HomeMy WebLinkAboutBuilding Permit 03-0983
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
(Please type or print and si~ at bottom)
ADDRESS
. 5) 3 ~ fti · (' w ~\f ~ ~ \ e t
,
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
OWNER
(Name) f)Q Br '1
(Address) \ S~.
BUILDER (7"" ^A 4_
(N ame ) >;,........ \"("
(Contact Name)
(Address)
TYPE OF WORK
ADDITION
I.." , V}1 .e ('" S v".j
I. White File
2. Pink City
3. Yellow Applicant
Date Rec' d
PERMIT NO. ()3-'0q~L
tJvJ
ZONING (office use)
PID 2.$.31(,. vJ~ 0
(Phone) q5l~ z,21" .15 b t/
. J
fru.r ""''1 ~s ~v1 NW
o New Construction
~ t:#= . . OLower Level Finish
o Misc. 6ilim~~.'''' S....
(Phone)
(Phone)
o Deck ~orCh
o Fireplace OAddition
o Re.-Roofing
OAlteration
PROJECT COSTlY ALUE (excluding land) $
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
sub 'tted plans. I~m ~w that the building official can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may
enter u ro e :0 rform needed inspections.
X \: (~ ; ----- 01...21--<>J
SIgnature Contractor's License No. Date
I Permit Valuation
Permit Fee
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
I Mechanical Permit Fee
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
i a~~,dO
$ ., 83. Zs
$ 5 '-/. / I
$ I, s-o
$
$
$
$
$
~~:~uil~~7ed
Building Official I . Date
$
$
$
$
$
$
$
$
$ 13a.g~
/)
Receipt/1j6. .;sV9/
. By A.,.
o
I Park Support Fee
SAC
#
#
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
~ ~7/.JY/~~ .
Planning director ' D~te Special Conditions, if any
24 hour notice for all inspections C~52) 447-9850, tax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
vV' ater Meter
Size 5/8"; 1";
Pressure Reducer
City SAC and WAC
'Nater Tower Fee
#
#
Builder's Deposit
I Other
TOTALDUE ~ 1. ~S.03
.1:Lr~r1p
? z.r 0')
( - I
1 Paid
I Date
Residential Building Permit Ch eckJist
3-~,...) ~~Addition~ to Singlt: Family aom~s
t'o flt:!.tt
B~ '?a.JJ.t.-
Building -Permit #
Site Address /5~3j1
Legal: L
. B.
E.listing Stru~-ture@or NO
CONFORi\IS TO ZONlliG
ORDIN~~NC'E
Yard Setbacks: NOT APPLICA..BLE
~IEETS CODE
· Side Yard
(25' if abutting ;J. street 30' if abutting a street in
Cardinal Ridge)
· . Side Yard
· Rear Yard
· T m"nhouses
. Zoning:
I'"ES
R~quirement
10'
10"
25'
Nlust be consistent I,vith .
approved p [an for
develop ment
NO
Propo:)ed
3/
tJA
I.e" S (
NA
ANY PROPOSED DECK NOT M:EETING THE ABOYE C.RlTE.RlA~lUST BE REFERRED TO THE
PLAi'fNL.'iG DEPARTIHENT. ALSO, ANY DECK ON A LOT \V1TH A SUSPECTED BLUFF, OR AJ.'{y
OTHER UNUSUAL CrRCtfMSTAJ."iCE j)IUST BE REF'ERRED TO THE. P'LAl'iNIL~G DEPARTlVIENT.
THls CHECKL1ST ~rUST BE COMPLETED AND INCLUDED IN THE BUILDING PKRLVilT FILE TO
~1A.li'IT Al1'f A R.E C ORD .0 F THE REVIE W .
L: 'TE)/ [P L.A. IE. 0 E CKC~H CK.D()(
PRIOR LAKE DE9ARTMENTOF
- BUILDING AND INSPECTION
INSP,ECTION RECORD
SITE ADDRESS I4$Z3'l 1=}\,iftWAV ~ ".
NATURE OF WORK -&-.c.t\ ~~T'~ 'tlfCoIC.
USE OF BUILDING 5.,-=: 0 .
PERMIT NO. 03 ,. 09'8) [)ATE ISSUED -"t&{/tJ
CONTRACTOR ~ PHON~. 2Z.(,a -.st.&(
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
FOOTING
I
PLACE NO CONCRETE UNTil. ABOVE HAS BEEN SIGNED
UGH - INS
(6~
)
I
\ I
')7
9~LJ
7~?;{)
: .
FRAMING
INSULATION
ELECTRICAL
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
B DING
ELECTRICAL
FINALS
W, /
~\I
Lf- 7 -0 'f
I
DO NOT OCCUpy UNTIL ABOVE HAS BEEN SIGNED
NOTICE
This card must be posted near an electrical service cabinet prior to rough-in inspections
and maintained until all inspections have been approved. On buildings and additions
where no service cabinet is available, card shall be placed near main entrance.
FOR ALL INSPECTIONS (952) 447-9850
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEIJULED
DATE TIME
i~-<'3
ADDRESS --1b?v~.fi ~ &/MJ N~ ~ ~+-
OWNER
CONn~.
PHONE NO.
)A:OOTING ~rct-...
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
PERMIIT NO.
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
'J . M : '"'-
:3;. er8'5
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
,
()_ ttr-
q~ . ~ flI'- 1'1 ~
U -Z,,)- ~ ref?
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,- o'~.c. rr-
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l' I
) . . (, \
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o WORK SATISFACTORY, PROCEED .
)f CORRECT ACTION AND PROCEED
~ \ORREiORK. CALL FOR REINSPECTION BEFORE COVERING
Inspector. ~ _ Owner/Contr:
CAL 17.l/o J,R THE NEXT INSPECTION 24 HOURS IN ADVANCE.
\,
CODE REQ 71 ENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
~ c{ " t"OlJ...J. t: 15
+
\
-0
INSNOTl
I -, I'
ttJ
CITY OF PRIOR LAKE
INSPECTION NOTICE
i-h#
/
~~. 1~1rs () JL-
TillE
SCHEDULED
ADDRESS ~5'1
OWNER
PHONE NO.
PER~MIT NO. 3' - o'i~;S
o FOOTING 0 PLUMBINIG RI
o FOUNDA liON 0 MECH RI
o FRAMING 0 WATER HOOKUP
o JNSULA TION 0 SEWER ..lOOKUP
Jil'fINAL 0 PLUMBINIG FINAL
o SITE INSPECTI~ . 0 MECH FIt.AL
COMMENTS: \' ~ ~
o EXIGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR 1ST
o
A
./
-/
~RKSATISF CTORY. PROCEED
o CORRECT T' N AND PROCEED
. CALL FOR REINSPECTION BEFORE COVERING
Inspector:
OwnE~r/Contr:
~OR THE NEXT INSPIECTION 24 HOURS IN ADVANCE.
UlREMENTS ARE FOR YOUR PERSONAL HEALTH &: SAFETY!
INSN071