HomeMy WebLinkAboutBuilding Permit #03-1354
DATE
TIME
-tiC
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED 1'2.-[-os
~
ADDRESS 310:2., W"_~() Q~
OWNER CONTR.
PHONE NO.
PERMIT NO.
'5 -/ )S-Y
/
o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
)11 FINAL CaQ
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
~K SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRE1fA. CALL FOR REINSPECTION BEFORE COVERING
Inspector: 1// .J Owner/Contr:
CAJ-:!;.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTl
(Please type or print and si~ at bottom)
ADDRESS
3/02-
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
uJ / ~tlS
Date Rec' d
~. ';i~i~e ~:;y I PERMIT NO. ....12..... I"'~L.J.
3. Yellow Applicant D~ ~~ -,-
,€/ IJG 6
cr:
;v.tJ,
LEGAL DESCRIPTION (office use only)
LOT S BLOCK I ADDITION 2rt:72-L--;t-J9 Ai,@.; ~
J
OWNER
(Name)
(Address)
ZONING (office use)
l=>u. 0
,.
Wlc../JS PID ZS - 3tJ3 -O(h-O
(Phone)
.
RI iceJ:J / rvl~/c- /?'e fie
I
CGL<- - t.1l. - (jlJf - 2CJ7{)
(Phone) 9Sz - 2 7d - ?Y'I'I
(Phone) J' 2-~:r - Z S a'l
BUILDER
(N ame) , J ft::-Aey
(Contact Name)
(Address)
TYPE OF WORK
o Misc.
o New Construction
DLower Level Finish
,
~eck ~OPorch
~r.u - J
o Fireplace DAddition
ORe-Roofing
DAiteration
PROJECT COST IV ALUE (excluding land) $
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 fi 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. m aware tha~the ling official can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may
enter u~on the 0 erty to p~rform ne inspe:u~s. ~
X t1A.u ..(7~ fa t'___-3
Signature Contractor's License No. ate
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
$
$
$
$
$
$
$
$
15lJ{),()o
~. r:;o
15,27
,50
This Application Becomes Your Building Permit When Approved
~ ~ /a/7/d..1
Building Official ( D~te
I Park Support Fee
I SAC
I Water Meter Size 5/8"; I";
I Pressure Reducer
I City SAC and WAC
I Water Tower Fee
Builder's Deposit
Other
I TOTAL DUE
#
#
#
#
$
$
$
$
$
$
$
$
$
/
:sq ,2-7
I Paid
I Date
3Q. 2- 7
/l>i7//)$
. f - / ~
Receipt No. q...5(P~7
By /~4.. .....)_ =kJ 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
Residential Building Permit Checklist
'-
Deck Addition:l to Single Famil}' Homes
BY:~~
Date ItJI7~J
BuildingPi:rmit #
Site Addres~ 3/ {J;;J...
Legal: L5 B I
Pill:
~~
M~ C:t-, Zoning:
Subdivision: ~. - /::;\ ~tJdik
J.~
Exi.sting Structure: YES or NO
CONFORl\IS TO ZONlliG
ORDIl'IANCE
x'ES
NO
Yard Setbuck:>: NOT APPLICABLE
MEETS CODE
Requirement
Propo:>ed
· Side Yard
(25' if abutting J. street. 30' if abutting a street in
Cardinal Ridge)
· Side Yard
10'
10'
· Rear Yard
25'
· T oWMouses
. Must be consistent with
approved pl~ for
develooment
fJD _.~
.AJ.'fY PROPOSED DECK NOT MIETlNG THE ABOVE CRlTERlAMUST BE RE.FER.Ri.D TO THE
PLM""N1i.'iG DEPA..RTlYlENT. ALSO, AJ.'fY DECK ON A LOT WITH A SUSPECTED BLUFF, OR AJ.'fY
OTHER UNUSUAL C[RCUMST.~"KE lYIUST BE R.E.FERRED TO T.HE. PLA.I.'fNU'1C DEPARTlYlENT.
THIs CHECKLIST iYruST BE COIHPLETED At'ID li'iCLUDED LL'i THE BUILDING PERJ.'VIlT FILE TO
~IA.lNT AlJ.'f A RE C ORD 0 F THE REVIE W .
L'TE?'1!PLA IE" DE eX-CHCK.DOC
-.i
PRIOR LAKE
INSPECTION
RECORD
SITE ADDRESS 3\ 0 2- fA) t LOS R iDEiE c:r:
TYPE OF WORK L~Ot.~ T ~Ai,e.s
USE OF BUILDING CSt ~ .
PERMIT NO. DATE ISSUED (0 M3
BUILDER 1JUI::Y tl~r~iE. fh:,. IF PHONE # '-'l.tO\ -n?O
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
, FOOTING I ~ 1 lD-Zttsr4a
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
__ I 1
I FINAL
/'I,'/?
1/lf)
1/2..J "0/
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (952) 447-9850