HomeMy WebLinkAboutBuilding Permit 03-0575
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CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
,-} .2. -n
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION n_ IJ
'FINAL t/"Cuc....
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
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DATE TIME
J - S-7~
o EXIGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
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~K SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT ~A~~ F~Ri5~Srlj:'ON BEFORE COVERING
Inspector: -Y!!-f'/ 7 Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
INSNOTl
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH &; SAFETY!
Date Rec' d
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
(Please type or print and sign at bottom)
ADDRESS
/71..73
M /t1L/t>r ,P/ t..'W/
l-IVr
~.~i~~e ~:;y I PERMITNO.03_57S.~
3. Yenow Applicant
f. ~~
ZONING (office use)
R;;;z
LEGAL DESCRIPTION (office use only)
)
LOTLtJBLOCK ~ ADDITION ~
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OWNER
(Name)
;r '" ,f J L 1-'-
/1114/ qt.,-~I/V
~
PID~S"'3!a- 6cJ.B-C
(Address) /7;t 7 ., M,-?.€-../H/~' '-l.A:J l---If-'- ~~-
(Phone)
9~.t'-^ '-r7'7 JC? 7
BUILDER
(Name)
(Contact Name)
(Address)
TYPE OF WORK
o Misc.
o New Construction
OLower Level Finish
(Phone)
(Phone)
~ck
ORe-Roofing
ORe-Siding
o Porch
PROJECT COST IV ALUE (excluding land) $
o Fireplace
DAddition
OAlteration
OUtility Connection
$
$
$
$
$
$
$
$
f(13"0, . It)
~7. 90
3/,/5
." S-
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
enter upon the ~perty tV'erform needed inspections. . __ / /
X I~ ~~ J //J#}
Signature Contractor's License No. Date
Permit Valuation
Permit Fee
Plan Check Fee
State Surcharge
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
~ 7~1f-J 5/;~/A~
Building Official
,
Date
I Park Support Fee # $
I SAC # $
I Water Meter Size 5/8"; 1"; $
I Pressure Reducer $
I City SAC and WAC # $
I Water Tower Fee # $
I Builder's Deposit $
Other $
TOTAL DUE IAt\W"Y) , .( <. .0 J $ 71. to s
I Paid '79. ~ tJ ReceipJo. .,-.,-Z/" Z-
I Date S-' /(p. 0 ~ By~ .
U
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
BY~ ~/>
Residential Building Permit Checklist
<-
Deck Addition:l to Singl~ Family Homt::s
..5-/q~0-3
Date
Building 'Permit #-
Site Addre:s~
Pill:
/1o?7Jg:fJ1~
Subdivi,ion: ~ -lib- LJJ
Legal: L lOR dJ....
Existing Structure: YES or NO
CONFORl\IS TO ZOI'rn'rG
ORDINANCE
xIS
NO
Yar:d Setbacks: NOT A.PPLICABLE
MEETS CODE
Rt:quirement
Proposed
· Side Yard
(25' if abutting a street, 30' if abutting a street in
Cardinal Ridge)
· . Side Yard
10'
I
10'
· Rear Yard
25'
· T o~vnhollses
Must be consistent with
approved pl:m for
development
~_.~
ANY PROPOSED DECK NOT i';CEETlNG THE ABOVECRlTERlA MUST BE REYERRED TO THE
PLAi'iNlJ.'fG DEPARTi';CENT. ALSO, ANY DECK ON A LOT WITH A SUSPECTED BLUFF, OR Al'fY
OTHER UNUSUAL CIRCUMSTA.NCE MUST BE REFElUlin TO THE. PLAi'fNli'iG DEPARTlI;CENT.
THIs CHEC.KL1ST NIUST BE COMPLETED Ai'ID LNCLUDED Il'i THE BUILDING P.E:&YUT mE TO
MAl.N1'AlJ.'f A R.E CORD 0 F THE REVIE W .
L:'TEvlPLA IE"' D E O:'CHCXDOC
~
PRIOR LAKE
INSPECTION
RECORD
SITE ADDRESS J 1~'13 ~..c.I;J LN
TYPE OF WORK '[),-c..J:-
USE OF BUILDING 5 F 1+
PERMIT NQ... tl3- ~ _ DATE ISSUED
BUILDER HkSS/!,J) JlbJd.e"'$O~ PHONE # 1./'1"1- 3" 77
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF
BUILDING AND INSPECTION
INSPECTs:lR DATE
, FOOTING I lIW I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
, FRAMING I I
, FINAL
tI1;J//
1- }. (/()">
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (952) 447-9850