HomeMy WebLinkAboutBuilding Permit 03-0593
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
~/9, e
(Please tvo~ or orint and sien at bottom)
ADDRESS
36 (,5
L-~ h'11V'GN r!:T
White File !PERMIT NO I
~;;l:w f;;uom, 1- .~s-0593
I I ZONING (offic,",,) I
LEGAL DESCRIPTION (ollice use only)
LOT 7 BLOCK
I ADDITION
PID 25-37/- OD7-d
OWNER
(Name)
Mil r\<- ol'Yi \<Lu-~
1701/ 6 ILilk~ WrAVI"-'"
'R-j\ 6-
e\-.
(Phone)
952-- i.;~..::> - 1'17-1.07
(Address)
BUILDER
(Name)
(Contact Name)
(Address)
(Phone)
(Phone)
TYPE OF WORK
o New Construction
~ecr
o Fireplace
DPorch
DRe,Roofing
DRe,Siding
DLower Level Finish
DAddition
DAlteration
DUtility Connection
o Misc,
PROJECT COST IV ALUE (excluding land) $
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 loca11aws 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 1"":::'''~ perform n~;e_di~s~ections.
X ~/:>. 241 ,f--fZ.i1W A:' , 5" - t q --0:.::>-,
I. Signature - Contractor's Lc.cense No. Date
I Permit Valuation riI;~D, 00 I Park Support Fee # $ /" ----
I Permit Fee $ 6'3, zs I SAC # $
I Plan Check Fee $ 61./ I I , I Water Meter Size 5/8"; 1 "; $
I State Surcharge $ \. 50 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 $ /3l? r't.
(/
1~'._7A"7
This Application Becomes Your Building Permit When Approved
I Paid
I Date
/3l::',eu
5/t:j,n'?
~ +~I-- ~9~:r
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
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 Checklist
Deck Additions to Single Family Homes
BY:
~ ;::;ta.Jl~
Date: 5//'7/0']>
Building Permit # PID:
Site Address .3;, S L..J4.,e.e v./ ~ aT;
Legal: L 7 B / Subdivision:
Zoning:
,
Existing Structure: YES or NO
CONFORMS TO ZONING
ORDINANCE
YES
NO
I Yard Setbacks: NOT APPLICABLE
MEETS CODE
Requirement
Proposed
" Side Yard
(25' if abutting a street, 30' if abutting a street in
Cardinal Ridge)
Side Yard
10'
I"
I"
10'
39
Lf3'
Rear Yard
25'
I
100
" Townhouses
Must be consistent with
approved plan for
development
tJ. it,
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 TEIDECKCHCK.DOC
..
PRIOR LAKE DEPARTMENT OF
. BUILDING AND INSPECTION
"
INSPECTION
RECORD
SITE ADDRESS 30hE LA~ /-I/J1/6,;-J U
~PEOFWORK I/~
USE OF BUILDING ~S' /f/~
PERMIT NO. 03-0593 I DATE ISSUED 5, JCJ, O~
BUILDER ~F2A/e;p, PHONE# 4zh)-eZtRZ-
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
I FOOTING I 1;1/P I .t:; /30. 0 1
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
~LC {~&M.o~ Ake- ~Plte, tvc ~ tj.::X I
JANAL I
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
S6(QC)
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
~NSULATION
INAL
o SITE INSPECTION
COMMENTS:
DATE TIME
SCHEDULED ~~
~ 0+
CONTR.
PERMIT NO.
~.- ifR,
y
o EXI~D/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
( ,/1 /)4
c.G<'~ ~ 1-t /0
~WORK SATISFACTORY, PROCEED
o CORRffiC CTION AND PROCEED
o CORR T RK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: Owner/Contr:
CALL~H9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE RE~UIREMENTS ARE FOR YOUR PERSONAL HEALTH .l SAFETY!
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