HomeMy WebLinkAboutBuilding Permit 03-1023
SCHEDULED ..fO.. 28"....t/1
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CONTR.
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
/ 5'"~;' 7
OWNER
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATIO,,/
~FINAL V~vl<---
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
~
/' I
/ /I~(:J
\. CJ U~
'--
DATE TIME
3 -/tJJ-J
o EXIGRADIFILUNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
--
----
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~
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. .~ I
II l4-
~RK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WO';?, C~R REINSPECTION BEFORE COVERING
Inspector: --/ll/l- Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
_OTl
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/
(Please type or print and sign at bottom)
ADDRESS
, 553-,
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
PERMITNO.I}~ lo~3
..
r2.-t:o f).,o.-k-s
~
C2-tJ
LOT (). BLOCK
LEGAL DESCRIPTION (office use only)
ADDITION
(S; (2nu
PID :;)'S-IS'~-o
OWNER
(Name)
l:1a-E"C] 012 'J P.
I S5;,)'1 rLE:O
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 ans. I am aware at the building official can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may
enter upo e property to pe rm needed inspections.
)~
(Address)
BUILDER
(Name) S~\ (:
(Contact Name)
(Address)
TYPE OF WORK
o Misc.
x
Permit Valuation
Permit Fee
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
l..A-a-<.O-
()A~~ (2t)
(Phone)
PtzHia..
Sc
(Phone)
(Phone)
o New Construction
/"
~k
ORe-Roofing
o Porch
OLower Level Finish
OAddition
OAIteration
o Fireplace
PROJECT COST IV ALUE (excluding land) $
~ocD
Contractor's License No.
$
$
$
$
$
$
$
$
,
""'2aao. 0 0 I
(,9. "Z-5 I
1.f5'. DI
/, () t:J
Water Meter Size 5/8"; I";
Pressure Reducer
Park Support Fee
SAC
#
#
#
#
City SAC and WAC
Water Tower Fee
I Builder's Deposit
I Other ..:s /-Ie
I TOTAL DUE
-
fJIa#
This Application Becomes Your Building Permit When Approved
~ ~ Y/~k:2
Paid
Date
I~ ~f ,)..~
8'/~ /03
( ,
Building Official
( -. Date
ZONING (office use)
ORe-Siding
OUtility Connection
Date
$
$
$
$
$
$
$
$ 50 ,--
$ /~5. 2-,
Receipt No. ~C:;Z-6 Y
By ~~.L.I
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
iss~ fJ~ ~'3 d' ~~ f
Planning Director ~ Date Special Condition~any V ~
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
Residential Building Permit Checklist
'-
D~ck Addition::i to Single F amil-y aom~::i
BY~.>
,..
9w I--
Date
j/- Lf-06
R~Or;;g()a-I~ Rei
Building P~rmit.=;:
Site Addre:s~
PID:
I~S--;;L Q-
Legal: L
.B
Subdivision:
Exi::iting Structure: YES or NO
CONFOR~IS TO ZO;.'{u~'G
ORDI0!ANCE
r'"I S
NO
y :ll':dS~tbuck!: NOT APPLICABLE
MEETS CODE
Rt::quirement
Proposed
Side Yard
(25' if abutting J. stret:t, 30' if abutting a street in
C ardinat Ridge)
· . Side Y:u-d
10'
10'
It; I
Nil-
. I
2-5 b1I(JJtF"
· Rear Y::lrd
25'
. Townhouses
Must be consistent ,vim.
approved plon for
develop ment
~~.
A1'fY PROPOSED DECK NOT MIETL."IG THE ABOVE CRlTERlA MUST BE REFERRED TO THE
PLA.L'+1'flL'fG DEP.~Ti.Yf.E.NT.. ALSO, Al'fY DECK ON A LOT WITH A SUSPECTED BLUFF, OR ANY
OTHER UN1JSUAL CIRClfiYlSTAi'KE lHU~T BE REFLR.:RE.D TO THE. PLAJ.'iNU.'iG D.E.PARTl'iI:ENT ,
THls CHEClCL1ST l'lruST BE CO~JPLETED ..u'ID INCLUDED li'f THE BUILD.I:NG pEJ:U"nT FILE TO
iYIAlNl'AlJ.'f A RECORD OF THE REVIEW..
L..' TE),lPL.A. IT" 0 E O::".:ECY..J(JC
REQUEST FOR WAIVER OF SURVEY REQUIREMENTS
SIGNATURE:
I~:~~~ t>. I PnL<..'Jr.
- a.Fi) OA\L, (2. t'\ <.F
~~
qs~ - 440'lll3 i~
5Y5:) - '-l-S, - ~~~ \ CE;' I
'-//fDJ1 e&:r. Cf
~+ ;) ~\odc.-! ~'tl.no ACd.
~S.-> ISJOD~ --0
PROPERTY OWNER:
ADDRESS:
TELEPHONE NUMBERS:
LEGAL DESCRir uON:
PID NUMBER:
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 prop",. ~J
boundaries. This request must also be accompanied by the following information:
1. 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 infringes on any setback requirements or easements.
3. The property owner shall pay a $50.00 fee for the statfreview according to the
adopted fee schedule.
Once a request is reviewed, the staff will schedule a field inspection and review all
available information. The Planning Director and Building Official will then make a
determination of whether the requirements may be waived.
P RIO R LA K E ~~rto~~~~NJD ~~SPECTION
INSPECTION
RECORD
SITE ADDRESS -1S-.D.? ,,!led ad....s Rcl
TYPE OF WORK D ~
USE OF BUILDING 5 F
PERMjT NO. a..:3" ID~ ~ DATE ISSUED /(.~.,o3
BUILDER lJ,YelD'J. L.f)Y,~w PHONE # tI~o. 7113
NOTE: THf81IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
, , THE PERMIT IS BY SEPARATE DOCUMENT
r.tJ~LI ~r:;) ~ ~A INSPECTOR _ DATE
~ FOt$tING - '-' r fillY/' I ~;' ( I-{/)
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
I I
FINAL I //J/Y/ /O-i-<i'-cr;;,
.
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (952) 447-9850