~quirem~nt
Propo,ed
10'
I'
i.
10'
20'
toz'
4:31
tJA-.
Rear Yard
7 "
-~
, To,mhouses
Must be consistent with .
approved plan for
development
ANY PROPOSED DECK NOT L'>lEETI.1"{G THE ABOVE CRlTERlA MUST BE REFERRED TO THE
PLMiNING DEPARTi'vlENT, ALSO, Al'fY DECK ON A LOT W1TH A SUSPECTED BLUFF, OR Al'fY
OTHER l!N1ISU.U CIRCUi'vlST.""'!CE MUST BE RKFERRED TO TElJ': PLA.NNU'!G DEPARTi'vlENT,
THIs CHECKLIST t-IfUST BE COMPLETED AND INCLUDED Ii'! THE BUILDING PEfu)I1T FUE TO
t-IlAll'I1'Al!"{ A RECORD OF THE REVUW,
L:-'TE~'JIPLA IE'. DE C:<..',~BCX..JOC
PRIOR LAKE
INSPECTION
RECORD
SITE ADDRESS '''''S} [)OtJf:.. (7:+
TYPE OF WORK ~k.
. USE OF BUILDING 51=-
PERMIT NO. tJ 3- ~ DATE ISSUED "'-/7. OJ . _
'BUILDER~ TbI'~~~IA~ PHONE".l-7_3.. OD&>~
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF
BUILDING AND INSPECTION
INSPECTOR
DATE
'FOOTING I I~;V/ I ~r_~/o?
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
, FRAMING I JIIIV I S- - }-+4)
I FINAL
I rif' I /~;;;h~----'
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (952) 447-9850
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
14</5/ ~ (/j.
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULA TI9J:! \
;!FINAL (,,).e<e
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
(.eS~
~
h~s..e..rc::.,
1
/
DATE TIMe
~(t6"
~-6r'-/y
o EXIGRADlFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
~RK SATISFACTORY, PROCEED
o COR~ ~ .ION AND PROCEED
o CORrECT K, CALL FOR REINSPECTION BEFORE COVERING
Inspec >r: ' Owner/Contr.
C ~85Q FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE,
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH ,{ SAFETY!
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