HomeMy WebLinkAboutBuilding Permit #03-1430
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED /'2-~ I
ADDRESS /C;2 Co/ B .,f;,.,..c.v-'"1/ /J/.c..
OWNER CONTR.
PHONE NO.
PERMIT NO. ---3.-
I t./ SO
o FOOTING
o FOUNDATION
o FRAMING
o INSU~IONJ/
4FINA C[.....
o SITE SPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXIGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
ok ~..r I ~ yk. D(P
)Q WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o COROT RK. CALL FOR REINSPECTION BEFORE COVERING
Inspect r: 01 Owner/Contr:
CAL.: 7-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTl
(Please type or print and sign at bv..u.~)
ADDRESS
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
PERMIT NO.05.... /'I3d
ZONING (office use)
ISd'l8 ~/~kJCi.V I-hd~Jrts Pol,
/' /. .
~/() IS La ~ 111n 553Z ~
leI
,
LEGAL DESCRIPTION (office use only)
LOT JIoBLOCK J ADDITION uJ J2/'uvmCVlv'rL/
BUILDER, /I. J I
(Name) e; N" L VQ.S~~, ct.... l./LD~TY",-c..-n~."\
(Contact Name) -1(9 ~ .J<, ^j
(Address) __ ~,gl/ tJe,R. D~\1e. s...'k ISO lU~b(.(rV
/
OWNER
(Name) D ll\ll u
(Address)
TYPE OF WORK
o Misc.
I Permit Valuation
I Permit Fee
I Plan Check Fee
I State Surcharge
I Penalty
I Plumbing Permit Fee
I Mechanical Permit Fee
I Sewer & Water Permit Fee
I Gas Fireplace Permit Fee
d I ,'ve.~
o New Construction
OLower Level Finish
/~<+
PI~5 -3'70- 0::1-0 -0
(Phone)
(Phone)
(Phone)
~ , ;;t- 328 - ~ $"07
mn.
SSJ;;;S
~eck
o Fireplace
o Porch
ORe-Roofing
ORe-Siding
OAIteration
OUtility Connection
OAddition
PROJECTCOST/VALUE (exc1udingland) $ /1. 750. CE-
This Application Becomes Your Building Permit When Approved
~;M~
Building Official
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 n~e;~ inspections.
X ~ ~ - .B(! - 200??69~/ /0 .~~-63
. Signature n Contractor's License No.
~~eo, 00
$ g3,Z~
$ 6'Lf, II
$ 1,50
$
$
$
$
$
/oA.~j :1
Date
I Park Support Fee
I SAC
I Water Meter Size 5/8"; I";
I Pressure Reducer
I City SAC and WAC
Water Tower Fee
$
$
$
$
$
$
Builder's Deposit $
IOilicr $
I TOTALDUE ~ fO.UlJ3 $
I Paid / oP/6~
I Date /0 - 01-7-0....::;
#
#
#
#
-
/38- e,=>
L.~
_/::Jo f (,::::>
LIL
()'
Receipt No.
By
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
D Iii ~ I
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 CheckJist
'-
Del:k Addition::> to Single FamilJ' Home::>
BY~~
BuildingP~rmit ,:;:.
Site Address
Pill:
Date 10 - S< L/-QG
ZO nlll~:
I~:~<~ioy~/~d
Legal: L / f.t;
B
Z-
E:s.isting Structure~r NO
CONFORl'YIS TO ZONIi'fG
ORDIl'!ANCE
1'"E S
NO
Ya.r.dSdbacki: NOT A...PPLICA..BLE
MEETS COD E
R~quirem~nt
Propo:\ed
SIde Yard
(25' if abucri.ng a :street, 30' if abutting a street in
Cardinal Ridge)
. . Side Yard
10'
10'
. (
01/<4 { (J
I .
DiJeJI I ()
.L(o I
· Rear Yard
25'
. To vmhOllS es
Must be consistent with
approved pl::m for
develop ment
fJA,
A.NY PROPOSED DECK NOT MIETli'iG THE ABOVECRlTERl.A MUST BE REFERRED TO Till
PLAL"i1'fIJ.'fG DEPARTlYLENT. ALSO, .'-\l'fY DECK ON A LOT WITH A SUSPECTED BLUFF, OR AJ.'fY
OTHER UNUSU,U CIRCtIMST.-\l'iCE lYfUST BE REFERRED TO THE. PL.\j,'ft'(ll'iG DEPARTl';[ENT.
THls CHEC.KL1ST JYruST BE COMPLETED Al'iD INCLUDED IN THE BUlLDli'iG PERJ.'iilT FIU: TO
lYIAll'ITAlL'f A RECORD OF THE REVIEW.
L .'TE)/[PL.~ TE' 0 E C'~r=ECx..DO(
I II II
PRIOR LAKE DEPARTMENT OF
' . .. BUILDING AND INSPECTION
INSPECTION
RECQRD
SITE ADDRESS / 5" ~!II 1=4 i,. "J,;.. 'I t/:.:ts. R c1
TYPE OF WORK DeLk.
USE OF BUILDING JSF
PERMIT NO. ~- 1'I3/) DATE ISSUED 1().~"-o3
BUILDER ~tiJ Ue. 5 Ict~ PHON~'.;a.. ~~". 4StJ'J
NOTE: THIS IS NOT A PERMIT F6R ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
FOOTING I '\\V. I DATE
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
1L-" . I I
, FINAL
fD
IJ." 31- 63
FOR ALL INSPECTIONS (952) 447-9850
\
.. .
111 II