HomeMy WebLinkAboutBuilding Permit 03-0635
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS 3o'2>~ --<~ 0_
OWNER CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
PJllSU~;'l
)I![, FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
DATE TIMe
'1- '-\--0"1
3-0<'-:~
o EXlGRADIFILLING
o COMPLAIN'T
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
WORK SATISFACTORY. PROCEED
o RRECT ACTION AND PROCEED
o CORRE'jW(':1K. CALL FOR REINSPECTION BEFORE COVERING
Inspeclor: (' r ') Owner/Contr.
CALL; : ;.~o FOR THE NEXT INSPECTION ~4 HOURS IN ADVANCE.
V$ .
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH 4 SAFETY!
"""""
r--' -" T- - -
_~___.._.__.m_._._._..-....-
Date Rec'd
52ra.03
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
I PERMIT NO. ()S- tX:351
File
City
Applicant
I,White
2. Pink
). Yellow
(Please tvD~ or print and sign at bottom)
ADDRESS Q
3003 ~C)tf'#'Ir
ZONING (office u,,)
"e/
~ '-"
LEGAL DESCRIPTION (office use only)
/AI I ~cV ..J f.I U7"T'T'
PID z5 - 3ez. . OB2- ~u
LofitlBLOCK ;3 ADDITION
OWNER
(Name)
qS'd - vVO iUO/
W15 -33/2-
~r':> '7"'"'f
1-)0 'A J...o.....-,.,J
(Phone)
(w)
(Address)
BUILDER
(Name).
(Contact Name)
(Address)
(Phone)
(Phone) ----
}IDeck
ORe-Siding
ORe-Roofing
DPorch
DAddition
o New Construction
TYPE OF WORK
DUtility Connection
DAlteration
o Fireplace
OLower Level Finish
j
PROJECT COST IV ALUE (excludiug land) $
o Misc.
II
I hereby certifY that I ve furnished informati -'on this application which is to the best of my knowledge true and correct. I also certify that I am the owner or
authonzed agent for e above-men 0 ed pr and that all constructlon wdl conform to all eXlstmg state and local laws and wdl proceed m accordance With
submitted plans ~are that uti n ffictal can revoke thiS permtt for Just cause Furthermore, I hereby agree that the Ctty offiCIal or a desIgnee may
enter upon the p fa m ectlons /, ~
X _ ~p~
SIgnature Contractor's License No D te
# $
# $
$
$
# $
# $
$
$
$ /38. 8t.
I ~~cro, H2Y}J
U
3(J~tJ. 00 I
$ 8"3.2'5 I
$ 5'f,/1 1
$ ).:'\0 1
$ I
$ 1
$ I
$ 1
$ I
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
I Other
I TOTAL DUE
I Permit Valuation
I Permit Fee
I Plan Check Fee
\ State Surcharge
Penalty
Plumbing Permit Fee
\ Mechanical Permit Fee
\ Sewer & Water Permit Fee
I Gas Fireplace Permit Fee
/..3_~ 8~
.$.?o.C?
I Paid
LDate
This Application Becomes Your Building Permit When Approved
~ 7~ S-1Z5/d.3
Building Official Date
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.
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
Planning Director
--.-----.-..-----.----
Residential Building Permit Checklist
Deck Addition~ to Single Family Home~
BY~
'7 JL-JJ?
Date
5. 2-8.0 '3
,
Building P~rmit #(J1'- 0 (p:.J ~ PID: ~c:;-. 382 {)82.~O Zoning: ;e./
Site Addre~s 3083 j30bt!rJ'/ ~/ L--
Leoal: L Z6 B:3 Subdivision: I/V/~OJ .sOUTJ1
":,,,,,, s,,"ct",,,6,JNO
CONFORMS TO ZON~G
ORD IN A1\ C E
~YES
NO
I Yard Setbacks: NOT APPLICABLE
MEETS CODE
. Side Yard
(25' if abutting a street. 30' if abutting a street in
Cardinal Ridge)
Side Yard
Rt:quirement
Proposed
10'
d(.,' E,
I 0
10
10'
I ~
L{2- vJ,
g "'I'
Rear Yard
25'
. TO\'Inhous;;s
Must be consistent with
approved plan for
development
N.A.
A~NY PROPOSED DECK :-lOT iYlEETLNG THE ABOVE CRlTERlA MUST BE REFERRED TO THE
PLA.'iNlc'iG DEPARTi'YlENT. ALSO, ANY DECK ON A LOT WITH A SUSPECTED BLUFF, OR ANY
OTHER CN1JSUAL CrRCL'MSTANCE :'vIlJST BE REFERRED TO THE PL."'-'1NING DEPART:'vlENT.
TillS CHECKLIST ",fCST BE COMPLETED AND li'iCLL1)ED L'i THE BLlLDL'iG PER.vUT FILE TO
MAlI'iTAIN A RECORD OF THE REv1EW.
L ." TE)JIPLA IE DE CKC:-:C K.0CC
PRIOR LAKE
INSPECTION
RECORD
I ,"""', '-
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS
TYPE OF WORK
USE OF BUILDING
PERMIT NO.
BUILDER PHONE #
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
I FOOTING I SL I f#V&'I/~
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
~ I I
I FINAL I fl? 19--l/
.
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (952) 447-9850