HomeMy WebLinkAboutBuilding Permit 03-0815
CITY OF PRIOR LAKE
INSPECTION NOTICE
DATE TIME
SCHEDULED
]-11-03 (0:00
ADDRESS
)f)2 () f J~P~s P4_~
CONTR.
OWNER
PHONE NO.
PERMIT NO.
OJ -081 r;;-
o FOOTING
o FOUNDATION
o FRAMING
o INSULA nON
o FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXIGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
COMMENTS:
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X CORRECT ACTION AND PROCEED
~~I' _ ,C R P FORE COVERING
lospectoc -II: -...., Qwne'JCoo.
CALL 44;:\;50 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTI
(Please type or print and sign at bottom)
ADDRESS
/520/
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
~ ~ IIP_ 03
I. White File
2. Pink City
3. Yellow Applicant
JC/'::-r6KJ' P/1JJ IVW
LEGAL DESCRIPTION (office use only)
/:;:1
LOT I BLOCK.3 ADDITION WDJ..f'Hr/;VA/
OWNER-:) \
(Name) "..e..-:\~-
(Address)
~ A V""'\ (> Cl. ""
PERMIT NO. 03~oe/5
ZONING (office use)
K-I
PID Z?5 -376 - 028- ()
(Phone) OJ5"l..... L'2- b... '- Ivo
BUILDER..,
(Name) \J e ~\L '> vl V\, \ : ~ .1 .\ c..c..
'J
(Contact Name) \~-\-v:t..K ~e~~
(Address) \,'\ \ c.. "-'1"l A. Ic... ~. u '\) r- I
v l ......) .... .-- \~",v"'~\"1"" LI!""~"'"
(Phon! (P I 2.. ~ IS' 5'9 - ~ <-[I b '(" (
(Phone) 7' J- S'" I, (.), q l..{ - {'.+ ^
V4~ S~""'C,f"{ L.f
TYPE OF WORK
o Misc.
o New Construction
OLower Level Finish
~eck
D Fireplace
-
~orch
DAddition
ORe-Roofing
OAlteration
PROJECT COST/VALUE (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 Plan~m aware that the building official can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may
ent~ the rop rty to perform needed inspections.
X _ V j; ""'^---/ .b - / b - (/3
Signature Contractor's License No. Date
Permit Valuation
Permit Fee
Plan Check Fee
State Surcharge
Penalty
I Plumbing Permit Fee
I Mechanical Permit Fee
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
$
$
$
$
$
$
$
$
..5)000 t??
- /J I .;,(
7). JI
J-S1J
jfJtinn{EYomB"Wngp:~7;:;
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
Builder's Deposit
Other
l TOTAL DUE ~
I Paid I t'C . (j(P
I Date (,. /7'~O)
$
$
$
$
$
$
$
$
(;d1,oJ 11 /8(P. 0 (p
1/
ReceilfyNo. ~9 V
ByA_ .
o
#
#
#
#
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
::"i<< by 7Qi; ,-,~..mpornry Catifia. o~:; ~:p;, md -- 7:7 ;.-;~; oc:::;: o'o=~ =. ~
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
Residential Building Permit Checklist
A~ J . Deck Additions to Single Family Homes
I AA rJi::- Date (, -' 7. 03
BY:
Building Permit # PID: ;2Sr37b- 028ro Zoning: K.-. /
/52.0/ 0t/f-FE/CS P/JSS /UN
B '5 Subdivision: tV(;(lJS/1/l/llN I:::> I
Site Address
Legal: L
I
Existing Structure@r NO
CONFOR~IS TO ZONING
ORDINANCE
/~~)
~
NO
10'
Proposed 1
17 I
na
(,~
nk
Yard Setbacks: NOT APPLICABLE
MEETS CODE
Requirement
. Side Yard
(25' if abutting a street, 30' if abutting a street in
Cardinal Ridge)
. Side Yard
10'
. Rear Yard
25'
. Townhouses
Must be consistent with
approved plan for
development
ANY PROPOSED DECK NOT MEETING THE ABOVE CRITERIA MUST BE REFERRED TO THE
PLANNING DEPARTMENT. ALSO, ANY DECK ON A LOT WITH A SUSPECTED BLUFF, OR ANY
OTHER UNUSUAL CIRCUMSTANCE MUST BE REFERRED TO THE PLANNING DEPARTMENT.
THIs CHECKLIST MUST BE COMPLETED AND INCLUDED IN THE BUILDING PERMIT FILE TO
MAINTAIN A RECORD OF THE REVIEW.
L:\TEMPLATE\DECKCHCK.DOC
'"
PRIOR LAKE
INSPECTION
RECORD
SITE ADDRESS I~UI ~~ P.U NIV
TYPE OF WORK D~,.t. -.. Po,.,'"
USE OF BUILDING UJ.
PERMIT NO. 03-08/5 . DATE ISSUED ~.O,
. BUILDER ~ UAI,.~ PHONE#_. fJk..Jn-ftfID
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
I FOOTING I b1J'(? I (~/0/~
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
, FRAMING I I
I FINAL I 6[J
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (952) 447-9850