HomeMy WebLinkAboutBuilding Permit #03-1341
DATE nME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
J-2.-o1(
ADDRESS , 5 J 16 ... ~~.Q)S
rP~<y
/
OWNER
CONTR.
PHONE NO.
PERMIT NO.
"? --/3t1 /
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION I
~INAL .'AeCf<----
o SITE IN!ll'ECTION
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:
). J-\\.,(;Q.,l ~ -Ic.. 7~ - ~~<f?
o WORK SATISFACTORY, PROCEED
t1f CORRECT ACTION AND PROCEED
o CORRE~RK' CALL FOR REINSPECTlON BEFORE COVERING
Inspector: h Owner/Contr:
CALL; .,Jt, 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
(/0 - /3-::3
L WfriIee file
2. Pink. City
3. Yellow Applicant
PERMIT NO. ~'3-I!B L/. A
(please type or print and sign at b. ... ..)
AuJ_iAESS
ZONING (office use)
t ~IIO
]" e ,. f'flt ..s.
PA'.tS
f'1!(1J1.. Lflti.. M.J
>5"3'1Z,
LEGAL DESClUr nON (office use OnlY/) J J
L~WCKZ, ADDmO~#~
OWNER
(Name) PAlIl.,,J /Ch(..-/ t..f~ '/)~c..ll~11,-
'ouIt
PIDdS- :]Cf5- ()5'7-:)
(phone)
q Sl- i..{"fO ~ 2,12/1
(Address) I ~I /0 .J E fft1 > P1H f',11ulV (,/II<t.
#t1N b~3"z.,.. I .
II cY'."\
~(~l \ h6l'V~ ~:ne) :q 51.: 1'1'1-
lI' (phone) ~ 'fl- GJiv"
OZ7fc
t)l7~')
-
BUILJ.JnA
(Name) E ~ (J-flt r ~(f4 (" r,,J$'!LoJ<nr>...J C (, ,.IIP/) <\/'/
(Contact Name) n-1t.n Srlt.il'l'i.fV
(Address) 110 rFI )
TYPE OF WORK
v-H: s rflv,f-( 1I1/~ PJtWL L-1tt~ M~ 5T J7 z...
o New Construction ~k OPorch ORe-Roofing
OLower Level Finish o Fireplace OAddition []Alteration
ORe-Siding
OUtility Connection
o Misc.
PROJECTCOST/VALUE (excluding land) $ I :5. ceO, ''-v
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~r...,j and that all construction will conform to all existing state and local laws and will proceed in accordance with
submitt~S. I am ~t the b. g official can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may
;teru r2'-}.. 7l.reed mspections. J U _I J-o,3
Signature Contractor's License No. Date
I Permit Valuation 3000 '!Jt Park Support Fee # $
I Permit Fee $ 8~. J-S SAC # $
I Plan Check Fee $ Slj I.f- I Water Meter Size 5/8"; 1"; $
I State Surcharge $ I J.-O I Pressure Reducer $
I Penalty $ I Sewer/W ater Connection Fee # $
I Plumbing Permit Fee $ I Water Tower Fee # $
I Mechanical Permit Fee $ I Builder's Deposit $
I Sewer & Water Permit Fee $ I Other $
I Gas Fireplace Permit Fee $ I TOTAL DUE CAvteD /(j ,f5. 03 $ r:.t ~ t" I~
. . ~c;~~ ~or/(p
I Paid / :5B. ~0
I Date / tJ. 24-;o..J
IO,;C;-tfJ /
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 r.~.w_J as requesteci This document
when signed by the City Planner w~":..Jtes a ~r---"1' Certificate of Zoning compliance and allows construction to commence. BefOre occnpancy, a Certificate of Occupancy must be
i~. IZ ~f4.J. ({II r1()f.o ci- fl..Cl;1cttJ+ ~
Planning Director
Date Special Conditions, if any
24 hour notice for all insoections (952) 447-9850. fax (952) 447-4245
Residential Building Permit Checklist
'-
/UJ fZJ2k Addieion, :a::"~j~~~il~ ~o:; 3
BY
Building Permit #- Pill:
Site Addre:5~
Legal: L S B '3
Exi.:rting Structure: YIS o@)
/S//{J-~ jJ~
SubdIV1:5WO: ,..-;- L:'r r /11_
:.J -c'1 r~"'5 -::::"c7t./ I ". \
CONFORi\IS TO ZOL'{TI''i-C
ORDINANCE
G
NO
Y:lr.d Sdbuck.:i: NOT APPLICABLE
MEETS CODE
Requiremt:nt
Propo.:ied
· Side Yard
(25' if abuEting a street, 30' if abutting a street in
Cardinal Ridge)
· . Side Yard
lO'
10"
401
2-0 (
q~1
il !~
· Rear Yard
25'
· T o'imhouses
Must be consistent with .
approved plo.n for
development
A..NY PROPOSED DECK NOT MIET.I.NG THE A.BOVECRlTERlA MUST BE REFERRED TO THE
PLA.i'+1'fll'lG DEPARTLYl:E.NT. ALSO, Al'fY DECK ON A LOT WTTH A SUSPECTED BLUFF, OR A.NY
OTHER UNUSUAL CIRCUiYlSTAl'iCE iYruST BE R.[FL~D TO THE PLAl'fN"ING DEPARTrvl:ENT.
THIs CHECKlJST lYruST BE COMPLETED Ai'ffi INCLUDED li'i THE BURDING PERl.'YlIT FIL.E TO
lYlAlNTAlJ.'f A RECORD OF THE REVITW.
L:' TE)tlPLA r=:- 0 E C:~'=:"::CX.D()c
~
PRIOR LAKE DEPARTMENT OF
BUILDING AND INSPECTION
INSPECTION
RECORD
SITE ADDRESS 1511t) ~ ~
TYPE OF WORK D c..c.)z
USE OF BUILDING :3 f-
PERMIT NO. 03- 13L/1 DATE ISSUED /fJ'JW-:3
BUILDER ExIJ-e'v1-L4 (' CJAJ sfV' PHONE tflqlf -(J -a ~J:,
.
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPA,,-nE DOCUMENT
(,) (p M&, (!t ....;q;r~ DATI
I FOOTING C-ht'~ f:',-y.,. platt 2-0 IYf I /7-1// ,
v j
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
t FRAMING I I I
t FINAL ,
FOR ALL INSPECTIONS (952) 447-9850