HomeMy WebLinkAboutBuilding 05-0566
CITY OF PRIOR LAKE
INSPECTION NOTICE
DATE
~
J~~q~ ~IV\J). Lk 1Y
TIME
SCHEDULED
ADDRESS
OWNER
CONTR.
PHONE NO.
5-5lfp
PERMIT 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
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
COMMENTS:
Ck~f)o
~
XWORK SATISFACTORY, PROCEED
o CORREC CTI AND PROCEED
LL FOR REINSPECTION BEFORE COVERING
Inspector
Owner/Contr:
7- 850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTl
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
I White
Pink
Yellow
File
City
Applicant
I PERMIT NO. OS05fPG>I
(Please
ADDRESS
'b'14a
,
BUiJD LA~ ~IL 413-
ZONING (officc use)
LEGAL DESCRIPTION (office use only)
BLOCK l;(, ADDITION
LOT
PID
3g-{)tj ~
OWNER
(Name)
j()\\~ \ th)O"(
5t{ Pc-WSPM f- Y
(Phone)
u(l,-
95a-4tfo -- dJi,J,
(y1Z. -l'~( - 7 S-5~
(Address)
BUILDER
(Company Name)
(Contact Name)
(Address)
(Phone)
(Phone)
TYPE OF WORK 0 New Construction 1qfbeck OPorch ORe-Roofing ORe-Siding OLower Level FinIsh 0 Fireplace
OAddition OAlterati!; OUtility Connection
CODE: OI.R.C. OI.B.C.
Type of Constmction:
Occupancy Group: A B
Division:
o Misc.
I
E
II
F
I
III
H
2
IV V
I M
3 4
A
R
5
B
S
U
PROJECT COST/VALUE
(excluding land)
$
.~t.t)OO
I hcreby certify that I have hlrmshed 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-mentlOnc property an that all constru IOn will conform to all eXIsting state and local laws and will proceed In accordance with submitted plans I am aware that the building
~'ficial can r 0 . th or Just cause rthermore, I hereby agree that the CIty official or a designee may enter upon the propeny to perform needznspectlons 'iJ
Contractor's License No. Date
Water Meter
Size 5/8"; I";
$
$
$
$
$
$
$
$
.i ''{7.0~ $ 4/7S
I ~~>ce;Pt~~ 8'?
#
Permit Fee $
Plan Check Fee $
State Surcharge $
Penalty $
Plumbing Permit Fee $
Mechanical Permit Fee $
Sewer & Water Permit Fee I $
Gas Fireplace Permit Fee $
Park Support Fee
SAC
#
#
Pressure Reducer
Sewer/Water Connection Fee
Water Tower Fee
Builder's Deposit
Other
#
TOTAL DUE
G-It OS
Date
I Paid il;1f~
Date ~- /
Becomes Your Building Permit When Approved
Th" 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 TIllS document
when signed by the City Planner constitutes a temporary Certificate of Zomng compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be
issued
Planning Director
(lad
~
c!dc. 1~c!oLl-r
Special Conditions. if any
Date
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 Additions to Single Family Homes
BY: (/,1,'k fl~ Date: (,(6-()')
Building Permit #
Site Address 1(, 74 2.,
Pill:
fJ ( CN1~ U, Ie.... 1'l-
Zoning:
Legal: L
B
Subdivision:
Existing Structure: YES o@
I ~I
I CONFORMS TO ZONING
ORDINANCE _
NO
Yard Setbacks: NOT APPLICABLE Requirement Proposed
:MEETS CODE
. Side Yard 10' SO 1- C'-
(25' if abutting a street, 30' if abutting a street in
Cardinal Ridge) .
. Side Yard 10' &b-r
0-
. Rear Yard 25' (PO
. Townhouses Must be consistent with /VA
approved plan for
development
ANy PROPOSED DECK NOT MEETING THE ABOVE CRITERIA MUSTBE REFERRED TO THE
PLANNING DEPARTMENT. ALso, ANY DECK ON A LOT WITH A SUSPECTED BLUFF, OR ANY
OTHER UNUSUAL CIRCUMSTANCE MUST BE REFERRED TO Tij:E PLANNING DEPARTMENT.
THIS CHECKLIST MUST BE COMPLETED AND INCLUDED IN THE BUILDING PERMIT FILE TO
MAINTAIN A RECORD OF THE REVIEW.
L:\TEMPLA TE\DECKCHCK.DOC
CITY OF PRIOR LAKE
Impervious Surface Calculations
(To be Submitted with Building Permit Application)
F ()r All Properties Located in the Shore land Distrlct (SD).
T11e 1YIaximum Impervious Surface Coverage Permitted in 30 Percent.
,O-tPn;){#-
! ,}62 -' OLf I?
. Property Address \ \.0'1 q-Z-' . ~\..~!. lA~~\5 E:
Lot Area ~.~.~ \e'~ ~~~lqv1 Sq. Feet x 30% = .............. . 1;';B:, . _
***********~************************************************************
:.tp
- LENGTH
WIDTH
SQ. FEET
HOUSE
x
=
:tII:
x
=
A IT ACHED GARAGE. '.
.( ~
x
=
TOTAL PRlNCIPLE STRUCTURE...................... ~
. .
DETACHED BLDGS
(Garage/Shed) '. .
x
x
TOT AL D ET ACHED BUlLD IN GS....................:..
x
x
=
x
=
TOT AL PAVED AREAS......................................... ~ Co <c>
P A TIOS/PORCHESIDECKS,
. .
(Open Decks. 'I,': min. opening bet>veen'
boards, with a pervious SUrface below,
are not considered to bt: impervious)
x
x
=
==
x.
=
TOT AL D E CKS..........~............................................. .
OTHER
x =
.. '. x =
TOT AI., OTFIER............ ..........................................
rOTAL IMPERVIOUS SURFACE
~OVEIf\. . .
.Prep~.edByU~~\t(hl . Date . 0 L.
'. ..... '.' .'. .'\..' '. . .
Company1.\~\\~ ~I>-~\d~'{). L Phone # ~'\I- 7.91 ~
~1\o
co\~. .'
~
PRIOR LAKE DEPARTMENT OF
BUILDING AND INSPECTION
INSPECTION
RECORD
SITE ADDRESS -'-'7"'11. (JI,tIt" l..ttA. T" I
TYPE OF WORK Oult..
USE OF BUILDING S .. F. O.
PERMIT NO. as". os-(P~ DATE ISSUED
BUILDER own~.-- PHONE #~(
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
~ ~TE /
I FOOTING I _ I 7//1/0)
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
I~l~ I I
I FINAL I if1;I1;;.y68
FOR ALL INSPECTIONS (952) 447-9850