HomeMy WebLinkAboutBuilding Permit 03-1434
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
I. White File
2. Pink City
3. Yellow Applicant
Date Rec' d
PERMIT NOeO!_/ t-fs LJ
(Please type or print and sign at bottom)
ADDRESS ~ 5" \ /> \t \J \M. Vv\ \ '(5 b,,,;) -k-- \ N 5 .
Pes "\ 0 y- L~\<..e..-
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
OWNER
(N ame)
PPt N \Z{-\S <;;; \ N ,\ A
'-\s \") thJ ~~\ U \;::n~~
(Address)
BUILDER
(N ame)
(Contact Name)
(Address)
TYPE OF WORK
~eck
o Fireplace
o New Construction
OLower Level Finish
o Misc.
ZONING (office use)
PID 25. 349. 66. 0
to,
(Phone) 9 S 2 ' -:l.. s'S - \ 74 5?
Nb . ~ Y-;crl ~\~
(Phone)
(Phone)
o Porch
ORe-Roofing
o Addition
OAlteration
PROJECT COST IV ALUE (excluding land) $
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 p~a 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
;rer upon ili rop~~~nn CZ:\'fctions
- ~ature Contractor's License No. Date
I Permit Valuation
Permit Fee
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
fsQ()Q,o ()
$ t3 'S. z...s;
$ S-Lf. II
$ I, ':;0
$
$
$
$
$
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
This Application Becomes Your Building Permit When Approved
~p~
Building Official
Id/~~!dJ
f Date I
Park Support Fee
SAC
#
#
$
$
$
$
$
$
$
$
$ /38,8fo
Receipt No. ~<:;q /1
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 Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be
issued.
'Water Meter Size 5/8"; I";
Pressure Reducer
City SAC and WAC
'Water Tower Fee
Builder's Deposit
Other
TOTAL DUE
#
#
Planning Director
Date Special Conditions, if any
24 hour notice for all inspections (952) 447-9850, tax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
Paid
Date
I~r.~(,.
-~/o3
Res ide uti a I B uiI din g Perm it C he ckl is t
Deck Additions to Singl~ Fanlily RomeoS
BY:
~
~
4S-1 7
Date )0 /~ 1 Ie '3
Pill:
~~ Ia(.
Subdivision:
Building -P~rmit #
Site Addres$
. Zoning:
Legal: L
.a
Existing Structure: @or NO
CONFORj)IS TO ZONl1'iC
ORDIN~.\.NCE
I~S
Yard Setback~: NOT A..PPLICA..BLE
~lEETS CODE
R~quirem~nt
· Side Yard
(25' if abutting J. street 30' if abutting a street in
Cardinal Ridge)
· . Side Yard
10'
10"
· Rear Yard
25'
· Townhouses
iVlust be consistent with
approved plan for
develop ment
NO
Proposed
,
45
27
. ,
5~
tJA-,
ANY PROPOSED DECK NOT M:EETING THE ABQVE CRlTERlA~{UST BE REFERRED TO TH:E
PLA1'fNlJ.'IG DEP...\.RTIHENT. ALSO, ANY DECK ON A LOT ,V1TH A SUSPECTED BLUFF, OR ANY
OTHER UNUSUAL CIRCtfMST...u"iCE lYIUST BE R.E.FER.RE.D TO T.ffE. PLA1'iNING DEPARTlV(ENT.
THIs CHECKLIST JYrus~ BE COMPLETED Ai'll) INCLUDED 1.1.'4' THE BUll.DlNG PE::Rl'VUT FILE TO
~1AlNTAl1'f A RECORD OF THE REVIEW"
L:;TE~'1{PLA IE' 0 E CKCHCK.DOC
" . ''-.
.." ".~;("
.. >/
PRIOR LAKE
INSPECTION
RECORD
SITE ADDRESS L/St? ~~.t~~:O Ta.I.
TYPE OF WORK . ~E;"'-J ~ I(.. - '"'~ ~S · 2~
USE OF BUILDING -S .~ O.
PERMIT NO. 03 -{ Lf 3 t-( DATE ISSUED J c{-z.,~ ~3
BUILDER /AJJU:S Sitl tt~ PHONE ~.t31.r7't
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 W (L. ~ 119 (2? Uf3'
PLACE NO CONCRETE UNT'IL ABOVE HAS BEEN SIGNED
FINAL
tlvyJ
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (952) 447-9850
S'- ;1. ~ -0<'/
I
. , &. .. .
,
\
\
I
--
-
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDUl.ED
ADDRESS
i-I[t7
/t-uJM H'l (141 j6~-1
. .,;
OWNER
CONTR.
PHONE NO.
PERMIT NIO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION/) 'IL
. FINAL // t'-
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FIN,AL
o MECH FINAL
COMMENTS:
~
/" .
/ / /1G7-'-
/ I J(/~,-
\ ~
"'---
DATE TIME
'Z -IlL .() (,(
I
j.-(t{SL(
o EXIGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
-~
/~ ~
)
/
~
------
t..".... I! .#
7 ! '-{
~ORK SATISFACTORY. PROCEED
o CORRECT ACTION AND PROCEED
o CORRECr:/?~FOR REINSPECTION BEFORE COVERING
Inspector: ~ Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTI()N 24 HOURS IN ADVANCE.
l/lfSNon
CODE REQUIREMENTS ARE FOR YOUR PEllSONAL HEALTH & SAFETY!