HomeMy WebLinkAboutBuilding 02-0671
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
S/;~('B
TlICE
ADDRESS (paa-LHJ( r:~
OWNER CONTR.
PERMIT NO. ::< - ~ 7/
PHONE 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
Ikck
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
~-l\.-a. ~ - J. ~~ -k ;... cd ,V ,. ~"
~
o WORK SATISFACTORY, PROCEED
AND PROCEED
ALL FOR REINSPECTION BEFORE COVERING
Owner/Contr:
Inspector:
CALL <<7.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
INSNOTI
Itr-5-o~
I PERMIT NO. (J2 -0(;11
~ITV OV DDIOD Llll~ nUILDINlJ IJItIlMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
White File
Pink City
Yellow Applicant
s-t-
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
D!lt~ [{!e' d
ZONING (office use)
R IS [J
ADDITION
PID 5- tJ11"
OWNER
(Name)
JJ.v'VVf.r~
ftffl!?
(Phone)
L, ~ 10' #
(Address)
BUILDER
(Name)
(Contact Name)
(Address)
(Phone)
(Phone)
TYPE OF WORK
o New Construction
OPorch
ORe-Roofing
ORe-Siding
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 needed inspections.
.41.. r;;
OLower Level Finish
o Fireplace
OAddition
OAlteration
o Misc.
PROJECT COST IV ALUE (excluding land) $
x
Park Support Fee
SAC
#
#
Signature
Contractor's License No.
Permit Valuation
Permit Fee
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
$
$
$
$
$
$
$
$
/O~
Water Meter Size 5/8"; 1";
Pressure Reducer
#
#
Sewer/Water Connection Fee
Water Tower Fee
Builder's Deposit
Other
TOTAL DUE
DUtility Connection
{o -- ,~-
CJ 2...
Date
$
$
$
$
$
$
$
$
$//5
comes Your Building Permit When Approved
G - &-07-
Date
?/(p 'J'
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
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
White - Building
Canary - Engineering
Pink - Planning
The ('enltr nr Iht' takr Counlr)'
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
)
l
/ccp-;-
I
o "-- 5 -0 0--
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
~f?otl iJ; (I L_ rc,g- St-
Accepted
Accepted With Corrections X
Denied ~Il j
Reviewed BY~~ ~
C(i:e ~ ~
Date:
{p-tp-L7Z--
~~
"The issuance or granting of a permit or approval of plans, specifications and
computations shall not be construed to be a permit for, or an approval of, any violation of
any of the provisions of this code or of any other ordinance of the jurisdiction. Permits
presuming to give authority to violate or cancel the provisions of this code or other
ordinances of the jurisdiction shall not be valid."
Residential Building Permit Checklist
Det:k Additions to Single Family Homes
BY:
Date: t:, - 5-0 ?--
Building Permit # .
Site Address ~ gO 1
!I)/(!jerr ~-f-
Zoning:
{<(5!)
Legal: L
B
S ubdivi.'iion:
Existing Structure: x~S or NO
CONFORlyIS TO ZONlliG 'Y-:E S NO
ORDINA1~CE
Yard Setbacks: NOT APPLICABLE Requirement Proposed
['ylliETS CODE
. Side Yard 10' ~5/
(25' if abutting a street, 30' if abutting a street
in Cardinal Ridge)
. Side Yard la' ~~ '
. Rear Yard 25' ~(,'
A..'fY PROPOSED DECK i'iOT ,VIEETJi.'{G THE ABOVE CRlTERIA MUST BE REFERRED TO THE
PLA.NNING DEPARTMENT. ALSO, AJ'fY DECK ON A LOT 'vVlTH A SUSPECTED BLUFF, OR .~'fY
OTHER UNUSUAL CIRCUlYlST.1u'iCE MUST BE REFERRED TO THE PLA1'iNIi'iG DEPA.RTlVlEi'iT.
THlS CHEC.Kl.IST MUST BE COMPLETED A.L'iD INCLUDED IN THE BU1LDli'iG PERcHIT FILE TO
iVIAlNTAlN A RECORD OF THE REV1EW.
"
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W. Q. # 17-76
SUNDE LAND SURVEYING
'7G; - i >
~!;):O/ /} -//r.J.O
EDWARD H. SUNDE t-
REGISTERED LAND SURVEYOR
9001 EAST BLOOMINGTON FREEWAY (35W) . BLOOMINGTON, MINNESOTA 55420 .612-881-2455 D. C' Ii
, (I (J ( ..;> wm?
Survey For: MR. J,OHN MAHONEY
Surveyor's Certificate " -" _ 8 0.00
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PROPERTY DESCRIPTION
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Lot 8, Block 6, PRIOR SOUTH, according to the recorded plat thereof,
Scott County, Minnesota
I hereby certify that this survey, plan or report
was prepared by me or under my direct supervision
and that I am a duly Registered Land Surveyor under
the laws of the State of Minnesota.
~ ..sL~. ~-
Edward H. Sunde
a. ...
Date Feb. 6, 1976
Reg. No.
8612
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