HomeMy WebLinkAboutBuilding Permit 03-1101
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
(Please .!.VP~ or print and siJm at bottom)
ADDRESS
/5<1/(/ UlES /
1/ r/€-
,
LEGAL DESCRIPTION (office use only)
LOi),! BLOCK
Date Rec'd
i ~i~:' ~:;y I PERMIT NOIJ'.:;L. /10 I
3. Yellow Applicant :J
ZONING (office use)
-p IS))
ADDITION
PIo:;)S-OI./~-()IJ- 6-
OWNER
(Name) (? f( A-c ,.....
~ -
(Address) /6<) i/
elf / S H 0 t...-jl11
Wz-~' T /!t/E'
BUILDER
(Name)
(Contact Name)
(Address)
TYPE OF WORK
(':2.) ~eck
o Fireplace
o New Construction
DLower Level Finish
tl~
(Phone)
j)/f'fcJlZ .1.. ,4/({?
cj J2-L'/Q7- :fiX9/
/f/f d .363' 7t?Z
(Phone)
(Phone),
OPorch
OAddition
ORe-Roofing
ORe-Siding
DAlteration
DUtility Connection
PROJECT COST IV ALUE (excluding land) $
o Misc.
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
:'e'uP/...z"~':" ,form jnspeon ~JzCJ./;;;S
(/ ,. Contractor's License No. Dal .....
'tIr3oo~.oq ~ 'J --
P,8.25$ ~ .,~
~.II $ ~ - -"'r
1.50 $ c--__
$
$
$
$
$
I Permit Valuation
I 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
This Application Becomes Your Building Permit When Approved
~ fk, '1lJ-; P/2.D(O-;l
Building Official
Date
I Park Support Fee
I SAC
I Water Meter Size 5/8"; 1";
I Pressure Reducer
I City SAC and WAC
Water Tower Fee
$
$
$
$
$
$
$
$
I~EVi1ro $
#
#
#
#
Builder's Deposit
Other
I
I
.~
I Receil't.No. .4<~,ft1
BV&'J-'-~
TOTAL DUE
I Paid ~~l\"."
IDate ~~
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
Z4 hour notice for all inspections (952) 447-9850, fax (952) 447-4Z45
16200 Eagle Creek Avenue Prior Lake, MN 55372
Residential Buj]ding Permit Checklist
De(k Addi(ion~ to 5ingj~ FJmil-y Homes
BY ~ ?-~p
Date
F-;JO-3
/31,f'-1- ZZOMf"~
Building Permit .iI'
Site ,~ddre~o
PID:
Legal: L
B
Subdivision:
EJ:isting Scyucture:cWor NO
CONFORMS TO ZONP,,'G
ORDINANCE
lIS
NO
Yo"d Setbock.:;: NOT APPLICABLE
MEETS CODE
R~quiremt::m:
- S,de Y,o.rd
(2j' if abutting a street. 30' if abutting a street in
Cardinal Ridgel
Side Yard
10'
Proposed
(
\0
12-.( I
Lf~ r I
tJf\ '
i-
I-
10'
Rear Yard
)"
_J
. Townhouses
NIUS1: be consistent with .
approved p Ian for
develop ment
ANY PROPOSW DECK MOT (yCEETh'lC Tl-:E A.BOYE CRITERIA MUST BE REFERRED TO THI
PLAJ'il'l1l'iG DEPART(YCENT. ALSO, ANY DECK OM A LOT WITH A SUSPECTED BL(JFF, OR ANY
OTHER UT;USU,U CIRClIMSTA,'1CE MUST BE R!FE.RRED TO TH:E. PU.J.'il'I1J.'iC DEPARTl'\'CEMT.
TIDs CHECKLlST MUST BE COMPLETED A''ill INCLUDED IN THE BlIlLDINCPli::RlVllT FILE TO
LVIAlNTAli'i A RECORD OF THE REYU:W.
[... :'TC~'1O?~~j,_ IT', D E C:<".=:-::CX..DOC
PRIOR LAKE DEPAflTMENTOF
BU1LDING AND INSPECTION
INSPECTION
RECORD
SITE ADDRESS /S", 1P~t- A~
TYPE OF WORK QJ:.t..~
USE OF BUILDING ---.SF -
PERMIT NO. ~. Jt.JJ. J DATE ISSUED ~ -~-(2.3
BUILDER --'!.WA "if () lLi..sJuJ 1M PHONE #l/f.I7- ~~ 91
NOTE: THIS IS NO~A PERMIT FOR ANY OF THE INSPECTIONS BELOW
, THE PERMIT IS BY SEPARATE DOCUMENT
(,~~~G~ 0; ~ I INSPVVrI I /;TE1_J)
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
-. VY-o"'(,,~ I v'lIr' I I - 2-ot../
I FINAL
fII) I ;;./;10<
f I -
FOR ALL INSPECTIONS (952) 447-9850
OATE TIME
CITY OF PRIOR LAKE ~
INSPECTION NOTICE SCHEDULED
fA uJ-.
ADDRESS I 51 B l
OWNER CONTR.
PHONE NO. PERMIT NO. 3 - /I o(
o FOOTING o PLUMBING RI o EXIGRAD/FILLING
o FOUNDATION D MECH RI D COMPLAINT
D FRAMING D WATER HOOKUP D FIREPLACE RI
~NSULA TION D SEWER HOOKUP o FIREPLACE FINAL
FINAL o PLUMBING FINAL o GASLINE AIR TST
o SITE INSPECTION o MECH FINAL 0
COMMENTS:
. fI
c ("/~,,---0k
{J
I
\p
~RK SATISFACTORY, PROCEED
~RRECT A 0 AND PROCEED
D COR ECT K CALL FOR REINSPECTION BEFORE COVERING
OWner/Contr:
98~OR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
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CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH 4 SAFETY!
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