HomeMy WebLinkAboutBuilding (Deck) 05-0777
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
;J1flo ~o\o cui ~
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
P. FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
DATE TIME
~~
:i -OCl?
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
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~~~~
~ ,M:-'~
-
o WORK SATISFACTORY, PROCEED
A.CORRECT ACTION AND PROCEED
o CORRECT OR. CALL FOR REINSPECTION BEFORE COVERING
Inspector:
Owner/Contr:
OR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
INSNOTI
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
1 White
Pink
Yellow
File
City
Applicant
[ PERMIT NO. /l5'-1 ?1[
(Please type or print and sign at bottom)
ADDRESS
ZONING (office use)
,-1 () q~
Alx:.af Th
LEGAL DESCRIPTION (office use only)
~LOCK
LOT
ADDITION
t:J
~6
PID
3fJ-()t(O
(Address)
~1bJ~J:
~ r i?rJsurr
~/fPU
T/LIlIW
fIr)- ~ ~.J6 ~ S-Yb /
--37 J-
OWNER
(Name)
i BUILDER
I (Company Name)
I (Contact Name)
(Address)
(Phone)
(Phone)
TYPE OF WORK 0 New Construction
OAddition OAlter io
eck OPorch ORe-Roofing
OUtility ConnectIOn
ORe-Siding
OLower Level Finish
o Fireplace
CODE: bLR.C. OLB.C.
Type o~nstmction:
Occupancy Group: A B
Division:
o Mise.
I
E
II
F
1
III
H
2
IV V
I M
3 4
A
R
5
B
S
U
PROJECT COST IV ALUE $
(excluding land)
p 'cation which is to the best of my knowledge true and correct. I also certify that I am the owner or authouzed agent for the
co arm to all eXlstmg state and local laws and will proceed m accordance with submitted plans. I am aware that the buildmg
ore hereby agree that the City official or a deSignee may enter upon the propelty to perlorm needed mspe IOns
Contractor's License No.
x
~~
Buildlll!! Otrlcial
'iif ('GI () s:
Date
Paid
Date
/7/11f6-
# $
# $
$
$
# $
# $
$
$
$ 17(,'tS
I ~~ceiPt N $60 II
Permit
Park Support Fee
SAC
State Surcharge
Penalty
Plumbing Permit Fee
Mechamcal Permit Fee
Water Meter Size 5/8"; I";
Pressure Reducer
Sewer/Water Connection Fee
Sewer & Water Permit Fee
Water Tower Fee
Builder's Deposit
Other
Gas Fireplace Permtt Fee
TOTAL DUE
This Application Becomes Your Building Permit When Approved
ThIS IS to certify that the request m the above application and accompanymg documents is m accordance with the City Zoning Ordinance and may proceed as requested ThIS document
when signed by the City Planner cunstltutes a temporary Certificate of Zonmg complrance and allows constructIOn to commence. Before occupancy, a Certificate of Occupancy must be
i~sl1l'd
Planning Director
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~~
Date:
p~ !~;} - ~
Building Permit #
Site Address
PID:
Zoning:
Mcu+dL.
gtJ9~
Legal: L
B
Subdivision:
Existing Structure~r NO
I CONFORMS TO ZONING
ORDINANCE
YES
NO
Yard Setbacks: NOT APPLICABLE
LVIEETS CODE
Requirement
Proposed
. Side Yard
(25' if abutting a street, 30' if abutting a street in
Cardinal Ridge)
. Side Yard
10'
,
lo~ 3 -b
10'
. Rear Yard
25'
I
O.!!)o h
&"VG1 2- ~ '
. Townhouses
Must be consistent with
approved plan for
develo ment
A
ANY PROPOSED DECK NOT MEETING THE ABOVE CRITERIA MUST BE REFERRED TO THE
PLANNING DEPARTMENT. ALSO, At~Y DECK ON A LOT WITH A SUSPECTED BLUFF, ORAt~Y
OTHER UNUSUAL CIRCUMSTAt~CE MUST BE REFERRED TO THE PLANNING DEPARTMENT.
THIS CHECKLIST MUST BE COMPLETED AND ll~CLUDED IN THE BUILDING PERMIT FILE TO
l\1AINTAIN A RECORD OF THE REVIEW.
L:\THvlPLA TE\DECKCHCK.DOC
DEPARTMENT OF
BUilDING AND INSPECTION
SITE ADDRESS
TYPE OF WORK
USE OF BUILDING
PERMIT NO. DATE ISSUED 1-
BUILDER J PHONE #~I
NOTE: THIS IS NOT A PERMIT F ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
I FINAL
:l. /z 7/ 4ceJ
I '
FOR ALL INSPECTIONS (952) 447-9850