HomeMy WebLinkAboutBuilding Permit 03-1378
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
fIll f,
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULA T10~ 1/
~ FINAL t/ ~(,f~
o SITE INSPECTION
COMMENTS:
o f-,.,~ '"
all
,
SCHEDULED
(J /If(jk.> Cr-
CONTR.
PERMIT NO.
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
;1(1l/5 IY\.
----
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DATE TIME
/2- :1/,0-:>
s- /~ 7<;;
o EXIGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
fItJ", T""'" 5
7J~1
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~
~
o WORK SATISFACTORY, PROCEED
rORRECT ACTION AND PROCEED
o CORRECT W~K, ~OR REINSPECTION BEFORE COVERING
Inspector: r vr Owner/Contr:
r
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.,
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNon
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DATE TIME
CITY OF PRIOR LAKE A
INSPECTION NOTICE SCHEDULED i6/(U'JtR3 It 17"'
ADDRESS 5[Lffa '0v~~
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o 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
7~~E AIR TST
~~
COMMENTS:
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~~ ~ I/OJ/'~A
. ~~,{J~\ __I S~,J
o WORK SATISFACTORY, PROCEED
fJ ~RECT ACTION AND PROCEED
()l CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: ~ Owner/Contr:
v
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOn
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
L White File
2. Pink City
3. Yenow Applicant
PERMIT NO, 03 -/37fJ
(Please type or print and siJtll at bottom)
ADDRESS
~~
ZONING (office use)
12/
S/L/fo
LEGAL DESCRIPTION (office use only) .il. .
LOT-S BLOCK I ADDITION l::)/)~
r:/ 1--;/1 ~
~ ;;< PID25-0/~-OOS-ZJ
~':~~ ~AA" J2.'
CJS;l- '('1D -, 'I,S
(Phone)
(Address)
BUILDER
(Name)
(Contact Name)
(Address)
(Phone)
(Phone)
TYPE OF WORK
~k
o Fireplace
DPorch
ORe-Roofing
ORe-Siding
o New Construction
OAddition
DAlteration
OUtility Connection
DLower Level Finish
DMisc,
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 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
:e~~~::edVe~ons. /o-oG~D3
~ r Signature Contractor's License No, Date
'1100,00
'r' to, 10
~7./7
'55"
I Park Support Fee #
I SAC #
I Water Meter Size 5/8"; I";
I Pressure Reducer
I City SAC and WAC #
I Water Tower Fee #
I Builder's Deposit
lather
I TOTALDUE rAAZO /0.1'3. '03
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
Gas Fireplace Permit Fee
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
fo<=1. S- Z-
Receip~. ~tf f-
By 7lUIl-
i
c. t; 52-
jtJ,/4-.0?
This Application Becomes Your Building Permit When Approved
~ ~~ ~~/01
Building Official Date'
Paid
Date
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,
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
Planning Director
lit ~~
JIVNESO
REQUEST FOR WAIVER OF SURVEY REQUIREMENTS
TELEPHONE NUMBERS:
~r-c.\.I<1-1 J+owVLvd Fu..V-v-I.'
~, '-I L, IS YOu 0 k:..."S ~ ~ S l e- '"
P-r\ DV \- ~\C-<.. W\ t'\J ~S3, 2-
C,S-J.. - '-{ f../ 0 - -, If 7"$
PROPERTY OWNER:
ADDRESS:
I SIGNATURE:
I
LEGAL DESCRIPTION:
~~ --:::r~.
I 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 property
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 irifringes on any setback requirements or easements.
3. . The property owner shall pay a $50.00 fee for the staff review 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.
For Office Use Only
ACTION
~PROVED 0 DENIED
COMMENTS: ~?:JlP J~.
. V I
BY: ~ ~p
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]: \himdAuts\vyai'j(er.doCf--
16200 Eagle ueeK fWe. ~.E., Prior Lake, Minnesota 55372-1714 / Ph. (612) 447-4230 / Fay. (612) 447-4245
I\N F:QI JAL OPPORTl INITY H1PI.DYF:R
'"
PRIOR LAKE
DEPARTMENT OF
BUILDING AND INSPECTION
I
INSPECTION
SITE ADDRESS S/~ "E ~I' ~ ~;~l!t6
TYPE OF WORK DECK ~LAC~r
USE OF BUILDING S.F': b ,
PERMIT NO. 03-/378 DATE ISSUED ro/l'I163
BUILDER 5n:lIE FU~L PHONE~"~d--~73
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
.. '-_ . THE PER~IT I.S BY SEPARATE DOCUMENT
\A:-JC.1 FtI EX' st/iJfi INSPECTOR~ DATE
FOOTING I ~ I I()-()./~
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
I I
Vyr I
FINAL
J),- 3[..D>
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (952) 447-9850
Residential Building Permit Checklist
'-
DecK Addition,:j to Si1l21c FamilY Home:)
('"'- -.
BY ~ ~ Date /O-c?- 3
Buildinghrmit #:
Site Address
O)'131ro
Pill:
o-/.L/~ &/l~: ~
. ~ Ni
i2. _ I. _ . -. If . '. ,;l---
Subdivisioo: ~~
Legal: L .::;
B I
Existing Structure10r NO
CONFORl\IS TO ZONTI'fG
ORD lI'f AN CE
l'ES
NO
Yar.d Setback.';): NOT ,~PLICA.BLE
MEETS CODE
R~quirement
Propo:;ed
SIde Yard
(2j' if abuEting a street, 30' if abuttmg a street In
Cardinal Ridge)
· . Sid~ Yard
lO'
31
10'
-,
lj/ tJG 10
· Rear Yard
25'
,
EXiSTft{~ ~"'I c;
· Townhouses
Must be consistent with
approved pl:l!1 for
development
NA. '
Al'fY PROPOSED DECK NOT M:EETll'iG HIE ABOVE CRlTERlA MUST BE RLFERRED TO THE
PLAi'I1'fI.J."'iG DEP,~Ti'tfENT. ALSO, AJ.'fY DECK ON A LOT WITH A SUSPECTED BLUFF, OR AJ.'fY
OTHER liN1JSUA..L CIRCtfMST.~'lCE MUST BE R..EFE..RRED TO THE P1.Al'fNll'fG DUA.RTi'tl:ENT.
THls CHECKLiST lYIUST BE COMPLETED AJ.''illLNCLUDED Ii'! THE B<IILDIJ.'IG PERJ.'YUT FIL.E TO
iYlAlN1'Al.l'f .~ RECORD OF THE REVIEW.
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