HomeMy WebLinkAboutBuilding Permit 03-0461
Date Rec '.
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
q'lease we or print and sign at bottom)
I ADDRESS
.3t;. 'i;t finC -r.~.: \
1f;.~. \
4-11-03
; ~;~:' ~:;y I PERMIT NO. O? -0 "/~ / I
3. Yellow Applicant :> ..., {t7'
P..r",,:+ f'.J.~
~~.::!.
- ~
02 - , Ll7L.}
LEGAL DESCRIPTION (office use only)
LOT 17 BLOCK ,;;I. ADDITION \1-l.,.;~ kr1 ,yJ
OWNER
(Name) Wt"'~M >>c...-..., T1I\r_
(Address) I ~ Pl,,::LA. Df-.'--e S,.....,.1.:
BUILDER
(Name)
(Contact Name)
(Address)
Sa.vv-e
Dc"j
TYPE OF WORK
o Misc.
0.:::.
R.
o..loo.v-e
c.,,,vv-J
I I ZONINGCoffi"u,,)
PID;z.S - 385 -osc;.'Q
(Phone) 4:--:.:: I ) LJt'lc" - 4'ioCJ
Ec..:J~'f\ M\J 5<=;1.2::>.
~oo
(Phone)
(Phone)R~) '-1'10 -L1587
o New Construction
}?JDeCk ~orch
o Fireplace DAddition
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 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 inspections.
xWe~"""
DLower Level Finish
ORe. Roofing
PROJECTCOST/VALUE (excluding land) $
I-bvw>S :CW' .
Signature
I Permit Valuation
J 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
$
$
$
$
$
$
$
$
"':'J ~.O A..~
-Ef 1?OOO. CJ()
I;,=)~. Z-S
q to. in I
'-t.OO
This Application Becomes Your Building Permit When Approved
~di~g~ffiC~ 4/Z~:.d3
1"158
Contractor's License No.
I Park Support Fee
!SAC
I Water Meter SizeS/8"; 1";
I Pressure Reducer
I City SAC and WAC
I Water Tower Fee
Builder's Deposit
Other
I TOTAL DUE
I Paid Zb5-Jb
I Date d-- z.f ~O "1
$
$
$
$
$
$
$
$
;"253 _ (03(0
, J
I ~~c(f~ ~ :i?~u
#
#
#
#
~M03
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
~::~h:_~ p{:i:a "mpo'~ Certifi':;;~:~:~" and il107i~~ t~n" =,::;:;~,~panq mu"be
Planning Director . (4 DatI! Special Condi8'ons, 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
BY: --:K.
~.(J
-::?-€J,f}1-- Date: 1/~/ /0 '3
Building Permit #
Site Address
PID: Zoning:
Legal: L / 7
B ~
Subdivision: ~ ,.. ~ __ .,;2d.AJi).
Existing Structure~r NO
CONFORMS TO ZONING
ORDINANCE
YES
NO
I Yard Setbacks: NOT APPLICABLE
MEETS CODE
" Side Yard
(25' if abutting a street, 30' if abutting a street in
Cardinal Ridge)
Side Yard
Requirement
Proposed
10'
I"
I"
10'
~. ~J.I-.....
I'
Rear Yard
25'
I'
" Townhouses
Must be consistent with
approved plan for
development
1i7Z- &0.
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.
THIS CHECKLIST MUST BE COMPLETED AND INCLUDED IN THE BUILDING PERMIT FILE TO
MAINTAIN A RECORD OF THE REVIEW.
L:\TEMPLA TEIDECKCHCKDOC
-
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONINGIFIREPLACE PERMIT
Date Rec'd
i: ~ ~~iC&n1 r ,PERMIT NOo1- t/ ~ I
(Please type ororine a.nd sic at boacm)
ADDRESS ZONING (olli" .so)
3loL./~ ~ 1..A--.
LEGAL DESCRIPTION (office .se only)
LOT
BLOCK
ADDITION
, OWNER . I I .
(Name) \_~ DO'Yn.J<D
\ .
(Address)!i9S ~D-.#cXO, ~,
PlD
(Phone) r a5/-'IO(o -0"Y'00
/?7n 5S/~;;l..
