HomeMy WebLinkAboutBuilding Permit 10-0743 DATE TiME
CITY OF PRIOR LAKE
INSPECTION NOTICE SCHEDULED I �� !�
ADDRESS ��(}_��`��}�,�C�� �
OWNER CONTR.
PHONE NO. PERMIT NO, f d T 9 ,
❑ FOOTING ❑ PLUMBING RI � EXlGRADlFILUNG
❑ FOUNDATION � MECH RI ❑ COMPLAIN7
❑ FRAMING ❑ WA7ER HOOKUP � FIREPLACE RI
❑ IySULATION ❑ SEWER HOOKUP ❑ FIREPLACE FINAL
rs�FINAL 0 PLUMBING FINAL ❑ GASLINE AIR TST
t ❑ SITE INSPECTION O MECH FINAL ❑
COMMENTS: ��� �
F
� WORK SATISFACTORY, PROCEEO
❑ CORRECT ACTION AND PROCEED
❑ CORREC O K, CALL FOR REINSPECTION BEFORE COVERING
Inspector: Owner/Contr:
CAL 7- 50 FOR THE NEXT INSPECT{ON 24 HOURS 1N ADVANCE.
CODE REQUIREMENTSARE FOR YOUR PERSONAL NEALTH & SAFETYf
wswor,
O F PRIp� CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
� ;�£� � , � � AND UTILITY CONNECTION PERMIT �' � � l �
U X
: �
M��'NES��P I Whice FOe pERMIT NO . /� `�J��
2 PmM City / /
3 1'ellow Apphcant �� � �
(Please e or rint and si at bottom)
ADDRESS ZONING (ot�ice use)
I� d-� �J11 u��.c,l r 1`tti.`
LEGAL DESCRIPTION (ofll'ice use only)
LOT BLOCK ADDITION PID
OWNER
(Name) MG.. r � � : �^ � �- (Phone) �2 � � — o � � �q �S
(Address) a.(� W o �,k ,�c..�
BUILDER
(Company Name) T� k—�-KS (Phone) (� a� a-5�U � 1 � Ci �
(Contact Name) �� o� Tr �� X (Phone) — a�U `� � q 7
(Address) `��(�p w .. „� � � Y�.p ., 1 �l
TYPE OF WORK ❑ New Construction eck ❑Porch ❑Re-Roofing ❑Re-Siding ❑Lower Level Fmish ❑ F�replace
❑Addinon ❑Alteraaon ❑Utility Connecaon
CODE: R.C. ❑I.B.C. D Misc.
Type of C nstruction: I II III IV V A B '��-�g� CT COSTNALiTE $
Occupancy Group: A B E F H I M R S U
Division: 1 2 3 4 5 (excluding land)
I hereby cernfy that I have fumishe nformati on this hcahon whi is ro the best of my knowledge tn�e and correct. I also cerufy that I am the owner or authonud agcnt for the
above-mennoned property a at onstru on w c nform to all xutmg stat and local laws and will proceed m accordance wrth subm�tted plans I am aware that the buildmg
official an rev e this per t for� st ca er or I hereb agr e that the c official or a designee may enrer upon the property to perform necded mspecnons
X
Signature Contractor's License No Date
Permit Valuation ��� � Park Support Fee # $
Permit Fee $ , .� SAC # $
Plan Check Fee $ Water Meter Size 5/8"; 1"; $
State Surcharge $ _ p Pressure Reducer $
Penalty $ Sewer/Water Connection Fee # $
Plumbing Permit Fee $ Water Tower Fee # $
Mechanical Permit Fee $ Builder's Deposit $
Sewer & Water Permit Fee $ Other $
Gas Fireplace Permit Fee $ TOTAL DiTE $ �
This App 'on comes Your Building Pernvt n proved Paid � eCei t NO. ,�
Date /, d
1
Bud �� Utlicial Dat
Th�s �s to certify at the re u t m the above appLcanon and accompanymg documents m cordance with the City Zomng Ordmance and may proceed as requested This document
when s�gned ity P a er c tes a temporary Certtficate of Zonmg compha e an allows constructton to commence Before occupanty, a Certificate of Occupancy must be
issued
l � �
Planning D'uector Dat Special Conditions, if any
24 hour notice for all inspections (952) 447-9850, fax (9S2) 447-4245
4646 Dakota Street Prior Lake, MN 55372
. � � .� . : Residential Building Permi� Checklist � � . � : . � � �
� ' � . � � . � � � Deck A.dditions to Single Family omes � � � � �
� ��'�-_ . . . . . .
- BY:� � � �ate: . � � � J � . . -
� �uilding Permit # . � P � . . � � � . Zoning: � . � � . �
. ' Site Address t d�Z � � c.,� �p � �N-�; �- . � . � �L�. � 1 � � : .
- L�gal: L� B � . Sulidivision: � ��
� �E$isting Structure: YES or NO , � � � ' � � ' � . � '
� � � � CONFORMS TO ZONIl�TG � . . � � YES � 1�0 �
� ORDINANCE . . . � � • . � ' � . � . . � � .
� � � �ard Set�acks: NOT APPLICABLE , Requirement Proposed . � . �.
� � � MEETS CODE � . � � � � � .
� • Side Yard . � � � � . . i 0' � � . � �'
� � . (25' if abutting a'street, 30' if abutting a street in � ' � . , ' � �x � . .
� � . . ' Cardi�al Rid e) � � ' ' . '( O .
' • � • . Side Yard : � . ' � . 1�0' � O i � .
. . . Rear Yard ' . . ' � � � . � � 25' . • �S � . � �
• • � Townhouses � . � . . . �Must be cor►sistent with . � ' .
� . � approved plan for . � �
� � � ' � • � develo ment � � ' •
� � ANY PROPOSED DECK NOT MEETING THE ABOVE CRITERIA MUST�$E REFERRED TO THE �
. �LANNING DEPARTMENT. ALSO, ANY DECK ON A LOT WITH A SUSPECTED SLUFF, OR ANY
, OTHER UNUSUAL CIRCUMSTANCE MUST BE REFERRED TO �THE PLANNING DEPARTMENT. .'
THIS CHECKLIST MUST BE COMPLETED AND INCLUDED IN THE BUILDII�TG PERNIIT FILE TO . :
� . � MAINTA�N A RECOItD OF THE REVI�W. ' . . . � � ' . • . � • ' ' '
. � �� � � .1�� � l-�S � .. . . ��-� .. � � . . � .. � . . � �.. .. . . �.
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. . . . . . . � � .- . � � . .
' � . ' '� L:\T�IvI�'LATE�IJECICCHCKDOC . � � . ' . ' � � . � ' ' '
� . . . . � . .
� - • � . - , . . � .
DEPARTMENT OF
BUILDING AND INSPECTION
SfTE ADDRESS /¢Z�� � (1U��� �C.�� ��LC.�
TYPE OF WORK D��L
IJSE OF BUILDING ��� � IZ
PERMIT NO. `O , 7� DATE ISSUED q�� v
BUILDER �'Il N�1� PHONE # (� �Z z 9� �r� ss"
NOTE: THIS {S NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR OATE
FOOTING - , , � q
PLACE O CONCRETE UNTIL ABOVE HAS BEEN SIGNED
FINAL /D i
FOR ALL INSPECTIQNS (952) 447-9850
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