HomeMy WebLinkAboutBldg Permit 03-0458
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
(Please type or print and sign at bv;;v.u)
ADDRESS
I. White File
2 Pink City
3. Yellow Applicaot
Date Rec' d
PERMIT NO. 03- LJ~
Itvl25
f1/IIIIDSO~ ~/7NC 0~
LEGAL DESCRIPTION (office use only)
LOT /ZBLOCK...3 ADDITION l'I/I/"OEJeNPC::S PO/vOS 2NZ)
PID25~- 03/-0
OWNER
(Name)
!lJJlI.v
((ache / 21 In hll1.s~
(Address)
BUILDER
(Name)
(Contact Name)
(Address)
TYPE OF WORK
~eck
o Fireplace
o New Construction
OLower Level Finish
o Misc.
ZONING (office use)
R /5.D
(Phone)
11)2 'i!ltJ-3ttftj
(Phone)
(Phone)
o Porch
ORe-Roofing
PROJECT COST IV ALUE (excluding land) $
OAddition
OAlteration
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 aware that the building official can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may
;ter ~(~ perform needed inspections. 'I /, t I/J -.::z
. Contractor's License No. I Da~
Permit Valuation l-f / (X)O w
Permit Fee $ q7 .J:F
Plan Check Fee $ '1 ,),1
State Surcharge $ J- QV
Penalty $
I Plumbing Permit Fee $
I Mechanical Permit Fee $
I Sewer & Water Permit Fee $
I Gas Fireplace Permit Fee $
This Application Becomes Your Building Permit When Approved
r'/iJ fZL 4-)..(-rIJ
Building Official Date
Park Support Fee
SAC
#
#
$
$
$
$
$
$
$
$
$
1').'1'
Water Meter Size 5/8"; 1";
Pressure Reducer
City SAC and WAC
I Water Tower Fee
I Builder's Deposit
I Other
I TOTAL DUE
-II i (,;:;'.U fr,
U-~I-Q3
I -
#
#
Receipt No. '1'-'/0 FJ
By ~
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 er constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be
issue~ikJ, L-tr ~/-d3 f2-r~j th.t O-('J( /hvtdtlU-r-
Date Special Conditions, if any
24 hour notice for all inspections (952) 447-9850, fax (95i) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
Paid
Date
BY.
Residential Building Permit Checklist
<-
III J, ;() J. Deck Addition:; to Singl~ Family Homes
f fUA V~ Date 1/- (? - rJ 3
Building Permit #
Site Address
PID:
Zoning:
Legal: L IJ-
R
s
Subdivision:
/ 0 7 ~.~ !L/~cJ;;~~
(Y0 NO
E.1isting Structure: YES or NO
CONFORi\IS TO ZONIPiG
ORDINANCE
Yard S~tback:): NOT A.PPLICABLE
MEETS CODE
R~quirement
Proposed
· Side Yard
(25' if abutting il street. 30' if abutting a street in
Cardinal Ridge)
· Sid~ Yard
10'
IJ I
10'
.20 ( .
/() 0/+
. Rear Yard
25'
· TO~'Inhollses
Must be consistent with
approved plan for
development
1l1J,-
ANY PROPOSED DECK NOT M:EETlNG THE ABOVE CRlTERiA MUST BE REFERRED TO THE
PLAl'iNli'fG DEPARTMENT, ALSO, Ai.'fY DECK ON A LOT WITH A SUSPECTED BLUFF, OR Ai.'fY
OTHER UNUSUAL CIRCUMSTAJ.~CE MUST BE REFERRED TO THE PLA1'fNlJ."i'G DEPARTM:ENT.
Tills CHECKLIST MUST BE COMPLETED AND INCLUDED lJ.'1 THE BUllDING PE.R.J.'VnT FILE TO
LVlAlNTAIN A RECORD OF THE REVIEW.
L :'TE),JPLA IE'DE CKCHCK.DOC
..,
PRIOR LAKE
INSPECTION
RECO D
SITE ADDRESS ~ .,. $Dr Uwe.,
TYPE OF WORK Dt!~
USE OF BUILDING ~
PERMIT NO. (l3- ~ _ DATE ISSUED 11- ~ I-~
BUILDER ,ilcJaeJ 2,;.. ~I. PHONE # C/1/O-31ri
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF
BUILDING AND INSPECTION
INSPECTOR
DATE
FOOTING I I~ I ,)-1-0]
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
. ~ FRAMING I I
FINAL
I
I I#A I cr/7'Z/~-.J
Call between 8:00 and 9:00 A.rI. f~~ all inspections' .
FOR ALL INSPECTIONS (952) 447-9850
DATE TIME
~
) -
472S- ~;,d~~r 4-r ~
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
)"FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MEC~INAL /"
//o(!-' r/r
. -... -
COMMENTS:
/
4~//
,
/
Ole
~-rs-o
o EXlGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
~-- .. ~
_ ( a~.K- /~.a/)
~~RKSA~TORy.PROCEED
I 0 'CORRECT ACTION AND PROCEED
o CORRECT WOJK. CALL FOR REINSPECTION BEFORE COVERING
Inspector: ~"""""Owner/Contr:
------
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
lNSNon