HomeMy WebLinkAboutBldg Permit 03-0517
(Please'!ype or print and sign at bottom)
ADDRESS
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
/L/SL/1
G"h 1Yle-
I. White
2 Pink
3. Yellow
File
City
Applicant
UJ
LEGAL DESCRIPTION (office use only)
LOT-'::?BLOCK'7 ADDITION~c1 P~iT q7::J:
(
OWNER
(Name)
'l),,(J" L-
(Address)
BUILDER
(Name)
(Contact Name)
(Address)
TYPE OF WORK
OM!sc.
()/e/I-c
o New Construction
~eck
o Fireplace
(Phone)
(Phone)
(Phone)
OPorch
OAddition
ORe-Roofing
OAlteration
Date Rec'd
I PERMIT NO. 03- 6/71
I I
ZONING (office use)
PIA(;'jJ
OLower Level Finish
PROJECT COST IV ALUE (excluding land) $
PID ~S- ::J/5'09"h7
C;Sd- 'IL/S". r(p / Y
t/ I Z - 7} ~ /8:'f'7lA.J
ORe-Siding
OUtility 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 e that the building official can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may
;ter upon the t/::;:e:wlt~ 5 '~-o 3
Signature Contractor's License No. Date
! Permit Valuation
! 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
$
$
$
$
$
$
$
$
3()(!Jt)".-
<l3.;}S
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This Application Becomes Your Building Pennit When Approved
~ ':{JI~ S-/..2/03
Building Official Date
Park Support Fee
SAC
I Water Meter Size 5/8"; 1";
I Pressure Reducer
I City SAC and WAC
I Water Tower Fee
I Builder's Deposit
I Other
I TOTAL DUE
I Paid ;p /. -1K~ (6
I Date' :5 /' f.- ().:::!,
#
#
$
$
$
$
$
$
$
$
#
#
$/3fK,(,e7
" . __A I
I Receipt No. U t1 ,?U./O
Bv '?)
This is to certify that the request in the above application and accompanying documents is in accordance with the City Zoning Ordinance and may proceed as requested. This document
when signed by the City Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be
issued.
Planning Director
Date Special Conditions. if any
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Ptior Lake. MN 55372
Residential Building Permit Checklist
~
Deck Addition~ to Single F amil)' Home~
BY~
~
i~
Date 5- ;(-{)'C>
/;;51f1- xtJ~nin~ttJ
Building Permit #
Site Addre~~
Legal: L
'R
Subdivi~ion:
Existing Structure: YES or NO
CONFORMS TO ZONTh'G
ORDINANCE
YES
NO
Yard Setback..;: NOT APPLICABLE
MEETS CODE
Requirement
Proposed
. Side Yard
(2j' ifabUttJ.t1g ,,"street. 30' if abutting ,,"street in
Cardim! Ridge)
. Side Yard
10'
I
/3
()v87Z- /a i
,.
tnteL 25"
10'
. Rear Y,,"rd
2j'
. Townhouses
Must be consistent with
,,"pproved plJ.!l for
development
rJA.
ANY PROPOSED DECK NOT L'ri:EETING THE ABOVE CRlTERlA MUST BE REFERRED TO THE
PLA1'iNING DEPARTL'rt:ENT. ALSO, ANY DECK ON A LOT WITH A SUSPECTED BLUFF, OR ANY
OTHER UNUSUAL CIRCUMSTANCE MUST BE REFERRED TO THE PLANNING DEPARTL'ri:ENT.
Tills CHECKLIST MUST BE COMPLETED AL'ID INCLUDED 1;'1 THE BUILDING PER.c\'IIT FILE TO
MAINTAIN A RECORD OF THE REVIEW.
L:'TE,,,lPLA TEDECKCHCX.DOC
PRIOR LAKE
INSPECTION
RECORD
Ut/f .s '" 0 ~ e. L"..;
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS
TYPE OF WORK
USE OF BUILDING JSF
PERMIT NO. 0'1- 51'1 DATE ISSUED 5- ~.O"3
BUILDER h/,,"'e 0JeJI-tt-. PHONE ~~.-n$. 1f4/~
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
, FOOTING I I/I),P I ~ ---'1 ~
CE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
I I
, FINAL ~ I 'f/~r
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (952) 447-9850
DATE TIME
SCHEDULED ~~
/ .
S~ r t<> L:-r e.
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
/Y'Sy:r
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
~L
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o ~H FINA~
~C/C
COMMENTS:
-----
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4?-S/7
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RJ
o FIREPLACE FINAL
o GASLlNE AIR TST
o
~
N BEFORE COVERING
Inspector:
OWner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
'N$NQn
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH .{ SAFETY!