HomeMy WebLinkAboutBuilding Permit 03-0858
CITY OF PRIOR LAKE
INSPECTION NOTICE
DATE TIME
SCHEDULED d-ltJ-C'
,
10:00
ADDRESS .:~ VJ-.D Wo"JL 0<'><0-\
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULA:~~_l-
)(.1'INAL ~
o SITE INSPECTION
CONTR.
PERMIT NO.
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
c>"3 - 0 S-,e:;p..
o EXlGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
COMMENTS:
l.
~l.
I
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o WORK SATISFACTORY. PROCEED
:j{ CORRECT ACTION AND PROCEED
o CORREhWORK. CALL FOR REINSPECTION BEFORE COVERING
Inspec\OI 7- ' Owner/Conlr:
CA 7 850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
co
QUIREMENTS ARE FOR YOUR PERSONAL HEALTH'" SAFETY/
If'lSNOTJ
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec'd
I. White File I PERMIT NO ,~./ I
2 Piok Chy . O. 3- o~ IS
3. Yellow Applicant ~ i
(Please tvt'e or 'Orint and sign at bottom)
ADDRESS 32-(ptP V\JCl:::>d Dud:::. ""'Dr.
'P,i0r LNK~ NJJ 5t;-:::r7"7
LEGAL DESCRIPTION (office use only)
LOT 11 BLOCK / ADDITION / J JJ Jf!!J-:J 3 ,cL.
~':'~R lor:ld ; Chr; SA(\r'\ ~,t""J<hu.<;
(Address)
BUILDER
(Name)
(Contact Name)
(Address)
TYPE OF WORK
o Misc.
o New Construction
~eCk
o Fireplace
I I
ZONING (office use)
pun
I
PIn:,{5- 331-01'1-0
(Phone) ilS.;l. ~rJ . ~ 44'1
Contractor's License No.
Park Support Fee
SAC
I Water Meter Size 5/8"; 1 ";
I Pressure Reducer
I City SAC and WAC
Water Tower Fee
Builder's Deposit
Other
TOTAL DUE
Paid ;''5:(,~.h
Date G: - ~O- ~
ORe-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.
(lh~ ()AlA .&0; h.-W-
Signature
OLower Level Finish
(Phone)
(Phone)
DPorch
ORe. Roofing
x
I Permit Valuation
I Permit Fee
I Plan Check Fee
I State Surcharge
I Penalty
I Plumbing Permit Fee
I Mechanical Permit Fee
I Sewer & Water Permit Fee
I Gas Fireplace Permit Fee
OAddition
DAlteration
PROJECT COST IV ALUE (excluding land) $
.#3000. {)()
$ 'jJg.25
$ SLf. II
$ /. ~a
$
$
$
$
$
This Application Becomes Your Building Permit When Approved
~~t-
Building Official
6/!d/03
Date
(1' J (}!,PlJ, D. ~
# $
# $
$
$
# $
# $
$
$
$ /31.1'(0
Receipt No. ut/f3;;)
Bv /' fl .
0-
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
PRIOR LAKE
INSPECTION
RECORD
SITE ADDRESS 3~ - WQOci.t1J&C..1<.
'tYPE OF WORK D~~
USE OF BUILDING SF
PERMIT NO. 03 - es~ DATE ISSUED(,- 3a"'3
BUILDER ~y.I!..J{.~ PHONE~
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF
BUILDING AND INSPECTION
INSPECTOR
DATE
I FOOTING fA) I~ I ~ I 7/Ll~'?
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
, FRAMING I I
I FINAL
/)/\ /
\,J 4 (f/) 15'5-}CI
.,
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (952) 447-9850
i
j
I
.
"
Residential Building Permit Checklist
Deck Addition.:; to Sillgj~ Family Home.:;
03- 55?
BY
~ :;1a .,{}/-
Date
/-
3tY03
BuildillgP~rmit #
Site Addre.:;.:;
PID:
3~& <G>
Zonill!!:
tvooilJJ~
Legal: L
B.
Subdivi.:;ion:
E.li.:;tillg Structur~:@)r NO
CONFOR\IS TO ZONTI'-rC
ORDNANCE
~
NO
Yacd Setback,: NOT APPLICABLE
MEETS CODE
Requirement
Proposed
- Stde Yard
(25' ifabuttingo.stre.t. 30' ifo.butting 0. street in
C o.rdino.l Ridge)
I- ' Side Yard
I- Rear Yo.rd
- T o;;nhOl1S~S
lO'
lO'
3~1
38'1
751
. I
7 -,
-~
Must b~ consist~nC with
o.pproved plo.n for
develop ment
,JA.
ANY PROPOSED DECK NOT /flEETING THE ABOVE CRITERiA MUST BE REFERRED TO THE
PLAl'iNIi'lG DEPARTl'vlENT. ALSO, ANY DECK ON A LOT WITH A SUSPECTED BLUFF, OR ANY
OTHER UNUSUAL CIRClfMST.~'1CE l'vruST BE REFERRED TO THE PL.'.l'lNING DEPARTMENT.
THis CHECKLIST ",ruST BE COMPLETED AJ.'ID li'ICLUDED li'l THE BUll.DING PER.~I1T FILE TO
iVlAll'ITAll'i A RECORD OF THE REV1EW.
L :',TE~\jIPLA IE', DE CY.',~nCX.DOC