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HomeMy WebLinkAboutPermit 03-0487 Oversize Survey CITY OF PRIOR LAKE BUILDING PERMIT, TEMPORARY CERTIFICATE OF ZONING COMPLIANCE AND UTILITY CONNECTION PERMIT Date Rec'd I. White File 2. Pink City 3. Yellow Applicant 4/d-R~?:> I PERMIT NOi'1-i-L/t'l I (Please'!vpe or print and sien at bottom) ADDRESS / "76>36 c <; L.u/U,"S eJ- -r- 'J I .r?:::U ZONING (office use) K/SD LEGAL DESCRIPTION (office use only) LOT ~LOCK I ADDITION (l~r/sl/cs 1c:;1- PIr9S.... / {; ~ eooz.:-o OWNER 1/ J (Name) ----/:!l.- DA!J$,"" I I ~ J 703 () , <itA AJS toT (Phone) 447- ~/t)B 44S-Cj&/j"K (Address) --r::kJ41L Sid pJ, BUILDER (Name\ (Contact Name) (Address) Sap (Phone) (Phone) TYPE OF WORK o New Construction ~Ck o Fireplace DPorch ORe-Roofing ORe-Siding OLower Level Finish OAddition DAlteration o Misc. PROJECTCOSTfYALUE (excludinglaod) $ /5'00 Dutility Connection cO - 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 autllorized agent for ve-menti ed property and that all construction will conform to all existing state and local laws and will proceed in accordance with submitted pI s. am awar that uiIding official can revoke this permit for just cause. Furthermore, 1 hereby agree that the :ity )ffiCial or a designee may ;terupo e t e 'nspections 4/;;19./0::5 Signature Contractor's License No. 'Date I Permit Valuation 1100 0..2 I Park Support Fee # $ I Permit Fee $ ;- 4/~ I SAC # $ I Plan Check Fee $ )7 !J I Water Meter Size 5/8"; 1"; $ I State Surcharge $ ,51 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 $ (pq. B_ Jptrfj'5"J ~ T~ati~our Building Pennit When Approved Paid I ~~cei7j'/ tJ<:/;'O '; Lt ~ .11-0 3 Date '6)~ 1-0 -1 v 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 ::::~ the~onStirut" a tempo'~ Cmificate ~:n;~';m;lim" and allows cQ::~ to ';:" :::pm~~=~:~;oupan~ must be 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 Building Permit II Site Address Residential Building Permit Checklist ~ Deck Additions to Single Famil'V Homes (/A/a ~ Date jJ~ a7~()O . /-?()3;O~-r..:l--t- PID: BY Legal: L 2 B Subdivision: Existing Structure: YES or NO CONFORMS TO ZONING ORDINANCE ~ ~ NO : Yard Setback.>: NOT APPLICABLE MEETS CODE R~quirement Propo,ed . Side Yard (2j' if abutting a street. 30' if abutting a street in Cardinal Ridge) Side Yard 10' LiS""" 1 I . I . 10' SS- I. )~( Rear Yard ) .. -~ . Townhouses Must be consistent with approved plan for development /114 ANY PROPOSED DECK NOT L\![EETlNG THE ABO\'E CRlTERlA MUST BE REFERRED TO THE PLAL'iNING DEPARTMENT. ALSO, AL'iY DECK ON A LOT WITH A SUSPECTED BLUFF, OR ANY OTHER l!NUSU.U CffiCL'MSTA.NCE MUST BE REFERRED TO THE PLAJ.'1NING DEPARTL\![ENT. THIs CHECKLIST "'LUST BE COMPLETED AND INCLUDED Ii'! THE BUILDING PERc';UT FILE TO MAlNTAli'i A RECORD OF THE REVIEW. L :",TElvrPLA IE, D E CKC}iCK.DOC .. PRIOR LAKE INSPECTION RECORD SITE ADDRESS /'7030 5U/II..f6T l/Vllt.- TYPE OF WORK . j;:J G tiC- . USE OF BUILDING IU3s /+/IL PERMIT NO. ()J ~ D tfBt DATE ISSUED 5 . 1- 03 BUILDER /JOUfJ;ilb PHONE# 4-47/~(08 NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT DEPARTMENT OF BUILDING AND INSPECTION INSPECTOR OATE , FOOTING I /1/}// I S~-o-;;, PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED :I~.I;:"'~ I I , I FINAL /~ I .2/..z~/as- Call between 8:00 and 9:00 A.M. for all inspections FOR ALL INSPECTIONS (952) 447-9850 DATE Tlue SCHEDULED ~ 5e./~e-1 fr'/ CITY OF PRIOR LAKE INSPECTION NOTICE ADDRESS /7020 OWNER CONTR. PHONE NO. PERMIT NO. o FOOTING o FOUNDATION o FRAMING o INSULATION ~NAL o SITE INSPECTION o PLUMBING RI o MECH RI o WATER HOOKUP o SEWER HOOKUP o PLUMBING FINAL ;:z;Z COMMENTS: ~. / ~n"l/ A/ CJ /f' cY..? -~Y7 o EXIGRADIFILLING o COMPLAINT o FIREPLACE RJ o FIREPLACE FINAL o GASLlNE AIR TST o .......-::::::::==c==--- // . "\ /:;/' //"-2/ ') 1/ /6j-€ // r"'_ / C _____/ hORKSATIS;ACTORV, PROCEED /J ~ORRECT ACTION AND PROCEED o CORRECT J'~/~R REINSPECTION BEFORE COVERING Inspector: F ~ / _ Owner/Contr: -- CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE, CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY! INSNOTI