APPLICe..m: . .
(Name;U" hm\.rA.L~ l-,.o..ru"\{'~g ~ -+ S.ULI:illc~ (Phone) ~lc3-3i5-7500
(Address)CJ.::l\O Ul ~"m l nq (11 ~ 0, r:,1~Q,,~ R:_0t I'hn S.Su'L/S
. ' ;' C)"ddreSS). cJ (City)
(Contact Person) 4<'ric::;..fJ, (Phone) 'llv3-3IS-7S/G
APPLICANT SIGNATURE 7f;;-<.~ liJT'>lJi.ma.~
DATE
(Zip Code)
APPLICANT PLEASE COMPLETE BELOW
~EW CONSTRUCTION 0 REPLACEMENT 0 ALTERATIONS
FURNACE MAKE AND MODEL ~UEL
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
TYPE OF SYSTEM HEATING OR POWER PLANT
OWann Air Plants 0 Steam
OGravity 0 Hot Water
o Methanical 0 Radiation
DAit Conditioning 0 Special DCYices
OVent. System 0 Other Devices
FIREPLACE MAKE AND MODEL-1'JZcue'<2G-0 39/.3D V~;0
V
Industrial. Commercia) &. MuJtj~FamjJy
FEE SCHEDULE
1 % of job c:ost Residential, Gas Fireplace
$39.50 minimum
S99.S0
S64.S0
Residential. Heating & NC (New Construction)
Residential. Heating Only (New Construction)
Residential, Additions &t Alterations
Residential, AC Only
Estimated Cost S
Building Permit #
HEATING PERMIT FEE $
STATE SURCHARGE $ .50
TOTAL PERMIT FEE "
U.. Only) I~ [E; l~ ~ U ill l~- CJ.'
\pplication Becomes Your Building Permit When Approve ill' Paid
t PIl 2 II 2QQ3 .. -
Date
lilding ome:lal Date L.J
24 "our notice for IIIl Inspections (9S~.xn..JaJ~1 fA.. (JJ,,) .oM r u..J
PLEASE NOTE:
Air Conditionet Units
Cannot Encroac" into
Required Side Yard
Setback5
S39.5O
S39.S0
S39.S0
~~ ~.
~D.-va t.~
~G' ;;/~
~-94t/)-
Receipt No.
"1'
X~laIH~ ~~VHY~ ~IJVWOJnV
~OLOSIC~I9 XV~ CO:OI CO/~~/tO
,
PRIOR LAKE
INSPECTION RECORD
SITE ADDRESS ~ "f2. fO~ .A'l. 1"ICA,L
NATURE OF WORK ~~ "Po~H '* ""t)~ 11_
USE OF BUILDING ~.F:' A.. .
PERMIT NO. (J3-(j4h../ DATE ISSUED $Z.~103.
CONTRACTOR . PHONE~"'6"-~b
NOTE: THIS IS NOT A PERMIT FOR ANY F THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF
BUILDING AND INSPECTION
INSPECTOR
DATE
I FOOTING I
I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
FRAMING
INSULATION
ELECTRICAL
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
~~
I I ______
'/2.U/C{~
, .
HEATING
DO NOT OCCUPY UNTIL ABOVE HAS BEEN SIGNED
NOTICE
This card must be posted near an electrical service cabinet prior to rough-in inspections
and maintained until all inspections have been approved. On buildings and additions
where no service cabinet is available, card shall be placed near main entrance.
FOR ALL INSPECTIONS (952) 447-9850
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
'3,cA?
ftdx .t.~ 1
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
f;t~_TIME
--r,.
?-oC((./
i
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
~I>O ~ ~;~ ~r 'Wr(~ ~~.
(I \~l I,'; ~ ~rnJ~ ~~
/
~RK SATISFACTORY, PROCEED
o CORRECT TI N AND PROCEED
o CORREC L FOR REINSPECTION BEFORE COVERING
Inspector:
Owner!Contr:
~n FO HE NEXT INSPECTION 24 HOURS IN ADVANCE.
./
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSlWTI