HomeMy WebLinkAboutBuilding Permit 03-1082
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
1. White File I PERMIT NO -?).
2. P;.' c;~ . /T:::l _ 1/'10
3. Yellow Applicant L/VI 11/(')
~"';;;s~Prin;;f:altOm) WOOD OUC!-IC
LEGAL DESCRIPTION (office use only)
LOT ~3lLOCK I ADDITION / J)~
OWNER
(Name)
(Address)
6,q,e4
- ~
BUILDER
(Name)
(Contact Name)
(Address)
TYPE OF WORK
~..... b~V"j
o New Construction
~eck
o Fireplace
o Misc.
OLower Level Finish
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 b1Je and correct. I also certify that I am the owner or
authorized agent for the above-mentioned property and that all construction will confonn to all existing state and local laws and will proceed in accordance with
submItted plans I am aw~ the building official can revoke this pennit for just cause. Furthermore, I hereby agree that the city official or a designee may
;teruPol}'\'e:,_vY~"J top {(:::::x::ns g II ~ / O?,
./ d Signature r Contractor's LIcense No. Date
l(S~a,DO 1
8'3.25 I
9-1.1/ 1
J. 'SO 1
I
I
1
I Permit Valuation
I Permit Fee
I Plan Check Fee
State Surcharge
Penalty
I Plumbing Permit Fee
I Mechanical Permit Fee
I Sewer & Water Permit Fee
I Gas Fireplace Permit Fee
$
1$
$
$
$
$
$
$
This Application Becomes Your Building Permit When Approved
Zu-l ~J;,LJ
Building Official
r/Is/o:s
Date
-ord
(Phone)
(Phone)
(Phone)
OPorch
ORe-Roofing
I ZO$20fficeu~) I
PID;)S- 3'37-tJd)3-0
9c~-~-~!~r
ORe-Siding
\
oAddition
OAlteration
OUtility Connection
#
$
$
$
$
$
$
$
$
$
I =; ~ . t;~
.,,4)
1 Park Support Fee
I SAC
I Water Meter Size 5/8"; 1";
I Pressure Reducer
I City SAC and WAC
I Water Tower Fee
1 Builder', Deposit
1 Other
I TOTAL DUE
I Paid
I Date
r-'J f(, If ~ _
~-i6-U..=;J
#
#
#
I ReceiPtNo,U'5
Bv fJ-
This is to certify that the request in the above application and a_~..............ing 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 bour notice Cor all inspections (952) 447-9850, Cax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake. MN 55372
Residential Building Permit Checklist
Deck Addition.:! to Single Family Rome.:!
BY
~~~
Building 'Permit 1*
Site Address
Pro:
Date f -/5-03
3'3 Li 6 td,:;;;= cJ tLdC j J-.
Legal: L
B.
Subdivision:
E:tisting Strul1:ure: YES or NO
CONFORMS TO ZO~1NG
ORDINANCE
I'ES
NO
[ Yar.d Setbacks: NOT A.PPLICA.BLE
. MEETS CODE
. Side Yard
(25' ihbutting OJ. street. 30' if abutting a street in
C ardin:ll Ridge)
I' . Side Yard
. Rear Yard
Requirement
Proposed
10'
10'
,('/
~A
'-f"? I . I
~t\.
25'
. Townhouses
Must be consistent with
approved plan for
development
ANY PROPOSED DECK NOT MEETING THE ABOVECRlTERlA MUST BE REFERRED TO THE
PLAJ"fNIi'lG DEPARTMENT. ALSO, ANY DECK or; A LOT WITH A SUSPECTED BL(JFF, OR AJ.'IY
OTHER U!'<lISU,.u CrRCL~lST.""'1CE i\!lUST BE REFERRED TO THE PLA1'ffllNC DUARTi\!I:ENT,
THIs CH:ECKLlST iYIUST BE COMPLETED AND INCLUDED 11'1 TH:E BUUDING p~'InT FILE TO
MAINTAIN A RECORD OF THE REVUW.
L:'TBiIPLA TC-DE CKCHCK.DOC
~.. ,"
. ,
.~...'
".- '. <.;
:.... .
. .~: ""~' ~., . ,
.
PRIOR LAKE DEPARTMENT OF
BUILDING AND INSPECTION
INSPECTION
RECORD
SITE ADDRESS 3111'. ~ IAL ~I:-
TYPE OF WORK QJ;.L!'-
-,,-
USE OF BUILDING SF
PERMIT NO. .tJ 3. tJl ~ DATE ISSUED 8, 15". 3
BUILDEAG- ." PHONE~. '3~ri"
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
-1.. _CTOA DATE
I FOOTING IDe I {(' l L, I '7<$'
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
I~ I I
IWi
I FINAL
. v
I?'?~
........
,
I
,
FOR ALL INSPECTIONS (952) 447-9850
.
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
~R
OWNER
PHONE NO.
[] FOOTING
[] FOUNDATION
[] FRAMING
[] INSULA~ION
INAL
~rrE IN ECTIO
COMMENTS:
DATE TIllE
SCHEDULED ~ -2~.() f
l...mJ ('LAc
CONTR.
PERMIT NO,
"< -/687,
[] PLUMBING RI
[] MECH RI
[] WATER HOOKUP
[] SEWER HOOKUP
[] PLUMBING FINAL
[] MECH FINAL
[] EXlGRAOIFILUNG
[] COMPLAINT
[] FIREPLACE RI
[] FIREPLACE FINAL
[] GASLlNE AIR TST
[]
~RK SATISFACTORY, PROCEEO
[] CORRECT A ON NO PROCEED
[] CORRECT RK OR REINSPECTION BEFORE COVERING
Inspector.
Owner/Contr.
F R THE NEXT INSPECTION 24 HOURS IN AOVANCE.
ENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
/NfNOTl