HomeMy WebLinkAboutBuilding Permit 08-1000
DATE TIME
CITY OF PRIOR LAKE I ( 2\1 ()C(
INSPECTION NOTICE SCHEDULED
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ADDRESS 1lJ1'3~ I o.""\\A,~
OWNER CONTR.
PHONE NO. PERMIT NO. g - I OOC>
o FOOTING o PLUMBING RI o EXIGRAD/FILLlNG
o FOUNDATION o MECH RI o COMPLAINT
o FRAMING o WATER HOOKUP o FIREPLACE RI
o INSULATION k... o SEWER HOOKUP o FIREPLACE FINAL
AFINAL ~G o PLUMBING FINAL o GAS LINE AIR TST
o SITE INS CTION o MECH FINAL 0
COMMENTS:
0-
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~ORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORR~. CALL FOR REINSPEcnON BEFORE COVERING
or: I I /J Owner/Contr:
./ / 'if
ALl/447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
........,
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYl
INSNOTl
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
p.... (lA), Ob
(Please type or print and si~n at bottom)
ADDRESS
'..32--'-
~' ..,
'1A-h:" ~
I White
Pink
Yellow
File
City
Applicant
I PERMIT NO. t::e> - I ~c:;o
ZONING (office use)
~uil
LOT
BLOCK
LEGAL DESCRIPTION (office use only)
PID
OWNER
(Name)
,4d~
I ~ 32- ~
(Address)
ADDITION
8YI H-t/Y'l
t:+h ~n L4-
(Phone) ZI(.,- Z5""Y- 1-2/)1
(;-Ct., I
~~~~~~ Name) HJ; ~I ~~;~~ t {)ytS Iv-Vd-tL/V\
(Contact Name) fll- r:v I e..:J 4"- J
(Address) Z /751 . f&.-.- H;r t;J e :]V,,-d .+vl
(Phone)
(Phone)
1111-1
(p 12 - 4'-)0- &"~ '7 8
S-S-s.5Z-
TYPE OF WORK 0 New Construction ~ck OPorch ORe-Roofing ORe-Siding OLower Level Finish 0 Fireplace
DAdditlOn DAlteration DUtility Connection
CODE: ~.R.C. OI.B.C. o Mise.
Type of C nstnlction: I II III IV V A B PROJECT COST IV ALUE $ I
Occupancy Group: A B E F H I M R S U (excluding land) -1
Division: I 2 3 4 5
I hereby certity that I have turmshed mformatlOn on this apphcal10n which is to the best of my knowledge true and correct I also certlty that I am the owner or authonzed agent for the
dbove-mentlllned~ro " y and that 2JI Cllnst.ructlOn Will conform to all exisl1ng state and local laws and will proceed 10 accordance with submitted plans. I am aware that the buildmg
offiCial can revoke t s p. rmlt for Just cause Furthe ore, I hereby agree that the City offiCial or a deSignee may enter upon the property to perform needed mspecl1ons.
X . {X- --:1-v..' ., 20 '.f S- ~() 4-3 (2- ; ~.- Q (,~
Signature I Contractor's License No. Date
~
BuildnH! UftiCI~
'. ~;>
e request 10 the above apphcal10n and accompany 109 documqJtS is 10 accordance with the City Zoning Ordinance and may proceed as requested This document
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~ng Director Date Special Conditions, if any
./ 24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
4646 Dakota Street Prior Lake, MN 55372
Permit Valuation
Permit Fee
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
(
$
$
$
$
$
$
$
$
l '\00....
1 D. ';-0
4-5.83
,..
.q)
Park Support Fee
SAC
#
#
$
$
$
$
$
$
$
$
$
n..,...Z-f}
Water Meter Size 5/8"; 1";
Pressure Reducer
Sewer/Water Connection Fee
#
#
Water Tower Fee
Builder's Deposit
Other
~
TOTAL DUE
/'2-- . 10. o~
'2-,P
os
Paid
Date
Receipt No,
By
Date I
BY:~
Residential Building Permit Checklist
Deck Additions to Single Family Homes
Date: } I
l z.-( {I tYb
Building Permit # PID:
Site Address t(o~v( 1A-H1,ul~ T(Z--
Legal: L B
Existing Stmcture: ) 9 or NO
CONFORMS TO ZONING
ORDINANCE
Zoning:
Subdivision:
{9
Yard Setbacks: NOT APPLICABLE
MEETS CODE
Requirement
. Side Yard
(25' if abutting a street, 30' if abutting a street in
Cardinal Ridge)
. Side Yard
10'
10'
. Rear Yard
25'
. Townhouses
Must be consistent with
approved plan for
development
NO
Proposed
2--0\
~~. /
---/
~ --------- .
ANY PROPOSED DECK NOT MEETING THE ABOVE CRITERIA MUST BE REFERRED TO THE
PLANNING DEPARTMENT. ALSO, ANY DECK ON A LOT WITH A SUSPECTED BLUFF, OR ANY
OTHER UNUSUAL CIRCUMSTANCE MUST BE REFERRED TO THE 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
PRIOR LAKE DEPARTMENT OF
BUILDING AND INSPECTION
INSPECTION
RECORD
SITE ADDRESS 11I32.'5 ""H/~ 7&II1t.--
TYPE OF WORK ~ .
USE OF BUILDING 46$ A/L .
PERMIT NO. . ~7J DATE ISSUED 1&. II. ~ e .
BUILDER ::JJtIT F~ UMIT~HONE # il/~()__&ge
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR DATE
FOOTING ._.~ I f2.)il iz/lt9/(')?J
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
'P~ I I
t FINAL
ill/;
, -1
Ilzl t r
/ / I
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FOR ALL INSPECTIONS (952) 447-9850