HomeMy WebLinkAboutBuilding Permit 03-0844
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
1t::~4<.j
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
.liI:1INAL ~ C. ~
o SITE INSPECTION
COMMENTS:
l, -:l;,,.,L. I2I
"2. T ....", -t,....L.
DATE TIME
SCHEDULED
'-:2,'-07 /(:30
G)(\.~ -cr-k
CONTR.
PERMIT NO,
~- 3'14
o PLUMBING Rl
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE Rl
o FIREPLACE FINAL
o GAS LINE AIR TST
o
.~-~ J rl..,. ..1 ~.J.. c.-~
(I} n'". r
~ORK SATISFACTORY, PROCEED
)"'liORRECT ACTION AND PROCEED
o CORREIW RK, CALL FOR REINSPECTION BEFORE COVERING
Inspector. Owner/Contr'
l:AL 850 FOR THF NEXT INSPECTION 24 HOURS IN ADVANCE.
COD EQUIREMENTS ARE FOR YOUR PERSONAL HEALTH ,{ SAFETY!
ll<SNO"
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec'd
~.z4-,U3
I. While
2. Pink
3. Yellow
File
City
Applicant
I PERMIT NO. 05 -B'-fLf
(Please !vpe or print and sign at bottom)
I ADDRESS
152>44- W(l,.l"\ -ru~y ('(}UU
,
ZONING (offi,,",,)
~e/D~ U}~, MAl 55;;,1-
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER
(Name) $ e LEft1Htf4VlltrJ
(Phone)
1t12-~ 334--"f304-
(Address)
BUILDER
(Name) IJlr r;. LEA-,HBlUM.J
(Contact Name) ~Fs A.... A&'\\lb
(Address)
(Phone) 1II1-~~4~ qb{)4-
(Phone)
TYPE OF WORK
o New Construction
~eck
o Fireplace
DPorch
DAddition
ORe-Roofing
DRe,Siding
DLower Level Finish
DAlteration
DUtility Connection
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
enter upon the ro eIty to perform needed inspections.
(' 71 ~O -
"sfgnature
aB -2.0' WD:?::.
x
Contractor's License No.
Date
I Permit Valuation ~: ZtJotJ, 0 {) I Park Support Fee # $
I Permit Fee $ bq. Z-S I SAC # $
I Plan Check Fee $ 1/<:;. fl ( I Water Meter Size 5/8"; 1"; $
I State Surcharge $ 1,00 I Pressure Reducer $
I Penalty $ I City SAC and WAC # $
I Plumbing Permit Fee $ I Water Tower Fee # $
1 Mechanical Permit Fee $ I Builder's Deposit $
I Sewer & Water Permit Fee $ I Other $
I Gas Fireplace Permit Fee $ I TOTAL DUE $ II S>, z<..,
This Application Becomes Your Building Permit When Approved I Paid / /..5:f;;fR I Rece1C' 'r~It7-
r I Date . (,. - "T-,Qf
~ ':tJ/-J_ Bv _ _
c1
Building Official Dare
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 consuuction to commence. Before occupancy, a Certificate of Occupancy must be
issued.
Planning Director
Date Special Conditions, if any
24 hour notice for aU inspections (952) 447,9850, tax (952) 4474245
16200 Eagle Creek Avenue Prior Lake, MN 55372
Residential Building Permit Checklist
D~ck ,-\.ddition~ to Singl~ Family Homes
~:t~
BY
Building Permit #
Site Address 153l(q
Legal: L B
Pill:
tJdd
E.listing Structure: ~r NO
CONFORMS TO ZONTI'fG
ORDINANCE
'Yard Setbacks: NOT APPLICABLE
. MEETS CODE
. Side Yard
(25' if abul:tlng a street, 30' if abutting a street in
C ardinal Ridg~)
Side Yard
I .
I.
R= Yard
. Townhous~s
Date
~/~<(~3
NO
Proposed
2-? (
II ,~g-
37'
N t\,
A.I'!Y PROPOSED DECK NOT i'vIIETING THE ABOVE CRlTERlA i'vl1JST BE REFERRED TO THE
PLANNING DEN.R.Ti'vJ:E('fT, ALSO, A.NY DECK ON A LOT W1TH A SUSPECTED BLUFF, OR Ai..",
OTHER l!N1JSU.U CffiCUMSTA.NCE MUST BE REFERRED TO THE PL..\J.'iNIJ.'1G DEPARTi'vJ:ENT.
ZonJIlg:
~::Z~:~
(fn:~
Requirement
10'
10'
25'
Must be consist~nt WIth
approved plan for
development
Tills CHECKLIST i'vruST BE COMPLETED MID INCLUDED 11'1 THE BUILDING PER.iVIIT mE TO
MAlNTAlN A RECORD OF THE REVIEW.
L:"TE:vI.PL..\.TE' DE CKCHC(.DOC
PRIOR LAKE
INSPECTION
RECORD
SITE ADDRESS /5 ~'Ll./ WiLl) 72l~~tll2r
TYPE OF WORK Nt &4J ,7)E'Cx.
USE OF BUILDING -S.P': A .
PERMIT NO.. ~- fll.Y DATE ISSUED ~~~
BUILDER Jij~H~ PHONE tilJl..-'S7LI--tJ!/).'1
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF
BUILDING AND INSPECTION
IJjl!PE~OR
DATE
I FOOTING ~ A.l/c- I ~ I 7j.~~
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
~ I I
, FINAL
/1
r/!J 7-~7
.
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (952) 447-9850