HomeMy WebLinkAboutBuilding Permit 03-0965
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
(1'iit.f
rnaMdv- ttd
OWNER
CONTR.
PHONE NO.
PERMIT NO.
DATE TIME
qrJ--(/7
.3 ,q~S-
o EXIGRADIFILUNG
o COMPLAINT
o FIREPLACE Rl
o FIREPLACE FINAL
o GASLINE AIR TST
o
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
()/(c(c Fr.... I
COMMENTS:
~
~
/ 1/6/'-
( J::r
\ L/'
"--- ~
~
r't)
/ ( '-e
~
"r;ORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT W~~)tLL FOR REINSPECTION BEFORE COVERING
Inspector: II II!" Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE..
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH,{ SAFETYI
msNOn
Date Rec'd
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
1~~ 70
(Please type or print and siJm at bottom)
I ADDRESS
5384- 11/f/IJOtC-
,e:-o S" 6'
'1. f. 07
[,While
2. Pink
3, Yellow
I PERMIT NO. 03~OCj'(P5' I
File
City
Applicant
ZONING (office use)
j!!: U Pr.J
LEGAL DESCRIPTION (office use only)
LOT' BLOCK z.. ADDITION t/fK.DfPe. nl'f1\./Ox-
OWNER
(Name)
Y<lIrHN'
_C; H,l/
- .
(Address)
BUILDER
(Name)
(Contact Name)
(Address)
'5hF
TYPE OF WORK
DMisc.
11/11.51 '
A1lftJOtl llJ
SF,
z'"
PID i?5' - () 7l'J - (J/Z- - ()
(Phone)
1'10'~iJ 7t{
fill M L dirt'
(Phone)
(Phone)
DLower Level Finish
)(Deck
o Fireplace
DAddition
OAlteration
DUtility Connection
o New Construction
DPorch
ORe-Roofing
ORe-Siding
PROJECT COST IV ALUE (excluding land) S / I..J (to, lJn
$
$
$
$
$
$
$
$
"
JI:;HJoo, D 0
fi1. 2.5
~5. f)f
1,00
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 0 cial can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may
enter upon the pro~ needed inspe ons.,
X ~ i.. I-.J~)
I Permit Valuation
I Permit Fee
I Plan Check Fee
I State Surcharge
I Penalty
I Plumbing Permit Fee
\ Mechanical Permit Fee
I Sewer & Water Permit Fee
I Gas Fireplace Permit Fee
This Application Becomes Your Building Permit When Approved
~Offi~ ~/~D~eh.3
Contractor's License No.
Date
I Paid
I Date
/v5. Zt/
7.2.z,.o7
$
$
$
$
$
$
$
SurW€t' R-e $ Lc::j).[JO
d /t,.~ z,
I Receil'#lo. .t/'.'5l/77
BV~'
()
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 W~lite12 OF
I TOTAL DUE
#
#
#
#
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
REQUEST FOR WAIVER OF SURVEY REQUIREMENTS
I PROPERTY OWNER: I J)V((tJhJ Il/ttsi
I ADDRESS: S.3 X' 4 tf/(/l,MM ILl StF
1/I.IarL (1t1rF 1fI1# 55 f7J.
I TELEPHONE NUMBERS: ~.5 ~ - ~J/()- ~o 7~
11/.1- - )0~ -1./7{. ~
!SIGNATURE: ~~. j)~ I.
I LEGAL DESCRIPTION: tt=r, 6.h-c.JL;;. ~ ~~.;bA<J ~ 'iJi,.M
I PID NUMBER: fZ ~n 7 ttn I aO
A request to waive the survey requirements will be accepted only for the construction of
decks. Prior to the review of this request, the property owner must provide
reasonably reliable evidence in the field of what he/she believes are the property
boundaries. This request must also be accompanied by the following information:
I. The deck must be drawn on a site plan to scale. The site plan must identify
dimensions of both existing and new structures, and the distance from any lot lines.
2. The property owner must sign an agreement, prepared by the City, holding the City
harmless from any damages incurred if the deck is placed inaccurately on the site, or
of it irifringes on any setback requirements or easements.
3. The property owner shall pay a $50.00 fee for the staff review according to the
adopted fee schedule.
Once a request is reviewed, the staff will schedule a field inspection and review all
available information. The Planning Director and Building Official will then make a
determination of whether the requirements may be waived.
For Office Use Only
ACTION
~ APPROVED 0 DENIED
COMMENTS: M.lLST d<€.flit::l ~1iL (fJT t...lJ.vE. FwD
i>t~c.E ~ fc1.~ ~e;t-~G .,., 15~ ~S r(l~ 1"'Olt.E'
I
-:jc..dJ ,<:.. I
BY:
~, .....-
. ~~
~
1.\h~ndAUts\'Ya;x".do<;.
16200 Eagle UeeK Ave. :o.E. Prior Lake. Minnesota 55372-1714 / Ph. (612) 447-4230 / Fax (612) 447-4245
AN EQ\ lAl. npPORTlINIT'y' EM PI O\'FR
+~}\
oW
c.~
':: ...t:
"~I
:s.
');..
S'..
c.
~., . ,
Tl
t:""
\
~ ?-
Q",
t!'
...
'I
Ii
,
- 'f-
,~.
-
f',
i I.il"
1;- .,.,
I.h.. :;:. '-
...r" vI<. "!,!'~
~' , ..i-.l...
.. So.
.....~
'II
oJ:
..
"
'I'
l' r
_I
f-".
..."
~:
~ S., /'I
c: N6JV Co VC',-- /7:7/1/L
CllY OF PRIOR lAKE
rlle'I'(. Ii:'!y .4.c .l.hereby certify this site plan Is accurate to the best of
,;I( my knowledge and the CIIy of Prior Lake is issuing
this pennit based qn the InII.......;;on I have submitted.
I take full responsil?ility for any inaccuracies on this
plc;,n and I agree that I am responsible for relocating
any structures ttJatimay be J..,"";""J inconsistent with
the requirements of the Zoning Ordinance.
,
\~\~tl/\4.Jt(LJ 1 Ii 'A/D3
Property oVrt.er.. Dale
. i
-~ 7cJ..S . -
.....
,
ffl 'UPrrlly i./Nf'"
~
tr ~
II
~
,
jJ
c:x:I
r
o
Vi
53?fc MAAXl,( uJ-.b
"
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS
TYPE OF WORK
, FINAL
l1.4 J
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (952) 447-9850