HomeMy WebLinkAboutBuilding Permit 03-0857
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Date Rec' d
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
ADDRESS
SS3lo ""'\G.14?OINTE: CT: SE.
LEGAL DESCRIPTION (office use only)
1. White
2 Pink
3 Yel\ow
File
City
Applicant
\ PERMIT NO.03 - e5 'it
ZONING (office use)
,(IJ if f)
LOT -"J BLOCK
PID ,;l ~ - '3 '1 s- -
OWNER
(Name) GRA\G. ~ ~\~\L"'{~ At-l'l"Ol'l
(Address)
(Phone)
ClS2 -44' - se2-8
BUILDER
(N ame)
(Contact Name)
(Address)
(Phone)
(Phone)
TYPE OF WORK
o New Construction
~Deck
OPorch
ORe-Roofing
ORe-Siding
OUtility Connection
OLower Level Finish
o Fireplace
PROJECT COST IV ALUE (excluding land) $ 1:700
o Addition
o Alteration
o Mise,
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
exnterupon the p~:form >>e~
~/~.r . (,-2.lD-O"3.
Signature Contractor's License No. Date
Permit Valuation r:9tJoo, ~ 0
Permit Fee $ teFI. z, S
Plan Check Fee $ '-IS, 0 I
State Surcharge $ Ie DO
Penalty $
Plumbing Permit Fee $
Mechanical Permit Fee $
Sewer & Water Permit Fee $
Gas Fireplace Permit Fee $
This Application Becomes Your Building Permit When Approved
~ ;p;.;;1-
Building Official
6(2- 7(03
Date
Park Support Fee # $
SAC # $
Water Meter Size 5/8"; 1"; $
Pressure Reducer $
City SAC and WAC # $
Water Tower Fee # $
Builder's Deposit $
Other $
TOTAL DUE $ //5. Uo
I ~a:~ Ilt?f7,?
\ ~;ceiEtf:!l;jf50
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 BuildingPerrnit Checklist
Deck Additions to Single Family Homes
BY~?~
Date
~ _ Q '7 -<~..>6
Legal: L -5 B
/
Subdivision:
Zonmg:
~5:5 (;:, ))lAjl;;i7!Latf
t~ if7~:Jf0 :;-j-t-
BuildingP~rmit .:#
Site Address
Pill:
E.1isting Structure: ~or NO
CONFOR}IS TO ZONING
ORDINANCE
NO
Yar.d Setbacks: NOT APPLICABLE Requirem~nt Proposed
MEE'TS CODE
. Side Yard 10'
(25' if abutting J. stret:t. 30' it' abutting a street in I~I
Cardinal Ridge)
. Sidt: Yard 10' to I
-h>LL ~ ,
II....
. Rear Yard 7 -.. Lj{p
_J ( -
. Townhouses Must be consistent with
approved plan for NA
development
.'-\.1'lY PROPOSED DECK i'lOT l'iCEETli.'1G THE ABOVE CRlTERlAMUST BE Ri:.FERRED TO THE
PLAl'l1'ffi.'1G DEPA.RTl\If.ENT. ALSO, ANY DECK ON A LOT WITH A SUSPECTED BLUFF, OR A.NY
OTHE.RL'N1JSUA.l.. CIRCtIMSTA.:.'KE MUST BE R.E.FERRED TO TBI Pl.A.i.'f1'fL.~G DEPA.RTl\If.Ei'lT.
THIs CHECKLIST JYIUST BE COMPLETED Al'fD INCLUDED Li.'1 THE BUILDLi.'1G PER.:.'VllT FILE TO
l\i'lAll'ITAlL'1 A RECORD OF THE Ri:Y1EW.
L: 'T'E)J!I'U.. IE 0 E O".'::nO::'.'oOC
PRIOR LAKE
INSPECTION
RE RD
SITE ADDRESS 5' 3 ? <:...
TYPE OF WORK !) e~
USE OF BUILDING SF
PERMIT NO. 03' ~"
.
BUILDER a,
NOTE: THIS IS N A PERMIT FOR ANY OF THE INSPECTIONS BELOW
. THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF
BUILDING AND INSPECTION
DATE ISSUED t-. ~ 7- ~3
DtJ PHONE # 1.111'7- sr-*
INSPECTOR DATE
I FOOTING I l/l.lf' I ]~/J.,-o,>
PLACE NO CONCRETE UNTIL ABO~HAS BEEN SIGNED
I FRAMING I vW' I 7<>/"0)
I FINAL I I
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (952) 447-9850 I