HomeMy WebLinkAboutBuilding Permit 03-0596
(Please.!VIle or Print and sign. at bottom)
ADDRESS
172- {J I
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
t/VI{/O~J
LOT
BLOCK
LEGAL DESCRIPTION (office use only)
ADDITION
OWNER
(Name)
(Address)
BUILDER
(Name)
(Contact Name)
I. White File
2 Pink City
3_ Yellow Applicant
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(Phone)
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g I \I r,{A ,v-h>~
Bvt-VY\S V ,I \.L
(Phone)
(Phone)
,~ I
bV\NY1'=>" II L
(Address) i +4-DV
TYPE OF WORK
o Misc,
f;LW'i
o New Construction
,
~
o Fireplace
DPorch
ORe-Roofing
Date Rec'd
.s:-,t 9. Of
/I
p
i'
l
I PERMIT NO. cff - OS;-7'{; I
ZONING (office use)
PID zs-. 370 -O"7J
,,,.' ,
YI'-, ,
440-11::'0
DLower Level Finish
DAddition
DAlteration
PROJECT COST IV ALUE (excluding land) $
t-'tt-->
~ ~30 <.P
ORe-Siding
OUtility Connection
~ I uvO
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 y..vY.....J to perfof}O, ~eeped inspections, I !
X . \.?aJl..1i Ush)'{)J~ 1A ./ 2>Dl-llY \ lO S I ''I C~\
Signature - r . Contractor's License No, Date
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
$
$
$
$
$
$
$
$
1000 IJj!
8'1.lf
P1.!l-
I,~
Th~JPjca~ jcomes Your Building perm: When Approved
I fWfA V~ ~ - M.{}:J
BuU&llg Official Date
Park Support Fee
SAC
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 t'~
Paid j:J'Y - ~ b
Date .c:. 7: <j 0 s
# $
# $
$
$
# $
# $
$
$
5. -z.,I.cJ 'l
ReceiP(~'
By Y"
U
/]~ ""
-r" "Z'i!J "2---
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
~::n~ bYfjIooncr ooMtiw<es a t'mpor~ Ccrtifi""; ::o;PliOO" and allows 72:~:n to co~n" ;:ocruP;~:; of Ocrupoo~ must b,
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
Residential Building Permit Checklist
Deck Additions to Single Family Homes
(tt.l. f!L. Date: ~/.M-6
BY:
Building Permit #
Site Address /, J.-o I
PID:
Wi/~-voU'iS C /7lIVl
Zoning:
Legal: L
7
B
/
Subdivision:
Oet'/AI J
Existing Structure: YES or NO
CONFORMS TO ZONING
ORDINANCE
0J
NO
Yard Setbacks: NOT APPLICABLE
MEETS CODE
Requirement
Proposed
- Side Yard
(25' if abutting a street, 30' if abutting a street in
Cardinal Ridge)
I- Side Yard
,- Rear Yard
- Townhouses
10'
/7 f
10'
td(
t1s (
25'
Must be consistent with
approved plan for
development
f1 (,J-
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 CIRCUMSTANCE MUST BE REFERRED TO THE PLANNING DEPARTMENT.
TIns CHECKLIST MUST BE COMPLETED AND INCLUDED IN THE BUILDING PERMIT FILE TO
MAINTAIN A RECORD OF THE REVIEW.
.
L:\TEMPLA TEIDECKCHCKDOC
"
PRIOR LAKE
INSPECTION
RECORD
~ t;J.
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS
TYPE OF WORK ""
USE OF BUILDING A/~
PERMIT NO. ~SUED -5: ~ ';-~
BUILDER PHONE #
NOTE: THIS IS NOT A PERMIT FOR ~NY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
I FOOTING I flI"V? I ~-).'1-o>
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
I I
I FINAL
)JJf-
, .
/ /.J7/oS'
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (952) 447-9850
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
//;20/
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
~ INSULATION
_ f'lHAL
o SITE INSPECTION
COMMENTS:
/1 /
P'ec.k.
DATE nile
SCHEDULED ~~S--
~ / cf:, '7'1erS' C -rC-
CONTR.
PERMIT NO.
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
t2?-J'Y.6'
o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
/J ;/ /'
(' O/~#/e T€-.
/
~
~ -
(rJ~se
///
/f /r'
~
))
/
--
AORK SATISFACTORY. PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FO EINSPECTION BEFORE COVERING
~
Inspector:
Owner/Cont,
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH 4 SAFETYI
INSNOTI