HomeMy WebLinkAboutBuilding Permit 03-0822
CITY OF PRIOR LAKE
INSPECTION NOTICE
DATE TIME
SCHEDULED 9 - f! JO-::J
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ADDRESS
:2.CJQg
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
~FINAL .
o SITE INSPECTION
COMMENTS:
t.
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CONTR.
PERMIT NO.
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o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXIGRADlFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
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o WORK SATISFACTORY, PROCEED
~ORRECT ACTION AND PROCEED
o CORREC1i!.K, CALL FOR REINSPECTION BEFORE COVERING
Inspector. _ ~ OWner/Contr.
CALL ,98 Q FJR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
,
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH 4 SAFETY!
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec'd
I. White File I PERMIT NO ()3 ~ I
2 p;" C;'y . -'~ -..
3.YeHow Applicant c;:r-~
(Please'!vp~ or print and sism at bottom)
ADDRESS
C< 1'0 ?
Fox. T nt,' I
ZONING (office use)
fJf;(5/J
LEGAL DESCRIPTION (office use only)
LOT OBLOCK ~ ADDITION~
.
Wd~
PID 025- cJ91-{)(I-()
OWNER A
(Name) c,.,,1") . Ch,;-rfe,"lo,,-
(Address)
(Phone)
qr J-- t/OJ- -0,).,:)..7
BUILDER
(Name)
(Contact Name)
(Address)
(Phone)
(Phone)
TYPE OF WORK
D New Construction
~eck
o Fireplace
OPorch
ORe-Roofing
ORe-Siding
DLower Level Finish
DAddition
DAlteration
Dutility Connection
o Misc.
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
ente(fon the pr~erty nerform needed inspections.
xc~.i /::'((- (../).;."III-S
/ .... Signature Contractor's License No. Date
I Permit Valuation 300n - I Park Support Fee # $
I Permit Fee $ B-:, :1...") I SAC # $
I Plan Check Fee $ ")4-.11 I Water Meter Size 5/8"; I"; $
I State Surcharge $ ,.<\<=> I Pressure Reducer $
I Penalty $ I City SAC and WAC # $
I Plumbing Permit Fee $ I Water Tower Fee # $
I Mechanical Permit Fee $ I Builder's Deposit $
I Sewer & Water Permit Fee $ I Other $
I Gas Fire lace P'7l"it Fee J $ I TOTAL DUE $ 138.46
~ , - , lIil [;1:;-
I Paid J'f /;") 1(. ?)b Receipt No.
I Date' (" - ::J.?J - :J By r--
Building O~cial
--------.....--
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, tax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake. MN 55372
-,--
Residential Building Permit Checklist
(~Ck A.ddition~ to Singj~ Family aome~
BY fJJt: Date 7-;2 ~-03
Building P~rmit #- Pill:) /J 0 ~onmg: .
SiteAddm~ c:::X- '1'tJ() - ({))f ~
Legal: L
B.
Subdivision:
Existing Structur":~ NO
CONFORMS TO ZONIl'iG
ORDINANCE
@
NO
I Y"~d Setback>: NOT APPLICABLE
. MEETS CODE
. Side Yard
(25' if abutting a street. 30' if abuttmg a street in
C ardllal Ridge I
Side Yard
Requirement
Propo>ed
to'
I .
I-
to'
40'
')Of
401
Rear Yard
7 ..
_J
. T ownbollses
Must be consistent with .
approved plan for
development
--
AJ.'iY PROPOSED DECK NOT 1fCEETll'lG THE ABOVE CRITERiA MUST BE REFERRED TO THE
PLA['il'lIi'lG DEPARTi'vCENT. ALSO, ANY DECK ON A LOT WITH A SUSPECTED BLUFF, OR ANY
OTHER UNUSUAL CIRCUMSTANCE MUST 8E REFERRED TO THE PU..NNING DEPARTMENT.
THIs CHECKLiST iYIUST BE COMPLETED A.ND INCLUDED Li'l THE BUllDlNG PEfu\'l1T mE TO
i'vlAlNTAlN A RECORD OF THE REVIEW.
L:",TE~"IPLA IT', DE C:<'C:..:rClC.DOC
-,.-
-
PRIOR LAKE' DEPARTMENTOF
BUILDING AND INSPECTION
INSPECTION
SITE ADDRESS J9~~S~P
TYPE OF WORK nec.~
USE OF BUILDING. ~ r
PERMIT NO. 03- 8.'6~ DATE ISSUED (.- :J. ~- 3
BUILDER ~(" ~,.) PHONE#4'O.2.-0.;l~1
NOTE: THIS IS lfOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
, INSPECTOR DATE
, FOOTING I !l1.. I ~. z ?
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
I I
, FINAL
p;,
7 -0-6(
'" -
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (952) 447-9850