HomeMy WebLinkAboutBuilding Permit 03-1221
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
/S-JJ-?
W(j(}c::J dlJ~/l_ _
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDA nON
o FRAMING
o INSULA TIO~ ,//
.!f1:INAL /../ ~ '-'I L
o SITE INSPECTION
o PLUMBING RI
o MECH RJ
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
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/I) t/ Y1..{) -t" ,..-
DATE TIME
.l/ -4:fJ J
-:?-ILL I
o EXIGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
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o WORK SATISFACTORY, PROCEED
//CORRECT ACTION AND PROCEED
o CORRECT 7.IJR~ ~ FOR REINSPECTION BEFORE COVERING
Inspector: r vr- Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
INSlion
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
(Please type or print and sign at bottom)
ADDRESS
/5327
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
9. 12-. a3
~. ~i~i~e ~:~y I PERMIT NO. 03-jZ ? I
3, Yellow Applicant ~
wtJoo
LJ tJ (!J~ f72.,p / /.-;
ZONING (office use)
~I
LOT
BLOCK
LEGAL DESCRIPTION (office use only)
ADDITION
PID ZS'""._W1... 1/7. 0
W-SL\ ~\("'(---h \\ Q !.Lt J.-l 5> 0 h
IS 3:)1 lfJ()C)d DLL~_ \ Ac:.J2_
OWNER
(Name)
(Address)
(Phone) QS2 - '-/-</7 -7; 7~S--
p~, ~ 1"1' 'f0 .!5fh 1?
jU,W,
BUILDER ,N"'\ \./
(Name) . I l'N.JL ~'n u..d~"",
(Contact Name)
(Address)
TYPE OF WORK
o Misc.
(Phone)
(Phone)
o New Construction
/'
'~eck
o Fireplace
OUtility Connection
OPorch
ORe-Roofing
ORe-Siding
DAddition
o Alteration
OLower Level Finish
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 r the above-mentioned property and that all construction will conform to all existing state and local laws and will proceed in accordance with
submitted plan. I m 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 upo the ro It) to perform needed inspections,
x
}\ c:::(KY\
- ~Signature
I Permit Valuation
Permit Fee
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
I Mechanical Permit Fee
I Sewer & Water Permit Fee
I Gas Fireplace Permit Fee
CJ IJ 2.)0 s
Contractor's License No.
Date
$
$
$
$
$
$
$
$
)..(JotJ 012
G>C{ ~
4!"" C2.1 I
/t?Jl
I WaterMeter Size 5/8"; I";
Pressure Reducer
Park Support Fee
SAC
# $
# $
$
$
# $
# $
$
$
$ //J.~
Receipt No. tf/:) ~'" f
By /7
U
City SAC and WAC
Water Tower Fee
Builder's Deposit
I Other
I TOTAL DUE
Th/f!l~=BW1WngP=~~~;~d
Building Official Date
. ..- .
Paid SlI / /6 r;/b_
Date Cl- J (/'I - O<J
f
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
BY
41}
Residential Building Permit Checklist
c...
1. ,~ Deck Addition, to Sing'::.Zmil::omes
Date TJ, . V~
....u J/Y'v-..
PID: Z53~2. .//7. ()
/.5327 f1!atJo Ot/~ ~I L-
Legal: L I J..-. B t..-I
Existing Structur&r NO
Building Permit #-
Site Addres:5
Zoning:
,<:.-1
Subdivision:rrl _ ' ~_ (1'/7_
I ~e WI/ (d.s ~c,(./ 1"'\
CONFORl\IS TO ZONING
ORDINANCE
I~S
NO
Yard Setbacks: NOT APPLICABLE
MEETS CODE
Requirement
Proposed
· Side Yard
(25' if abutting a street. 30' if abutting a street in
Cardinal Ridge)
· Side Yard
10'
SG'
10'
:lor
G()(
/! ?-
· Rear Yard
) -,
-)
· TownhoUSi::S
Must be consistent with
approved pb.n for
development
AJ.'IY PROPOSED DECK NOT "'!:EETING THE ABOVE CRlTERlA MUST BE REFERRED TO THE
PLAL'rNING DEPAR'TLY!:ENT. ALSO, AN); DECK ON A LOT WITH A SUSPECTED BLUFF, OR AL'{Y
OTHER UNUSUAL CIRCUMSTANCE MUST BE REFERRED TO TI:-IE PLA,.J.'(NING DEPARTLY!:ENT.
Tills CHECKLIST MUST BE COMPLETED AND INCLUDED L'l TI:-IE BUILDING PElliVllT FILE TO
MAlNTAli'( A RECORD OF THE REVIEW.
r... TEviPL.-HE' 0 E CKCHC<:'.DOC
~
PRIOR LAKE DEPARTMENT OF
. BUILDING AND INSPECTION
INSP~CTION
RECORD
SITE ADDRESS /532- 7 WO()D OtJ{!I:::. ~I L:--
TYPE OF WORK OfiCK-.
USE OF BUILDING /Z6S ;q/ /C.
PERMIT NO. 03 -j 22/ . /DATE ISSUED q IS. OJ
BUILDER. 176773 ,e:SQll/ PHONE # ~ 7 - 3735
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
~~OR D~E
FOOTING I (f/IJ 11'0 . .,
PLACE "NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
~ _m ~ I I
I FINAL
YW
1/- Lf-o .~
FOR ALL INSPECTIONS (952) 447-9850
II -