HomeMy WebLinkAboutBuilding 02-0549
CITY OF PRIOR LAKE
INSPECT/ON NOTICE
SCHEDULED
ADDRESS W 83 fJs()eM.. fiv.e_
OWNER
DATE TIME
~
CONTR.
PERMIT NO. ~ - '::r'l'
PHONE NO.
o FOOTING 0 PLUMBING RI
o FOUNDATION 0 MECH RI
o FRAMING 0 WATER HOOKUP
o INSULATION 0 SEWER HOOKUP
o FINAL 0 PLUMBING FINAL
o SITE INSPECTION 0 MECH FINAL
COMMENTS: ~
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FiNAL
o GAS LINE AIR TST
o
TIcc;.o ~ p~ Ju~ -k
/1'\.Q.cL'1I/1
~ (-J1-^
"
o WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT ALL FOR REINSPECTION BEFORE COVERING
Inspector:
Owner/Contr:
50 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
~
CALL
INSNOTl
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
I. White File I PERMIT NO
2 Pink City ~., _ ~.A.q
3 Yellow Applicant , V'" ~ ::::I:-t-
/41 g3
eJ It lJL-
LEGAL DESCRIPTION (office use only)
LOT......;-BLOCK ~ ADDITION
(Name)
.,..-~_'-
} :....'\
/ ,.11/
II fC/C/;') {(J/"
(. L1I7r~j
i/rc
BUILDER
(Name)
(Contact Name)
(Address)
ZONING (office use)
U'ID a,~-
-O~J-
{fIt ~~. 9;:,
(Phone)
(Phone)
L/f t.. / a: ~
TYPE OF WORK
o New Construction
ORe-Siding
DLower Level Finish
o Misc.
Deck
o Porch
ORe-Roofing
o Fireplace
DAddition
o Alteration
PROJECT COST IV ALUE (excluding land) $
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. pla~7- I am. ". :a~ . e at the building official can revoke this permit for just cause. Furthermore, I hereby agree that the city OffiC.iaI or a. designee may
enter u~ property~~I~orm e d iJ1.Wections.
~y "! ,-" ..' .~; " , . .?~ /C~ ,. C-''/.-
Permit Valuation
Permit Fee $
Plan Check Fee $
State Surcharge $
Penalty $
Plumbing Permit Fee $
Mechanical Permit Fee $
Sewer & Water Permit Fee $
Gas Fireplace Permit Fee $
.3
tfl'7t!o<y I ~;mPtN&=:S sJ
Contractor's License No.
Park Support Fee
SAC
#
#
. ,,po
$
$
$
$
$
$
$
$
$
Water Meter
Size 5/8"; I";
Pressure Reducer
Sewer/Water Connection Fee
Water Tower Fee
Builder's Deposit
Other
#
#
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.
TOTAL DUE
Paid
Date
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 Additions to Single Family Homes
BY:
a()f4
Date: 5- / Ie - Od.-
Building Permit #
Site Address /i/9'3
Legal: L (; B
. PID:d~- ;;'0)"- O<f"~-UZoning: plA50
;l-5jJt!/U It Ue-,
? Subdivision: dcV7ld /Jl~JE- :(/V/
Existing Structure: y-:ES or NO
CONFORl\IS TO ZONING Y'ES NO I
o RD IN AJ.'1'" CE
Yard Setbacks: NOT AJ'PLlC.\.BLE Requirement Proposed
lYillETS CODE
. Side Yard 10'
(25' if abutting a street, 30' if abutting a street ;)51
in Cardinal Ridge)
. Side Yard 10' 4~(
. Rear Yard 25' W(
ANY PROPOSED DECK NOT MEETING THE ABOVE CRITERIA MUST BE REFERRED TO THE
PLANNING DEPARTMENT. ALSO, A.NY DECK ON A LOT WITH A SUSPECTED BLUFF, OR AJ'fY
OTHER UNUSUAL CIRCUMSTA.NCE MUST BE REFERRED TO THE PLMfNING DEP.-\.RTiYIENT.
THIS CHECKLIST MUST BE COMPLETED Al'W INCLUDED IN THE BUILDING PER.'rIIT FILE TO
lYlA1NTAlN A RECORD OF THE REVIEW.
l:\TEiYrPfA TE\DFC<:c-HC< nnc