HomeMy WebLinkAboutBuilding Permit 03-0669
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS l{D~ 1.{"4.. ~ t
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION v"l _IL
II' FINAL V-("1
o SITE INSPECTION
COMMENTS:
CONTR.
PERMIT NO.
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
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OA TE nilE
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o EXlGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
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p~ L
/
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/WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: p <g./( -tl> Owner/Contr:
CALL 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH 01 SAFETY!
INSlIOTI
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
(Please'!vpe or 'Print and siJID at bottom)
ADDRESS
405"'5'
IS-~'f-h. S-J...
LEGAL DESCRIPTION (ollice use only)
1. White File
2. Pink City
J, Yellow Applicant
Date Rec' d
I PERMIT NO, tJ3- tdoCf I
ZOpl/5/JuseJ
LOT Z- BLOCK S- ADDITION
Lv.~.lZ.~",,~ ~~
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OWNER
(Name)
'Do~\.
c)
(Address)
BUILDER
(Name)
(Contact Name)
(Address)
L"'Y\1
O<-.-J
(Phone)
j.k~ +1......j)
j2v,~~
(.....~ ~ "t\ v.:. l A-u-~
<L~
I
(Phone)
(Phone)
TYPE OF WORK
DMisc.
o New Construction
DLower Level Finish
~ck
ORe-Roofing
DPorch
DAddition
DAlteration
o Fireplace
PROJECT COST IV ALUE (excluding land) $
PID;(S"-C)3b -Olf-D
Cf 5:1. - 't'tO
3/70
'7 b:J- - <je~--,<;::>it.:..l
(",,).... - s-"1~ - 4- '7'Z_
8<9=
DRe~Siding
DUtility 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
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.
X 'V-- ~ ___ ~~
Nignature '
'-)
I Permit Valuation
I Permit Fee
I Plan Check Fee
I State Surcharge
I Penalty
I Plumbing Permit Fee
\ Mechanical Permit Fee
i Sewer & Water Permit Fee
I Gas Fireplace Permit Fee
$
$
$
$
$
$
$
$
'3ooo~ -
B~. z.~-
')4./1
I, <\0
R 1 /
ecumes ~~hk~APProved
'aJ } f (Date
~
Contractor's License No.
I Park Support Fee
I SAC
I Water Meter Size 5/8"; 1";
I Pressure Reducer
I City SAC and WAC
I Water Tower Fee
I Builder's Deposit
lather
I TOTAL DUE
I Paid i3i-,ib
I Date /.;, :2 - '?
--
$
$
$
$
$
$
$
$
$ /3g. t?(;
I ~~ceiPt N7f-~$Zt>l
#
#
#
#
G. -2- -'2..<><> )
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.
Plwming 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
Residential Building Permit Checklist
BY 4)(;- n,,'Add,",", :o~:"'ld:t Z~3
Building Permit '* 3 ,.<00 q PID: I Zoning: #" J,' ()
Site Address \ (L-"-/ J
Legal: L B
.,;",,,, S<~d"@ NO
CONFORMS TO ZONING
ORD.fI\iANCE
Subdivision:
C9
NO
[Yard Setback>: NOT APPLICABLE
. MEETS CODE
. Side Yard
(25' if abucting a street, 30' if abuttmg a street in
C ardina! Ridge)
I' ' Side Yard
I. Rear Yard
. T ownhollses
R~quirem~nt
Proposed
10'
10'
4o(
t) \
)"'
-~
I
(7...0
Must be consistent with
approved plan for
development
ANY PROPOSED DECK NOT M:EETING THE ABOVE CRiTERIA MUST BE REFERRED TO THE
PLAL'iNli'lG DEPARTi't[ENT. ALSO, ANY DECK ON A LOT WITH A SUSPECTED BLUFF, OR AffY
OTHE.R UNUSUAL CIRClfMSTAo.'KE MUST BE REFERRED TO THE PLA.c'<'N1NG DEPARTM:ENT.
THIs CHECKLIST 1rruST BE, COMPLETED A.ND INCLUDED l.L'I THE BU1l.DING PER.cVilT FILE TO
i'tlAlI'ITAlN A RECORD OF THE REVllW.
L :;,TE~"lPLA fE, D E CY_C:-iCX.:;)()C
PRIOR LAKE
INSPECTION
SITE ADDRESS ~o~~I?~Q6D
TYPE OF WORK pee It:...
USE OF BUILDING -s;p
PERMIT NO.. Q3- ~ ~ If DATE ISSUED .. ).- .,
BUILDER -/if:!"'~"lVtI a. #J;J~"S9." .u9al
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF
BUILDING AND INSPECTION
INSPECT.,OR
DATE
., FOOTING I M/ I G-t-~
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
~ I I
I FINAL
IM/
t"t /" h.D
I
j
I
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (952) 447-9850