HomeMy WebLinkAboutBuilding Permit 03-1105
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
(Please ~e or orint and sign at bottom)
ADDRESS
Date Rec'd
8 Z I rJ3
1. White
2. Pink
3. Yellow
File
City
Applicant
I PERMIT NO. O?-/!Os-' I
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13/ 0t7B'\\Z.D /l?IAIL N.t::..,
ZONING (office use)
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LEGAL DESCRIPTION (office use only)
LOT / / BLOCK 2. ADDITION
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PID Z5 3bZ.. oz.&'. (J
OWNER
(Name) l:::::::::t..J. La H. T 0 L S()~
(Address) I'-\-z.(~ 'RLIJ17R,iZ{) IT7IAIL
A.I. t::-
(Phone) q \7 7. 3 '? 24 I L-.
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.f:=h.,n r2 UL
BUILDER
(Name) SUN STATE. C'O..0c....r;::f>T<::.,
(Contact Name) --r0'D D (,?r'I t2.iL
(Address) 27/t:> t-.,/tlTFEm;. 12D "-,u:-rF7 110
TYPE OF WORK
o New Construction
DLower L~vt:1 Finish
o Misc.
(Phone) (0)"(
(Phone)..Lo"1
(.1> ~ '3 '7 '7 I"
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1.? iA loA vJ
Ji/i..J s:'\ 1"2.. I
~
lla15eck
DPorch
ORe-Roofing
DAlteration
ORe-Siding
D Fireplace
DAddition
DUtility Connection
PROJECT COST IV ALUE (excluding land) S
1:b lo=n ~
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.
X ~.... //../c "B c... 2-00 (n 7 Lu'-t 8/-zi /6.3
Signature
Permit Valuation
I Permit Fee
I Plan Check Fee
I State Surcharge
I Penalty
I Plumbing Permit Fee
\ Mechanical Permit Fee
I Sewer & Water Permit Fee
I Gas Fireplace Permit Fee
:tI'20oc,au
$ lo~ . '2. S
$ 9'5.01
$ (,00
$
$
S
$
$
This Application Becomes Your Building Permit When Approved
~
.
-:;~
B/zl IDs
Date
Building Official
Contractor's License No. Date
I Park Support Fee # $
I SAC # $
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 ~ 9. zt,. In $ liS. Z-(p
II
I Paid / /~. ?{P Receip1f~o. 45U/
I Date 9'//-Of Bv t:-"
tJ
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, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
Residential Building Permit CheclJist
Deck Addition~ to Single Family Home~
BY. ~ -1~f--
Datt:
8. Zl tif
Building Permit # OY-IIOf PID: z.6-.3ljZ. ()z-'(P. <> Zoning: M
Site Addres~ /427.3 1St..--1/EZJ'1/2Q ~
Legal: L I ( B Z- Subdivision: K-NOfJ /ilL{..,. 4- '{Jf-
Existing Struct~r NO
'- - '
CONFOR\IS TO ZONING
ORDINANCE
I'ES
NO
I Yard Setbacks: ~OT APPLICABLE
MEETS CODE
. Side Y:ud
(25' if abutting a street. 30' lfabutting a street in
Cardinal Ridge I
Side Yard
Requirement
Proposed
10'
I .
I.
10'
1 \ I
On. 10 I
Rear Yard
2Y
I .
ov6lL 2.S
. T o....\onhouses
Must be consistent WIth
approved plan for
development
NA
ANY PROPOSED DECK NOT "'[EETING THE ABOVE CRlTERiA MUST BE REFERRED TO THE
PLAi'iNII',G DEPARTj'y[E:'IT. ALSO, ANY DECK 01'1 A LOT WITH A SUSPECTED BLUFF, OR A.NY
OTHER Li'iUSUAL CrRCt:MSTAI'ICE ;o,n.;ST BE REFERRED TO THE PL..I..i'{Nli'iG DEPARTj'y[Ei'lT.
Tills CIfECKLiST Ml.CST BE COMPLETED A,"{D INCLUDED lJ'i THE BUlLDL'IG PER.c'vllT FILE TO
MAINTAIN A RECORD OF THE REVIEW.
L:'TE:'/1PLA T2'. DEC:('~':-iCX_~(=\(
..
PRIOR LAKE DEPARTMENT OF
BUILDING AND INSPECTION
.
INSPECTION
RECORD
SITE ADDRESS /4Z73 /)(",Ut::JfI/eO 77?AIL NE:
TYPE OF WORKIJ t5 tic.
USE OF BUILDING J66S A-/IZ-
PERMIT NO. Q3 - / / oS bATE ISSUED B. ZJ 03
BUILDER .-5VIV.f777TC.- t..OlJe-E7J7S PHONE # (,9. ~8J'. 9"1/]"
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR DATE
I FOOTING I VVv' I q- 30-(/3 ,
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
~ --ll". I I
, FINAL
FOR ALL INSPECTIONS (952) 447-9850
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS /41. 7 ~ ~ uP 0^/Y> fl
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
O..lNSU~ION l
6 FINAL c.-
D SITE IN PECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
DATE TlME
?jt.J/c5
z- ~ IIOS-
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
-,
f) I< \.0
C loiJL
~~,'~
Ii WORK SATISFACTORY, PROCEED
o CORRErJPT A AND PROCEED
o CORRE WO . ALL FOR REINSPECTION BEFORE COVERING
Inspector: ~ Owner/Contr:
,
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
INSNOTJ
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH" SAFETY!