HomeMy WebLinkAboutBuilding Permit 03-0893
CITY OF PRIOR LAKE
INSPECTION NOTICE
DATE TIME
SCHEDULED
q-~"ff3
ADDRESS
/7//t(
tv! !d~c.ss f;.-
OWNER
CONTR.
PHONE NO.
3-8""r7
PERMIT NO.
o FOOTING
o FOUNDATION
~"'lnG
o INSULATION
, FINAL (1, "'C-
D SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
/ WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: . M tIf -1('6 Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH'" SAFETY!
"""""
T' .".'."'--'-T'-'.
I
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec'd
I. White File
2 Pink City
3_ Yellow Applicant
7-103
I PERMIT NO. ~ f?'] r
Zr(i~13'U")
/7//9
w,tJ l!t'"nt!5 s Trr.;/ I P""u..- /-".1<.., 111/1/ 5$':n 1-
LEGAL DESCRIPTION (olliee use only)
LOT If/BLOCK
,
ADDITION
OWNER
(Name) kri5
!J i Tee, '" W>Q S 0
W,)dH "''''S S ''rCt,1
(Address)
BUILDER
(Name)
J't:I
$n \I I'VI' ~
C:l",,,, <;"<- I( <;
(Contact Name)
(Address)
"'<-IO~ 54
/.oJ .
ORe-Siding
TYPE OF WORK
~eCk
o Fireplace
o New Construction
DLower Level Finish
prr~5-310"" O/7-C>
(Phone) '} S 2 - 'I '10 ~ 3,,2 '7 I
(Phone)
(Phone)
<:'/2--YGo-~'il5g
'/2. - -U:'cr 5 8'3 l?
t-.; k..v; If.
M
sr;olfl.f
OPoreh
OAddition
ORe-Roofing
DAlteration
DUtility Connection
PROJECTCOST/VALUE (exdudingland) $ "7.100
DMisc.
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
enter upon the property to perform need inspections.
x
Signature
Permit Valuation ZeJCJO, 00
Permit Fee $ (P'l. Z5
Plan Check Fee $ lfS- tJ I
State Surcharge $ I,oa
Penalty $
Plumbing Permit Fee $
Mechanical Permit Fee $
Sewer & Water Permit Fee $
Gas Fireplace Permit Fee $
This Application Becomes Your Building Permit When Approved
~~
0/~7
Date
Building Official
;;J.o3~?315 7- 2 - zoo )
Contractor's License No. Date
Park Support Fee # $
SAC # $
Water Meter Size 5/8"; I"; $
Pressure Reducer $
City SAC and WAC # $
Water Tower Fee # $
Builder's Deposit $
Other $
TOTAL DUE $ //5", ~
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
-_._.__..~..,- ..'-"-'-"_."--~'-'.'"T
Residential Building Permit Checklist
Deck Addition~ to Singl~ Family Homes
BY.~
~
~v
Date '/ -7--3
Building Permit #
Site Address
Pill: Zonlllg:
/-?//f U/--<--I~<"-o,4 T >-
Legal: L
B
Subdivi~ion:
E:r.isting StructurecYE.s}r NO
CONFORMS TO ZONTI'-iG lIS NO
ORDINANCE
Y.rd Setback,: NOT APPLICABLE Requirement Propo,ed
MEETS CODE
. Stde Yard 10'
(2j' jf abutting 0. street 30' if abutting 0. street in 2t> I
Cardinal Ridvei
. Side Yard 10' '1D ,
Rear Yard )"' If) ~ (
. _J
. Townhouses Must be consistent with
approved plan for tJA
develooment
ANY PROPOSED DECK NOT MEETmG THE ABOVECRlTERlA MUST BE REFERRED TO THE
PLAl'i1'fI1'1G DEPARTMENT. ALSO, AJ.'iY DECK ON A LOT W1TH A SUSPECTED BLUFF, OR Al'iY
OTHER UNUSU..u CIRClIMST."'-'1CE ",ruST BE REFERRED TO THE PLANNL.'1G DEPARTl'YI:Ei'lT.
THls CHECKLIST ,yruST BE. COMPLETED MiD Il'ICLUDED 11'1 THE BU1l.DIl'IG PERMIT fiE TO
MAIl'ITAlN A RECORD OF THE REVIEW.
L ~ ",TE)/rP L.-\. IE" D E eKeH CX.D<)(
~
PRIOR LAKE
INSPECTION
RECORD
SITE ADDRESS /?Il!!'tJu, ltJe,Ness 7;.
TYPE OF WORK --.bee-Jc.
USE OF BUILDING .sf
PERMIT NO. DATE ISSUED 1-~
BUILDERJD Vc.$ PHONE' ,~. 7'tr-~r~
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 ~ I 7- {(;- (/J I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
'~I I I
I FINAL I r/J/Y'9 I q-~-u> I
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (952) 447-9850
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