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HomeMy WebLinkAboutBuilding Permit 03-0169 (Please tyoe or nrint and sim at bottom) ADDRESS /1-/4 q I CITY OF PRIOR LAKE BUILDING PERMIT, TEMPORARY CERTIFICATE OF ZONING COMPLIANCE AND UTILITY CONNECTION PERMIT I. White File 2. Pink City 3. Yellow Applicant Date Rec' d eJ- II~ 63 I PERMIT NO. 03 ~ I (pq ~ ZONING (offic,",,) AI /Qj,-;-l-tVC;Ct..jp~ cL i / U LEGAL DESCRIPTION (olliee use only) LOT(~BLOCK3 ADDITION K:AJOh OWNER D -J S (Name) 'eLfJ '1 /.{ e- (Address) BUILDER (Name) (Contact Name) (Address) TYPE OF WORK G/lhe rT o New Construction o Misc. DLower Level Finish PROJECT COST IV ALUE (excluding land) $ r..- f/-i II R, I ., PID,:}.5 - 3G.d -0 d- q -() (Phone) t/tftf 31Jds--' (Phone) (Phone) ~eck o Fireplace OPoreh OAddition ORe-Roofing DAlteration ORe-Siding DUtility Connection 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 1-'....1-'....) 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 ,e 1-""'1-'-") to perform ne ed inspections. X ~{.{;J1 if. '. w;-J:-, I Permit Valuation I Permit Fee Plan Check Fee State Surcharge Penalty I Plumbing Permit Fee I Mechanical Permit Fee I Sewer & Water Permit Fee I Gas Fireplace Permit Fee $ $ $ $ $ $ $ $ "3,)..()b f/O ?Is ..L,( 54./{ ( .5-0 Th1<<tio{JEom Building p::ten;;roved Building bfficial Date 17g',~(, '_'::) 1-1r-. '1 I ReceiotNo, '1:-:,J' 1 60 Bv ~~'./ Contractor's License No. Park Support Fee SAC # # ,-.7- it - ()S ,.. $ $ $ $ $ $ $ $ $ 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 :::;/i!tJt {l};;;:n'tiID'" a "mpo'~ C~mca" ;:o;:g_:~lim" md illow, cO"'R;;;m~::;" oc;~:~::;' ofOccupmq mu" ~ Planning Director 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 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 fJu/~ I Paid~ /.7}(r t;~ Date :J. - / J," .~ # # 2-'2..-03 Residential Building Permit Checklist Deck Additions to Single Family Homes (h;L~ Legal: L '3 B '3 '7 Date: d- - //- 0 0 PID: _ Zoning: 7 /~L/7/. .(;2tflt~1#4 ~ SubdivIsion: t nub ,'; H/ / I BY: Building Permit # Site Address Existing Structure: YES o~ ~ CONFORMS TO ZONING ORDINANCE ~ NO Yard Setbacks: NOT APPLICABLE MEETS CODE Requirement Proposed . Side Yard (25' if abutting a street, 30' if abutting a street in Cardinal Ridge) Side Yard 10' 4q' I . \. Rear Yard 10' 41' 4G' V14 25' . Townhouses Must be consistent with approved plan for develooment ANY PROPOSED DECK NOT MEETING THE ABOVE CRITERIA MUST BE REFERRED TO THE PLANNING DEPARTMENT. ALSO, ANY DECK ON A LOT WITH A SUSPECTED BLUFF, OR ANY OTHER UNUSUAL cmCUMSTANCE MUST BE REFERRED TO THE PLANNING DEPARTMENT. THIs CHECKLIST MUST BE COMPLETED AND INCLUDED IN THE BUILDING PERMIT FILE TO MAINTAIN A RECORD OF THE REVIEW. L:\1EMPLA 1EIDECKCHCK.DOC .. PRIOR LAKE INSPECTION RECQR SITE ADDRESS --1-JIJl!IJ TYPE OF WORK ~ USE OF BUILDING -5_F PERMIT NO. 0.3 - O&tJ DATE ISSUED BUILDER~ Gi Iher T- PHONE # NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT DEPARTMENT OF BUILDING AND INSPECTION ~alr INSPECTOR DATE T I FOOTING I /M./ I L+i{J PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED I _'&'1. .'" I I I FINAL mIl I f1!r 1/110106 Call between 8:00 and 9:00 A.M. fdt all inspection, / FOR ALL INSPECTIONS (952) 447-9850 CITY OF PRIOR LAKE INSPECTION NOTICE SCHEDULED ADDRESS 'L/.~i( JJ+t~ ~~-l l-~C~R. OWNER PHONE NO. PERMIT NO. o FOOTING 0 PLUMBING RI o FOUNDATION 0 MECH RI o FRAMING 0 WATER HOOKUP P . INSULA TION 0 SEWER HOOKUP ~FINAL 0 PLUMBING FINAL o SITE INSPECTION r 0 MECH FINAL COMMENTS: t:e{ ~ DATE /$ l1IIE ~ Ie, 1 I o EXIGRADIFILLING o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GASLINE AIR TST o D PROCEED LL FOR REINSPECTION BEFORE COVERING Inspector: Owner/Contr: CAJl44~FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. INSM>" CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH .I SAFETY!