HomeMy WebLinkAboutBuilding Permit 03-0491
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
(Please o/l?~ or orint and sign at bottom)
ADDRESS
/'/ f toLj
LEGAL DESCRIPTION (office use onty)
LOT
BLOCK
ADDITION
OWNER
(Name)
1Jl1~ G&@~
t7
(Address)
BUILDER
(Name)
(Contact Name)
(Address)
TYPE OF WORK
Date Rec
~i~~' ~:;y I PERMIT NO. /f 3- j} t7 V
Yellow Applicant (/ I -,
~'b-UJ f'lf-
I ZONING (officeu,,) I
PID
(Phone)
(plY 7~~-S--81)-7/)61
, .
(Phone)
(Phone)
o New Construction
DAlteration
ODeck
DPorch
ORe.Roofiog
ORe-Siding
DUtility Connection
o Misc.
DLower Level Finish
PROJECTCOST/VALUE (exdudingland) $
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
;teruP1/lJ;Z7Z.'J erformoeedediospections. o/k~j,"J
'/ I" // / Signature Contractor's License No. D6.te
Permit Valuation r 7~(!) jYJ. () 0 I Park Support Fee # $
("if, 2..'5 I SAC # $
4'5.01 IWaterMeter SizeS/8";!"; $
..... I Pressure Reducer $
,. '-'0
I City SAC and WAC # $
I Water Tower Fee # $
I Builder's Deposit $
I Other $
I TOTAL DUE $ 'If/I~. L~
i 115". 2.1.-
"f/~/tJ3
Permit Fee $
Plan Check Fee $
State Surcharge $
Penalty $
Plumbing Permit Fee $
Mechanical Permit Fee $
Sewer & Water Permit Fee $
Gas Fireplace Permit Fee $
o Fireplace
OAddition
This Application Becomes Your Building Permit When Approved
~ l' ,lJ~.
Building Official
'II;;. 'I 103
Paid
Date
Af7.R-'",
, -~..h.
..~-
Receipt No.
Bv Il'.
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
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 Aveoue Prior Lake, MN 55372
Residential Building Permit Checklist
Deck Additions to Single Family Homes
BY ~~~
Building Permit #
Site Address
Date ll/ OJ 9 ~a3
Pill: / ;Zoning: - '.1 b;A ~ a r
/ t!1W! 'U~~7 .
Legal: L
B.
Subdivision:
Existing Structure: YES or NO
CONFORMS TO ZONlliG
ORDNANCE
YES
NO
I Yard Setbaeks: NOT APPLICABLE
. MEETS CODE
- Side Yard
(25' if abutting a street. 30' ifabuttmg a street in
Cardinal Ridge I
Side Yard
Requirement
Proposed
10'
I -
I-
10'
d0(
OUee. Z.Sl-
'-IS'
tJ'"
Rear Yard
)"'
-~
. Tovvnhouses
Must be consistent with
approved plan for
development
ANY PROPOSED DECK NOT ('v[EETING THE ABOVE CRITERIA MUST BE REFERRED TO THE
PLAl'<1'fll'lG DEPART1HENT, ALSO, Al'IY DECK ON A LOT WITH A SUSPECTED BLUFF, OR Al'IY
OTHER CNUSU..u. CIRClfMSTA.NCE MUST BE REFERRED TO THE PLAi'{N1J.'{G DEPARTl\-[ENT.
THIs CHECKLIST MUST BE COMPLETED AND INCLUDED IN THE BUILDING PERL "liT mE TO
MA.lN1'AIN A RECORD OF THE REVIEW,
L :',TE?'1IPLA IE" DE CKCHCK.DOC
PRIOR LAKE
INSPECTION
RE ORD
SITE ADDRESS -1.!:I.1..t.!i .:nl ~-r
TYPE OF WORK -De.c.~
USE OF BUILDING -.5~ .
PERMIT NO. O~- I DATE ISSUED i../- -~ :1
BUILDER ~ '.f"ve.V PHONE #1J,J.. S~O- ibU
NOTE: THIS IS NOT A PERMIT FO~ ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF
BUILDING AND INSPECTION
INSPECTOR
OATE
l FOOTING I l!vV I 5-1G,~U7
, PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
~ I I
I FINAL
~ [fig I~/~/~
Call between 8:00 and 9~OO A.M. for alllnspectlO./s ---J
FOR ALL INSPECTIONS (952) 447-9850
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS jjJ(1LlIO........,..,~'t1-)
OWNER CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSU'+{~ONC
.a"FINAL~
o SITE tNSPECTlON
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMME"NTS:
I. ~tvrV\ ~
(I-I......L~l )
'-
-Iv .[-;;'~+
Ok feu_Vi~
DATE TIME
~
"3 - (/?(
(
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FtNAL
o GAS LINE AIR TST
o
o WORK SATISFACTORY, PROCEED
~ORRECT ACTION AND PROCEED
o cornR CALL FOR REINSPECTION BEFORE COVERING
Inspe or. Owner/Contr:
6 r(jso FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/
lNSNOTJ