HomeMy WebLinkAboutBuilding Permit 03-0439
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
i/_/S-DJ
I. White
2 Pink
3_ Yellow
File
City
Applicant
I PERMIT NOO3- Lf39
(Please.!\'Pe or mint and sign at bottom)
ADDRESS
3'1/// j,;'OX/A/L-r~,4//~
ZONING (office use)
I?/
LEGAL DESCRIPTION (office use only)
LOT fJ BLOCK i-, ADDITION
(/ lPJu;/VY]CMYJt) /~f-
PIDas- 3/](...-O~3-C>
OWNER
(Name) /7-111///;7
~7".t.~_ /.4?/
(Phone) '74:'-'
..;';..?./.' fiK~t.-
(Address) M/.o
~/' x;::;'//._ 77?'-A/L
?ft//)~
./ .-../#KL
BUILDER
(Name) U/ ,.//Oi.V/."'?>/'?
(Contact Name)
(Address)
u~;.:;
(Phone)
(Phone)
TYPE OF WORK
o New Construction
plDeck
o Fireplace
DPorch
ORe-Roofing
ORe-Siding
DLower Level Finish
DAddition
DAlteration
OUtility Connection
o Misc.
PROJECT COST IV ALUE (excluding iand) $
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 u~~pe ~orm needed inspections.
X ,J.._.k~ ///J.AM ij- 15'-03
- Sigoature - Contractor's License No. Date
/
I Permit Valuation ~3ooo. 00 I Park Support Fee # $
I Permit Fee $ A'2.. Z.S I SAC # $
I Pian Check Fee $ 5'-/. I I I Water Meter Size 5/8"; 1 "; $
I State Surcharge $ (. C:;o 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(1ftlIf' rl L-{- 11-3 $ 13 9,cl~
This Application Becomes Your Building Permit When Approved Paid 0//40 ftb I Receipt No. tL-f(/ /1
~ .:;'~ -///(, /0.3 Date iF... rJ... 0. 'I By /v<I .-
rr
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 hour notice for all inspections (952) 447-9850, tax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
Building Permit #
Site Addres~
Residential Building Permit Checklist
~
Deck Addition~ to Single Family Homes
Date !J - I S- -0 ::3
PID~L/la 1V.iIJ:i:!
BY
Legal: L 7
B (,..
Subdivision: W~: ~.
Tr--
I~
E.!i~ting Structure: YES or NO
CONFORMS TO ZONING
ORDL"iANCE
crn:~
NO
I Yard Setbacks: NOT APPLICABLE Requirement Proposed
MEETS CODE
- Side Yard 10'
(25' if abutting a street. 30' if abutting a street in I
Cardinal Ridge) ID Pu...-.. .
I . Side Yard 10'
~
,- Rear Yard 7 o. J
-~ -
ZC;'+-
- Townhouses Must be consistent with
approved plan for tJ~.
development
ANY PROPOSED DECK NOT ['vi:EETING THE ABOVE CRITERIA MUST BE REFERRED TO THE
PLAl'Irfli'iG DEPART['vi:EN'f. ALSO, Al'IY DECK ON A LOT WITH A SUSPECTED BLUFF, OR At'iY
OTHER UNUSUAL CIRClIMSTAt'iCE MUST BE REFERRED' TO THE PLAJ.'iNING DEPARTl\'i:ENT.
THIs CHECUIST ",ruST BE COMPLETED AND INCLUDED [1'1 THE BUILDING PER..VUT FILE TO
MAlNl'A.Ll'l A RECORD OF THE REVUW.
L:",TElvIPLA IE" DE CKCHCX-.DOC
..
PRIOR LAKE
INSPECTION
RECORD
SITE ADDRESS !3 410 F ~ " I T \0-
TYPE OF WORK ~L. ~
USE OF BUILDING SF'
PERMIT NO. 03-. L( .,~ DATE ISSUED (./-1'-0"3
BUILDER DJi.ui~,.G.A.I PHONE#~~'" ~gf(S'
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 'v) / I / P1) I S-'C
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
I FRAMING I I
I FINAL I H;J 1/-/0 fij
-
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (952) 447-9850
-;'1>-oL.( N.f- ~
~'---,~_._-~._. '--~'-"---'"
-, _'_"'W"'_"~'_~_"__,.~____,__"", _,.u_
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS 34/0 .f;;\t ~t;.:" ~
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
~FINAL
tJ SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
IlL. AFrD.('("
( 'I - 4 ~: /
rL~ . - v?
jL?~ TIME
)4'7/
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
--"WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORR(!2SC RK, CALL FOR REINSPECTION BEFORE COVERING
Inspec\o . / ) OWner/Conlr:
CA ~ FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
.
IN&NOTl
CODE REQUIREMENTS A.RE FOR YOUR PERSONAL HEALTH'" SAFETY!