HomeMy WebLinkAboutBuilding Permit 03-0552
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
cr3~
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION 0 1/
erFINAL '-CeIL
o SITE INSPECTION
COMMENTS:
~rr~cJtIft<S
SCHEDULED
Owll1d!l
CONTR.
PERMIT NO.
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
WlaJ~
-
DATE TIME
7-~1
G(}--
tj - sa
o EXIGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
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JfWORK SATISFACTORY. PROCEED
o CORRECT ACTION AND PROCEED
o CORREC: ~O>>CALL FOR REINSPECTlON BEFORE COVERING
Inspector: n" 7 - j.( ~ Owner/Contr:_
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE..
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INS/IOTl
(Please type or print and sign at bottom)
ADDRESS
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
5-7~a3
I. White File
2. Pink City
3. Yellow Applicant
I PERMIT NO. Os -"0.552-
5SB?
Ol/er/tJt3/c rt/ r
ZONING (office use)
PUJ)
LEGAL DESCRIPTION (office use only)
LOT 1/ BLOCK
I ADDITION ~d ~/ ",;:-f-tlk- PID~S- 335 - o//-?)
, , ()
Ke; th (}nr! lJiNYl. Kl~le(
5S31o ()'_lPr \r:oK. li r. Sc
OWNER
(Name)
(Address)
BUILDER
(Name)
(Contact Name)
(Address)
TYPE OF WORK
o Misc.
o New Construction
o Lower Level Finish
(Phone) 9-52 - LJ!i/) -..~ K3?
Pr : f)\ LaY 0 m r\J 503 7 2
(Phone)
(Phone)
~Ck
o Porch
ORe-Roofing
pRe-Siding
OUtility Connection
o Fireplace
OAddition
OAlteration
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 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
;ter upo~rty to p~~pections. ..~ ill -n-~
Sig{tature Contractor's License No. Date
Permit Valuation
Permit Fee
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
I Mechanical Permit Fee
I Sewer & Water Permit Fee
I Gas Fireplace Permit Fee
$
$
$
$
$
$
$
$
ie::roO() , 00
III " z,5
'7Z.31
2.$0
This Application Becomes Your Building Permit When Approved
~~. ?Jf-I
Building Official Date
I Park Support Fee # $
I SAC # $
I Water Meter Size 5/8"; I"; $
I Pressure Reducer $
I City SAC and WAC # $
I Water Tower Fee # $
I Builder's Deposit $
I Other $
I TOTAL DUE ~ 5. 0.03 $ tato. D!o
Paid ./ ~ir;. . rJ ro Re~No. "/t1~
Date \.j'~ d) 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.
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.s to Single Family Homes
..-.
9~
Date
~.8<O~
Building Permit # 03 - O~ 2.. PID: 25"" ..3sS: 01/, 0 Zoning: PU.o
Site Address SS- -% OV6/2t.-OOIc.. C!...-/ tC- .
Legal: L If B ( Subdivision: t/~I'/V/';l-- /i:4.oGb-.s~
Existing Structure: ~ or NO
CONFORI\IS TO ZONING
ORDINANCE
I~S
NO
Yard Setbacks: NOT APPLICABLE
MEETS CODE
Requirement
Proposed
· Side Yard
(25' if abutting a street. 30' if abutting a street in
Cardinal Ridge)
· Side Yard
10'
10'
I
I '-( ~ SfA;~
33'
&~'
· Rear Yard
25'
· Townhouses
Must be consistent \'lith
approved plan for
development
Nit
ANY PROPOSED DECK NOT J';[EETll'IG THE ABOVE CRlTERiA MUST BE REFERRED TO THE
PLA.i"t'Nll'(G DEPARTi\'[ENT. ALSO, ANY DECK ON A LOT WITH A SUSPECTED BLUFF, OR ANY
OTHER UNUSUAL CIRCUMSTA..J."iCE MUST BE REFERRED TO THE PLAl'l'NIJ.'fG DEPA.RTi\'[ENT.
TillS CHECKLiST lYn.;ST BE COMPLETED AND INCLUDED L'( THE BUILDlNG PE:&'VllT FILE TO
J\lAlNTAlt'I A RECORD OF THE REVIEW.
L . \TEvlPL-\ IE', 0 E C<'CnCKDOC
..,
PRIOR LAKE
INSPECTION
RECORD
~ (JI/EII!J.,~ (!J~
~~
USE OF BUILDING
PERMIT NO. ~ - _ DATE ISSUED -5: ~
BUILDER PHONE # 3B- /
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS
TYPE OF WORK
INSPECTOR
DATE
, FOOTING I /IV(" I S~ qJ ,.-~
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
- -
I I
, FINAL
YlfVO
,'" J-t., (f)
.
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (952) 447-9850