HomeMy WebLinkAboutBuilding Permit #03-0886
DATE nME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED ('2. - ~ (-07
PHONE NO.
~u.)-e.;( JJ4
CONTR.
PERMIT NO. '3. 8S Co
ADDRESS J C)2C( ()
OWNER
o FOOTING
o FOUNDATION
o FRAMING
B-INSULA TION( .
A FINAL Q2c\L-
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXIGRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
~. ~C~~ ~~ ~~'lAo.-t-.I O?r-
....
~ tt""", O'l'\. e.a.~~ ~ . ~ \1\.0 \-
~ ~~~'^ i:tY t;,~v~
(\.\. rA~ tc.... t V\ 'J f? I. s;d- ~ t.,
o WORK SATISFACTORY, PROCEED
SPECTlON BEFORE COVERING
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INS/Ion
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
(Please type or print and sign at bottom)
ADDRESS
I ~L'-ID
-
J-CL i r tA/.{. V
f
H ~ (y /,,15 fUl /L/ u/
I. White File
2, Pink City
3, Yellow Applicant
LEGAL DESCRIPTION (office use only)
LOT J7BLOCK 2-ADDITION W6f\/S/'7/1;<J/V / SI
OWNER
(Name)
'Wllm-t v
/Sl..'-It)
(Address)
BUILDER
(Name)
()Wi1~r
(Contact Name)
(Address)
TYPE OF WORK
o Misc.
f Ut(, (
Date Rec' d
I. 3.03
PERMIT NO. 03 - 0 ee"
ZONING (office use)
e/
PID z5-37h- 02.-1-0
D4Y 'NFL - g5i 7 - gS-3 '(
(Phone) -2.5Z - 4 '10 - ~ s :3 ~ ~~
I~'
flr'IJY 4k ~ J 11~ 5S37 1-
J~r~
Fa r 'w 01../ 1-1 ~ L[ /'/c /2./ /Uw
I v
o New Construction
o Lower Level Finish
(Phone)
(Phone)
9foeck
o Fireplace
o Porch
ORe-Roofing
PROJECT COST /V ALUE (excluding land) $ 2. 7 () 0
OAddition
OAlteration
ORe-Siding
OUtility Connection
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
~teruPo~7~e~$
Signature Contractor's License No. Date
I Permit Valuation
I Permit Fee
I Plan Check Fee
I State Surcharge
I Penalty
I Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
$
$
$
$
$
$
$
$
~ 000-
&>~. 2.;'
5""4. , (
\. ~o
I Park Support Fee
I SAC
I Water Meter Size 5/8"; 1";
I Pressure Reducer
I City SAC and WAC
I Water Tower Fee
I Builder's Deposit
I Other
I TOTAL DUE
I Paid I~Y, 'Ie, f
~;;::;;1;(11 03
#
~
#
#
$
$
$
$
$
$
$
$
$ 138.8(;.
Receipt No. ~I.f ~1l
By....-~~
'- )
This is to certify that the request in the a'5ove 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
'-
Deck Additions to Single Family Homes
BY
Date
73,05
Building Permit #
Site Address
0.5' -O.!/~ PID: Z5. S)'b. 02/, 0 Zoning: /C- /
/524-0 ;::-;qI,ewnV d/~' I'~
/ /sr
B c- Subdivision: /1/D0l'1/Jrv'A-/
Legal: L I {
Existing Structure: ~ NO
CONFOR.\IS TO ZONING
ORDINANCE
@
NO
Yard Setbacks: NOT APPLICABLE
MEETS CODE
wi
Requirement
· Side Yard
(25' if abutting a street 30' if abutting a street in
Cardinal Ridge)
. Side Yard
10'
Proposed
/
/
10'
lor
Gs-'
75 f
. Rear Yard
) -,
_J
· T o'Vmhollses
Must be consistent with
approved plan for
development
AI'fY PROPOSED DECK NOT i.Yt:EETll'IG THE ABOVE CRlTERlA MUST BE REFERRED TO THE
PLANNING DEPARTIHENT. ALSO, ANY DECK ON A LOT WITH A SUSPECTED BLUFF, OR Al'fY
OTHER Li'lUSUAL CIRClfMSTAJ."iCE 1\'fUST BE REFERRED TO THE PLAJ.'fN!J.'fG DEPARTlVt:ENT.
THIs CHECKLIST MUST BE COi\'IPLETED AJ.'ID iNCLUDED IN THE BUILDING PER.J.\'IlT FILE TO
MA.lNTAlt'i A RECORD OF THE REVIEW.
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~~~
12../31/03
~
PRIOR LAKE
DEPARTMENT OF
BUILDING AND INSPECTION
INSPECTION
RECORD
SITE ADDRESS /524-0 FAII<WA V Hr.5 ,et::J
TYPE OF WORK D6~
USE OF BUILDING IZ6S ~//Z
PERMIT NO. D3 - 088fo I DATE ISSUED 7. .3. ()3
BUILDER KUIe.-I t-I PHONE # 440. 453to
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
I . INSPECTOR DATE
'FOOTlNG\Jlj~0 O~, 1(lb 17-77
PLACE NO ~ONCRETE UNTIL ABOVE HAS BEEN SIGNED
I I
~---...
I FINAL /<1/ /0(1:> r<-~J
l/ I
FOR ALL INSPECTIONS (952) 447-9850
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